scholarly journals Underreporting of chronic kidney disease according to laboratory criteria of Brazilian adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Carvalho Malta ◽  
L Kellen Alenkar ◽  
F Martins Dias de Andrade ◽  
L Santos de Magalhães Cardoso ◽  
F Malta dos Santos ◽  
...  
Keyword(s):  
Renal Function ◽  
Kidney Diseases ◽  
Laboratory Data ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Target Population ◽  
Epidemiological Survey ◽  
Biochemical Tests ◽  
Cross Sectional ◽  
Early Management

Abstract Background This is the first study in Brazil that evaluates the prevalence of low renal function in the Brazilian population and associated factors, using biochemical measures. Methods This is a cross-sectional household-based epidemiological survey, the National Health Survey (PNS), conducted in 2014 and 2015. The explanatory variables were: sociodemographic characteristics, lifestyles, chronic diseases, anthropometry. The prevalence of kidney filtration rate (KFR) <60 ml / min / 1.73m2 was estimated, using Poisson regression to calculate the Prevalence Ratio Adjusted (RPaj) by age and gender. Results The prevalence of low renal function was 6.48% (95% CI 5.88-7.09). After adjusting remained associated: female (RPaj 1.4 CI (95% 1.16-1.68), age 45-59 years was RPaj = 7.3 (95% CI 3.8-14.1), 60 years or older RPaj = 33.6 (95% CI 17.8- 63.4), obesity RP 1.32 (95% CI 1.1-1.7), diabetes PR = 1.4 (95% CI 1.2-1.8), poor / very poor self-rated health PR = 1.5 (95% CI 1.2-1.9). Conclusions Renal function <60 ml / min / 1.73m2 was higher in females, increased with age, was associated with obesity, diabetes and poorer health assessment. CKD through biochemical tests and risk and protection factors are essential to support public health policies. Key messages The prevalence with laboratory data was 4 times higher than self-reported studies, showing the underreporting of low renal function in Brazil population. The primary care team should request simple biochemical tests, such as creatinine, routinely in the target population, especially the elderly, for prevention and early management of kidney diseases.

scholarly journals Prevalence of health services usage and associated factors in the Amazon region of Brazil: a population-based cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017966 ◽  
Author(s):  
Maria Elizete A Araujo ◽  
Marcus T Silva ◽  
Tais F Galvao ◽  
Mauricio G Pereira
Keyword(s):  
Health Services ◽  
Associated Factors ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Metropolitan Region ◽  
Medical Attention ◽  
Cross Sectional ◽  
Physician Visits

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.

scholarly journals Accidental falls in the elderly and their relation with functional capacity

2012 ◽  
Vol 20 (5) ◽  
pp. 927-934 ◽  
Author(s):  
Jack Roberto Silva Fhon ◽  
Suzele Cristina Coelho Fabrício-Wehbe ◽  
Thais Ramos Pereira Vendruscolo ◽  
Renata Stackfleth ◽  
Sueli Marques ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Functional Independence Measure ◽  
Prevalence Ratio ◽  
Female Gender ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gender And Age ◽  
Elderly Health

AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.

scholarly journals Noise Effect of Gamelan Jegog to the Risk of Hearing Loss among Jegog Players in Sangkaragung Village, Negara, Jembrana

2018 ◽  
Vol 11 (4) ◽  
pp. 2169-2174
Author(s):  
Eka Putra Setiawan ◽  
Made Riska Maryati
Keyword(s):  
Hearing Loss ◽  
Random Sampling ◽  
Prevalence Ratio ◽  
Simple Random Sampling ◽  
Target Population ◽  
Control Group ◽  
Noise Induced Hearing Loss ◽  
Cross Sectional ◽  
Sample Group ◽  
The Village

Jegog is a traditional Balinese music from the region of Jembrana. It consists of several sets of instruments made of big size bamboo tubes. When being played together, the instrument produce high intensity noise. This study examine the effect of this noise to the risk of hearing loss among the players. This study was conducted in the village of Sangkaragung, Negara, Jembrana. This study used a cross sectional method, being conducted in May-June 2016. The target population is all players of Jegog. The reachable target is Jegog players in the village of Sangkaragung. The sample group is the Jegog Players, who are residents of the Sangkaragung village those have been exposed to the noise of Jegog. The control group is Sangkaragung villagers who are not Jegog players and those have not been exposed to the noise of Jegog. Samples were chosen by total random sampling, while controls were taken by simple random sampling according to predetermined inclusion and exclusion rules. Jegog produces noise in the range of 86 – 105 dB. The players have been exposed to the Jegog noise for an average of 2 hours per day or 10 hours per week. Among the 37 players in the sample group, there were 13 (35.1%) players found to have noise induced hearing loss seen in their audiogram. In the control group consisting of 37 villagers, there were only 2 (5,4%) persons found to have noise induced hearing loss. This resulted in a 7 adjusted prevalence ratio, which means that Jegog players have risk of having noise induced hearing loss 7 times higher than the control group. Statistic test gives a confidence interval 95%(1.6-31.1) with p= 0.011 (p<5). Statistically, there is a significant correlation between the noise of Jegog with the hearing loss among the players.

