scholarly journals Functional capacity assessment of long-lived older adults from Amazonas

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 49-55 ◽  
Author(s):  
Daiane de Souza Fernandes ◽  
Lucia Hisako Takase Gonçalves ◽  
Angela Maria Rodrigues Ferreira ◽  
Maria Izabel Penha de Oliveira Santos

ABSTRACT Objective: To evaluate the functional capacity of long-lived older adults from Amazonas. Method: A cross-sectional epidemiological study was carried out with 116 older adults aged 80 years or older, registered in a primary health care unit in Belém, in the state of Pará, Brazil. The Functional Independence Measure (FIM) was used for functional capacity assessment and the Mini-Mental State Examination (MMSE) for cognitive screening. Univariate and bivariate analyses were carried out, in addition to the Pearson’s chi-square test. Results: The older adults presented modified independence in the self-care, sphincter control and locomotion dimensions, and needed supervision for mobility/transfers. In mobility, men presented complete independence. Modified independence was found in the 80-89 age group. It was observed that, the lower the education level, the worse the cognitive performance. Conclusion: In spite of their advanced age, long-lived older adults still present functional capacity for activities of daily living, even though they required supervision for high energy expenditure tasks, such as mobility and transfers.

2013 ◽  
Vol 21 (5) ◽  
pp. 1096-1103 ◽  
Author(s):  
Edileuza de Fatima Rosina Nardi ◽  
Namie Okino Sawada ◽  
Jair Licio Ferreira Santos

OBJECTIVE: to identify the association between the older adult's functional capacity and the caregiver's burden. METHOD: a cross-sectional, quantitative study, undertaken in a municipality in the north of the Brazilian state of Paraná, with 178 older adults with functional incapacity, and their caregivers. The Functional Independence Measure was used for evaluating the older adults' functional capacity, and the Zarit Burden Interview was used for evaluating the caregiver burden, with the results being analyzed quantitatively. The majority of the older adults were females, widowed, with a mean age of 79.9 years old, and needing assistance for up to 50% of the daily living tasks. The majority of the caregivers were females, daughters, married, and had a mean age of 56.7 years old. RESULT: the majority of the caregivers reported moderate burden; the men presented higher probabilities of lower burden than the women; and the more independent the older adult was, the higher the probabilities of the caregiver having low burden. CONCLUSION: encouraging actions directed at the promotion of active and healthy ageing centered on the maintenance of functional capacity and the older adult's autonomy, and implanting strategies for the organizing of care in the home which include the caregiver's health, can contribute to minimizing the effects of burden and improve quality of life.


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 ◽  
...  

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.


2020 ◽  
Vol 28 ◽  
pp. e51838
Author(s):  
Thaislane Milene Oliveira ◽  
Pollyana Cristina dos Santos Ferreira ◽  
Nayara Gomes Nunes Oliveira ◽  
Darlene Mara dos Santos Tavares

Objetivo: descrever e comparar as características sociodemográficas e clínicas dos idosos, e o acesso e a utilização dos serviços de saúde, segundo três microrregionais de saúde de Minas Gerais. Método: inquérito domiciliar transversal realizado com 1.635 idosos residentes nas Microrregionais de Saúde do Triângulo Sul, em Minas Gerais. Procederam-se às análises descritivas e teste qui-quadrado (p<0,05). Resultados: na comparação entre os grupos obteve-se diferença significativa em relação à faixa etária (p<0,001), número de morbidades (p<0,001), uso contínuo de medicamentos (p<0,001) e não realizar consulta com dentista no último ano (p=0,005). Conclusão: as políticas públicas devem considerar os fatores sociodemográficos e as condições clínicas dos idosos, mediante o contexto da territorialização e regionalização em saúde, para proposição de estratégias de ação que favoreçam o acesso e uso dos serviços por essa população.ABSTRACTObjective: to describe and compare the older adults’ sociodemographic and clinical characteristics, and their access to, and use of, health services, by three health micro-regions in Minas Gerais. Method: this cross-sectional household survey interviewed 1,635 older adults living in the Health Micro-regions of the Southern Triangle of Minas Gerais. Descriptive analyses and chi-square test were performed (p < 0.05). Results: comparisons among the groups revealed significant differences by age group (p < 0.001), number of morbidities (p < 0.001), continuous medication use (p < 0.001) and no dental appointment in the prior year (p = 0.005). Conclusion: in the context of health care territorialization and regionalization, public policies should consider older adults’ sociodemographic characteristics and clinical conditions, in order to propose action strategies to favor service access and use by this population.RESUMENObjetivo: describir y comparar las características sociodemográficas y clínicas de los adultos mayores y su acceso y uso de los servicios de salud por parte de tres microrregiones de salud en Minas Gerais. Método: esta encuesta de hogares de corte transversal entrevistó a 1.635 adultos mayores residentes en las Microrregiones de Salud del Triángulo Sur de Minas Gerais. Se realizaron análisis descriptivos y prueba de chi-cuadrado (p <0.05). Resultados: las comparaciones entre los grupos revelaron diferencias significativas por grupo de edad (p <0,001), número de morbilidades (p <0,001), uso continuo de medicación (p <0,001) y ausencia de consulta dental en el año anterior (p = 0,005). Conclusión: en el contexto de territorialización y regionalización asistencial, las políticas públicas deben considerar las características sociodemográficas y las condiciones clínicas de los adultos mayores, con el fin de proponer estrategias de acción que favorezcan el acceso y uso de los servicios por parte de esta población.


