scholarly journals Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

2016 ◽  
Vol 19 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Crislainy Vieira Freitas ◽  
Edilene do Socorro Nascimento Falcão Sarges ◽  
Karlo Edson Carneiro Santana Moreira ◽  
Saul Rassy Carneiro

Objective To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF (p<0.01) and FR and NF (p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF (p=0.0273) and NF (p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.

2020 ◽  
Vol 22 (6) ◽  
pp. 1009-1018 ◽  
Author(s):  
Yogesh N.V. Reddy ◽  
Aruna Rikhi ◽  
Masaru Obokata ◽  
Sanjiv J. Shah ◽  
Gregory D. Lewis ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
Mengran Zhang ◽  
Pingyu Chen ◽  
Yan Zhang ◽  
Xi Su ◽  
Jiyan Chen ◽  
...  

Background: Dyslipidemia is an important risk factor for myocardial infarction (MI). This study aimed to examine the health-related quality of life (HRQoL) and its predictors of patients with MI combined with dyslipidemia in China.Methods: Information on patients' sociological characteristics, lifestyle, clinical characteristics, and quality of life were collected by electronic medical records and questionnaires. Tobit regression model was used to investigate the predictors of quality of life.Results: There were 756 patients responded. The average EQ-5D score of all the patients was 0.95 (SD: 0.11). For all patients, factors such as age, high-fat and high-cholesterol diet, sports, family history of dyslipidemia, history of peripheral artery disease significantly affected HRQoL.Conclusions: Post-discharge care of the elderly group should be paid more attention to and suggestions on the healthy lifestyle (fat control) of the patients should be encouraged to improve the quality of life of these population.


2013 ◽  
Vol 35 (1) ◽  
Author(s):  
Nilce Maria de Freitas Santos ◽  
Darlene Mara dos Santos Tavares ◽  
Flavia Aparecida Dias ◽  
Marina Aleixo Diniz ◽  
Nayara Paula Fernandes Martins

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 43-48 ◽  
Author(s):  
Michelle Cardoso Billett ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Ruth Ester Assayag Batista ◽  
Angélica Gonçalves Silva Belasco ◽  
...  

ABSTRACT Objective: To evaluate the ability to perform activities of daily living (ADL) and to correlate functional capacity with quality of life (QoL) of hospitalized octogenarians. Method: A cross-sectional study with 128 patients using the quality of life instruments WHOQOL-OLD and WHOQOL-BREF and the Katz Scale. Results: The majority of patients was fully dependent; patients with higher schooling had less independence; older adults with partial dependence and independence had higher scores in perceived QoL; in the domains of autonomy, past, present and future activities; and better overall QoL than those with full dependence. Partially dependent patients had higher scores in the death and dying domain than independent patients. Conclusion: Older adults’ QoL is associated with the maintenance of autonomy and functional capacity. Older adults experience a health decline during the hospitalization process, due to the limitation in performing their ADL and lack of encouragement by the health team.


2019 ◽  
Vol 1 (2) ◽  
pp. 12-16
Author(s):  
Mutiara Anissa ◽  
Rinita Amelia ◽  
Nadia Purnama Dewi

Depression is a mental disorder that is often found in the elderly. Symptoms of depression in the elderly are often covered by physical symptoms. Depression in the elderly is influenced by various factors such as biology, psychology and social. Depression can further reduce the quality of life in the elderly. The study is a descriptive observational study and observed on 30 subjects were carried out on April 7, 2018. Aim of the study to determine the description of the Depression Rate in the Elderly in the Guguak Health Center Working Area District 50 Payakumbuh City. In the study, the subjects were 8 men (11.3%) and 22 women (73.3%). Theaverage subject age is 69.3. year. The highest level of education in the study subjects was high school (40%). Most patients did not have a history of other medical diseases (60%). In the study, 33.3% of the elderly were depressed. The levels of depression experienced were mild depression (23.3%) and major depression (10%).


Author(s):  
Amanda Rafaella Araújo De Campos ◽  
Suely Maria Satoko Moriya Inumaru ◽  
Elizabeth Rodrigues De Morais ◽  
Marcelo Silva Fantinati ◽  
Adriana Márcia Monteiro Fantinati

As chronological age increases, people become less active, thus reducing their functional abilities (CF). For the elderly, CF represents a potential decision and action in their lives, since the lack of autonomy and independence generates a great vulnerability of this individual compromising well-being and quality of life (QoL). The objective of this study was to evaluate the aquatic exercise program in the quality of life and functional capacity of the elderly of UNATI PUC-GO. This study is characterized by being almost experimental longitudinal and quantitative, in which the initial population was composed of 30 elderly women, finishing 16 within the inclusion criteria. The QOL assessment was performed using the WHOQOL-Bref questionnaire and the six-minute walk test (6MWT) was used to assess functional capacity (FC). Data collection was performed at the Life School Clinic of PUC - GO for a period of three months. Pre- and post-intervention comparisons were performed by the paired T-test. Statistic performed in SPSS version 20.0 adopting significance with value of p≤0.05 and the normality of the data was tested using the Shapiro-Wilk test. A significant statistical difference was found in the comparison between pre and post TC6 '(p


2018 ◽  
Vol 21 (2) ◽  
pp. 205-214 ◽  
Author(s):  
Raquel Santos de Queiroz ◽  
Alessandra Conceição Leite Funchal Camacho ◽  
Jonas Lírio Gurgel ◽  
Cíntia Raquel da Costa de Assis ◽  
Lucimere Maria dos Santos ◽  
...  

