scholarly journals Social capital and under-utilization of medication for financial reasons among elderly women: evidence from two Brazilian health surveys

2013 ◽  
Vol 18 (12) ◽  
pp. 3721-3730 ◽  
Author(s):  
Tatiana Chama Borges Luz ◽  
Antônio Ignácio de Loyola Filho ◽  
Maria Fernanda Lima-Costa
Keyword(s):  
Physical Environment ◽  
Elderly Women ◽  
Later Life ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Belo Horizonte ◽  
Perception Of Health ◽  
System Characteristics

This cross-sectional study assesses the prevalence and examines the role of social and demographic factors, health conditions, health system characteristics and contextual factors of under-utilization of medication for financial reasons among elderly women. Participants in the Greater Metropolitan Belo Horizonte Health Survey (GMBH) and the eleventh phase of the Bambuí Cohort Study of the Elderly were assessed. Among elderly women in the GMBH, the prevalence of under-utilization was 11.4%, and in Bambuí, the rate was 5.4%. Self-perception of health (OR, 3.46; 95%CI, 1.32_9.10); daily life limitations (OR, 2.75; 95% CI, 1.31-5.78) and perception of help (OR, 2.36; 95% CI, 1.07-5.25) had independent associations with under-utilization among GMBH residents. A poor perception of both cohesion in the neighborhood (OR, 2.38; 95% CI, 1.02-5.56) and the physical environment (OR, 2.58; 95% CI, 1.10-6.03) significantly increased the likelihood of under-utilization among Bambuí residents. These results provide important clues to identifying possible risk factors for under-utilization, highlighting the need to develop strategies targeting the amplification of the involvement between elderly women and their community to reduce the extent of under-utilization in later life.

scholarly journals The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study

2018 ◽  
Vol 26 (1) ◽  
Author(s):  
Alijan Ahmadiahangar ◽  
Yahya Javadian ◽  
Mansour Babaei ◽  
Behzad Heidari ◽  
Seyedreza Hosseini ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Elderly People ◽  
The Elderly ◽  
Quadriceps Muscle ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quadriceps Muscle Strength

scholarly journals Undernutrition and associated factors in a Portuguese older adult community

2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Cross Sectional ◽  
Major Factors ◽  
Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

scholarly journals Postural control among elderly women with and without osteoporosis: is there a difference?

2010 ◽  
Vol 128 (4) ◽  
pp. 219-224 ◽  
Author(s):  
Thomaz Nogueira Burke ◽  
Fabio Jorge Renovato França ◽  
Sarah Rúbia Ferreira de Meneses ◽  
Viviam Inhasz Cardoso ◽  
Rosa Maria Rodrigues Pereira ◽  
...  
Keyword(s):  
Postural Control ◽  
Elderly Women ◽  
Center Of Pressure ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Clinical Test ◽  
Mineral Density ◽  
Maximum Displacement ◽  
Cross Sectional ◽  
School Of Medicine

CONTEXT AND OBJECTIVE: Little is known about postural control among elderly individuals with osteoporosis and its relationship with falls. It has been suggested that elderly women with kyphosis and osteoporosis are at greater risk of falling. The aim of this study was to evaluate posture and postural control among elderly women with and without osteoporosis. DESIGN AND SETTING: Cross-sectional study conducted at the Physical Therapy and Electromyography Laboratory, School of Medicine, Universidade de São Paulo (USP). METHODS: Sixty-six elderly women were selected from the bone metabolism disorders clinic, Division of Rheumatology, USP, and were divided into two groups: osteoporosis and controls, according to their bone mineral density (BMD). Postural control was assessed using the Limits of Stability (LOS) test and the Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) and posture, using photometry. RESULTS: The elderly women with osteoporosis swayed at higher velocity on a stable surface with opened eyes (0.30 versus 0.20 degrees/second; P = 0.038). In both groups, the center of pressure (COP) was at 30% in the LOS, but with different placements: 156° in the osteoporosis group and 178° in the controls (P = 0.045). Osteoporosis patients fell more than controls did (1.0 versus 0.0; P = 0.036). CONCLUSIONS: The postural control in elderly women with osteoporosis differed from that of the controls, with higher sway velocity and maximum displacement of COP. Despite postural abnormalities such as hyperkyphosis and forward head, the COP position was posteriorized.

scholarly journals Inflammatory parameters in elderly women with and without sarcopenic obesity

