Análise do conceito fragilidade em idosos

Andrade, Ankilma do Nascimento; Fernandes, Maria das Graças Melo; Nóbrega, Maria Míriam Lima da; Garcia, Telma Ribeiro; Macêdo-Costa, Kátia Nêyla de Freitas

doi:10.1590/s0104-07072012000400004

Cited by 33 publications

(46 citation statements)

References 24 publications

(41 reference statements)

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“…Although the presence of NCD or its consequences does not always come along with frailty, its cumulative effects during the aging process lead to an increased risk of adverse events to health, resulting in frailty in the elderly and, consequently, adverse clinical outcome as hospitalization (7) . Osteoarticular disease and fall were associated with frailty, which was also observed in some studies (3) . In Peru (24) , there was association of frailty with advanced age and fall last year.…”

Section: Discussionsupporting

confidence: 71%

“…Some factors may justify the disparities found in prevalence of frailty in the elderly, among them the consensual definition of this recently analyzed condition (3) , as well as the methodological standardization. Difficulties in standardizing the condition of frailty induces the diverse paths to the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Progressive and fast increase of elderly Brazilian population points out new challenges to the health sector, due to change in the epidemiological profile of the country caused by the increasing prevalence of chronic non-communicable diseases (NCD). Such clinical conditions can expose the elderly to a state of vulnerability due to poor resolution of homeostasis after a stress event, a result of the cumulative decline in various physiological systems over life, which is an essential frailty characteristic in the elderly (1,(3)(4)(5)(6)(7) . Frailty in the elderly is a multi-dimensional syndrome that involves interaction of biological, psychological and social factors.…”

Section: Introductionmentioning

confidence: 99%

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Frailty in the elderly: prevalence and associated factors

et al. 2017

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Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly. Descriptors: Elderly; Frail elderly; Health Vulnerability; Health of the Elderly; Public Health. RESUMO Objetivo: conhecer a prevalência e fatores associados à fragilidade em idosos assistidos pelo Centro Mais Vida de Referência em Assistência à Saúde do Idoso ao norte de Minas Gerais, Brasil. Método: estudo transversal, com amostragem por conveniência. A coleta de dados ocorreu em 2015. Analisaram-se variáveis demográfi cas e socioeconômicas, morbidades, utilização de serviços de saúde e o escore da Escala de Fragilidade de Edmonton. As razões de prevalências ajustadas foram obtidas por análise múltipla de regressão de Poisson com variância robusta. Resultados: foram avaliados 360 idosos com idade igual ou superior a 65 anos. A prevalência de fragilidade foi 47,2%. As variáveis associadas à fragilidade foram: idosos longevos, que vivem sem companheiro(a), possuem cuidador, apresentam sintomas depressivos, doença osteoarticular, bem como história de internação e de quedas nos últimos 12 meses. Conclusão: o conhecimento dos fatores associados à fragilidade permite que ações de saúde destinadas a idosos possam ser desenvolvidas. Descritores: Idoso; Idoso Fragilizado; Vulnerabilidade em Saúde; Saúde do Idoso; Saúde Coletiva. RESUMENObjetivo: identifi car la prevalencia y los factores asociados a la fragilidad en ancianos asistidos por el Centro Mais Vida, programa de Asistencia a la Salud del Anciano en el norte de Minas Gerais, Brasil. Método: estudio transversal, con muestreo por conveniencia. Se recolectaron los datos en el 2015. Se evaluaron las variables demográfi cas y socioeconómicas, comorbilidades, utilización de servicios de salud y el puntaje de la Escala de fragilidad de Edmonton. Se empleó el análisis múltiple de regresión de Poisson con varianza robusta para obtener las tasas de prevalencias ajustadas. Resultados: se evaluaron a 360 ancianos de más de 65 años de edad. Un 47,2% fue la tasa de prevalencia de fragilidad. Las variables asociadas a la fragilidad fueron:Rev B...

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Frailty in the elderly: prevalence and associated factors

et al. 2017

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“…19,31 In the present study, most elderly persons considered their health to be regular, and there was no difference among FR and PF individuals. While this finding agreed with the aforementioned studies, 19,31 there was no difference between FR and NF and between PF and NF individuals, suggesting that even elderly individuals not at risk of frailty may have a negative opinion of their health, or in other words, in this sample perception of health was not decisive for frailty and vice versa. This is possibly due to the low number of reports of poor (16.5%) or very poor (0.0%) health, categories which, according to Stori et al, 32 are determinants of frailty.…”

Section: Discussionmentioning

confidence: 46%

“…9 The elderly persons interviewed in the present study had at least one comorbidity, mainly visual disorders, SAH, insomnia and OA. SAH and OA are among the chronic diseases associated with pain and/or FR= frail elderly persons; PF= pre-frail elderly persons; NF= non-frail elderly persons loss of function most commonly involved with the occurrence of frailty, 19 with heart, kidney and liver failure, cancer, diabetes mellitus, chronic obstructive pulmonary disease, stroke and atherosclerosis, 20 less cited in the present study.…”

Section: Discussionmentioning

confidence: 81%

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method: Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results: The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF ( p<0.01) and FR and NF ( p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF ( p=0.0273) and NF ( p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.

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