scholarly journals Evaluation of Frailty Syndrome and Adherence to Recommendations in Elderly Patients with Hypertension

2021 ◽  
Vol 10 (17) ◽  
pp. 3771
Author(s):  
Piotr Pobrotyn ◽  
Aleksandra Pasieczna ◽  
Dorota Diakowska ◽  
Bartosz Uchmanowicz ◽  
Grzegorz Mazur ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Regression Model ◽  
Antihypertensive Drugs ◽  
Sodium Intake ◽  
The Elderly ◽  
Frailty Syndrome ◽  
Cross Sectional ◽  
Therapeutic Recommendations ◽  
The Mean ◽  
The Hill

Frailty syndrome (FS) often coexists with many diseases of the elderly, including arterial hypertension, and may affect the disease course and adherence to therapeutic recommendations. This study aimed to evaluate the relationship between frailty and adherence to therapeutic recommendations in elderly hypertensive patients. The study included 259 patients hospitalized between January 2019 and November 2020 due to exacerbation of hypertension symptoms. Medical records were used to obtain basic sociodemographic and clinical data. The study was based on the Tilburg Frailty Indicator (TFI) and the Hill–Bone Scale (HBCS). The obtained data were analyzed within a cross-sectional design. The mean frailty score indicated by the TFI questionnaire was 7.09 ± 3.73. The most prominent FS component was associated with the physical domain (4.24 ± 2.54). The mean overall adherence measured with the HBCS was 20.51 ± 3.72. The linear regression model testing the Hill–Bone “reduced sodium intake” score against the TFI domains showed no relationships between the variables. Another regression model for the Hill–Bone “appointment-keeping” subscale indicated significant predictors for physical and social TFI domains (p = 0.002 and p < 0.0001, respectively). For the Hill–Bone “taking antihypertensive drugs” variable, the regression model found significant relationships with all TFI domains: physical (p < 0.0001), psychological (p = 0.003) and social (p < 0.0001). Our study suggests that frailty in patients with arterial hypertension can negatively impact their adherence to therapeutic recommendations.

scholarly journals EXPRESS: Association of daily physical activity with psychosocial aspects and functional capacity in patients with Pulmonary Arterial Hypertension: a cross-sectional study

2021 ◽  
pp. 204589402199995
Author(s):  
Layse Nakazato Lima ◽  
Felipe Mendes ◽  
Ilma Paschoal ◽  
Daniela Oliveira ◽  
Marcos Mello Moreira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Functional Capacity ◽  
Daily Physical Activity ◽  
Cross Sectional ◽  
Pulmonary Arterial ◽  
The Mean

Pulmonary arterial hypertension (PAH) impairs exercise tolerance and daily physical activity (PA). Aside from the hemodynamic limitations, physical, cognitive and emotional factors may play a relevant and as yet unexplored role. We investigated whether there is an association between the PA level and psychological disorders, health-related quality of life, and daily activities. We also searched for an association of the PA level with clinical factors and functional capacity. This was an analytical, cross-sectional, observational study conducted in a Brazilian University Hospital. Twenty stable PAH subjects wore an accelerometer for a week and completed an activity diary. They answered the quality of life questionnaire (SF-36), as well as the anxiety and depression scale (HADS), and the Manchester Respiratory Activities of Daily Living questionnaire (MRADL). Transthoracic echocardiography, the 6-Minute walk test (6MWT), the 1-minute sit-to-stand test (STST), and spirometry were performed. For statistical analysis we used Chi-square tests or Fisher's test as appropriate and the Mann-Whitney test to compare numerical values between two groups. The relationship between the parameters was assessed using the Spearman correlation test. The mean age was 44.3 years, 80% were women, 80% had idiopathic PAH, and 20% had connective tissue disease . The mean daily step count was 4,280 ± 2,351, and the mean activity time was 41.6 ± 19.3 minutes. The distance covered (6MWT) was 451.5 m, and the number of movements (1-STST) was 23.8. Thirty percent scored positive for anxiety, and 15% for depression (HADS). There was a significant correlation between accelerometer data and walking distance (6MWT), number of movements (1-STST), level of daily physical activity (MRADL), and depression symptoms. Our findings support the hypothesis that other aspects beyond physical and hemodynamic ones might impact the daily physical activity of patients with PAH.