scholarly journals Rasio Prevalensi Anemia Ibu Bersalin Terhadap Kejadian Persalinan Preterm di RSUD Wonosari Tahun 2016

2017 ◽  
Vol 13 (2) ◽  
pp. 100-104
Author(s):  
Noviana Dewi Rengganis ◽  
Siti Tyastuti ◽  
Anita Rahmawati
Keyword(s):  
Preterm Birth ◽  
Preterm Labor ◽  
Secondary Data ◽  
Prevalence Ratio ◽  
Target Population ◽  
Birth Mothers ◽  
Cross Sectional ◽  
Analytical Research ◽  
Cross Sectional Design ◽  
Preterm Born

Preterm labor is a delivery that occurs in pregnancy before 37 weeks' gestation. Complications in preterm-born infants arethe single largest cause of neonatal death and are currently the leading cause of death among children under 5 years. InfantMortality Rate (IMR) in Indonesia is still very high at 34 of 1000 live births. The prevalence of preterm delivery in GunungkidulRegency in 2013 was 16.1%. Anemia is one of the causes of preterm labor. The incidence of anemia in Gunungkidul Regencyhas increased in the last 3 years. This study aims to determine the prevalence ratio of maternal anemia on the occurrence ofpreterm labor in Wonosari Hospital 2016. Type of observational analytical research with cross sectional design. The subjectof this research is maternity mother in RSUD Wonosari. Data collection was taken from secondary data that is maternityregister and medical record from January to December 2016. Target population in this study amounted to 953, with simplerandom sampling. The number of samples in this study amounted to 208 respondents. Data were analyzed using RatioPrevalensi (RP). Preterm birth mothers with anemia of 38,5% and preterm birth mothers who did not have anemia of 18.2%with analysis of RP = 2,115. The result indicates that maternal mother with anemia has a chance to experience preterm labor2.115 times bigger than mothers who are not anemia. (CI:1,330-3,365).

scholarly journals Biopsychosocial factors associated to self-percepted sleep function in Brazilian elderly people: analysis of a national survey

2020 ◽  
Vol 23 ◽  
Author(s):  
Johnnatas Mikael Lopes ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Urban Areas ◽  
Cox Regression ◽  
Secondary Data ◽  
Prevalence Ratio ◽  
Well Being ◽  
The Elderly ◽  
National Health Survey ◽  
Emotional Behavior ◽  
Related Factors ◽  
Cross Sectional

ABSTRACT: Background: Sleep is a dimension of well-being and health. Non-restful sleep is related to health dysfunctions, especially in vulnerable populations, considering that related factors change contextually. Thus, the objective of the present study was to measure the magnitude of the reduction in sleep restorative function (SRF) and related biopsychosocial factors in Brazilian elderly. Method: Secondary data from the 2013 National Health Survey of cross-sectional design were analyzed. The sample consisted of individuals as from 60 years old. The outcome considered was the prevalence of reduced self-perceived sleep restorative function (SRF). Health and sleep characteristics, emotional behavior, lifestyle, social support, and urbanization were all investigated. The association with outcome was measured with the prevalence ratio (PR) and estimated with Cox regression, assuming α ≤ 0.05. Results: SRF was reduced by 29.2% (95%CI 27.2 - 30.6%). It is related to depression (PR = 3.37; 95%CI 2.87 - 3.97), insomnia/sleepiness (PR = 2.45; 95%CI 2.14 - 2.79); behavioral oscillation (PR = 1.75; 95%CI 1.53 - 1.99), negative health perception (PR = 1.50; 95%CI 1.23 - 1.82), computer and internet (PR = 1.44; 95%CI 1.01 - 2.07) and functional difficulty (PR = 1.13; 95%CI 1.01 - 1.27). Living in urban areas (PR = 1.32; 95%CI 1.14 - 1.52) and having a chronic condition (PR = 1.58; 95%CI 1.11 - 2.40) were only associated to the worst situation of reduced SRF. Conclusion: The reduction in SRF affects one third of the elderly in Brazil and is closely related to biopsychosocial factors, requiring intersectoral public health promotion approaches.