2019 ◽  
Vol 24 (7) ◽  
pp. 2443-2452
Author(s):  
Priscila Maria Stolses Bergamo Francisco ◽  
Daniela de Assumpção ◽  
Flávia Silva Arbex Borim ◽  
Deborah Carvalho Malta

Abstract The aim of this study was to estimate the prevalence of underweight among older adults according to socio-demographic characteristics in different regions of Brazil as well as determine associated contextual and individual factors. Cross-sectional population-based study with older adults (≥ 65 years) interviewed by telephone survey in 2014. The body mass index was calculated based on weight and height. Associations were determined using Pearson’s chi-square test, considering a 5% significance level. Adjusted prevalence ratios were estimated using multilevel Poisson regression. Mean age was 73.3 years and the prevalence of underweight was 15.6% (95%CI: 14.1-17.1%). Higher prevalence rates of underweight were found among women, individuals aged ≥ 80 years, smokers and those who reported the regular consumption of beans. The prevalence rate of underweight was lower among those who reported abusive alcohol intake and those with a medical diagnosis of hypertension. The northern region of the country had the highest prevalence of underweight after adjusting for associated individual factors. The findings demonstrate the subgroups with higher prevalence rates of underweight that demand greater attention from the health services in terms of recovering of an adequate nutritional status.


2020 ◽  
Vol 2 (2) ◽  
pp. 128-134
Author(s):  
Pramila Bhandari ◽  
Mira Baral

Background: Abuse of the elderly is a hidden problem in Nepalese community. Pokhara city is highly affected by urbanization, modernization and migration that predispose older adults to social isolation and financial difficulties increasing their risk to abuse. This study aims to fill the gap in the knowledge in the area of abuse of elderly in Pokhara city.Objectives: The major objective of this study was to determine the prevalence of caregiver abuse experienced by the older adults and find out the factors associated with the abuse. Method: A cross sectional study was used for the study. Convenience sampling technique was used and data was collected from 192 elderly above the age of 60 years residing a community of Pokhara-28, Kaski at their households using a structured interview schedule. Data was collected in June 2018, for a period of one month. Before data collection, informed written consent was taken from participants. The data was analyzed by using SPSS-16 and chi-square test was used as inferential statistics to determine the association between the elder abuse and selected variables.Result: We found out that 65.6% of the elderly experienced at least one abuse in the last 6 months. The most common forms of abuse were caregiver neglect (55.2%) and psychological abuse (38.5%). The elderly abuse was statistically significant with female sex (p=0.001), unmarried/widow/widower/separated/divorced (p=.021), illiterate (p=0.002), and among those having chronic illness (p=0.003). Conclusion: Almost 7 out of 10 elderly experienced abuse in the past 6 months. The most common form of abuse was caregiver neglect followed by psychological and financial abuse. Older adults who were females, unmarried/widowed/separated/divorced, illiterate and those having chronic disease were at higher risk for abuse.


2018 ◽  
Vol 18 (1) ◽  
pp. 83-92
Author(s):  
Bárbara Bernardo Rinaldo da Silva Figueirêdo ◽  
Paulo André Freire Magalhães ◽  
Liívia Barbosa de Andrade ◽  
Patrícia Bezerra ◽  
Maria do Carmo Menezes Bezerra Duarte

