scholarly journals Halitosis and associated factors in institutionalized elderly persons

2017 ◽  
Vol 20 (6) ◽  
pp. 856-868 ◽  
Author(s):  
Maria Cecília Azevedo de Aguiar ◽  
Natália Cristina Garcia Pinheiro ◽  
Karolina Pires Marcelino ◽  
Kenio Costa de Lima
Keyword(s):  
Oral Health ◽  
Associated Factors ◽  
Prevalence Ratio ◽  
Cognitive Status ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Exact Test ◽  
Independent Variables

Abstract Objective: to evaluate the prevalence of halitosis and associated factors in institutionalized elderly persons. Methods: a sectional study was performed with 268 elderly persons from 11 long-term care institutions in Natal in the northeast of Brazil. Data collection included an oral epidemiologic examination and questions about self-perception of oral health, as well as a consultation of medical records and the application of a questionnaire to the directors of the institutions. Halitosis was measured using the organoleptic test. The independent variables were oral, sociodemographic, institutional, general health and functional conditions. Bivariate analysis was performed using the Pearson chi-square test and Fisher's exact test, and the magnitude of effect was verified by the prevalence ratio for the independent variables in relation to the outcome, with a 95% confidence level. Results: the prevalence of halitosis was 26.1%, which was exhaled by the mouth in 98.57% of cases and by the nose in 10% of cases. Prevalence was 43% higher among non-white individuals (p=0.006); 65% higher among those living in non-profit institutions (p=0.039); 52% higher in elderly persons with oriented cognitive status (p=0.047); 41% higher in elderly persons with root caries (p=0.029); 62% higher in those who did not use dentures (p=0.046); 57% lower in edentulous persons (p<0.001); and 73% higher in elderly individuals with tongue biofilm (p=0.001). Conclusion: The occurrence of halitosis in institutionalized elderly persons was similar to other studies, but there was an expressive number of extrabuccal cases and an association with oral health problems, as well as sociodemographic, institutional and functional factors.

scholarly journals Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors

2016 ◽  
Vol 19 (4) ◽  
pp. 613-625 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Gizele Carmen Fagundes Ramos ◽  
Ana Teresa Fernandes Barbosa ◽  
Élen Débora Souza Vieira ◽  
Jéssica Santos Rocha Silva ◽  
...  
Keyword(s):  
Associated Factors ◽  
Minas Gerais ◽  
Functional Mobility ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Related Factors ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Significance Level

Abstract Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.

scholarly journals Dental Functionality: construction and validation of an oral health indicator for institutionalized elderly persons in the city of Natal, Rio Grande do Norte

2018 ◽  
Vol 21 (4) ◽  
pp. 389-396
Author(s):  
Natália Cristina Garcia Pinheiro ◽  
Yan Nogueira Leite de Freitas ◽  
Tamires Carneiro de Oliveira ◽  
Vinícius Carlos Duarte Holanda ◽  
Paulo Sérgio Silva Pessoa ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Oral Health ◽  
Rio Grande ◽  
The Elderly ◽  
Elderly Persons ◽  
Analysis Model ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Care Facilities ◽  
The City

Abstract Objective: to suggest a composite indicator that identifies the oral health condition of institutionalized elderly persons. Method: an observational and cross-sectional study was performed. A total of 315 elderly persons were investigated in long-stay care facilities for the elderly in the city of Natal, Rio Grande do Norte, Brazil. Such individuals underwent an epidemiological evaluation of their oral health conditions, based on the DMFT index, CPI and the PAL (periodontal attachment loss) index. Factor analysis was used to identify a relatively small number of common factors by principal component analysis. Results: five oral health variables were included in factor analysis, and using the Kaiser criterion, which considers the percentage of variance explained by the factors, a single factor which together explained 79.7% of the total variance of the variables included in the analysis model was selected. This factor was analyzed and interpreted according to the dimension to which it related, and was entitled the factor of Dental Functionality. Conclusion: this factor generated an objective indicator to characterize the oral health of the elderly in long-term care facilities for the elderly of Natal, Rio Grande do Norte, and represents a parameter for studies of the oral health outcomes of this elderly population. It also revealed a change in the dental profile of this population with more teeth present in the mouth and a reduction in edentulism.

