Estudo da presença de fatores de riscos intrínsecos para quedas, em idosos institucionalizados

Menezes, Ruth Losada de; Bachion, Maria Márcia

doi:10.1590/s1413-81232008000400017

Cited by 94 publications

(115 citation statements)

References 19 publications

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“…These assistive devices enable functional independence and offer safety and confidence to the elderly, making it easier for them to carry out their daily activities. However, when not indicated or when used inappropriately, they can have the opposite effect and contribute to unsafe locomotion, forming an instrument capable of causing falls 23,[27][28][29] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fear of falling, in a sample of elderly adults in the community

Cruz

Duque

Leite

2017

Rev. bras. geriatr. gerontol.

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Objectives: To investigate the prevalence of fear of falling among a sample of elderly persons in the community, and to analyze its correlation with age, self-perceived health, difficulty walking, use of an assistive device for walking, history of falls, and functional capacity. Method: A cross-sectional study of 314 non-institutionalized elderly individuals, living in the city of Juiz de Fora in the state of Minas Gerais) in 2015, was carried out. A household survey was conducted and fear of falling was assessed using the Falls Efficacy Scale -International -Brazil (FES-I-BR ASIL). The Spearman correlation was used to verify the correlation of the independent variables with the fear of falling. The significance level for the study was 5%. Results: The prevalence of fear of falling among the elderly was 95.2% (95% CI= 92.3; 97.3). Fear of falling was significantly correlated with all the variables analyzed: age (r= 0.199), self-perceived health (r=0.299), difficulty walking (r= -0.480), use of an assistive device for walking (r=0.337), history of falls (r= -0.177), and functional capacity (r = -0.476). Conclusions: A high prevalence of fear of falling was observed, with a significant correlation between the outcome and the variables studied. These findings point to the need for rehabilitation, prevention, and health promotion strategies that enable healthy aging.

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Section: Discussionmentioning

confidence: 99%

Prevalence of fear of falling, in a sample of elderly adults in the community

Cruz

Duque

Leite

2017

Rev. bras. geriatr. gerontol.

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“…Aliado ao fato, quedas elevam os custos do atendimento ambulatorial e dos serviços de hospitalização 5 . Diante disso, cresce o interesse da ciência sobre fatores associados ao risco de queda de idosos 6 , assim como de instrumentos que qualifiquem a avaliação clínica do equilíbrio 7 .…”

Section: Introductionunclassified

“…Quedas sobrevém de fatores associados, relacionadas tanto às condições ambientais, como à perda da força muscular 12 , limitação da musculatura flexora do quadril 13 , deficiência à estabilização do tornozelo 6 , bem como da baixa do padrão da marcha 14 . Isso significa dizer que quedas são eventos multifatoriais.…”

Section: Introductionunclassified

Agreement Between Instruments for Assessment of Body Balance in Active Elderly Individuals

et al. 2017

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RESUMOO objetivo do estudo foi analisar a correlação entre instrumentos utilizados à avaliação do equilíbrio corporal e a predição do risco de quedas de idosos ativos. Estudo transversal, observacional, realizado com 41 mulheres (69,24±5,24 anos) praticantes de exercícios físicos, em Petrolina-PE. Os instrumentos utilizados foram a Escala de Equilíbrio de Berg (EEB), o Índice de Marcha Dinâmica (DGI), o "Timed Up and Go" simples (TUG), o "Timed Up and Go" motor (TUGm), o "Timed Up and Go" cognitivo (TUGc) e o Teste de Equilíbrio Corporal (TEC). Foi observada correlação significativa entre TEC-DGI (r=0,469; p=0,032), EEB-DGI (r= 0,513; p=0,021), correlação significativa negativa entre DGI-TUG (r= -0,454; p˂0,017), DGI-TUGm (r= -0,516; p˂0,006), DGI-TUGc (r= -0,547; p˂0,003), MEEM-TUG (r= -,470; p=0,055), MEEM-TUGm (r= -,470; p=0,057) e correlação significativa e moderada entre TUG-TUGm (r=0,701; p=0,000), TUG-TUGc (r=0,713; <0,000) e TUGm-TUGc (r=0,761; <0,000). Conclui-se que os instrumentos são complementares. Recomenda-se sua aplicação conjunta à avaliação do equilíbrio corporal e à predição do risco de quedas em idosos ativos. Palavras-chaves: Equilíbrio Corporal. Idosos. Avaliação do Equilíbrio. ABSTRACTThe aim of this study was to analyze the correlation between the instruments used to assess body balance and prediction of the risk of falls of active seniors. Cross-sectional, observational study involving 41 women (69.24 ± 5.24 years) practitioners of physical exercises, in Petrolina-PE. The instruments used were the Berg Balance Scale (BBS), the Dynamic Gait Index (DGI), the "Timed Up and Go" simple (TUG), the "Timed Up and Go" motor (TUGm), the "Timed up and Go "cognitive (TUGc) and Body Balance Test (CET). Significant correlation was observed between TEC-DGI (r = 0.469; p = 0.032), BSE-DGI (r = 0.513; p = 0.021), a significant negative correlation between DGI-TUG (r = -0.454; ˂0,017), DGI -TUGm (r = -0.516; p˂0,006), DGI-TUGc (r = -0.547; ˂0,003), MMSE-TUG (r = -, 470; p = 0.055), MMSE-TUGm (r = -470; p = 0.057) and a significant and moderate correlation between TUG-TUGm (r = 0.701; p = 0.000), TUG-TUGc (r = 0.713; p = 0.000) and TUGm-TUGc (r = 0.761; p = 0.000). It is concluded that the instruments are complementary. It is recommended their joint application to the evaluation of the body balance and to predict the risk of falls in elderly active. Keywords: Body Balance. Elderly. Balance evaluation. IntroduçãoÀ medida que o indivíduo envelhece, ele se depara com uma série de alterações de ordem biopsicossocial e cultural, as quais dificultarão sua adaptação ao meio em que vive 1,2 . Entre essas, após os 45 anos de idade, há o declínio natural de sua habilidade para controlar a postura corporal, o que é denominado como equilíbrio 3 . O estudo de temáticas do equilíbrio é relevante, principalmente, junto à população idosa, visto que seu déficit deixa a pessoa mais suscetível à quedas e fraturas, que podem conduzir o indivíduo, até mesmo à morte prematura 4 .Quedas têm consequências graves, pois influenciam...