scholarly journals Patterns of alcohol use in an elderly sample enrolled in the Family Health Strategy program in the city of Porto Alegre, Brazil

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Bruno Luiz Guidolin ◽  
Irênio Gomes da Silva Filho ◽  
Eduardo Lopes Nogueira ◽  
Francisco Pascoal Ribeiro Junior ◽  
Alfredo Cataldo Neto
Keyword(s):  
Alcohol Use ◽  
Family Health ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
History Of ◽  
The City

Abstract This article aims to determine the pattern of alcohol use in the elderly and its associations with sociodemographic characteristics in an elderly sample of patients from the city of Porto Alegre, Rio Grande do Sul, Brazil. A cross-sectional study was conducted involving 557 seniors, aged 60 years or more, through application of the Mini International Neuropsychiatric Interview and a global assessment questionnaire for the elderly. The majority of the 557 senior citizens did not complete elementary school (58.3%), were white (65.1%), married (37.6%), had no caregiver (62.2%), were catholic (65.5%) and practicing their religion (68.6%), were retired (67.7%), and had a personal income of up to one minimum salary (56.1%). The study revealed 67 (12%) elderly people with a history of alcoholism, of which 17 (3.1%) had a diagnosis of current alcoholism, 50 (9%) had a history of alcohol dependence in the past and 16 (2.9%) had a current alcohol abuse problem. Men had a prevalence ratio of 11.6 times for a history of alcoholism in comparison to women. The results confirm that alcoholism is frequent in the population of Brazilian elderly, drawing attention to some socio-demographic characteristics that can make a difference in the early diagnosis of alcoholism.

scholarly journals Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly - Screening Version Effective in Diagnosis When Compared to the Audiometric Test?

2017 ◽  
Vol 22 (01) ◽  
pp. 001-008 ◽  
Author(s):  
Alexandre Servidoni ◽  
Lucieni Conterno
Keyword(s):  
Hearing Loss ◽  
Speech Therapy ◽  
Early Recognition ◽  
The Elderly ◽  
Target Population ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Hearing Handicap ◽  
Audiometric Test

Introduction Hearing losses inherent to the natural process of aging represent today a major public health issue, despite the little attention that their adequate care still receives. Early recognition and proper management of these shortcomings can significantly improve hearing, as well as the patient's general quality of life, reducing the overall impact of this important and prevalent condition of the aging process. Objective The aim of this research was to evaluate the accuracy of the Hearing Handicap Inventory for the Elderly - Screening Version (HHIE-S) in the diagnosis of hearing loss in the elderly when compared with the audiometric test. Methods Through a cross-sectional study, our target population was composed of 138 individuals, aged over 60 and with any otorhinolaryngological complaints, recruited at the Clinic of Otorhinolaryngology and Speech Therapy of the Faculdade de Medicina de Marília (Famema), in the city of Marília, SP, Brazil. Patients already in the process of auditory rehabilitation were excluded, as well as those who did not demonstrate the minimum level of oral understanding necessary to allow the interview. Results The prevalence of hearing loss according to the questionnaire was of 76.1%, while audiometry showed 79.7%. We found the diagnostic accuracy of the instrument to be of 86.2%, with a sensitivity of 89.1% and a specificity of 75.0%, regardless of gender. Conclusion Thereby, we conclude that the standardized questionnaire under rating is suitable for the screening of hearing loss in the elderly, given its high accuracy and user-friendly quality.

scholarly journals Prevalence of influenza and adherence to the anti-flu vaccination among elderly

2012 ◽  
Vol 45 (6) ◽  
pp. 670-674 ◽  
Author(s):  
Eduardo Yukio Nakamura ◽  
Luane Marques de Mello ◽  
Anderson Soares da Silva ◽  
Altacílio Aparecido Nunes
Keyword(s):  
Confidence Interval ◽  
Prevalence Ratio ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Flu Vaccination ◽  
Structured Questionnaire ◽  
The Ideal

