Contributory factors for the functional independence of oldest old

Ribeiro, Dâmarys Kohlbeck de Melo Neu; Lenardt, Maria Helena; Michel, Tatiane; Setoguchi, Larissa Sayuri; Grden, Clóris Regina Blanski; Oliveira, Edinaldo Silva de

doi:10.1590/s0080-623420150000100012

Cited by 23 publications

(22 citation statements)

References 11 publications

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“…Similarly, other studies show this heterogeneity in aging. Researchers report that this difference is related to intrinsic factors, such as pathologies, as well as with life habits and socioeconomic aspects (24) . Practicing some physical activity, even with low intensity, is one of the main addressed factors, since its decrease is constantly related to the increase in the fragility and stillness of the senior citizen (25) .…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of low-cost walker with trunk support for senior citizen

Poier

Godke

Foggiatto

et al. 2017

Rev. esc. enferm. USP

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Objective: Develop and evaluate a low-cost walker with trunk support for senior citizens. Method: Two-stage descriptive study: development of a walker with trunk support and evaluation with fourth age senior citizens. Results: Twenty-three fourth age senior citizens were selected. The evaluated criteria were the immediate influence of the walker on the static stabilometry with baropodometer and the evaluation of gait with accelerometers monitoring time and amplitude of the hip movement. There was a significant decrease in the body oscillation of senior citizens with the use of the developed walker, and there were changes in the joint amplitudes of the hip, but they were not significant. Conclusion: Using low-cost materials, it was possible to develop and equipment that met resistance and effectiveness requirements. The walker interfered in the balance of the senior citizens, reducing significantly the static body oscillation. DESCRIPTORSWalkers; Aged, 80 and over; Postural Balance; Low Cost Technology.Development and evaluation of low-cost walker with trunk support for senior citizen* Desenvolvimento e avaliação de andador de baixo custo com suporte de tronco para idosos Desarrollo y evaluación de andador de bajo costo con soporte de tronco para ancianos INTRODUCTIONThe population group called fourth age, or very old senior citizens, is formed by people aged 80 or more (1) . This plot is growing and, according to demographic projections, they will be 30% of the Brazilian population in 2050 (2) . In spite of this growth deriving from the improvement of basic life conditions, functionality cannot follow the passing of time (3)(4) . Therefore, senior citizens are a heterogeneous group as for the independence in completing activities of interest and in the quality of life (2,5) . Among the possible difficulties related to the age increase, there are balance and gait alterations, known as Postural Instability. With the decline of the sensorial capacities and the decrease of biomechanical skills, senior citizens tend to present unbalances and difficulties to maintain orthostatism and, consequently, an independent gait (6) . The most dangerous consequence of these alterations is falling, which may cause fractures and immobilization (4,7) . In these cases, there may be a decrease in the bone mass, reduction of the blood circulation, alterations in the respiratory function, appearance of pressure ulcers, urinary incontinence and intestinal constipation (8) . In addition, falls are the main mortality and morbidity cause among older senior citizens (9) . The occurrence of falling episodes increases with the age, since around 30% of the individuals aged more than 65 falls at least once a year; above 74, this index increases to 35% and after 85 years old, it goes up to 51% (10) . With the intent to stimulate mobility, independence and functionality in senior citizens, it is possible to introduce gait or locomotion helping devices in their routine (11) . Depending on the damage level, it is possible to recommend the ...

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Section: Discussionmentioning

confidence: 99%

Development and evaluation of low-cost walker with trunk support for senior citizen

Poier

Godke

Foggiatto

et al. 2017

Rev. esc. enferm. USP

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“…Além disso, essa ação funcional também é fortemente influenciada pelo equilíbrio dinâmico e estático, entre outros fatores intervenientes (16) . Em pesquisa realizada com 316 idosos no interior da Bahia, em que se avaliou a aptidão motora, 69,7% da amostra foi classificada sem limitação nos testes de equilíbrio, 65,3% sem limitação no teste de sentar e levantar, 75,2% sem limitação ao agachar e pegar um lápis, e 74,3% sem limitação na caminhada (21) . As maiores distribuições de idosos com limitações foram verificadas nos testes de sentar e levantar, e de equilíbrio; e o melhor desempenho foi observado no teste de agachar e pegar um lápis, parcialmente semelhante ao de nossa pesquisa, na qual o desempenho menos satisfatório foi no teste de equilíbrio.…”

Section: Casuística E Métodosunclassified

“…As maiores distribuições de idosos com limitações foram verificadas nos testes de sentar e levantar, e de equilíbrio; e o melhor desempenho foi observado no teste de agachar e pegar um lápis, parcialmente semelhante ao de nossa pesquisa, na qual o desempenho menos satisfatório foi no teste de equilíbrio. No presente estudo, assim como em outros com idosos, identificou-se predominância feminina (4,7,(16)(17)(18)(19)(20)(21)(22) . Diferenças de sexo devem ser destacadas quando se estuda envelhecimento, visto que por apresentar maior expectativa de vida, as mulheres apresentam maior vulnerabilidade, acarretando maior chance de desenvolver osteoporose, fraturas e depressão, contribuindo para a perda da Capacidade Funcional (CF), o que implica em cuidados diferenciados (3,7) .…”

