scholarly journals Polypharmacy, chronic diseases and nutritional markers in community-dwelling older

2014 ◽  
Vol 17 (4) ◽  
pp. 818-829 ◽  
Author(s):  
Erika Aparecida Silveira ◽  
Luana Dalastra ◽  
Valéria Pagotto
Keyword(s):  
Chronic Diseases ◽  
The Elderly ◽  
Community Dwelling ◽  
Daily Consumption ◽  
Cross Sectional ◽  
Percentage Body Fat ◽  
Significance Level ◽  
Feminine Gender ◽  
Nutritional Surveillance ◽  
Cross Sectional Design

Polypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. This research is part of the Study Elderly/Goiânia, which evaluated 418 elderly community in a cross-sectional design. Polypharmacy was defined as the use of five or more concomitant medications. The following nutritional markers were investigated: BMI, waist circumference, percentage body fat, weight gain and loss, use of diet, daily consumption of fruits, vegetables, skimmed and whole milk. Multivariate analysis was performed using hierarchical Poisson regression, with significance level set at 5%. The prevalence of polypharmacy was 28% (95%CI 23.1 - 32.5), with a significant association with feminine gender, age range 75 - 79 years, eutrophic nutritional status and obesity, use of diet, poor self-rated health and presence of two, three or more chronic diseases. The high prevalence of polypharmacy and its association with nutritional markers and chronic diseases call the attention for the need of nutritional surveillance and monitoring in the elderly.

scholarly journals Evaluation of Dietary Comsumption in Independents Community-Dwelling Older Adults With and Without Sarcopenia

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 17-17
Author(s):  
Ana Luíza Gonçalves ◽  
Thiago Neves ◽  
Juliana Cristina Marchesi ◽  
Eduardo Ferriolli ◽  
Karina Pfrimer
Keyword(s):  
Older Adults ◽  
Saturated Fat ◽  
The Elderly ◽  
Community Dwelling ◽  
Animal Protein ◽  
Southeastern Brazil ◽  
Protein G ◽  
Cross Sectional ◽  
Significance Level ◽  
Community Dwelling Older Adults

Abstract Objectives To characterize and compare the food consumption of independent community-dwelling older adults with and without sarcopenia. Methods Descriptive cross-sectional study, conducted with data from 50 community-dwelling older adults receiving care in secondary level of health in a city in southeastern Brazil, during 2017. The following tests were used to diagnose sarcopenia: dual X-ray absorptiometry, hand grip strength and walk speed. Data from intake was obtained by three 24-hour Multiple Pass Recall and the consumption variation was adjusted in the Multiple Source Method Program. The consumption of macronutrientes and micronutrientes was compared between the groups without sarcopenia and those with pre-sarcopenia/sarcopenia. The means were measures of average consumption, nutrients inadequacy and consumption ranges. The results are expressed as descriptive data, presented as media, standard deviation and absolute and relative frequency. A significance level adopted was P < 0.05. Results Lowest intake of animal protein (g) was identified in men with pre-sarcopenia/sarcopenia compared with those without sarcopenia (P < 0.05). In women, those with pre-sarcopenia/sarcopenia had more intake of carbohydrate (%) and less intake of protein (g), animal protein (g) and saturated fat acids (%) (P < 0.05). The vitamin D, vitamin E and calcium medium consumption was lower than the Estimated Average Requirement in all groups of the study, with high consumption inadequacy (>75%) for those nutrients. Conclusions The lowest intake by the elderly with sarcopenia and the high inadequacy of important nutrients for muscle mass preservation and strength by both groups of elderly could contribute for the development of this condition. Funding Sources Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq.

scholarly journals Association between Potentially Inappropriate Medication Use and Chronic Diseases in the Elderly

2019 ◽  
Vol 16 (12) ◽  
pp. 2189 ◽  
Author(s):  
Tzu-Chueh Wang ◽  
Pou-Jen Ku ◽  
Hai-Lin Lu ◽  
Kung-Chuan Hsu ◽  
Damien Trezise ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Chronic Diseases ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Population Based ◽  
Community Dwelling ◽  
Potentially Inappropriate Medications ◽  
Continuous Exposure ◽  
Cross Sectional

