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

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Caroline Ribeiro de Sousa ◽  
Janaína Fonseca Victor Coutinho ◽  
João Bastos Freire Neto ◽  
Rachel Gabriel Bastos Barbosa ◽  
Marília Braga Marques ◽  
...  

ABSTRACT 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.

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Tasya Virrisya Tania ◽  
Fajar Susanti ◽  
Erlin Ifadah ◽  
Apri Sunadi

Dementia is an acquired intellectual and memory dysfunction caused by brain disease, and is not associated with impaired levels of consciousness. The purpose of this study was to determine the factors associated with dementia in the elderly at the Cakung District Health Center in 2020. This study is a quantitative study with a correlative descriptive research design with a cross sectional study approach. The population consisted of elderly patients who participated in prolanis activities at the Cakung District Health Center. Sampling using total sampling. The sample consisted of 60 respondents. Data analysis using chi square test. The results showed a relationship between age (p = 0.000), physical activity (p = 0.000) and dementia. Physical activity needs to be done by the elderly to inhibit the factors that accelerate the onset of dementia. Counseling and learning about physical activity in the elderly should be a program in providing health services to the elderly, especially to prevent dementia. Keywords : Dementia, Physical Activity 


1970 ◽  
Vol 4 ◽  
pp. 129-142 ◽  
Author(s):  
Raj Kumar Subedi

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 945-945
Author(s):  
Steven Cohen ◽  
Zachary Kunicki ◽  
Megan Drohan ◽  
Mary Greaney

Abstract Individuals providing unpaid care of assistance to family members and friends (e.g. informal caregivers), may have been uniquely impacted by the COVID-19 pandemic. Research is needed to examine the pandemic’s effect on informal caregivers’ caregiving intensity and burden. Therefore, this cross-sectional study was conducted to explore self-reported changes in caregiver intensity (CI) and caregiver burden (CB) due to the pandemic to identify factors associated with changes in responsibilities and burdens. In June 2020, informal caregivers providing care to someone aged 50+ (n=835) reported their current and pre-pandemic caregiving intensity and burden. Data were collected via Amazon’s Mechanical Turk. Chi-square tests were used to examine bivariate associations between pandemic time (pre vs. post) differences in CI and CB. Multinomial regression was used to assess multivariate predictors of changes to CI and CB due to COVID-19. Results showed a significant U-shaped association between initial CB and CB change due to COVID-19. Higher levels of initial CB were associated with both a significant decrease in CB during COVID-19 (OR 1.33, 95%CI 1.06-1.67), and a significant increase in CB during COVID-19 (OR 1.22, 95%CI 1.05-1.43). There were no significant associations between initial CB and changes in CI due to COVID-19, although older caregivers were more likely to experience a decrease in CB due to caregiving (OR 1.02, 95%CI 1.00-1.05). These mixed results suggest that caregivers with high initial CB experienced the most extreme changes to CB due to COVID-19. Future planned analyses will focus on understanding the potential drivers behind these unexpected results.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2019 ◽  
Vol 1 (2) ◽  
pp. 344-353
Author(s):  
Mayasari Mayasari ◽  
Agung Waluyo ◽  
Wati Jumaiyah ◽  
Rohman Azzam

The purpose of this study was to determine the factors associated with the incidence of hypertension in the Work Area of Bonegunu Health Center, North Buton Regency. This study uses a cross sectional study analytic survey design. The results of the study using the chi-square test showed that p value = 0,000 for knowledge, p value = 0.001 for physical activity / sports, p value = 0.002 for diet, p value = 0.002 infrastructure, pvalue = 0,000 for alcohol consumption, and p value = 0,000 for stress with hypertension. Conclusion, there is a relationship between knowledge, physical activity, diet, health facilities, alcohol consumption and stress with the incidence of hypertension.   Keywords: Hypertension Occurrence Factors, Hypertension


2020 ◽  
Vol 4 (2) ◽  
pp. 46
Author(s):  
Nurlita Kurnia Wijaya ◽  
Elida Ulfiana ◽  
Sylvia Dwi Wahyuni

Introduction: The aging process in the course of human life is a natural thing. Elderly with age> 60 years who can maintain functional physical fitness will slow down degenerative processes. However, the fact found in the community is that there are still many older people who experience physical deterioration because they do not maintain the physical fitness of the elderly. This study aims to determine the level of physical fitness in the elderly.Method: This study used a cross-sectional study. The total sample in this study was 108 respondents who were determined based on inclusion and exclusion criteria. The independent variables in this study were individual characteristics (gender, age, marital status, and several dependents), physical activity, and lifestyle. The dependent variable in this study is the level of physical fitness in the elderly. The instruments in this study used questionnaires and physical fitness tests for the elderly. The analysis in this study used the chi-square test.Result: The results of this study indicate an association between age (0,000), marital status (0,027), physical activity (0,508), and lifestyle (0,034) with physical fitness levels.Conclusion:  The elderly do physical activities according to their abilities and diligently exercise and live a good lifestyle; their physical fitness will also be functional.


2019 ◽  
Vol 4 (1) ◽  
pp. 143-148
Author(s):  
Hadistia Maulitanisa

ABSTRACT Hypertension or often known as "high" is one of the non-communicable diseases, which is currently a big and serious problem. This study aims to determine the factors associated with the incidence of hypertension in RW 009 community in Bojong Menteng Bekasi Village in 2018. This research is analytic by using cross sectional study design. This research was conducted from January 2018 until July 2018 with a total sample of 161 people. The instruments used in this study were sphygmomanometer, microtoise, weight scales and questionnaires. Data analysis was carried out by univariate and bivariate using chi square test. The results of the study found 47.2% of respondents who experienced hypertension, who were at risk (≥40 years) as much as 58.4%, male gender as much as 47.2%, history of family hypertension as much as 60.2%, obesity as much as 59 , 6%, smoking as much as 26.1%, less active physical activity by 53.4% and alcohol consumption by 1.2%. Furthermore, variables related to the incidence of hypertension were age (p = 0,000) PR 1,996 (95% CI: 1,334-2,986), history of family hypertension (p = 0,000) PR 3,197 (95% CI: 1,926-5,308), obesity (p = 0,000) PR 1,647 (95% CI: 1,264-2,145), smoking (p = 0,041) PR 1,473 (95% CI: 1,072-2,024), physical activity (p = 0,029) PR 1,495 (95% CI: 1,055- 2,118 ) Whereas, variables that were not related to the incidence of hypertension were sex (p = 0.252) PR 1.243 (95% CI: 0.896-1.724) and alcohol consumption (p = 1,000) PR 1.060 (95% CI: 0.263-4.280).The advice given to the puskesmas is that it is necessary to encourage the community, together with the head of RW 009 to raise awareness on routine health checks and routine exercise every holiday. Keywords: Hypertension, Factors that cause hypertension


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.


2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.


2020 ◽  
Vol 13 (4) ◽  
pp. 361-370
Author(s):  
Maria Michou ◽  
Demosthenes B. Panagiotakos ◽  
Christos Lionis ◽  
Vassiliki Costarelli

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.


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