scholarly journals Physical and Cognitive Functioning of Institutionalized Elderly People in Rural Areas. Preventive Actions Using Physical Activity and Music Therapy

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1536
Author(s):  
María José González-Ojea ◽  
Sara Domínguez-Lloria ◽  
Iago Portela-Pino ◽  
Myriam Alvariñas-Villaverde

Background: Comprehensive geriatric evaluation should include a functional and cognitive assessment to guide the intervention of interdisciplinary teams. The aim of this study was to analyze the physical capacities of institutionalized elderly people and to describe the preventive actions of physical activity and music therapy as non-invasive preventive pharmacological treatments given their importance for the cognitive and functional performance of elderly people. An observational and descriptive cross-sectional study was carried out. The participants in the study were 109 elderly people institutionalized in three residential centers with a mean age of 83.41 years (SD = 8.72). Findings: Most of the residents had very impaired physical faculties. However, cognitive impairment was not very high. Most residents (55.04%) had some form of dementia and/or high blood pressure (54.12%) followed by pathologies such as diabetes (27.52%), heart failure (17.43%), Parkinson’s disease (9.17%) and chronic obstructive pulmonary disease (8.25%). There were no differences in cognitive or physical capacity among the residents according to sex, age, or education and only those who had worked in the service sector had less cognitive capacity than those who had worked in the agricultural sector or as housewives. Applications: Facilitate the creation and development of programs based on physical activity and music therapy in residential centers that can prevent and improve pathologies on the elderly.

2019 ◽  
Vol 11 (5(J)) ◽  
pp. 54-68
Author(s):  
Adisu Abebaw Degu ◽  
Admassu Tesso Huluka

It is not uncommon that different government officials and practitioners infer the fallingagricultural share in GDP to the underpinning of structural transformation in an economy. By using variousstudies result and a time series of data spanning from 1981 up to 2017, this paper investigated, whetherthe declining share of agricultural output in GDP is indicating structural transformation or not in Ethiopianeconomy. The study showed that the service is the fastest-growing sector in Ethiopia, and it covers morethan 40% of GDP. The share of agriculture sector was 45% of GDP until 2011, while the industry sector hasbeen stagnating. Thus, it shows how the falling share of the agriculture sector in GDP is being supersededby the service sector. Empirical works also reveal that even though the share of the agricultural sector inGDP is falling, it is the primary source for the overall economic growth of Ethiopia. The share of the ruralpopulation has decreased from 89 percent in 1981 to 80% in the year 2017. So the vast population of thecountry is living in rural areas where agricultural-based activities are common. Lack of labor shift from theagricultural sector to the industrial sector can also be attributed to the insufficient expansion of themodern industrial sector to absorb the growing force labor. Furth more, the demographic transition alsoshowed a relative decline. Since structural transformation involves several interrelated processes, thedeclining share of agriculture output to GDP alone cannot explain the prevalence of structural change; theother processes like; industrialization, urbanization, and demographic transition need to be scrutinized


2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Jenifer Nogueira Martins Araujo da Silva ◽  
Marinês Tambara Leite ◽  
Luana Caroline Gaviraghi ◽  
Vanessa Ramos Kirsten ◽  
Sandra da Silva Kinalski ◽  
...  

ABSTRACT Objective: To evaluate the predictive dimensions of clinical-functional conditions and the cognitive capacity of elderly people living at home. Method: Cross-sectional, population-based, analytical, quantitative study was utilized. For data collection, an instrument with sociodemographic and behavioral variables, the Functional Clinical Vulnerability Index; and, to assess cognition, the Mini-Mental State Examination (MMSE) was used. Descriptive analyzes and statistical tests were conducted. Results: 305 elderly subjects, living at home, in urban and rural areas participated in the study. They were classified as robust (71.8%), pre-frail (22%) and frail (6.2%). As for cognition, 24.9% of them had cognitive impairment. It was shown that cognitive impairment predicts the development of functional disability. Conclusion: It is considered that health professionals should both act in order to maintain the functional and cognitive conditions of the robust and pre-frail elderly people and pay attention to the rehabilitation of the disabilities installed in those elderly people who are in a situation of frailty.


1998 ◽  
Vol 23 (6) ◽  
pp. 309-314 ◽  
Author(s):  
Molly J. Allison ◽  
Colleen Keller ◽  
Patricia L. Hutchinson

2021 ◽  
Author(s):  
Jinqi Jiang ◽  
Shuyu Dong ◽  
Zhaoyun Liu ◽  
Lin Lin ◽  
Miao Zhang ◽  
...  

Abstract Sufficient and Reasonable nutrient intake is essential for guaranteeing elderly people’s health, especially in rural China where elderly people are the main labor inputs in agricultural sector. Using the 2011 wave data of China Health and Nutrition Survey, this study has empirical analyzed the impact of adult children’s migration on nutrient intake of their elderly parents in rural areas. The results show that dietary energy and protein intake of rural elderly parents are inadequate where it is less than the Chinese RNI value significantly. Adult offspring migration positively relates with rural elderly parents’ protein intake as well as the dietary energy intake. In the families that partly adult offspring have out-migrated or in the one-child families, elderly parents benefit more from children migration. And for male, younger and low education elders, their nutrient intake is more likely to be improved by offspring migration.