Long-term continuous exposure to potentially inappropriate medications (PIMs) can lead to adverse events in the elderly. However, the effects of long-term exposure of the elderly to PIM and the relationship between PIM and chronic diseases remain unclear. The objective of this study was to investigate the continuous use of PIMs in a community-dwelling elderly population. A cross-sectional population-based study was conducted using community pharmacy–filed dispensing records from the Hcare system. Twenty-three community pharmacies were sampled from 2013 to 2015 to obtain records of patients above 65 years-old with continuous prescriptions. PIM were identified according to the 2015 Beers Criteria. The prevalence of patients using PIM was highest in patients with co-morbid mental disorders (40.05%), followed by neurological system disorders (28.91%). Patients who were prescribed a PIM were more than three times as likely to have a mental disorder as those (odds ratio 3.16, 95% confidence interval: 3.06–3.28) with non-chronic diseases. The most prescribed PIM agents were central nervous system drugs (53.16%), and benzodiazepines (35.15%). Patients with mental disorders had the highest rate of long-term persistent PIM exposure, with benzodiazepines being the most frequently dispensed. Drug safety concerns should be closely monitored in elderly patients with the abovementioned conditions.

scholarly journals Pengaruh Sosial Budaya Dan Geografis Terhadap Perilaku Merokok Pada Lansia Perempuan Di Wilayah Dataran Tinggi Dieng Wonosobo

2020 ◽  
Vol 6 (2) ◽  
pp. 245
Author(s):  
Dwi Widiyaningsih ◽  
Dwi Suharyanta
Keyword(s):  
Elderly Women ◽  
Smoking Behavior ◽  
Geographical Location ◽  
The Elderly ◽  
Bivariate Analysis ◽  
Social Culture ◽  
Cross Sectional ◽  
Significance Level ◽  
Cross Sectional Design ◽  
Healthy Community

All forms of charm of the dieng region are able to attract the attention of both domestic people and abroad, with its unique socio-cultural and geographical location which is approximately 2000m above sea level with temperatures reaching 5 degrees Celsius at night and 10 degrees Celsius during the day. It turned out to be a very beautiful natural condition not accompanied by proper healthy behavior, 9 out of 10 households smoke to eliminate the cold, and 4 out of 6 elderly women smoke because of the culture of their ancestors who descended as a cultural heritage signifying that they are strong and respected women. culture like this is certainly very in contrast to the GERMAS (Healthy Community Movement) non-smoking program which was launched in 2016 as an increase in ARI cases from 2009 until 2104 and tends to be stagnant until 2017, as well as various disease events due to smoking such as pulmonary TB, cancer, etc. are also often found in the district Wonosobo. This study aims to look for socio-cultural and geographical influences on smoking behavior in the elderly female sex in the Dieng plateau region wonosobo district. The subjects of this study were elderly women people over 60 who smoke. with a population of 113 elderly, technical. The sample used is total sampling. This type of research is quantitative with cross sectional design as for the analysis of the data used is bivariate analysis (kendall’s tau) where the results are obtained there is a significant influence between social culture on smoking behavior in elderly women (0.001 <0.010), and there is an influence geographic significance of smoking behavior among elderly women (0,000 <0.010). With a significance level of 0,000 (ρ <0.05) so it can be concluded socially culture and geography are related to the smoking behavior of women in the highlands dieng.

scholarly journals Overview of Depression in The Elderly of UPT Pelayanan Sosial

2016 ◽  
Vol 2 (2) ◽  
pp. 7
Author(s):  
Relang Rizky Mulyadi ◽  
Alif Mardijana ◽  
Yudha Nurdian
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Emotional Reaction ◽  
Geriatric Depression ◽  
Cross Sectional ◽  
General Picture ◽  
Significance Level ◽  
Scale Population ◽  
Cross Sectional Design

Depression is a prolonged sadness and a feeling or abnormal. Can be used to demonstrate a variety of phenomena, such as signs, symptoms, syndrome, emotional, reaction. Depression is more common in older people than depression in the general population with a prevalence rate of 25-50%. Elderly according to article 1, paragraph (2), (3), (4) of Law No. 13 of 1998 on the health of the elderly is said that a person who has reached the age of 60 years. The purpose of this study to determine the incidence and the general picture of depression that occurs at the level of the elderly who live in UPT Pelayanan Sosial Lanjut Usia Kabupaten Jember. This study is observational analytic cross sectional design. The variables observed in this study is the age and level of depression. Respondent has been investigated by using the GDS (Geriatric Depression Scale). Population in this study was all elderly that live in UPT Pelayanan Sosial Lanjut Usia Jember as much as 43 respondents. Spearman Rho analysis showed significance level 2.57 which shows 2.57> 0.05 p. This means that there is no significant relationship between age of elderly with depression levels among respondents in UPT Pelayanan Sosial Lanjut Usia Kabupaten Jember. Key words: Depression, Elderly.