scholarly journals Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil

2017 ◽  
Vol 20 (2) ◽  
pp. 186-196 ◽  
Author(s):  
Fabienne Louise Juvêncio Paes de Andrade ◽  
Joelmma Maria Rebouça de Lima ◽  
Kalyne do Nascimento Moreira Fidelis ◽  
Javier Jerez-Roig ◽  
Kenio Costa de Lima
Keyword(s):  
Cognitive Impairment ◽  
Associated Factors ◽  
Multiple Logistic Regression Analysis ◽  
Mini Nutritional Assessment ◽  
Rio Grande ◽  
The Elderly ◽  
Elderly Persons ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Severe Cognitive Impairment

Abstract Objective: To identify the prevalence of cognitive impairment and associated factors among institutionalized elderly persons. Methods: A cross-sectional study was conducted from October to December 2013 in Long-Term Care Facilities for the elderly in Natal, Rio Grande do Norte, Brazil, featuring 326 elderly persons of both genders. The assessment of cognitive decline was classified using the Pfeiffer test. Information on sociodemographic conditions and health status was also recorded. Nutritional status was assessed by applying the Mini Nutritional Assessment tool and functional capacity with the Katz Index. To identify the factors associated with the presence of moderate or severe cognitive impairment multiple logistic regression analysis of variables with a p value >0.20 was performed, using the Stepwise Forward method. Results: It was observed that 83.6% (95% CI: 78.9 to 87.3%) of the elderly persons had cognitive impairment. The final model, adjusted for type of LTCF, showed that being 83 years old or older was considered a risk factor for moderate or severe cognitive impairment. However, having systemic arterial hypertension (SAH) and having been institutionalized through their own choice were considered protective factors for moderate or severe cognitive impairment. Conclusion: the variables age, having SAH and having been institutionalized through their own choice are directly associated, as risk or protection factors, with the presence of severe or moderate cognitive impairment of the elderly population. The early diagnosis of these factors can lead to greater focus in setting goals for prevention and health care, thus improving the quality of life of these individuals.

scholarly journals CONDIÇÕES DE SAÚDE E ESTADO NUTRICIONAL DE AGENTES COMUNITÁRIOS DE SAÚDE NO INTERIOR DO NORDESTE BRASILEIRO

2020 ◽  
Vol 6 (1) ◽  
pp. 32-43
Author(s):  
Amanda Almeida Gomes Dantas ◽  
Nayara Priscila Dantas De Oliveira ◽  
Mercês de Fátima dos Santos Silva ◽  
Diego de Sousa Dantas
Keyword(s):  
Nutritional Status ◽  
Community Health ◽  
Prevalence Ratio ◽  
National Health Survey ◽  
Health Conditions ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Anthropometric Measures ◽  
Exact Test ◽  
Significant Difference

 Introdução: A saúde do trabalhador é um campo de relevância, mas que ainda está sendo consolidado no âmbito do sistema único de saúde (SUS). Partindo dessa compreensão, esse estudo teve como objetivo avaliar o estado nutricional e as condições de saúde dos agentes comunitários de saúde do município de Currais Novos-RN. Metodologia: Participaram da pesquisa 80 indivíduos de ambos os sexos. A coleta de dados envolveu um questionário padronizado elaborado especificamente para o referido trabalho, baseado na Pesquisa Nacional de Saúde, realizada por o IBGE, para analisar as condições de vida e de saúde. Além disso, foram realizadas aferição de medidas antropométricas como peso, estatura, circunferência abdominal e dobras cutâneas, para analisar o estado nutricional. A análise bivariada foi realizada por meio do teste Qui-quadrado de Pearson ou Exato de Fisher, sendo verificada a magnitude da associação através da razão de prevalência com intervalo de confiança de 95%, por meio do programa estatístico SPSS for Windows versão 22.0. Resultados: De acordo com os resultados, viu-se que 63,8% dos participantes encontram-se com Sobrepeso/Obesidade. Conclusão: Todos os dados antropométricos apresentaram diferença significativa na análise bivariada, demonstrando que essas variáveis exercem influência no estado nutricional desses.   Descritores: Agente Comunitário de Saúde; Saúde do Trabalhador; Condições de Saúde; Estado Nutricional.   ABSTRACTIntroduction:Workers' health is a field of relevance, but it is still being consolidated within the scope of the single health system (SUS). Based on this understanding, this study aimed to evaluate the nutritional status and health conditions of community health agents in the municipality of Currais Novos-RN. Methodology: Participated in the study 80 individuals of both sexes. The data collection involved a standardized questionnaire elaborated specifically for the aforementioned study, based on the National Health Survey, conducted by the IBGE, to analyze the living and health conditions. In addition, anthropometric measures such as weight, height, waist circumference, and skinfolds were performed to analyze the nutritional status.The bivariate analysis was performed using the Pearson's Chi-square test or the Fisher's exact test, and the magnitude of the association was verified through the prevalence ratio with a 95% confidence interval, using the statistical program SPSS for Windows version 22.0. Results: According to the results, it was found that 63.8% of the participants they are Overweight / Obesity. Conclusion: And all anthropometric data presented a significant difference in the bivariate analysis, demonstrating that these variables influence the nutritional status of these.  Descriptors: Community Health; Agent Worker’s Health; Health Conditions; Nutritional Status.

