Quedas em idosos institucionalizados: características gerais, fatores determinantes e relações com a força de preensão manual

Rebelatto, José Rubens; Castro, Alessandra Marnie Martins Gomes de; Chan, Aline

doi:10.1590/s1413-78522007000300006

Cited by 47 publications

(8 citation statements)

References 11 publications

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“…This measure has been regarded as a good predictor of musculoskeletal function [22][23][24] . The literature has also linked it to low bone mass in menopausal women, which represents a higher risk of lower limb fracture and conditions associated with frailty and falls 8,24 .…”

Section: Discussionmentioning

confidence: 99%

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Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Gomes

Cintra

Diogo

et al. 2009

Rev. bras. fisioter.

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Objectives: The aim of this study was to determine the relationship between sociodemographic, clinical, physical and functional data according to physical performance and number of falls among older fallers. Methods: Cross-sectional study carried out among 72 older adults (76.3 ±8.3 years) with a history of falls in the past year, 65.3% of which were women. The participants received care at the geriatric outpatient clinic of a university hospital in Campinas, SP. They were divided into the following groups: worst physical performance (WPP) and best physical performance (BPP), one-time fallers (1F) and frequent fallers (2F). Sociodemographic, clinical, physical and functional characteristics were considered as independent variables. Comparison analysis between the groups was conducted. Results: The WPP group was older and had a higher number of illnesses and less independence in most motor dimension tasks compared to the BPP group. The 2F group had a higher number of illnesses, less handgrip strength and less independence in the bowel management task in the motor dimension of the Functional Independence Measure (FIM) compared to the 1F group. Conclusions:Among older adults fallers, poor physical performance is associated with more advanced age, more illnesses and less functional independence. Moreover, recurrent falls are associated with more illnesses, less muscle strength and less functional independence in the bowel management task.Key words: activities of daily living; muscle strength; musculoskeletal equilibrium; gait; exercise; aging. ResumoObjetivos: Analisar, entre idosos com ocorrência de quedas, a relação entre as variáveis sociodemográficas, clínicas, físicas e funcionais segundo as variáveis critério desempenho físico e número de quedas. Métodos: Estudo transversal com 72 idosos (76,3±8,3 anos) que sofreram quedas no último ano, sendo 65,3% mulheres, atendidos no ambulatório de geriatria de um hospital universitário de Campinas, SP. Os idosos foram divididos em grupo com pior (PDF) e grupo com melhor desempenho físico (MDF), e em grupo com uma queda (1Q) e grupo com duas quedas ou mais (2Q). As características sociodemográficas, clínicas, físicas e funcionais foram as variáveis independentes do estudo. Foi realizada análise de comparação entre os grupos. Resultados: Os idosos do grupo PDF tiveram maior faixa etária, maior número de doenças e menor independência na maior parte das tarefas da dimensão motora em relação ao grupo MDF. Os idosos do grupo 2Q apresentaram maior número de doenças, menor força de preensão manual e menor independência na tarefa "controle das fezes" na dimensão motora da medida de independência funcional (MIF) em relação ao grupo 1Q. Conclusões: Entre idosos que já caíram, piores níveis de desempenho físico relacionam-se com maior faixa etária, mais doenças e menos independência funcional. Além disso, ter sofrido quedas recorrentes relaciona-se com mais doenças, menos força muscular e menos independência funcional na tarefa de controle de fezes.

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Section: Discussionmentioning

confidence: 99%

“…This fact may bring about the need to shift the attention of basic health toward family support in older adult care. The reduction in the risk of falls represents a strategy to decrease the costs of older adult care and becomes possible as the predisposing factors are analyzed 8 .…”

Section: Discussionmentioning

confidence: 99%

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Gomes

Cintra

Diogo

et al. 2009

Rev. bras. fisioter.