scholarly journals Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

2018 ◽  
Vol 23 (2) ◽  
pp. 607-616 ◽  
Author(s):  
Luara Costa Fagundes ◽  
Marcos Henrique Fernandes ◽  
Thais Alves Brito ◽  
Raildo da Silva Coqueiro ◽  
José Ailton Oliveira Carneiro
Keyword(s):  
Logistic Regression ◽  
Elderly People ◽  
The Elderly ◽  
Population Based ◽  
Study Data ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated ◽  
Hypertriglyceridemic Waist

Abstract To identify the prevalence and factors associated with hypertriglyceridemic waist (HW) in community-dwelling elderly people in northeast Brazil. Population-based cross-sectional study. Some 316 elderly (≥ 60 years) people of both sexes participated in this study. Data were collected using a questionnaire, based on that used in the Health, Welfare and Aging Study (SABE), in addition to blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist condition was diagnosed using high values of triglycerides (≥ 150 mg/dl) and waist circumference increased ≥ 88 and ≥ 102 cm for women and men, respectively. Logistic regression analysis was used to compare the hypertriglyceridemic waist and associated factors, significance level of 5%. The prevalence of hypertriglyceridemic waist (HW) was 27.1%. The logistic regression model (OR) adjusted showed the condition of HW associated to the feminine sex (OR 4.19), to the insufficiently active elderly (OR 2.41) and with overweight (OR 4.06). A high prevalence (27.1%) of hypertriglyceridemic waist was observed, indicating the female sex, physical inactivity and overweight as key factors associated with hypertriglyceridemic waist in community-dwelling elderly people.

HUBUNGAN DUKUNGAN KELUARGA, PENGETAHUAN, DENGAN KEAKTIFAN LANJUT USIA (Lansia) MENGIKUTI KEGIATAN POSYANDU LANSIA DI WILAYAH PUSKESMAS GADING SURABAYA

2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA
Keyword(s):  
Health Center ◽  
Family Support ◽  
Elderly People ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Design Data ◽  
Cross Sectional ◽  
Bivariate Data ◽  
Quality Regulation ◽  
Cross Sectional Design

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center

HUBUNGAN AKTIVITAS FISIK DENGAN FUNGSI KOGNITIF LANSIA DI PANTI WREDHA YAYASAN SOSIAL SALIB PUTIH SALATIGA

2019 ◽  
pp. 137-143
Author(s):  
Dennys Christovel Dese ◽  
Cahyo Wibowo
Keyword(s):  
Physical Activity ◽  
Cognitive Function ◽  
The Elderly ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
Significance Level ◽  
The Social ◽  
Normal Cognitive Function ◽  
Intellectual Capacity ◽  
Independent Variable

