Mobilidade funcional em idosos institucionalizados e não institucionalizados

Souza, Cibele Cardenaz de; Valmorbida, Luiza Armani; Oliveira, Juliana Pezzi de; Borsatto, Alice Carvalho; Lorenzini, Marta; Knorst, Mara Regina; Melo, Denizar Alberto da Silva; Creutzberg, Marion; Resende, Thais de Lima

doi:10.1590/s1809-98232013000200008

Cited by 19 publications

(17 citation statements)

References 18 publications

(19 reference statements)

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“…In a study conducted by Souza et al 21 with 72 institutionalized elderly and 341 community--dwelling elderly, aged between 60 to 89 years, better mobility was observed in those aged between 60 and 69 years, corroborating the results of the present research. Still, the same authors affirm that, parallel to the decrease in functional mobility, there is an increased risk of falling.…”

Section: Discussionsupporting

confidence: 91%

Association between functional performance and falls in older women classified by age

et al. 2015

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Objective: To evaluate the functional performance and the history of falls in older women. Method: Observational cross-sectional study, 57 community-dwelling elderly women were divided into 3 groups, based on their age: G1-60 to 69 years-old; G2-70 to 79 years-old, and G3-80 to 89 years-old. The following were assessed: Functional mobility (Timed "Up & Go Test"); muscle power (Five Times Sit To Stand Test); handgrip strength (JAMAR® hand dynamometer), and the prior history and prevalence of falls. The analyses of differences among groups were done by the one-way ANOVA and the Tukey post hoc test. The correlations were performed using Spearman's test. Results: The women in the G3 group, when compared to G1 and G2, showed less handgrip strength (18.08 ± 3.29 Kgf vs. 28.10 ± 4.26 Kgf; 18.08 ± 3.29Kgf vs. 22.92 ± 4.01, p = 0.001); muscle power (14.44 ± 2.85s vs. 12.27 ± 2.34s; 14.44 ± 2.85s vs. 13.16 ± 2.27s, p = 0.04) and functional mobility (11.56 ± 3.10s vs. 8.57 ± 2.25s; 11.56 ± 3.10s vs. 10.30 ± 2.58s, p = 0.004). In the previous 6 months, the highest incidence of falls was in the G2 (5.6%): 26% fell once, 5% fell twice; and 10% fell 3 and 4 times. The women of G1 and G3 had fallen only once. The frequency of falls showed correlation with functional mobility (r =-0.52, p = 0.018). The age groups displayed correlation with the handgrip strength (r =-0.67, p = 0.0001); muscle power (r = 0.31, p = 0.02) and the functional mobility (r = 0.49, p = 0.0001). Conclusion: The prevalence of falls was more pronounced in the women aged between 70-79 years-old and, the older the women, the worse their muscular and functional performance.

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Section: Discussionsupporting

confidence: 91%

Association between functional performance and falls in older women classified by age

et al. 2015

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“…(2,3,7) The present study demonstrates that subjects belonging to the older age groups, require more time to complete the TUG, thus, and according to the considerations Podsiadlo and Richardson, (6) we may interpret that the increase in age causes a decline in functional mobility and consequently increases the risk of falls in the elderly, corroborating other studies that demonstrated the positive association of increasing age with a greater propensity for falls. (8,9) Shumway-Cook et. al., verified the ability of the elderly to perform the TUG under specific conditions, and additional tasks (cognitive or physical) were performed simultaneously to the execution of the test.…”

Section: Discussionmentioning

confidence: 99%

“…(5) Among the factors which predispose to falls in the elderly, the deterioration of functional mobility is among the most relevant and it is considered an important predictor in the assessment for falls risk. (6,7) Functional mobility may be affected by intrinsic factors such as age and extrinsic factors such as physical activity level, both interfering negatively, with the increasing age predisposes to a reduction in functional mobility (8,9) and the lower level of physical activity will decreased the functional mobility in the elderly. (10,11) Thus, considering that low levels of physical activity and functional mobility are directly proportional to the mortality of the elderly, the present study aimed to verify the physical activity level and functional mobility of elderly and to evaluate if this functional mobility suffers interference of age and physical activity.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Level, Functional Mobility and Fall Risk in the Elderly