scholarly journals Hubungan Asupan Serat, Kolesterol, Natrium dan Olahraga Dengan Kadar Kolesterol dan Hipertensi pada Lansia

2015 ◽  
Vol 1 (2) ◽  
pp. 47
Author(s):  
Magdalena Magdalena
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
The Elderly ◽  
Exercise Stress ◽  
Fiber Intake ◽  
Chi Square ◽  
Cross Sectional ◽  
Dietary Fiber Intake ◽  
Cholesterol Levels ◽  
Chi Square Test

Hypercholesterolemia is an excess of cholesterol in the blood, can be factors for heart disease and stroke. The cause of hypertension is heredity, age, sex, obesity (overeating), lack of exercise, stress, excessive salt intake, another effect: smoking, alcohol consumption, taking drugs. The purpose of this study was to determine the relationship of fiber intake, cholesterol, sodium and exercise with cholesterol and hypertension in the elderly group S. Parman Banjarmasin. Type of research is descriptive analytic research using cross sectional design of the study, which was conducted in a group of elderly Regional Health Center S. Parman Banjarmasin. This research was conducted in January through June 2015 with a sample size of 50 people. The data obtained is the intake of cholesterol, sodium, exercise and cholesterol and hypertension. The statistical test used is Chi Square test (p <0.005). The results of this study are most of the respondents were female (68%), most of the respondents aged less than 60 years (56%), and respondents work mostly does not work / housewife (48%). Most fiber intake respondents are not good (96%), cholesterol intake was mostly good (82%), sodium intake are all good (100%), most of the sports activities of respondents are less good (88%), there was no association between dietary fiber intake and kolestero cholesterol levels and hypertension, there is no relationship between exercise activities cholesterol levels and hypertension Keywords: fiber intake, sodium intake, exercise, cholesterol levels, hypertension

scholarly journals Frailty syndrome in the elderly in elderly with chronic diseases in Primary Care

2019 ◽  
Vol 53 ◽  
Author(s):  
Ingrid Alves Ribeiro ◽  
Luciano Ramos de Lima ◽  
Cris Renata Grou Volpe ◽  
Silvana Schwerz Funghetto ◽  
Tânia Cristina Maria Santa Barbara Rehem ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Self Care ◽  
Federal District ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Frailty Syndrome ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Quantitative Descriptive ◽  
Care Deficit

ABSTRACT Objective: To evaluate the frailty syndrome in the elderly nursing diagnosis in elderly with chronic diseases of a health district of the Federal District. Method: A quantitative, descriptive, cross-sectional study was conducted with elderly patients served at the Basic Health Units, who presented arterial hypertension and/or diabetes mellitus. The following were used: a sociodemographic questionnaire, the Mini-Mental State Examination, anthropometric data, evaluation of sarcopenia (measured by body composition), muscle strength and functional capacity, and the identification of NANDA-I nursing diagnosis. A statistical software was used for data analysis. Results: Participation of 78 elderly people, of which 93.6% of had Impaired memory, 93.6% had Impaired physical mobility, 82.1% had Fatigue, 76.9% had Impaired ambulation, 53.8% had Dressing self-care deficit, 43.6% had Activity Intolerance, 35.9% had Social Isolation, 30.8% had Hopelessness, 29.5% had Feeding self-care deficit, 29.5% had Bathing self-care deficit, 12.8% had Toileting self-care deficit, and 10.3% had Decreased cardiac output. Conclusion: The nursing diagnosis Frailty Syndrome in the Elderly allows a multidimensional view of the elderly. Since one factor can cause health problems in several health fields, nurses must intervene early, plan and implement actions in the short and long term.