Peningkatan jumlah lansia setiap tahunnya harus dijadikan perhatian, akibat adanya peningkatan jumlah lansia masalah yang dihadapi akan menjadi semakin kompleks, salah satunya adalah masalah yang berkaitan dengan gejala penuaan. Menurunnya kapasitas intelektual berhubungan erat dengan fungsi kognitif pada lansia. Aktivitas fisik diidentifikasi sebagai salah satu faktor yang mempengaruhi fungsi kognitif. Aktivitas fisik bermanfaat untuk lansia sebagai pencegahan dan demensia. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Penelitian dilakukan di yayasan sosial Panti Wredha Salib Putih Salatiga pada bulan Juni 2018. Populasi dalam penelitian ini adalah lansia yang berumur ?60 tahun. Subjek pada penelitian ini berjumlah 16 responden. Variabel independen dalam penelitian ini adalah aktivitas fisik yang dinilai dengan menggunakan instrument GPAQ. Sedangkan variabel dependen dalam penelitian ini adalah fungsi kognitif yang dinilai dengan instrument MMSE. Terdapat 4 orang (25%) yang masuk dalam kategori fungsi kognitif normal dengan kategori aktifitas fisik sedang 1 orang dan aktifitas berat 3 orang, kemudian yang termasuk dalam kategori gangguan fungsi kognitif ringan sebanyak 11 orang (68,75%), dengan kategori aktifitas fisik sedang 8 orang dan aktifitas ringan 3 orang. Sedangkan yang termasuk dalam kategori gangguan fungsi kognitif berat, terdapat 1 orang (6,25%) dengan kategori aktifitasnya ringan. Taraf signifikansi antar variabel tingkat aktifitas fisik dan fungsi kognitif pada lansia adalah p=0.007 atau p<0,05, sehingga dapat disimpulkan ada  hubungan antara tingkat aktifitas fisik dengan fungsi kognitif pada lansia.   Increasing the number of elderly people every year should be a concern, due to an increase in the number of elderly problems faced will become increasingly complex, one of which is a problem related to the symptoms of aging. Decreased intellectual capacity is closely related to cognitive function in the elderly. Physical activity is identified as one of the factors that influence cognitive function. Physical activity is beneficial for the elderly as prevention and dementia. This study was an observational analytic study using a cross sectional approach. The study was conducted at the social foundation nursing home in the white cross in June 2018. The population in this study was elderly aged ≥60 years. The subjects in this study were 16 respondents. The independent variable in this study is physical activity that is assessed using the GPAQ instrument. While the dependent variable in this study was cognitive function which was assessed by the MMSE instrument. There are 4 people (25%) who fall into the category of normal cognitive function with moderate physical activity categories 1 person and heavy activities 3 people, then those included in the category of mild cognitive function disorders are 11 people (68.75%), with the category of physical activity being 8 people and 3 light activities. While those included in the category of severe cognitive function disorders, there is 1 person (6.25%) with a mild activity category. The significance level between the level of physical activity and cognitive function in the elderly is p = 0.007 or p <0.05, so it can be concluded that there is a relationship between the level of physical activity and cognitive function in the elderly.

scholarly journals Percepção da imagem corporal e indicadores antropométricos e de composição corporal associados em idosos

2019 ◽  
Vol 20 (6) ◽  
pp. 525-534
Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes
Keyword(s):  
Older Adults ◽  
Body Image ◽  
The Elderly ◽  
Body Image Dissatisfaction ◽  
Normal Weight ◽  
The Body ◽  
Image Perception ◽  
Cross Sectional ◽  
Significance Level ◽  
Body Image Perception

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.

scholarly journals Oxidative damage to DNA in independent-living elderly persons and their correlations with sociodemographic, anthropometric, and functional parameters

2017 ◽  
Vol 20 (2) ◽  
pp. 225-231
Author(s):  
Gilson Luis da Cunha ◽  
Greice Terezinha de Oliveira ◽  
Daiane Bolzan Berlese ◽  
Geraldine Alves dos Santos
Keyword(s):  
Dna Damage ◽  
Independent Living ◽  
Oxidative Dna Damage ◽  
Blood Collection ◽  
Elderly Persons ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Significance Level ◽  
Functional Parameters ◽  
Cross Sectional Design

Abstract Objective: To evaluate the correlations between oxidative DNA damage among elderly persons aged between 60 and 79 years and sociodemographic, anthropometric and functional parameters. Method: The present study has a descriptive, quantitative and cross-sectional design. A group of 195 independent-living elderly persons of both genders underwent blood collection and the subsequent measurement of serum concentrations of 8-OHdG, a residue generated by the attack of reactive oxygen species to DNA. The same subjects also underwent evaluation for body mass index (BMI), body fat percentage, the Short Physical Performance Battery (SPPB), and the education level of the participants was analyzed. Statistical analysis was performed using the Spearman correlation test, adopting a 5% significance level. Result: Higher fat percentage and BMI are directly correlated with higher concentrations of 8-OHdG, while SPPB and education were inversely correlated with the concentration of this molecule in the sample. Conclusion: These results suggest factors such as lifestyle and educational level influenced oxidative DNA damage in these elderly persons and had an impact on their functional capacity.

scholarly journals Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

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 ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Significance Level ◽  
Factors Associated

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.

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