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“…Uma pesquisa epidemiológica realizada com idosos na cidade de São Paulo apontou prevalência de quedas de 30%, as recorrentes representando 11% entre idosos institucionalizados. Os mesmos autores relatam que em outros países esta prevalência pode alcançar 60-75% e destacam que no Brasil ainda são escassos os estudos sobre a prevalência de quedas em idosos [5].…”

Section: Introductionunclassified

Análise fatorial de sintomas depressivos e ocorrência de quedas em idosos

Matias

Fonseca

Matos

2015

Sci Med

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RESUMOObjetivos: Determinar a prevalência de sintomas depressivos e correlacionar a ocorrência destes com o autorrelato de quedas em idosos, utilizando a estrutura fatorial da Escala de Depressão Geriátrica de A consistência interna da EDG-15 foi avaliada pelo teste de Alpha de Cronbach, obtendo valor aceitável (0,73); o teste que verificou a aplicabilidade da escala foi o Kaiser-Meyer-Olkin, cujo coeficiente obtido (0,658) demonstrou a adequação para o método de análise fatorial. Após a aplicação da análise fatorial, destacaram-se dois fatores que agruparam oito itens extraídos da escala, capazes de explicar 68% da variância total da EDG-15. Conclusões: A prevalência da depressão foi relevante na amostra estudada. A maior carga fatorial foi representada nas dimensões de ansiedade, anedonia, medo, isolamento e apatia. A correlação entre autorrelato de quedas e sintomas depressivos foi significativa. Os dados apontam para a necessidade de maior atenção à saúde mental do idoso e enfatizam a importância de intervenções precoces de rastreamento dos sintomas depressivos visando à adoção de medidas preventivas. DECRITORES: idoso fragilizado; transtorno depressivo; acidentes por quedas. ABSTRACT Aims:To determine the prevalence of depressive symptoms and correlate them with self-reported falls among the elderly using the Yesavage-15 Geriatric Depression Scale (GDS-15). Methods: A cross-sectional study was conducted from July to October 2014. Elderly volunteers from the Community Center for the Elderly located in Vitória da Conquista, State of Bahia, Brazil, participated in the study. They were selected by non-probability convenience sampling and answered the GDS-15 questionnaire after being informed about the study objectives and signing a free consent form. Results: A total of 68 elderly individuals with a mean age of 73.12±7.1 years were included in the study, and female participants accounted for 60.3% of the sample. Depressive symptoms were detected in 35 (51%) individuals, among which 23 (33.8%) were female. Falls were self-reported by 33 elderly individuals (48.5%). There was a positive and significant correlation (r=0.383, p <0.001) between self-reported falls and depressive symptoms among the participants. The internal consistency of the GDS-15 was assessed by Cronbach's alpha, which yielded an acceptable value (0.73). The Kaiser-Meyer-Olkin measure of sampling adequacy was used to verify the applicability of the GDS-15, yielding a value of 0.658, which means the scale was adequate for the factor analysis method. Two factors, into which eight items were grouped, stood out after the factor analysis and were able to explain 68% of the total variance of the GDS-15. Conclusions: The prevalence of depression was relevant. The dimensions of anxiety, anhedonia, fear, isolation, and apathy showed the largest factor loads. The correlation between self-reported falls and depressive symptoms was significant. The data indicate it is necessary to pay special attention to the mental health of the elderly and also highlight ...

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Estudo da presença de fatores de riscos intrínsecos para quedas, em idosos institucionalizados

Abstract: Estudo da presença de fatores de riscos intrínsecos para quedas, em idosos institucionalizados Study of intrinsic risk factors for falls in institutionalized elderly peopleResumo Esta

Cited by 94 publications

References 19 publications

Prevalence of fear of falling, in a sample of elderly adults in the community

Prevalence of fear of falling, in a sample of elderly adults in the community

Agreement Between Instruments for Assessment of Body Balance in Active Elderly Individuals

Análise fatorial de sintomas depressivos e ocorrência de quedas em idosos

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