Section: Casuística E Métodosunclassified

Funcionalidade, Aptidão Motora E Condições De Saúde Em Idosos Longevos Residentes Em Domicílio

Queiroz¹,

Araújo²,

Novais³

et al. 2016

ACS

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Conflito de interesses: Não Contribuição dos autores:DBQ concepção e planejamento do projeto de pesquisa. CMA concepção e planejamento do projeto de pesquisa, revisão crítica. LCO planejamento do projeto de pesquisa. MMN planejamento do projeto de pesquisa. LAA planejamento do projeto de pesquisa. LADR concepção e planejamento do projeto de pesquisa, redação e revisão crítica. Contato para correspondência: Luciana Araújo dos Reis E-mail: lucianauesb@yahoo.com. Abstract Introduction: Associated with physiological changes of aging and chronic-degenerative diseases, the increase in the group of elderly people aged over 80 years can cause the decrease of independency of the elderly, which raises the need to assess the functionality and motor performance of this population. Objective: Assess the functionality and motor ability of long-lived elderly people living at home in the city of Jequié, Bahia State, as well as identifying the factors associated with functionality and motor ability. Patients and Methods: This is an analytical research, with cross-sectional design and a quantitative approach, with 63 elderly people aged 80 or over in the city of Jequié, Bahia State. During data collection, we used a questionnaire with sociodemographic data and health conditions, functional assessment by Barthel Scale, Lawton Index and application of motor tests: sitting and getting up from a chair, picking up a pencil on the floor, walking and balance. We conducted a descriptive analysis and applied the Chi-square Test, with a significance level of 5% (p<0.05). Results: The population was predominantly composed of women (66.7%), who were independent in the basic activities of daily living (61.9%), although they were dependent in the instrumental everyday activities (82.5%). The mean score of the activity of balance was reached by 42.9% of them. They reach the score "good" in the activities of sitting/getting up (82.5%), squatting/ picking up a pencil on the floor (87.3%) and walking (96.8%). We did not find significant statistical difference between the variable of functional capacity and the activities of motor performance, as well as between the variables of health conditions and the activities of motor performance. Conclusion: The elderly people were classified as dependents in the instrumental activities of daily living and with an average score in the activity of balance of motor performance. When assessing motor ability and functionality, one can identify possible limitations to guide specific interventions and follow-up the evolution in order to combat preventable dependencies.

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“…Atualmente, os longevos, idosos com idade igual ou superior a 80 anos, representam 2,1% da população no Brasil e acredita-se que em 2060 esse percentual será de 8,4% (1) . No entanto, pouco se conhece acerca das condições de saúde dos longevos (2)(3)(4) .…”

Section: Introdução Métodounclassified

“…Sob a ótica da saúde pública, a avaliação da capacidade funcional do idoso tornouse parâmetro essencial na prática da gerontologia (3) . Estudo entre idosos longevos acompanhados em uma Unidade Básica de Saúde do município de Curitiba-PR verificou que os profissionais de saúde, e especificamente os de enfermagem, precisam considerar a avaliação funcional como parte fundamental dos cuidados integrais aos idosos (2) .…”

Section: Introdução Métodounclassified

Fatores Associados À Independência Funcional De Idosos Longevos Da Comunidade

et al. 2019

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Objetivos: verificar a frequência de independência funcional entre os longevos e identificar osfatores associados à independência funcional dos longevos.Metodologia: estudo transversal com 174 idosos de 80 anos e mais, residentes na zona urbana emMinas Gerais no período de junho de 2017 até junho de 2018. Para a seleção da população, utilizousea amostragem por conglomerado em múltiplo estágio. Procederam-se às análises descritiva,bivariada e regressão logística múltipla (p≤0,05).Resultados: eram do sexo feminino 67,8%, com cinco ou mais morbidades autorreferidas 62,6%,74,7% sem sintomas depressivos e 85,6% eram independentes nas atividades básicas da vidadiária. A independência funcional nas atividades básicas da vida diária foi ausência de indicativo desintomas depressivos (p=0,046) e as atividades instrumentais da vida diária ao arranjo de moradia(p=0,045).Conclusão: a identificação dos fatores associados à independência funcional dos longevos auxiliamo planejamento do cuidado de enfermagem com vistas a diminuir ou postergar a dependência.

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Contributory factors for the functional independence of oldest old

Cited by 23 publications

References 11 publications

Development and evaluation of low-cost walker with trunk support for senior citizen

Development and evaluation of low-cost walker with trunk support for senior citizen

Funcionalidade, Aptidão Motora E Condições De Saúde Em Idosos Longevos Residentes Em Domicílio

Fatores Associados À Independência Funcional De Idosos Longevos Da Comunidade

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