Abstract Objective: To analyze the association between sociodemographic profile, health profile and the quality of life of caregivers of elderly people diagnosed with dementia. Method: A cross-sectional study was carried out in a geriatric outpatient unit with 35 elderly caregivers diagnosed with dementia. A socio-demographic and health characterization form was used as well as the WHOQOL-bref scale. To verify the association of the variables, the Spearman or Pearson correlation tests were applied, according to the normality of the data. Results: A moderate association between caregiver age and quality of life was found, as well as between total time of care and quality of life, which reveals that the care provided to the elderly with dementia has repercussions on the quality of life. The domains of the WHOQOL-bref with the highest means were Social and Physical Relations, and those with lower mean values were Psychological and Environmental. Conclusion: The identification of conditions that influence the quality of life of caregivers of elderly people with dementia allows actions to promote, protect and recover the health and well-being of those who provide care to be established, so that this care is both for themselves and for the elderly.


2018 ◽  
Vol 12 (4) ◽  
pp. 408-414 ◽  
Author(s):  
Carla Fabiana Carletti Pessotti ◽  
Lineu Corrêa Fonseca ◽  
Gloria Maria de Almeida Souza Tedrus ◽  
Diana Tosello Laloni

ABSTRACT There are gaps in knowledge regarding how the family caregiver deals with the burden of caring for elderly people with dementia. Objective: To evaluate the family caregivers’ perception of quality of life (QoL), burden, resilience and religiosity and relate them with cognitive aspects and occurrence of neuropsychiatric symptoms of elderly with dementia. Methods: Data from the QoL-AD scale, caregivers’ version, burden interview, resilience scale, Beck depression inventory and PDUREL of 50 family caregivers were correlated with disability assessment for dementia, neuropsychiatric inventory and clinical aspects of 50 elderly with dementia. Results: Linear regression showed that resilience is related with better perceived QoL (p<0.001), severity of dementia (p=0.008), higher intrinsic religiosity (IR) (p=0.044) and lower occurrence of depressive symptoms (p=0.001). Increased burden of family caregivers was associated with a higher occurrence of neuropsychiatric symptoms, education of the elder with dementia, and worse perceived QoL (p<0.001). Lower level of organizational religiosity was associated with severity of dementia. Conclusion: The most resilient caregivers had higher QoL and IR, fewer depressive symptoms, and cared for elders with more severe dementia. Cognitive and sociodemographic aspects, as well as neuropsychiatric symptoms, in the elderly with dementia were associated with QoL and greater caregiver burden.


2021 ◽  
Vol 38 (5) ◽  
pp. 283-288
Author(s):  
Juan Valiente-Poveda ◽  
Daniel Castillo ◽  
Javier Raya-González

Introduction: Aging is associated with a reduction in physical activity levels, leading to a decrease in strength and muscle mass, and affecting the minimum functional capacity to maintain an independent life. The literature agrees that strength training is one of the most important strategies to curb the effects of age, since it has been shown to be effective in increasing muscle mass and strength, promoting improvements in the functional capacity of the elderly. Therefore, the aim of this study was to analyze the effects of strength training on the conditioning factors of health and quality of life (e.g., body composition, muscle strength and functional capacity) in male adults over 65 years of age. Material and method: A data search were conducted in PubMed, SPORTdiscus and Web Of Science (WOS) databases according to the recommendations and criteria established in the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement guidelines. For this, the search terms related to the target population (male older adults) and the type of training applied (strength training) were used. Results: After applying the search strategies, a total of 2196 articles were obtained. After reading the title and abstract, 1687 articles were eliminated. After reading the full text, 151 articles were eliminated and 9 were selected, which met the inclusion criteria and were therefore included in this review. Conclusions: The results suggest the importance of focus the strength training programs to the individual demands of each older adult man, in order to optimize its effects, and ultimately, improve their quality of life.


Author(s):  
Grassyara Pinho Tolentino ◽  
Viviane Soares ◽  
Patrícia Espíndola Mota Venâncio ◽  
João Lucas de Moraes ◽  
Pablo Rodrigues Lima ◽  
...  

Introduction: The muscular strength exercises can be an effective intervention to prevent falls and to favor the functional capacity (FC) in the elderly. However, few studies have reported the benefits of power training (PT) and the subjective perception of the elderly on these activities. Objective: to evaluate the repercussions of a power training protocol on functional capacity and subjective health parameters in the elderly. Method: It was a prospective study involving 48 elderly people. Two groups were composed: a power training group (PG) with 22 participants with a mean age of 68.14 (5.46) years and the control group (CG) was composed of 32 elderly individuals aged 68.03 (4.83) years. Health-related quality of life was measured from the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36). The FC was measured by the Berg Balance and Time Up and Go tests. The PT was performed 2x/week, with duration of 50 min/session, for 14 weeks (first two weeks of adaptation; first six weeks 3X/10-15 repetitions of 40-50% of the Subjective Perceived Exertion (SPE) / 6 following weeks 3X/6-10 repetitions of 60-70% of the SPE). The CG performed rhythm activities with the same frequency and weekly duration. Result: It was observed favorable results in FC after 14 weeks of power training. There was also a positive evaluation of most sf-36 domains, with emphasis on physical and emotional aspects. However, the perception of the elderly in relation to the pain domain presented negative results. Conclusion: The PT positively influenced the FC, the physical and the emotional aspects of the elderly; negatively affected the pain and maintained the low risk of fall after 12 weeks of intervention, without presenting intercurrences during the intervention.


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