scholarly journals PREVALENCE OF STRESS AND ITS ASSOCIATED FACTORS AMONG MEDICAL STUDENTS IN SABAH, MALAYSIA BORNEO

2019 ◽  
Vol 19 (2) ◽  
pp. 116-125 ◽  
Author(s):  
Aldrin Musiun ◽  
Khamisah Awang Lukman ◽  
Mohammad Saffree Jeffree ◽  
Fredie Robinson ◽  
Mohd Rohaizat Hassan ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Student ◽  
Medical Students ◽  
Associated Factors ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum.  Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education.  The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling.  Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%.  Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.

scholarly journals 24-hour pattern of falls in hospitalized and long-term care institutionalized elderly persons: A systematic review of the published literature

2014 ◽  
Vol 32 (4) ◽  
pp. 548-556 ◽  
Author(s):  
Pablo Jesús López-Soto ◽  
Roberto Manfredini ◽  
Michael H. Smolensky ◽  
María Aurora Rodríguez-Borrego
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Elderly Persons ◽  
Term Care ◽  
Institutionalized Elderly

scholarly journals Prevalence of dizziness and associated factors in institutionalized elderly persons

2016 ◽  
Vol 6 (2) ◽  
pp. 45 ◽  
Author(s):  
Lidiane Maria B Macedo Ferreira ◽  
Karyna Myrelly O B Figueiredo Ribeiro ◽  
Kênio Costa de Lima
Keyword(s):  
Associated Factors ◽  
Elderly Persons ◽  
Institutionalized Elderly

scholarly journals Oral Health and Its Associated Factors Among Older Institutionalized Residents—A Systematic Review

2019 ◽  
Vol 16 (21) ◽  
pp. 4132 ◽  
Author(s):  
Florence M. F. Wong ◽  
Yannies T. Y. Ng ◽  
W. Keung Leung
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Oral Health ◽  
Associated Factors ◽  
Elderly Population ◽  
Ageing Population ◽  
Institutionalized Elderly ◽  
Modifiable Factors ◽  
The Relationship

The oral health of an ageing population, especially that of the institutionalized elderly population, constitutes a significant concern because it is closely linked to general health and the quality of life. Shared common risk factors drive the development and worsening of poor oral health and non-communicable diseases, which eventually lead to self-care inability. Several studies have reported on the poor oral health of the institutionalized elderly population. However, few comprehensive reports exist regarding the relationship between poor oral health, the oral health-related quality of life (OHRQoL) and the associated factors in this specific population. Objective: The objective is to describe recently reported oral health levels, the OHRQoL and the associated factors among older institutional residents. Methods: Studies published between July 2009 and June 2019 in MEDLINE, EMBASE and CINAHL were searched. The population, intervention, comparison and outcome (PICO) strategy was used as a guide. The reported factors related to poor oral health were identified (i.e., age, gender, educational level, acquired systemic conditions or dementia/cognitive impairment). Results: Twenty-five surveys (or study series) from 19 countries were included. The level of evidence reported by these studies was generally moderate to strong. The reported oral cleanliness and health of the surveyed institutionalized elderly were poor (>50% of residents had calculus; denture hygiene index > 80%). Gum (approximately 30% of dentate residents had moderate to severe periodontitis), teeth (decayed, missing or filled teeth >20), mucosa (>10% had mucosal lesions) and denture problems (up to 40%) were prevalent and were associated with a poor OHRQoL, especially in females, socially deprived residents or those with mild or above cognitive impairment. Those with a poor OHRQoL might show signs of poor nutrition. Conclusions: This report reviewed evidence-based knowledge on oral health, the OHRQoL and the associated factors among elderly institutional residents. Further research is needed to confirm these observations. For improved oral health, a better OHRQoL and the general well-being of older residents, clinical trials are needed, targeting modifiable factors, such as social inequality, oral healthcare accessibility, and/or nursing home service quality. The relationship between oral health, the OHRQoL and nutrition in this at-risk population also warrants exploration.

