Functional, nutritional and social factors associated with mobility limitations in the elderly: a systematic review

Abstract

Objective. To systematically review the prevalence and in­cidence of mobility limitations in the elderly people and their associated factors. Materials and methods. Articles in the electronic literature were searched via PubMed, Scopus, Lilacs, SciELO, PAHO, MedCarib, Repidisca, Wholis, IBCES, PEDro, Medline and Bireme (2012-2016). The instrument STROBE was used to analyze the quality of the work and the PRISMA recommendation was used to structure the review. Results. Nine studies were included. The prevalence of mobility limitations ranged from 58.1 to 93.2% and the inci­dence ranged from 23 to 53.7%. Studies provided evidence of association of mobility limitations in the elderly popula­tion with high BMI, low 25-hydroxy vitamin D, sarcopenia, fragility, chronic pain, functional dependence, advanced age in women, low hip flexion, sedentary lifestyle, and social support difficulties. Conclusion. Mobility limitations in the elderly had high prevalence and incidence, and there was evidence of association with nutritional, functional and social factors.

Malnutrition, Family Support, and Possible Sarcopenia in Patients Undergoing Transcatheter Aortic Valve Implantation

“… 31 Alzahrani and Alamri reported that 70% of hospitalized older adult patients were malnourished or at risk of malnutrition, with low levels of albumin and hemoglobin. 32 A systemic review conducted by Torres-de Araújo et al 33 identified factors associated with decreased physical activity and disease progression among older adult patients, including sarcopenia, age increase, sex (female), low family support, and high level of dependence in daily living. The consequences of malnutrition have been investigated in previous research, highlighting that malnutrition increases the incidence of sarcopenia.…”

A Importância Do Farmacêutico Na Gestão Dos Medicamentos Nas Estruturas Residenciais Para Pessoas Idosas Em Portugal

“…Com o avançar da idade as necessidades energéticas diminuem, existem alterações na dentição (9) e na capacidade de absorção intestinal. Muitos idosos vivem sozinhos, as suas aptidões físicas e a sua mobilidade encontram-se reduzidas (10) difi cultando a aquisição de alimentos, que os leva frequentemente a optar por dietas monótonas que podem deteriorar o seu estado de saúde (11). A falta de interação social com familiares e amigos pode ter um impacto negativo na saúde mental do idoso (12), agravando o seu isolamento e potenciando a ocorrência de estados depressivos (13).…”

Mobility Limitation in Older Adults Residing in Nursing Homes in Brazil Associated With Advanced Age and Poor Nutritional Status: An Observational Study

“…9,11 The prevalence of mobility limitations is approximately 58%, 4 with a considerable increase for institutionalized older adults probably due to a sedentary lifestyle, low income, and nutritional deficiencies, which predisposes older adults to falls, intensification of the frailty process, functional capacity deterioration, and death. [2][3][4]12 Nonetheless, most studies involving older adults were carried out in developed countries 3,13 and with community-dwelling individuals. 4 Furthermore, mobility is represented in these studies as a consequence of geriatric syndromes and not as the primary study purpose.…”