Silva¹,

Brandão²,

Silva³

et al. 2020

mtprehabjournal

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Introduction: Low levels of physical activity and functional mobility lead to greater difficulty in performing activities of daily living and are directly proportional to mortality in the elderly. Thus, there are the need to create mechanisms linked to the maintenance of the functional capacity, which assure the elderly autonomy and self-confidence. Objective: To verify the level of physical activity and functional mobility in the elderly and if this functional mobility suffers interference of the age group and physical activity. Methods: The study involved the elderly aged 60 and over, living in Senhor do Bonfim (BA), in the northeastern region of Brazil, from February to July 2015. The evaluation of the subjects occurred in a single session, with physical and general clinical evaluation, as well as the collection of sociodemographic, anthropometric and self-reported morbidities through the application of questionnaires. It was also carried out the Timed Up and Go test (TUG) to verify the levels of functional mobility and level of physical activity with application of the International Questionnaire of Physical Activity (IPAQ) adapted for the elderly. Results: In this study, 127 patients were studied, predominantly female (87%) and mean age of 68 ± 7 years, and the majority of the elderly corresponded to the age group of 60 to 69 years. The elderly belonging to the group considered inactive (IPAQ up to 150 min/weekly) presented the execution time of TUG higher than the elderly in the group considered active (IPAQ > 150 min/weekly), with averaging time for carrying out the test of 10.5±2 minutes and 8.9±2 minutes respectively, with a statistically significant difference of p<0.01. And the execution time of TUG increased proportionally to the increase of the age group. Conclusion: Elderly with lower level of physical activity and belonging to the higher age groups present a higher risk of falls. Strategies should be developed to stimulate increased physical activity level and functional mobility of this population, especially among the older ones, reducing the incidence of falls and providing greater autonomy.

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“…On the other hand, in the present study, 52% of the population presented dependence for ADL's and 66.6% of them were dependent, which indicates limitations in the functionality of the evaluated subjects. Such a limitation can cause loss of independence in basic life activities, changes in gait and imbalance, remaining in constant reduction in both genders (14)(15)(16)(17) . Fhon, et al (8) , with evaluation instruments similar to those applied in this study, observed a greater dependence for ADL's and also observed that the more comorbidities, the greater the level of dependence of this population.…”

Section: Discussionmentioning

confidence: 99%

Functional and cognitive profile of elderly residents in a long‑term care institution in the northeast

Santos¹,

Silva²,

Santos³

et al. 2020

mtprehabjournal

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Background: Aging is a physiological process characterized as the beginning of a stage of life in which happen social, physical and psychological changes. Among these, cognitive and functional decline has been one of the most frequent, and may be enhanced by the process of institutionalization. Objectives: The aim of this study was to describe the cognitive and functional profile of elderly residents in a Long-Term Care Institution for the Elderly (LTCI). Methods: A cross-sectional descriptive study whose population was composed of elderly people of both genders, residents in the "Associação Feirense de Assistência Social" in Feira de Santana (BA), Brazil. The elderly with physical and mental limitations that made it impossible to perform the functional and cognitive tests were excluded from the study. The survey was completed in December 2017. The Barthel Index, Katz Index, Berg Balance Scale (BERG) and Timed Up and Go (TUG) were used for functional evaluation. The first two tools were used to classify functional independence in the activities of daily living (ADL's), and the others to categorize risk of fall. It was used the Mini-Mental State Exam to evaluate cognition. In addition, a form was created to collect clinical and sociodemographic variables. The results of this study were described in percentage. Results: From the 35 elderly residents, 25 were included, of which 15 were female, with ages between 62 and 95 years. Regarding Education, 60% are illiterate, 32% have 1 to 4 years, 4% have 5 to 8 years and 4% have 9 to 11 years of studies. 92% of the population presented cognitive alterations. Regarding functionality, 66.6% of the elderly had a dependent gait, with 56.2% of females. In the assessment of the risk of falling, 60% presented moderate risk by TUG and 82.6% presented a high risk by the Berg scale. Considering the Barthel index and the Katz index, 52% had dependence on ADLs. 96% did not practice physical activity and 62.5% did not undergo Physical Therapy. The most frequent comorbidities were arterial hypertension (64.3%) and diabetes mellitus (36%). Conclusion: The results of this study indicate that the studied population presents cognitive alterations, gait dependent, greater probability for risk of falls, low level of education and physical activity, besides longevity, which may suggest that the institutionalization process brings negative repercussions for these subjects. Practitioner 1 4% GAIT Dependent 17 68% Independent 8 32% Auxiliary device (Walking stick, Crutch and Walker). 9 36% HISTORY OF FALLS Yes 10 40% Malaise 3 30% Weakness 2 20% Other reasons 5 50% No 15 60% COMORBITIES Hypertension 16 64% Diabetes 9 36%

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Mobilidade funcional em idosos institucionalizados e não institucionalizados

Cited by 19 publications

References 18 publications

Association between functional performance and falls in older women classified by age

Association between functional performance and falls in older women classified by age

Physical Activity Level, Functional Mobility and Fall Risk in the Elderly

Functional and cognitive profile of elderly residents in a long‑term care institution in the northeast

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