2009 ◽  
Vol 49 (5) ◽  
pp. 293-300 ◽  
Author(s):  
Aránzazu Aparicio Vizuete ◽  
Francisco Robles ◽  
Elena Rodríguez-Rodríguez ◽  
Ana María López-Sobaler ◽  
Rosa María Ortega

2017 ◽  
Vol 5 (1) ◽  
pp. 66
Author(s):  
Jeane Ferreira Silva ◽  
Ilda Carla da Silva Martuscelli ◽  
Viviane Lemos Silva Fernandes ◽  
Fábio Fernandes Rodrigues ◽  
Luciana Caetano Fernandes ◽  
...  

ResumoObjetivo: Avaliar a prevalência de quedas em idosos institucionalizados e seus fatores associados. Metodologia: Trata-se de um estudo de delineamento transversal e quantitativo. A amostra foi de conveniência, com idosos de ambos os sexos, residentes em Instituição de Longa Permanência para Idosos. Foi avaliado o histórico de quedas nos últimos 12 meses, condições gerais de saúde-doença, a capacidade cognitiva através do Mini Exame do Estado Mental, a capacidade funcional através do índice de Katz, a Força de Preensão Palmar, a avaliação do equilíbrio estático com o Teste de Apoio Unipodal e o equilíbrio dinâmico com o Teste Timed Up and Go.  Resultados: Verificou-se que dos 20 participantes amostrados por conveniência 55% são do sexo feminino com idade média de 78,45±10,88 anos. A doença crônica que se destaca é Hipertensão Arterial Sistêmica em 55,6%, sendo que estes são idosos caidores. Constata-se que nove idosos (45%) caíram nos últimos doze meses, totalizando dezenove quedas em que 25% sofreram mais de uma queda. Dentre os fatores intrínsecos para a ocorrência de quedas destaca-se os usuários de medicamentos sendo 88,9%, e as alterações visuais em 66,7% sendo estes caidores. O local de maior ocorrência de quedas foi o quarto com nove eventos (47,37%). Conclusão: A prevalência de quedas foi alta e semelhante a outros estudos nacionais, demonstrando a necessidade de identificar os fatores de risco associados em idosos institucionalizados, e a partir disso traçar estratégias passiveis de intervenção, para corrigir ou minimizar as chances de novas quedas nessa população.Palavras-chave:Idoso. Quedas. Fatores de risco. AbstractObjective: This study aimed at evaluating the prevalence of falls in institutionalized elderly people and their associated factors. Methodology: this is about a of cross- sectional and quantitative study. The sample was of convenience, with elderly people of both sexes, living in a Long Stay Institution for the Elderly. It was assessed the history of falls in the last 12 months, general conditions of health- disease, cognitive capacity through the Mini Mental State Examination, the functional capacity through the Katz index, the Handgrip strength, the evaluation of the static balance with the Unipodal Support Test and the dynamic balance with the Time Up and Go (TUG) test.  Results: It was verified that among the 20 participants sampled by convenience 55% are females members with an average age of 78,45±10,88. The most common chronic disease is the Systemic Arterial Hypertension in 55,6%, being these, elderly who falls. It was verified that 9 elderly people had fallen in the last 12 months, numbering nineteen falls which 25% suffered more than one fall. Among the intrinsic factors for the occurrence of falls, it stands out the ones who make use of medicines 88,9% and the ones with visual changes in 66,7% being people who fall. The place where most of the falls happened was the bedroom with nine events (47,37%). Conclusion: The prevalence of falls was high and similar to other national studies, demonstrating the need to identify the associated risk factors in institutionalized elderly, and from there to draw up intervention strategies to correct or minimize the chances of further falls in this population.Keyword:Elderly. Falls. Risk factors.


2021 ◽  
Vol 18 (1) ◽  
pp. 48
Author(s):  
Axellina Muara Setyanti

<p><em>Indonesia is a country that has relied on the agricultural sector as an economic base for decades. On the other hand, the more developed an economy is, the higher the reserves in the service sector. Despite this declining GDP, agriculture is still very important to the Indonesian economy, even though it is 14 percent of GDP. This study analyzes structural transformation through shift-share analysis. It looks at the tendency of labor to enter the agricultural, manufacturing and service sectors using probit regression on Sakernas microdata. This study found that the service sector continues to grow and outperforms the agricultural sector both in terms of added value and employment. The results of the shift-share show shrinkage in the productivity of agricultural sector while the manufacturing and service sectors are growing. This fact proves a change in economic structure. The characteristics of the agricultural sector labor force have a higher tendency for male workers, live in rural areas, are relatively older and have fewer family members, are less educated, do not have training certification, and have no previous work experience.</em></p><p class="MsoNormal"><em><span style="font-family: 'Times New Roman';">service sector, agricultural sector, manufacturing sector, probit, structural transformation</span></em></p>


2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.


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