Abstract Objectives: to assess the functional independence, functional capacity and respiratory muscle strength (RMS) in individuals with mucopolysaccharidosis (MPS) type VI. Methods: in this cross-sectional study, the Pediatric Evaluation of Disability Inventory (PEDI) and the Functional Independence Measure (FIM) scales were used to assess the functional independence. The functional capacity and the RMS were assessed by a 6-minute walk test (6MWT) and Manovacuometry, respectively. The associations between RMS and 6MWD were analyzed by using the adjusted simple linear regression models. And besides, the T-test was used to compare the differences among the groups. Results: twenty-four patients with MPS VI were included, the median age was 8 (ranged from 2-38 years old). The PEDI presented a functional performance below the expectations at the self-care and mobility domains of 33.3% when compared to groups of Brazilian children at the same age assessed with typical development. The decreased social function was found in only one single case. According to the FIM, of the 12 patients evaluated (age> 7.5 years), 58.3% were classified as modified dependence and 41.7% as modified independence. The mean distance in the 6MWT was significantly lower than predicted, 263m in G1 (children, n= 7) and 336m in G2 (adolescents and adults, n=6), p<0.001. The RMS was also lower than predicted in both groups, except for the RMS in G1. Conclusions: the functional capacity and the RMS were significantly reduced in individuals with MPS VI, with a decreased functional independence in one-third of the patients. However, a multidisciplinary follow-up in this population is essential to prevent, diagnose and treat early complications.


Aquichan ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 1-11
Author(s):  
Mateus Carneiro Vicente ◽  
Cleane Rosa Ribeiro da Silva ◽  
Cláudia Jeane Lopes Pimenta ◽  
Thaíse Alves Bezerra ◽  
Hannah Karolyne Vieira de Lucena ◽  
...  

Objective: To correlate functional capacity and self-care in older adults with diabetes. Method: A cross-sectional and quantitative study, carried out with 189 older adults with diabetes mellitus treated at an endocrinology outpatient clinic. The structured instrument to obtain sociodemographic and clinical data, the Barthel Index, and the Diabetes Self-Care Activities Questionnaire were used. Data was analyzed with descriptive and inferential statistics. Results: Most of the older adults were independent and had high mean values of adherence to self-care. There was a positive correlation with statistical significance between functional capacity and the domains of self-care activities related to physical activity and care with the feet. Conclusions: Functional capacity showed a positive relationship with items related to physical activity and care with the feet. Functional independence in the older adult can influence adherence to self-care practices facing diabetes mellitus.


2017 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Maria Nova ◽  
Rahmita Yanti

<pre><em>Nowadays,estimated about 500 millions people (12%) of the population wolrldwide are obese. In </em><em>Padang Panjang city, found obese category in adults 18 years and over as much as 37%, which is the highest prevalence compared with other districts or cities in West Sumatra. The purpose of this study was to assess factors related to obesity in adults in Padang Panjang. It is a cross sectional research. The population is the entire number of adults in Padang Panjang. The sample size is 178 people, taken by Simple Random Sampling. Data were collected by questionnaire and interview using Food Frequency Quantitative (FFQ). Data processing was done by SPSS and analyzed by Chi-square test at p value &lt;0,05</em><em>. The result showed that there were significant correlation between knowledge level (p =0,023), physical activity (p= 0,026), mean intake of energy (p=0,000)with obesity and no signiicant correlation between smoking habbits and obesity (p=0,344). We concluded that low physical activity and knowledge, as well as high energy intake were risk factors for obesity.</em></pre><h2> </h2><h2><br /><em></em><em></em></h2><em></em><em></em>


2020 ◽  
Vol 10 (3) ◽  
pp. 85-91
Author(s):  
Daniel Vicentini de Oliveira ◽  
Sônia Maria Marques Gomes Bertolini ◽  
Ellis Gilson Chatalov ◽  
Maura Fernandes Franco ◽  
Maria do Carmo Correia de Lima ◽  
...  

Aims: To evaluate factors associated with the practice of transcendental meditation (TM) in the elderly. Methods: Cross-sectional study, with the inclusion of 113 older adults and women, 60 of them practitioners and 53 non-MT practitioners. A semi-structured questionnaire was used as an instrument, composed of sociodemographic, health and TM practice data. Data analysis was performed using the chi-square test and binary logistic regression. Results: The average age of practitioners was lower than that of non-practitioners (63.7 ± 4.0 vs. 69.1 ± 6.6 years). Most of the sample had completed higher education (f = 45; 75%; p = 0.001) and received more than three minimum wages (f = 40; 67.8%; p = 0.001). In the group of TM practitioners there was a greater proportion of individuals with excellent / good self-perceived health (91.7% vs 77.4%; p = 0.034), and less hospitalization in the last semester (5% vs 24.5 %; p = 0.003). Older adults who denied hospitalization or the presence of diabetes mellitus (DM) presented, respectively, 5.7 (95% CI OR 1.1 - 28.9) and 4.9 (95% CI OR 1.3 - 19.2) times chance to practice MT. The practice of TM is 80% more likely to be practiced by older adults with better self-perceived health (OR 0.17; 95% CI 0.03 - 0.96). Conclusion: The practice of a holistic activity such as TM is associated with better self-perceived health than older adults of the same age, and less chance of hospitalization in the last semester and the presence of DM.


1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution


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