Telomere Length Among the Elderly and Oldest-Old

2005 ◽  
Vol 8 (5) ◽  
pp. 425-432 ◽  
Author(s):  
Claus Bischoff ◽  
Jesper Graakjaer ◽  
Hans Christian Petersen ◽  
Bernard Jeune ◽  
Vilhelm A. Bohr ◽  
...  
Keyword(s):  
Telomere Length ◽  
Oldest Old ◽  
The Elderly ◽  
Specific Difference ◽  
Cross Sectional ◽  
Telomere Shortening ◽  
Telomere Sequence ◽  
Age Dependent ◽  
The Mean ◽  
Telomere Loss

AbstractHuman chromosomes terminate in a number of repeats of the sequence TTAGGG. At birth, each chromosome end is equipped with approximately 15 kb of telomere sequence, but this sequence is shortened during each cell division. In cell cultures telomere shortening is associated with senescence, a phenomenon that has also been observed in normal adult tissues, indicating that telomere loss is associated with organismal ageing. Previous work has established that the rate of telomere loss in humans is age dependent, and recent work shows a sex-specific difference in telomere length and shortening in individuals over the age span of 20 to 75 years. Here, terminal restriction fragment lengths on DNA purified from whole blood were measured to examine the mean telomere length in a cross-sectional cohort of 816 Danish individuals of age 73 to 101 years. In this age group, females show a linear correlation between telomere length and age, whereas the pattern tends to be nonlinear (quadratic in age) for males. This difference in telomere length dynamics between the 2 sexes may be caused by several different mechanisms, including differences in selection by mortality, differences in leukocyte population or different telomerase expression pattern.

scholarly journals Burden in family caregivers of the elderly: prevalence and association with characteristics of the elderly and the caregivers

2013 ◽  
Vol 47 (5) ◽  
pp. 1129-1136 ◽  
Author(s):  
Lara de Sa Neves Loureiro ◽  
Maria das Gracas Melo Fernandes ◽  
Sueli Marques ◽  
Maria Miriam Lima da Nobrega ◽  
Rosalina A. Partezani Rodrigues
Keyword(s):  
Data Collection ◽  
Family Caregivers ◽  
Emotional Support ◽  
The Elderly ◽  
Demographic Characteristics ◽  
Spousal Caregivers ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean ◽  
The City

A cross-sectional, epidemiological study aimed to estimate the prevalence of burden among family caregivers of impaired elderly residents in the city of João Pessoa, and to identify associations between the mean burden and social and demographic characteristics of the elderly and the caregivers. A total number of 240 elderly residents in a previously drawn census tract participated in this research. The sample was composed of 52 elderly and their caregivers. For data collection, a questionnaire was applied with questions on social and demographic characteristics of elderly and caregivers, and the Burden Interview Scale was used. Results showed a high prevalence of burden among caregivers (84.6%), in which a statistically significant association was found with the following characteristics: retired elderly, elderly as head of family, spousal caregivers, and caregivers with less education. The findings of this study may contribute to the development of activities focused on formal and emotional support for the caregivers.

Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  

scholarly journals Risk Factors Related to Low Ankle-Brachial Index Measured by Traditional and Modified Definition in Hypertensive Elderly Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Raphael Monteiro ◽  
Renata Marto ◽  
Mario Fritsch Neves
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Antihypertensive Drugs ◽  
Ankle Brachial Index ◽  
The Elderly ◽  
Arterial Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Simple Modification ◽  
Modified Method

Peripheral arterial disease (PAD) increases with age and ankle-brachial index (ABI) ≤ 0.9 is a noninvasive marker of PAD. The purpose of this study was to identify risk factors related to a low ABI in the elderly using two different methods of ABI calculation (traditional and modified definition using lower instead of higher ankle pressure). A cross-sectional study was carried out with 65 hypertensive patients aged 65 years or older. PAD was present in 18% of individuals by current ABI definition and in 32% by modified method. Diabetes, cardiovascular diseases, metabolic syndrome, higher levels of systolic blood pressure and pulse pressure, elevated risk by Framingham Risk Score (FRS), and a higher number of total and antihypertensive drugs in use were associated with low ABI by both definitions. Smoking and LDL-cholesterol were associated with low ABI only by the modified definition. Low ABI by the modified definition detected 9 new cases of PAD but cardiovascular risk had not been considered high in 3 patients when calculated by FRS. In conclusion, given that a simple modification of ABI calculation would be able to identify more patients at high risk, it should be considered for cardiovascular risk prediction in all elderly hypertensive outpatients.

