Frequency and factors associated with falls in adults aged 55 years or more

Prato, Sabrina Canhada Ferrari; Andrade, Selma Maffei de; Cabrera, Marcos Aparecido Sarriá; Dip, Renata Maciulis; Santos, Hellen Geremias dos; Dellaroza, Mara Solange Gomes; Mesas, Arthur Eumann

doi:10.1590/s1518-8787.2017051005409

Cited by 18 publications

(21 citation statements)

References 27 publications

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“…One can also observe a higher prevalence of falls among elderly peo- ple who have no health insurance plan (Table 1), which reinforces the importance of organising the actions provided by practitioners who work in primary healthcare units and family healthcare services. Prato et al 26 suggested the following actions: to encourage the practice of physical activities for muscle strengthening, to promote continuous education on environmental risks and risk attitudes within the context of aging, and to identify individuals at risk of falls. In this sense, it is estimated that 52% of the urban population of Ribeirao Preto use only the public healthcare system, whereas 80% use it occasionally 27 .…”

Section: Discussionmentioning

confidence: 99%

Falls and associated factors among elderly users of Primary Healthcare Services

Santos

Zucoloto

Terada

et al. 2019

Rev Bras Ativ Fís Saúde

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The objective of this cross-sectional study was to estimate the self-reported prevalence of falls among elderly users (older than 60 years) of the Ribeirão Preto, São Paulo, Brazil, primary healthcare services in the past six months and to identify associated factors. Data were collected from five healthcare districts by means of personal interviews with the users while they waited for the appointment. Log-binomial regression models adjusted for confounding variables and prevalence ratios were used to measure the association between independent and dependent variables. The International Physical Activity Questionnaire (IPAQ), adapted to elderly, was used to assess their physical activity. A total of 357 adults were interviewed, with 62.7% being women and mean age of 69.9 years old. The prevalence rates of falls in the past six months were 19.6% (95%CI: 13.2–27.3) and 32.6% (95%CI: 26.4–39.2), respectively, for men and women. e prevalence of falls among users with lower level of physical activity was 2.3 times higher than that among those with higher level of physical activity (RP = 2.3; 95%CI: 1.4–3.8) after adjustment for gender, age group and socio-economical class. In conclusion, falls are frequent among the elderly and the practice of physical activities can improve their health condition, thus preventing the occurrence of falls.

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Section: Discussionmentioning

confidence: 99%

Falls and associated factors among elderly users of Primary Healthcare Services

Santos

Zucoloto

Terada

et al. 2019

Rev Bras Ativ Fís Saúde

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“…O declínio da força muscular também pode ser notado em relação à força de preensão palmar, como verificado neste estudo, pois, de acordo com a literatura, os pontos de corte são de 20 kg para mulheres e 30kg para homens 23 . Uma pesquisa realizada com 404 indivíduos com idade igual ou superior a 55 anos, na qual foram avaliados os fatores associados a quedas, foi observado que as maiores chances se encontravam em indivíduos do sexo feminino, com idade igual ou superior a 65 anos, qualidade de sono ruim, diagnóstico de depressão, com dificuldades de subir e descer escadas, considerados dependentes para atividades básicas e com baixa força de preensão palmar 24 . Todavia, neste estudo, não encontramos relação entre a força de preensão palmar e o risco de quedas nos idosos hospitalizados.…”

Section: Discussionunclassified

Risco de quedas, força muscular periférica e capacidade funcional em idosos hospitalizados

et al. 2019

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Introdução: a longevidade vem acompanhada pelo declínio das capacidades funcionais, especialmente em idosos hospitalizados. Objetivo: avaliar o risco de queda, a força muscular periférica e a capacidade funcional em idosos hospitalizados. Métodos: participaram 100 voluntários que foram submetidos à avaliação fisioterapêutica, por meio da escala de Kendall, força de preensão palmar, teste Time UpGo, escala de Morse e escala de PS-ECOG. Resultados: em relação ao risco de queda, 46% dos indivíduos apresentaram risco moderado e 37% revelaram funcionalidade restrita para atividades exaustivas. Na realização do teste de força muscular periférica, o resultado teve média geral de 4,47kg/f, configurando força muscular moderada, para força de preensão palmar os indivíduos atingiram resultados insatisfatórios, apresentando no membro dominante média de 17,7Kg/f e no membro contralateral média de 17,3Kg/f. Na variável “Timed UpGo”, os indivíduos obtiveram um tempo de 12,25 segundos, no qual foram classificados como independentes. Conclusão: Os idosos hospitalizados apresentaram moderado risco de queda, capacidade funcional reduzida, embora sejam classificados como independentes.

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“…The dependence levels for daily and instrumental activities were not statistically significant with the risk of falling in this population. In the literature, there is no consensus on the association between functional capacity and risk of falls (10)(11) . The relationship between falls and functional disability may be subject to cause and effect bias, and falls in the elderly people may result in functional disability, as well as functional limitations may hamper activities and increase the risk of falling (11) .…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there is no consensus on the association between functional capacity and risk of falls (10)(11) . The relationship between falls and functional disability may be subject to cause and effect bias, and falls in the elderly people may result in functional disability, as well as functional limitations may hamper activities and increase the risk of falling (11) . The impairment of the functional capacity of individuals over 60 years old directly affects the quality of life, as well as simultaneously reaching the family, the community and the health system in which it is inserted.…”

Section: Discussionmentioning

confidence: 99%

Association of functional capacity with risk of falling in the older adults in emergency service

et al. 2018

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Objective: to associate the functional capacity with the risk of falling of the older adults in emergency service. Methods: this is a cross-sectional and analytical study, in which 101 individuals, aged 60 years old and older, of both genders, admitted to the Emergency Department. The Katz and Lawton/Brody scales were used to evaluate functional capacity and, the Downton scale was used for the risk of fallings. The Fisher-Freeman-Halton test was used to associate functional capacity with the risk of falling. Results: 32.7% of the older adults were independent in one function and dependent on five basic functions of daily living, 89.1% were totally dependent on instrumental activities and 64.4% had a high risk of falling. There was no statistically significant association between the Katz, Lawton/Brody, and Downton scales. Conclusion: functional capacity was not associated with the risk of falls in the study population. Descriptors: Frail Elderly; Population at Risk; Geriatric Nursing. Objetivo: associar a capacidade funcional com o risco de queda de idosos em serviço de emergência. Métodos: estudo transversal e analítico, no qual foram incluídos 101 indivíduos, com idade igual ou superior a 60 anos, de ambos os sexos, internados no Serviço de Emergência. Para avaliar a capacidade funcional, utilizaram-se as escalas de Katz e Lawton/Brody; e, para o risco de queda, a escala de Downton. Para associar a capacidade funcional com o risco de queda, utilizou-se o teste de Fisher-Freeman-Halton. Resultados: 32,7% dos idosos foram independentes em uma função e dependentes em cinco funções básicas de vida diária, 89,1% foram totalmente dependentes para atividades instrumentais e 64,4% obtiveram alto risco de queda. Não houve associação estatisticamente significativa entre as escalas de Katz, Lawton/Brody e Downton. Conclusão: a capacidade funcional não se associou ao risco de queda na população estudada. Descritores: Idoso Fragilizado; População em Risco; Enfermagem Geriátrica.

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Frequency and factors associated with falls in adults aged 55 years or more

Cited by 18 publications

References 27 publications

Falls and associated factors among elderly users of Primary Healthcare Services

Falls and associated factors among elderly users of Primary Healthcare Services

Risco de quedas, força muscular periférica e capacidade funcional em idosos hospitalizados

Association of functional capacity with risk of falling in the older adults in emergency service

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