INTRODUCTION: The flu, a condition that can affect the elderly by increasing the risk of serious complications can be prevented through vaccination. Estimate the prevalence of signs and symptoms suggestive of influenza in a group of elderly either vaccinated or unvaccinated against influenza was the objective this study. METHODS: This is a cross-sectional study performed in a Brazilian City. A structured questionnaire was employed to identify the presence of signs and symptoms of influenza in individuals aged 60 years or over. For analysis of associations between variables the prevalence ratio (PR) and its 95% confidence interval (95% CI) were used. RESULTS: One hundred ninety-six participants were interviewed, of whom 57.7% were female. The average age was 69.7 years. About 25% of the vaccinated and 20% of the unvaccinated in 2009, and 25% of the vaccinated and 22.5% of the unvaccinated in 2010 reported having the flu. Among the vaccinated and unvaccinated in 2009 and 2010, there was no verified association between vaccination and influenza (PR=1.24; [95% CI: 0.63-2.43] and PR=1.11; [95% CI: 0.59-2.09], respectively). CONCLUSIONS: This study suggests that, among the elderly selected, the vaccination coverage for influenza is below the ideal, even with projection of the best indices for 2011 (~ 84%). The data on vaccination and disease protection needs further research; however, the results point to the need for measures to better clarify to this population about the disease, its complications and the benefits of vaccination, in addition to combatting the stigma related to low adherence.

scholarly journals A study of thyroid dysfunction among elderly in a tertiary care hospital

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 448-453
Author(s):  
Sadhna Sharma ◽  
Biju Govind ◽  
T.S.A. Satyamaharshi ◽  
M.Divya Vani ◽  
, M. Shivshankar
Keyword(s):  
Subclinical Hypothyroidism ◽  
Thyroid Dysfunction ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
The Elderly ◽  
P Value ◽  
Thyroid Disorders ◽  
Care Hospital ◽  
Biochemical Tests ◽  
Cross Sectional

Introduction and Aim: The prevalence of thyroid disorders all over the world is on the rise. However, the diagnosis is complicated among the elderlies due to factors such as non-specific clinical manifestations and interacting medications. The aim of the study is to estimate the prevalence and type of thyroid dysfunction among the elderly. Materials and Methods: The cross-sectional study was undertaken in the Department of General Medicine of a tertiary care teachinghospital. The study included 100 subjects aged above 60 years, of both genders. Data for clinical examination and biochemical tests such as T3, T4, TSH and lipid profile were collected. Reports of USG/FNAC, performed in cases of thyroid nodule, were also checked.Results:The prevalence of thyroid disorders was 22% of the study population. Overt and subclinical hypothyroidism were observed among 4% and 17% respectively, with 1% having hyperthyroidism. Subclinical hypothyroidism was more common among women. No specific trend was observed with increasing age.TPO antibodies were positive among 73% of the cases. Patients with thyroid dysfunction had higher values of triglycerides, total cholesterol and LDL. The proportion of dyslipidemia was significantly higher among elderly with thyroid dysfunction as compared to people with no thyroid dysfunction (90.90% Vs 24.35%, P value < 0.001). Conclusion: Thyroid dysfunction in the elderly is common. Strong clinical suspicion of thyroid diseases in elderly patients presenting with non-specific symptoms is needed. This would aid in the diagnosis of thyroid disorders among the elderly.

scholarly journals Dietary practices associated with prevalence of malnutrition among the elderly in Kiambu County, Kenya

2021 ◽  
Vol 11 (3) ◽  
pp. 453-461
Author(s):  
Wambui Mary Kamwana ◽  
Job Mapesa ◽  
Naftali Oirere
Keyword(s):  
Research Design ◽  
Metabolic Diseases ◽  
The Elderly ◽  
Target Population ◽  
Noncommunicable Diseases ◽  
Food Supplementation ◽  
Dietary Practices ◽  
Chi Square ◽  
Cross Sectional ◽  
Balanced Diet

Ageing is often associated with various needs as well as changes, which make elderly people susceptible to malnutrition. A healthy diet helps to protect against malnutrition in all its forms, as well as noncommunicable diseases. Malnutrition is a major risk factor of cardiovascular and metabolic diseases and therefore the importance of good dietary practices and balanced diet cannot be overemphasized. The percentage of older people at risk of malnutrition in most Kenyan Counties has increased to 29.6% from 20.1% in 2015. This study therefore study sought to assess the effect of dietary practices on malnutrition among the elderly in Kiambu County. The research design was cross sectional descriptive research design. The target population in this study was the elderly population from the age of 60 years and above. A sample of 398 respondents was determined with the help of Yamane Formula. A questionnaire was used to collect data. Descriptive, chi-square and correlation analysis were conducted with the help of SPSS. Results showed that prevalence of malnutrition stands at 42%. Results also showed poor dietary practices. Only 26.6% of the sample had 3 meals per day. The results showed that gender (p=0.000) and education level (p=0.035) were significant. Results also showed that skipping of meals (p=0.003) and number of meals (p=0.042) were significant. Cross tabulation showed that respondents who had less than 3 meals and who skipped at least one meal were more likely to be malnourished. The study concluded that the high prevalence of malnutrition in the sample can be attributed to poor dietary practices. This study recommended an increase in food supplementation efforts by the county government to old people.

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