scholarly journals Prevalence of frailty syndrome in old people in a hospital institution

2013 ◽  
Vol 21 (4) ◽  
pp. 891-898 ◽  
Author(s):  
Daniela Ramos Oliveira ◽  
Luiz Antonio Bettinelli ◽  
Adriano Pasqualotti ◽  
Débora Corso ◽  
Felipe Brock ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Frailty Syndrome ◽  
Rio Grande Do Sul ◽  
Sectional Study ◽  
Old People ◽  
Cross Sectional ◽  
Elderly Inpatients ◽  
The Mean ◽  
Hospital Institution ◽  
Significant Factors

OBJECTIVE: to measure the prevalence of frailty syndrome in elderly inpatients in a hospital institution. METHODS: cross-sectional study using a sample of 99 subjects aged 65 or older, hospitalized in the month of November/2010 in São Vicente de Paulo Hospital in Passo Fundo, Rio Grande do Sul state (RS). Data were collected regarding the phenotype of the frailty, along with social and demographic, clinical and anthropometric information. RESULTS: the mean age was 74.5±6.8 years and 50 (50.5%) were women. 4% were classified as non-frail, 49 (49.5%) as pre-frail and 46 (46.5%) as frail. No statistically significant factors were identified that were associated with frailty. CONCLUSIONS: as was expected, the prevalence in this population was found to be high compared to other studies that focused on the community. It is believed that early detection and interdisciplinary intervention can prevent the progression of the condition and reduce the incidence of complications and hospitalization.

scholarly journals Attitude of Medical Sciences Students toward Older Adults in Iran, 2017

2019 ◽  
Vol 12 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Fatemeh Mousavi-Shirazi ◽  
Parisa Mollaei ◽  
Ahmad Delbari
Keyword(s):  
Older Adults ◽  
Health Care Services ◽  
Elderly Care ◽  
The Elderly ◽  
Medical Sciences ◽  
Field Of Study ◽  
Research Activity ◽  
Cross Sectional ◽  
Effective Interventions ◽  
The Mean

Background: Studies show as people age, demand for health care services rises. One of the most important factors that significantly affect the quality of elderly care is the attitude towards older adults. Objective: The current study aimed to assess the attitude of medical sciences students towards older adults in Iran. Methods: A cross-sectional design study using a multistage proportional random sampling method was employed to obtain a sample of 583 Iranian medical sciences students in 2017. The data were measured using the Kogan's Attitudes Towards Older People Scale (KAOPS). The SPSS 23.0 for Windows (IBM SPSS Statistics 23.0) was used to analyze the data. Results: Out of the 583 respondents, around 44% were female and a little more than one-fourth was medical students. The mean age was 21.98 (SD=3.63) years. The mean score of the attitude towards the elderly was found to be 56.90 (SD=8.04). Aging health students scored a more positive attitude towards elderly people than other medical sciences students. Results of the bivariate analyses revealed that field of study (F (7, 575) = 2.66, P<0.01), participating in gerontology and geriatrics research (t (581) =2.80, p<0.01), and attending in gerontology and geriatrics congress (t (581) =1.96, p<0.05) significantly associated with attitude toward older adults. Conclusions: The findings from the current study show that Iranian medical sciences students have moderate positive attitudes towards older adults and vary by students’ field of study and their research activity in gerontology and geriatrics field. Therefore, effective interventions for enhancing the attitudes of medical sciences students towards older adults should be developed and implemented.

scholarly journals Kejadian Obesitas, Obesitas Sentral, dan Kelebihan Lemak Viseral pada Lansia Wanita

