Prevalência e fatores associados à fragilidade em uma amostra de idosos que vivem na comunidade da cidade de Juiz de Fora, Minas Gerais, Brasil: estudo FIBRA-JF

Lourenço, Roberto Alves; Moreira, Virgílio Garcia; Banhato, Eliane Ferreira Carvalho; Guedes, Danielle Viveiros; Silva, Kelly Cristina Atalaia da; Delgado, Francisco Eduardo da Fonseca; Mármora, Cláudia Helena Cerqueira

doi:10.1590/1413-81232018241.29542016

Cited by 20 publications

(17 citation statements)

References 31 publications

(36 reference statements)

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“…For example, a meta-analysis study that included 29 publications and 43,083 community elders in Latin America and the Caribbean identified a mean predominance of the fragility of 19.6%, ranging from 7.7% to 42.6% (7) . In Brazil, in a recent study including the elderly of a community, the prevalence of frail individuals was 5.2%, and that of pre-frail individuals was 49.9% (8) .…”

Section: Introductionmentioning

confidence: 97%

Frailty in the elderly: screening possibilities in Primary Health Care

et al. 2022

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Objectives: to evaluate two instruments for screening frailty in the elderly in Primary Health Care. Methods: this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation. Results: the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments. Conclusions: when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.

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Section: Introductionmentioning

confidence: 97%

Frailty in the elderly: screening possibilities in Primary Health Care

et al. 2022

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“…However there are elderly people in a vulnerable situation who are not frail. It is estimated that 10% to 25% of the population over 65 years of age is in a fragile situation; and, for people aged 85 or over, 45% (3)(4) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

et al. 2022

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Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.

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“…In Latin America, a study conducted in Bogotá/Colombia assessed 1,442 older adults classifying 9.4% as frail and 52.4% as pre-frail (16) . A study by Rede Fibra (Frailty in Brazilian Older adults) developed in Juiz de Fora/Minas Gerais included 461 individuals aged ≥ 65 years (17) . The prevalence of frailty and pre-frailty was 5.2% and 49.9%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Cognitive impairment and physical frailty in older adults in secondary health care

Mello

Lenardt

Moraes

et al. 2021

Rev. esc. enferm. USP

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Objective: To analyze the association between cognitive impairment and physical frailty in older adults in secondary health care. Method: This is a cross-sectional study carried out with people aged ≥ 60 years, assisted at a geriatric and gerontology outpatient clinic. For cognitive screening, the Mini Mental State Examination, the semantic verbal fluency test, and frailty assessment using the physical frailty phenotype were used. The likelihood ratio test was applied to the predictive model. Results: 407 older adults participated in the study. Cognitive impairment was observed in 58.5% (n=238) of the sample, being higher in frail (n=66; 75%). A change in the semantic verbal fluency test was identified in 22% (n=90), with a higher prevalence in pre-frail patients (55.5%; n=226). It was identified 2.5 times more chance of a frail older person, when compared to a non-frail one, to have cognitive impairment (95% CI, +0.947 - 0.322). The chance for alteration in the semantic verbal fluency test was 5.4 times higher in frail compared to non-frail ones (95% CI, 1.68 - 0.38). Conclusion: A relationship was observed between cognitive impairment and physical frailty. Screening for frailty in geriatric nursing practice and the implementation of specific care is recommended.

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Prevalência e fatores associados à fragilidade em uma amostra de idosos que vivem na comunidade da cidade de Juiz de Fora, Minas Gerais, Brasil: estudo FIBRA-JF

Cited by 20 publications

References 31 publications

Frailty in the elderly: screening possibilities in Primary Health Care

Frailty in the elderly: screening possibilities in Primary Health Care

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

Cognitive impairment and physical frailty in older adults in secondary health care

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