2020 ◽  
Vol 3 (3) ◽  
pp. 23-28
Author(s):  
Silvana Schwerz Funghetto ◽  
Alessandro Oliveira Silva ◽  
Maurilio Tiradentes Dutra ◽  
Marina Morato Stival ◽  
Yuri Gustavo Sousa Barbalho ◽  
...  
Keyword(s):  
Inflammatory Markers ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sarcopenic Obesity ◽  
Composition Analysis ◽  
Necrosis Factor Alpha ◽  
Cross Sectional ◽  
Blood Concentrations ◽  
Inflammatory Parameters

The combination of increased fat mass with a decrease in muscle mass and strength in the elderly has been termed sarcopenic obesity (SO). In addition, augmented levels of inflammatory markers have been reported in subjects with SO. Two hundred-sixteen obese elderly women were included in this cross-sectional study. They underwent body composition analysis by DEXA to define the presence of SO. Volunteers were divided into two groups: SO (n= 83; 66.7 ± 5.6 years) and non-SO (n= 133; 67.6 ± 4.9 years) for the comparison of inflammatory cytokines.  There were no significant differences between SO and non-SO groups in the blood concentrations of the inflammatory markers analyzed, e.g. interleukin-6 (0.82 ± 0.20 vs 0.83 ± 0.19 pg/ml; p=0.64), C-reactive protein (2.70 ± 1.55 vs 2.82 ± 1.66 pg/ml; p=0.71), tumor necrosis factor alpha (0.71 ± 0.08 vs 0.70 ± 0.08 pg/ml; p=0.42) and interferon-gamma (0.75 ± 0.14 vs 0.74 ± 0.08 pg/ml; p=0.47), respectively. Thus, in the studied population, inflammatory markers are not exacerbated by SO when compared to obesity without sarcopenia.

Health care practice and life pattern of elderly women attending in a selected geriatric hospital in Dhaka city

2013 ◽  
Vol 22 (1) ◽  
pp. 30-33
Author(s):  
Mahjabeen Sultana Begum ◽  
Mohammad Zaid Hossain ◽  
Sudip Ranjan Deb ◽  
Md Mosaraf Hossain Khan ◽  
Mostafizur Rahman ◽  
...  
Keyword(s):  
Health Care ◽  
Old Age ◽  
Elderly Women ◽  
Geriatric Medicine ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Care Seeking ◽  
Dhaka City ◽  
Cross Sectional

Objective: The study was carried out to find out the health care seeking practice among the elderly women attending a selected hospital in Dhaka city. Materials and methods: This was a cross sectional study and included 164 women aged 60 years and above. The study was carried out from March to June, 2001, at Prabin Hitayishi Hospital, Bangladesh Associated of Aged and Institute of Geriatric Medicine (BAAIGM), Agargaon, Sher E Bangla Nagar, Dhaka. Results: In the present study, 58.5% women were aged less than 65 years, 51.2% were illiterates, 65.9% were married, only 7.3% were living with their spouse, 86.6% were housewives, only 9.8% had self income, 25.6% were earning between Taka 10,001 and 15,000 per month, and 41.5% were staying in families with 7 8 members, 90.2% had regular daily bath, 80.5% with soap, 90.2% brushed their teeth at least once a day, only 12.2% were taking regular exercise, 70.7% had knowledge about self health care, however, only 22% were on regular health check up, 12.2% women thought egg, milk, fish, meat and fruits were good for health. Regarding old age diseases, 43.9% knew about diabetes, 39% high blood pressure, 36.6% heart, 17.1% respiratory and 2.4% orthopaedic diseases. Most common diseases were eye (26.8%), cardiovascular and orthopaedic (19.5%) and ENT (14.6%). Other diseases were gastrointestinal (9.8%), respiratory (7.1%), dental and endocrine (4.9%). Conclusion: Old women of our society should be made aware on old age diseases and self health care practices. DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15602 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 30-33

scholarly journals Sarcopenia, nutritional status and functionality in elderly women living in the community

2018 ◽  
Vol 21 (3) ◽  
pp. 342-351
Author(s):  
Rosa Sá de Oliveira Neta ◽  
Isabelle Ferreira da Silva Souza ◽  
Saionara Maria Aires da Câmara ◽  
Marcelo Cardoso de Souza
Keyword(s):  
Physical Activity ◽  
Elementary Education ◽  
Nutritional Status ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elementary School Education ◽  
Socioeconomic Data ◽  
The Relationship

