Fatores associados à doença pulmonar em idosos

Abstract

OBJECTIVE:To investigate the prevalence of reported pulmonary disease among elderly subjects, according to sociodemographic and economic characteristics, lifestyle, physical mobility, and health status. METHODS:This was a cross-sectional population-based study that included 1,957 elderly subjects (aged 60 and over). Information was collected by means of interviews. Subjects were selected using a two-stage probabilistic, stratified, cluster sampling strategy in six municipalities in the State of São Paulo between 2001 and 2002. Descriptive statistics, chi-squared association tests, prevalence ratios, and 95% confidence intervals were utilized. Adjusted analysis was carried out by Poisson regression. RESULTS:Among the interviewees, around 7% reported pulmonary disease. There was no association between pulmonary disease and influenza vaccination. Adjusted analysis identified the following factors that were independently associated with reported disease: smoking (PR: 2.03; 95% CI: 1.39-2.97); medication use (PR: 2.05; 95% CI: 1.11-3.79); health status self-assessed as poor or very poor (PR: 1.89; 95% CI: 1.20-2.96); and depression, anxiety, or emotional problems (PR: 1.86; 95% CI: 1.11-3.10). CONCLUSIONS:The findings from the present study reinforce the importance of respiratory diseases among the elderly, particularly in more vulnerable groups. Preventive measures and specific care for such groups are therefore justified. KEYWORDS: Lung diseases

Effectiveness of the Brazilian influenza vaccination policy, a systematic review

“…The other ten studies analyzed vaccine coverage among the senior population. The majority of them were surveys conducted in representative samples of the target population, 7,9,13,16,17,20,24 and the remaining three among outpatients of a primary care clinic and reference hospitals 22,23,30 . Five surveys detected vaccine coverage similar to the Ministry of Health's (MOH) administrative data 9,13,16,17,30 .…”

“…The majority of them were surveys conducted in representative samples of the target population, 7,9,13,16,17,20,24 and the remaining three among outpatients of a primary care clinic and reference hospitals 22,23,30 . Five surveys detected vaccine coverage similar to the Ministry of Health's (MOH) administrative data 9,13,16,17,30 . On the other hand, large differences were observed by the other three: among the elderly of two low income communities ("favelas") in the city of Rio de Janeiro, survey coverage was 50.2% and 38.3%, compared to MOH 75.7% coverage for the whole city; 66.3% coverage in Belo Horizonte, the country's third largest city, compared to 85.5% according to MOH data; and 83.8% among outpatients of a primary care clinic in Botucatu, state of São Paulo, compared to 62.2% (MOH) 7,22,24 .…”

Estudo Populacional Sobre Os Determinantes Da Autopercepção De Saúde De Idosos Residentes Em Comunidade

“…De acordo com Francisco et al (25) a prevalência de doença pulmonar revelou-se significativamente mais elevada entre os idosos que consideraram sua saúde ruim ou muito ruim. Nesse sentido, infere-se que indivíduos com problemas crônicos de saúde associados à polimorbidades tendem a avaliar sua saúde de forma negativa.…”

Espirometria de incentivo a volume versus a fluxo sobre parâmetros respiratórios em idosos

“…The healthy aging is natural and progressive, with gradual functional changes that enable adaptations and maintenance of the quality of life 3 . The pulmonary function slowly decreases after the adult life 4 , and, as a result of the aging process, there is the reduction of thoracic mobility, lung elasticity, respiratory muscle strength and vital capacity, thus leading to reduced cough effect and ciliary motility in the respiratory epithelium 5 . Besides, there is the reduction of pulmonary volume, the increase of residual volume, the early closure of small airways, the reduction of thoracic compliance and the increase of lung compliance, among other changes 6 .…”