Síndrome da fragilidade e riscos para quedas em idosos da comunidade

Taguchi, Carlos Kazuo; Menezes, Pedro de Lemos; Melo, Amanda Caroline Souza; Santana, Leonardo Santos de; Conceição, Wesley Rayan Santos; Souza, Gabrielle Feitosa de; Araújo, Brenda Carla Lima; Silva, Allan Robert da

doi:10.1590/2317-1782/20212021025pt

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…Na pesquisa realizada por Guedes et al (2020), foram avaliadas principalmente a capacidade funcional, a força muscular e a ocorrência das quedas, que precisam ser avaliadas com mais frequência. Para Taguchi et al (2022), a fragilidade foi identificada em pacientes mais velhos, onde o equilíbrio entre movimentos funcionais e as atividades rotineiras dos pacientes estão relacionadas com o risco de quedas. Na pesquisa realizada por Cota et al (2021), os fisioterapeutas desempenham um importante papel atuando em casas de longa permanência e asilos, pois podem fazer um diagnóstico situacional melhorado sobre a fragilidade muscular de idosos que já possuem problemas osteomusculares, osteoporose, problemas de visão e cognitivos, onde são realizados exercícios de fortalecimento muscular destes idosos, evitando as quedas.…”

Section: Resultado E Discussãounclassified

Eficácia do treinamento de força muscular na prevenção de quedas em idosos

Melo¹,

Aquino²,

Ferreira³

et al. 2022

Braz. J. Hea. Rev.

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Introdução: Com o avanço do processo de envelhecimento surgem diversas alterações fisiológicas no idoso, um exemplo delas é a sarcopenia, que acarreta fraqueza muscular e pode ocasionar um maior risco de quedas, portanto, o treino de força muscular deve ser levado em consideração para prevenir riscos de quedas em idosos e melhorar sua qualidade de vida. Objetivo: Demonstrar de que forma o treinamento de força muscular pode contribuir para a prevenção de quedas em idosos. Métodos: A revisão integrativa de literatura foi realizada por meio de artigos buscados nas plataformas de dados: Biblioteca Eletrônica Científica Online – SCIELO, LILACS e MEDLINE. Resultados: Os resultados da pesquisa apontaram uma amostra inicial de 674 artigos científicos, mas a amostra final contou com apenas 15 artigos que tinham relevância para demonstrar as contribuições do fisioterapeuta para a prevenção do risco de quedas em idosos. Como critérios de inclusão, foram utilizados: artigos publicados entre os anos de 2018 e 2022, de forma completa, em idioma português do Brasil, e que estivessem com a temática dentro da temática abordada nesta pesquisa. Considerações finais: O presente trabalho possibilitou uma análise por meio de avaliação de literatura sobre o processo de envelhecimento e suas alterações fisiológicas, considera-se essencial a fisioterapia no treino de força muscular para contribuir na prevenção de quedas em idosos.

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Section: Resultado E Discussãounclassified

Eficácia do treinamento de força muscular na prevenção de quedas em idosos

Melo¹,

Aquino²,

Ferreira³

et al. 2022

Braz. J. Hea. Rev.

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Potential the relationship between clinical use metformin and frailty index:a Mendelian randomization study

Jiao,

Liang

2023

Preprint

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Background: Observational studies present conflicting evidence regarding the association between metformin use and the risk of an increase in the Frailty Index. Some studies suggest a significant increase, while others indicate the opposite. Objective: This study aims to explore the causal relationship between metformin use and an increased risk of the Fraility Index . Methods: We conducted a two-sample Mendelian randomization (MR) analysis using various methods: inverse-variance weighted (IVW), weighted median, MR-Egger regression, simple mode, and weighted mode. Publicly available summary statistics datasets from genome-wide association studies (GWAS) meta-analyses were utilized. These datasets focused on metformin use in individuals of European descent (n = 462933) as the exposure variable, and a GWAS on doctor-diagnosed frailty index increase in individuals from the UK Biobank (n =175226) as the outcome variable. Additionally, we validated the outcomes using data from another group of metformin patients. Results: We identified 61 single nucleotide polymorphisms (SNPs) associated with metformin use at genome-wide significance as instrumental variables (P<1e-5; linkage disequilibrium r2 <0.001). The IVW (b = 2.646518, SE = 0.3763135, P = 2.03E-12), MR-Egger regression (b = 1.986775, SE = 1.4747723, P = 1.83E-01), simple mode (b = 3.450373, SE = 1.0903862, P = 2.44E-03), weighted median (b = 2.388585, SE = 0.4366406, P =4.49E-08), and Weighted mode (b = 3.08067, SE = 0.9913658, P =2.88E-03) methods all indicated a potential causal relationship between metformin use and the frailty index. Cochran’s Q test and funnel plot analysis showed no evidence of heterogeneity or asymmetry, suggesting no directional pleiotropy. Similar trends were observed in both forward and reverse validation within an additional 49 datasets. Conclusion: Our MR analysis findings suggest a potential causal relationship between metformin use and an increase risk of frailty index.

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Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility and risk of falls in older people

Freire,

Seixas

2024

Front. Physiol.

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Introduction:Sensory systems provide the necessary information for a motor response to be provided. In this sense, the objective of this study is to evaluate the effectiveness of a sensorimotor exercise program on proprioceptive acuity, balance, muscle strength, functional mobility and risk of falls in institutionalized elderly.Methodology:56 participants (84.6 ± 8.4 years) were randomly distributed between the control (CG, n = 28) and intervention groups (IG, n = 28). The CG performed a protocol based on warm-up, muscle strengthening and warm down and the IG performed the same intervention, with the addition of sensorimotor exercises. Joint Position Sensation (JPS) was evaluated in both limbs at angles of 20° and 45°, balance, functional mobility, fear of falling in the elderly and muscle strength of quadriceps, hamstrings, adductors and abductors in both limbs, before and after the 12 weeks of intervention.Results:Both groups showed gains in muscle strength. When analyzing functionality through Timed Up and Go (TUG), before and after for each group separately, both showed a significant difference (CG p = 0.002; IG p < 0.001). For the Short Physical Performance Battery (SPPB) variable, there were significant differences in IG in balance (p < 0.001), gait speed time (s) (p = 0.004) and sit-to-stand (p = 0.002). In JPS, significant differences were recorded for Absolute Error 45° Non-Dominant (p = 0.045) and Relative Error 45° Non-Dominant (p = 0.045) in the CG and Relative Error 45° Non-Dominant for IG (p = 0.018). In the Falls Efficacy Scale International (FES-I) variable there were significant improvements in the CG (p = 0.006) and in the GI (p = 0.002). However, only IG showed significant improvements (p = 0.013) for Activities-Specific Balance Confident (ABC) in a comparison between before and after the 12-week research period. When comparing the differences verified with the intervention between CG and IG, only balance SPPB (p < 0.001) and sit-to-stand SPPB (p = 0.022) showed significant values.Conclusion:He effectiveness of sensorimotor exercises provides balance gain in the elderly (p < 0.001) and positively impacts their confidence (p = 0.013) when performing their duties. It is concluded that the protocol presented in its different levels of difficulty is effective and important for the quality of life of the institutionalized sedentary elderly.

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Síndrome da fragilidade e riscos para quedas em idosos da comunidade

Cited by 4 publications

References 22 publications

Eficácia do treinamento de força muscular na prevenção de quedas em idosos

Eficácia do treinamento de força muscular na prevenção de quedas em idosos

Potential the relationship between clinical use metformin and frailty index:a Mendelian randomization study

Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility and risk of falls in older people

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