2018 ◽  
Vol 2 (3) ◽  
pp. 228
Author(s):  
Ira Maya Sofa
Keyword(s):  
Visceral Fat ◽  
Central Obesity ◽  
Elderly Women ◽  
Body Height ◽  
Impedance Analysis ◽  
The Elderly ◽  
P Value ◽  
Cross Sectional ◽  
The Mean ◽  
Food Recall

Background: Obesity, central obesity, and visceral fat is an excessive fat that can release various types of diseases such as cardiovascular disease, stroke and can increase the risk of bone damage in the elderly. Objectives: The purpose of this study was to analyze the risk factors of obesity, central obesity, and visceral fat in elderly women. Methods:This was an observational analytic study with cross sectional design. The samples of the study were 81 elderly women registered as member of Posyandu Lansia in the working area of Puskesmas Jagir, Wonokromo, Surabaya. The data collected using 3 times 24-hour food recall, anthropometry (body weight, body height, and waist circumference), visceral fat using Bio Impedance Analysis (BIA), and questionnaire related to subject’s characteristic. The data were analyzed using logistic regression analysis. Results: The results showed that the mean age of the subjects were 67.12±5.97 years old. Most of the subjects have low education (71.6%) and 87.7% of subjects didn’t work. The mean value of daily energy intake was 1074.31±298.67 kcal.  There were 34.6% obese subjects, only 17.3% subjects didn’t experience central obesity, and 28.4% of subjects had excess body visceral fat. The statistical test showed significant correlation between age with obesi (p-value=0.042), age with central obesity (p-value=0.009) but age with visceral fat had no significant correlation (p-value=0.163). Daily food intake, education, and occupation did not show significant correlation with obesity, central obesity, or visceral fat (p-value>0.05).  Conclusions: The risk for obesity and central obesity was decreased with aging in elderly but not with visceral fat.ABSTRAKLatar Belakang: Obesitas, obesitas sentral, dan lemak viseral merupakan penumpukan lemak tubuh yang berlebihan dan berisiko untuk menimbulkan berbagai penyakit degeneratif seperti jantung iskemi dan stroke serta dapat meningkatkan risiko kerusakan tulang pada lansia.  Tujuan: Tujuan dari penelitian ini adalah untuk menganalisis faktor risiko obesitas, obesitas sentral, dan kelebihan lemak viseral pada lansia wanita.Metode: Penelitian ini menggunakan desain studi cross sectional dengan pendekatan kuantitatif.  Sampel dari penelitian ini adalah 81 lansia wanita yang menjadi anggota posyandu lansia di wilayah kerja Puskesmas Jagir, Wonokromo, Surabaya. Pengumpulan data menggunakan food recall 3 x 24 jam, antropometri (berat badan, tinggi badan, dan lingkar perut), lemak viseral menggunakan Bio Impedance Analysis (BIA), serta kuesioner terkait data diri subjek. Data dianalisis dengan menggunakan analisis regresi logistik.Hasil: Hasil penelitian menujukkan rata-rata usia subjek adalah 67,12±5,97. Sebagian besar subjek memiliki riwayat pendidikan rendah (71,6%) dan sebanyak 87,7% subjek tidak bekerja. Rata-rata asupan zat gizi subjek lebih rendah jika dibandingkan dengan Angka Kecukupan Gizi (AKG). Sebanyak 34,6% subjek mengalami obesitas; angka kejadian obesitas sentral yaitu 17,3%; dan 28,4% subjek memiliki lemak viseral tubuh berlebih. Uji statistik menunjukkan hubungan signifikan antara usia dengan obesitas (p-value = 0,042), usia dengan obesitas sentral (p-value = 0,009) tetapi usia dengan lemak viseral tidak memiliki hubungan signifikan (p-value = 0,163). Asupan makanan harian, pendidikan, dan pekerjaan tidak  menunjukkan hubungan signifikan dengan obesitas, obesitas sentral, maupun lemak viseral (p-value > 0,05).Kesimpulan: Pada lansia, risiko mengalami obesitas maupun obesitas sentral semakin menurun seiring dengan bertambahnya usia. Lemak viseral tidak berhubungan dengan usia.

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