Abstract Objective: to evaluate the relationship between sarcopenia, functional capacity and nutritional status among elderly women living in the community. Method: an observational, cross-sectional study was performed with 100 elderly women aged over 60 years. A questionnaire containing identification and socioeconomic data and information relating to the practice of physical activity was applied, while anthropometric and body composition data were measured through bioimpedance and functionality data was assessed using the six-minute walk test (6MWT). Independent t-tests were performed for the quantitative variables and analysis of variance (ANOVA) was used to compare the means of the variables. Multiple linear regression analyzes were performed to estimate the mean 6MWTfor each of the variables studied. Results: The average age of the elderly women was 67 (± 8.0) years, 41% practiced physical activity, 38% had at least an elementary school education, 48% received up to two minimum wages and 91% were obese according to waist circumference (WC). The prevalence rates for the presence of sarcopenia were: 5% for sarcopenic obesity (SO), 63% for obesity, 14% for sarcopenia and 18% had adequate weight. Elderly women who practiced physical activity, had at least an elementary education and who were non-obese according to WC, performed better in the 6MWT. There were no significant differences in the 6MWTbased on income or Body Mass Index (p>0.05). Non-obese and non-sarcopenic women walked further in the functional test than the other women (p = 0.021). Conclusion: SO was present in 5% of the elderly women and is related to poor physical performance, which was also present in elderly women with sarcopenia and obesity.

scholarly journals Investigating Speech Tempo, Speaking Rate, and the Related Factors in the Iranian Elderly Women Talking with Tehrani and Semnani Accents

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Maryam Mokhlesin ◽  
Mehran Choubineh ◽  
Alireza Ghasemi ◽  
Zahra Ahmadizadeh ◽  
Fatemeh Kasbi
Keyword(s):  
Verbal Fluency ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Speaking Rate ◽  
Related Factors ◽  
Cross Sectional ◽  
Level Of Education ◽  
Significant Difference ◽  
Convenience Sampling

Background: Some variables, such as age, gender, regional and dialectical differences influence speech tempo. Men and younger individuals speak faster than women and the elderly. Therefore, these variations should be considered when assessing speaking rate. Objectives: Since different accents influence speaking rates and there is no previous study investigated speech tempo with respect to regional and accent differences in Iran, and given that the elderly are more prone to problems influencing speaking rate, the present study was done to compare speech tempo and speaking rate in two different accents, namely Tehrani and Semnani, and to investigate some related factors. Methods: This cross-sectional study was performed on 200 elderly women selected via convenience sampling method. Speech tempo, speaking rate, verbal fluency, and cognition scores were compared using an independent-samples t-test. Pearson’s correlation coefficient test was used to assess correlations between speaking rate and level of education, Montreal cognitive assessment (MoCA), and verbal fluency scores. Results: No significant difference was found in speech tempo between the studied accents (P = 0.13). Speaking rate was significantly slower in the Tehrani accent than the Semnani one (P = 0.04). The Tehrani elderly obtained significantly less scores in verbal fluency and MoCA ((P ≤ 0.001) and (P = 0.04), respectively. In both groups, speaking rate had a significant correlation with verbal fluency and MoCA scores but not with level of education. Conclusions: Although, our results showed no difference in speech tempo between the studied accents, the Tehrani elderly unexpectedly spoke more slowly meaning that they paused more while speaking. There was a relationship between faster speaking, better verbal fluency, and cognitive performance.

scholarly journals Perfil sociodemográfico e de saúde de idosos institucionalizados

2019 ◽  
Vol 13 (3) ◽  
pp. 674
Author(s):  
Renata Kelly Lopes de Alcântara ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Bruna Karen Cavalcante Fernandes ◽  
Valderina Moura Lopes ◽  
Saul Filipe Pedrosa Leite ◽  
...  
Keyword(s):  
Elderly People ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Profile ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Institutionalized Elderly ◽  
Individualized Care ◽  
Quantitative Descriptive

RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado a partir da avaliação de 219 prontuários de idosos, mediante a aplicação de um instrumento semiestruturado. Analisaram-se os dados com o auxílio do SPSS, versão 20.0, e os apresentaram em tabelas. Resultados: obteve-se predomínio de idosos do sexo feminino, média de idade de 77 anos, escolaridade de 4 a 15 anos de estudo, solteiros, católicos, provenientes de domicílio próprio com tempo de institucionalização menor que 5 anos, aposentados e que recebiam visitas. Viu-se acerca das características clínicas que 44,7% tinham de 3 a 4 comorbidades e 49,3% faziam uso de 0 a 4 medicações. Observou-se sobre o grau de dependência que 35,6% dos idosos apresentavam grau III. Conclusão: ressalta-se que os dados descritos estimulam a reflexão sobre questões que influenciam diretamente o processo de adaptação do idoso à institucionalização, bem como a necessidade de a equipe multiprofissional prestar uma assistência individualizada a partir do conhecimento do perfil dos idosos institucionalizados. Descritores: Idoso; Instituição de Longa Permanência para Idosos; Institucionalização; Saúde do Idoso Institucionalizado; Perfil de Saúde; Envelhecimento.ABSTRACT Objective: to describe the sociodemographic and health profile of institutionalized elderly people. Method: This is a quantitative, descriptive, cross-sectional study based on the evaluation of 219 medical records of the elderly, using a semi-structured instrument. Data were analyzed with the help of the SPSS, version 20.0, and presented in tables. Results: there was a predominance of elderly women, mean age of 77 years, schooling from 4 to 15 years, single marital status, Catholics, coming from their own domicile, with institutionalization time of less than 5 years, retired, and elderly people who received visits. Regarding clinical characteristics, 44.7% had 3 to 4 comorbidities and 49.3% used 0 to 4 medicines. As for the degree of dependence, it was observed that 35.6% of the elderly presented grade III. Conclusion: it is noteworthy that the data described stimulate a reflection on issues that directly influence the process of adaptation of the elderly to institutionalization, as well as the need for the multiprofessional team to provide individualized care based on knowledge of the profile of the institutionalized elderly. Keywords: Elderly; Long Stay Institutions for the Elderly; Institutionalization; Health of Institutionalized Elderly; Health Profile; Aging.RESUMOObjetivo: se buscó describir el perfil sociodemográfico y de salud de adultos mayores institucionalizados. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado a partir de la evaluación de 219 prontuarios de adultos mayores, mediante la aplicación de un instrumento semi-estructurado. Se analizaron los datos con el auxilio del SPSS, versión 20.0, y los presentaron en tablas. Resultados: se obtuvo un predominio de adultos mayores del sexo femenino, media de edad de 77 años, escolaridad de 4 a 15 años de estudio, solteros, católicos, provenientes de domicilio propio con tiempo de institucionalización menor que 5 años, jubilados y que recibían visitas. Se observó en las características clínicas que 44,7% tenían de 3 a 4 comorbilidades y 49,3% usaban de 0 a 4 medicamentos. Se observó el grado de dependencia en que 35,6% de los adultos mayores presentaban grado III. Conclusión: se resalta que los datos descriptos estimulan la reflexión sobre cuestiones que influyen directamente el proceso de adaptación del adulto mayor a la institucionalización, así como la necesidad del equipo multi-profesional prestar una asistencia individualizada a partir del conocimiento del perfil de los adultos mayores institucionalizados. Descriptores: Adulto mayor; Institución de Larga Permanencia para Adultos Mayores; Institucionalización; Salud del Adulto Mayor Institucionalizado; Perfil de Salud; Envejecimiento.

scholarly journals Morbidity pattern of elderly women of rural North Karnataka: a community based cross-sectional study

2017 ◽  
Vol 4 (11) ◽  
pp. 4286
Author(s):  
K. Kriti Bhat ◽  
M. C. Yadavannavar
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Rural Elderly ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: With the increasing life expectancy, the population around the world is growing old at a higher rate. Ensuring their quality of life and addressing their health care needs is a major challenge ahead. Elderly women are more vulnerable and there is a dearth for information regarding their health problems in India. Therefore, this study was undertaken focusing on the health problems of rural elderly women. The objective of the study was to assess the morbidity pattern of rural elderly women.Methods: A community based cross-sectional study was conducted in the rural field practice area of Shri B M Patil Medical College, Vijayapura from November 2015 to February 2016. A house-to-house survey was done and 200 women aged ≥60 years were included in the study. They were interviewed using pretested and predesigned questionnaire after obtaining informed consent. Information regarding demographic profile, present or past illness, economic history and physical activity of daily living were collected. Analysis was done using SPSS v.16 and data was represented using proportions and percentages.Results: Majority of the participants were illiterate (96.4%). Most (83.6%) of them were financially dependent. Most common chronic illness was arthritis (73.3%) and visual problem (58.8%).Conclusions: Our study reveals majority of the elderly women are suffering from one or multiple chronic illnesses. As a matter of fact, there is an urgent need to develop better health care services for the elderly women residing in rural areas.

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