scholarly journals The frailty syndrome in institutionalized elderly persons

2018 ◽  
Vol 21 (1) ◽  
pp. 60-69 ◽  
Author(s):  
Marina Tadini Fluetti ◽  
Jack Roberto Silva Fhon ◽  
Ana Paula de Oliveira ◽  
Larissa Martins Ortega Chiquito ◽  
Sueli Marques
Keyword(s):  
Barthel Index ◽  
Depression Scale ◽  
Care Facility ◽  
Depression Symptoms ◽  
Elderly Persons ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Elderly Individuals

Abstract Objective: to analyze the relationship between the level of frailty and sociodemographic and health characteristics among elderly residents of a long-term care facility (LTCF) in Ribeirão Preto, São Paulo, Brazil. Method: this descriptive and cross-sectional study included 56 elderly persons living in a LTCF. Data were collected from April to June 2016. A questionnaire addressing sociodemographic and health profiles was used together with the Mini-Mental State Examination, the Tilburg Frailty Indicator, the Barthel Index, and the Geriatric Depression Scale (GDS-15). Descriptive statistics were applied. The normality of the continuous variables was tested using the Shapiro-Wilk test. Spearman’s correlation was used for the continuous variables with frailty as the dependent variable. Result: Most elderly individuals were female (57.1%); the average age was 77.77; and 35.7% were widowed. In terms of health, 55.4% presented cognitive deficit; 62.5% had depression symptoms; 75.0% were considered frail; 42.9% had suffered falls in the last 12 months; and the individuals scored an average of 68.30 in the Barthel Index. A positive correlation between the frailty score and the GDS-15 (r=0.538; p=0.00) was observed, while a negative correlation was found between frailty and the Barthel Index (r=-0.302; p=0.02). Conclusion: increased frailty among institutionalized elderly persons is correlated with the presence of depressive symptoms and inferior performance of basic activities of daily living. The results of the present study can support the planning of care provided to elderly individuals living in LTCFs and encourage broader assessments of these individuals.

scholarly journals HUBUNGAN FAKTOR PENGASUHAN DENGAN STUNTING DI KECAMATAN UBUD GIANYAR BALI

2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Ni Made Dwi Mahayati ◽  
Ni Gusti Kompiang Sriasih
Keyword(s):  
Exclusive Breastfeeding ◽  
Secondary Data ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Independent Variables ◽  
The Relationship

Introduction: The quality of a child is also determined by the health status of the child, especially in the toddler period. This period is a golden period for child development, so it is very important to ensure that the child's growth runs optimally, including ensuring that the nutritional status of toddlers is in a good category. The problem of short toddlers illustrates the existence of chronic nutritional problems that can be affected by the condition of the mother during pregnancy, the fetus, infants and toddlers, including diseases suffered during toddlers. This study aimed to analyze the relationship between parenting factors and stunting. Methods: Design of this study was analytic observational with cross sectional approach. The sampling technique used was purposive sampling by taking samples from two areas of stunting loci in Ubud District with a sample size of 92 people. The data collected are primary and secondary data. Data analysis used Chi Square and Fisher's Exact test. Results and Discussion: The results showed that most of the children were in nonstunting status with a stunting rate of 25%. The results of the bivariate analysis between the independent variables and stunting showed the following results: exclusive breastfeeding status (p = 0.01), active posyandu visits (p = 0.022) and diarrhea exposure (p = 1.00). Conclusion: There is a relationship between exclusive breastfeeding status and active posyandu visits with stunting in toddler.   Keywords: toddlers, posyandu visits, stunting, exclusive breastfeeding, child infections

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