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“…In the study, the values of manual pressure strength are better compared to the R et al 11 study, showed similar values compared to N et al 26 and lower than D et al 7 and D et al 5 , possible explained by the di erences between studies and level of competition.…”

Section: Discussionmentioning

confidence: 49%

“…is strategy can minimize aggravating factors from old age, decreasing posterior institutionalization 11 . In this sense, it has been proved that the physical exercise mitigates the limitations caused by age 19 and can be practiced in di erent modalities [20][21] .…”

Section: Discussionmentioning

confidence: 99%

“…In this sense, it has been proved that the physical exercise mitigates the limitations caused by age 19 and can be practiced in di erent modalities [20][21] . Moreover, the muscular endurance increase and there are many studies demonstrating that it contributes signi cantly to the decrease of falls in elderly 11 . e guidelines to physical activity indicates that elderly need practice 30 min of moderate physical activity during 5 days (150 min per week) or 20 min of vigorous physical activity during 3 days per week 21 , which the combination moderate and vigorous can be performed to attend the guidelines.…”

Section: Discussionmentioning

confidence: 99%

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Força de preensão manual, nível de atividade física e qualidade de vida de competidores máster de judô

Dimare

Vecchio

Xavier

2016

Rev. bras. educ. fís. esporte

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The Judo is one of the most popular sports modalities in the world, activating all body segments, induce the increase of muscle strength, increase flexibility and balance and generates improvements of neurologic and psychologic aspects [1][2][3] . Moreover, the Judo can be practiced for children and adolescents 4 . However, few attention has been aimed to others age groups, although it would be interesting investigate the impact of long time martial arts training in the physical tness and health of subjects [5][6] . Although muscle strength is a physical capacity fundamental to obtain success in the modality 3 , ghters did not show high values when compared with no ghters in the peak of handgrip isometric strength (PHIS), but the ghters showed lower fatigue rate when there is sustenance of contraction for 10 seconds 7 . Furthermore, it is well know that the PHIS have a positive correlation with health parameters [8][9][10] . Among institutionalized elderly, for instance, it was observed that lower levels of PHIS become the elderly susceptible to falls 11 .On the other hand, it is well known that the Judo can contribute to the psychosocial development of the practitioners include with great development of character, respect, sincerity, courage and auto control 12 . e quality of life (QL), in turn, was object of study in Germans practitioners from di erent oriental martial arts, and it was observed that perception of QL was higher when compared to no practitioners, probably because the practice of martial arts it involves physical tness and social and spiritual aspects 13 . Between Brazilian elite athletes, it was observed that men shown di erent values compared to women regarding the personal belief domain 14 , however, more studies are necessary.us, the martial arts have been used to improve the level of physical activity of elderly as well as to improvement of physical tness and quality of life 6 . AbstractThe aim of this study was to evaluate and test the correlation between isometric handgrip (IH), physical activity level (PA) and quality of life (QOL) of master judo competitors. The sample was composed by 44 men (45-64 years) participating in the Pan-American Master Judo Championships, 2011. To evaluate the handgrip strength was used isometric handgrip test. Additionally, were employed WHOQOL-Bref questionnaire and Global Physical Activity Questionnaire (GPAQ). In the statistical analysis, after checking the normal distribution of the data, they are presented as mean [95% confi dence interval]. In the comparison between age groups, we conducted analysis of variance (ANOVA) with Tukey post-hoc. For bivariate correlations, we used the Pearson test. The judo athletes showed: 1) high amount of PA (661 min of moderate to vigorous PA) when considering the population recommendations; 2) moderate values of FIPM (bilateral sum equal to 87.1 [82.3 -91.9] kgf) compared with physically active people and the elderly; and 3) QOL scores higher than in other studies. Additionally, we highlight two main fi ndings, no signif...

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Quedas em idosos institucionalizados: características gerais, fatores determinantes e relações com a força de preensão manual

Cited by 47 publications

References 11 publications

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Força de preensão manual, nível de atividade física e qualidade de vida de competidores máster de judô

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