Caracterização da autopercepção e da força de preensão palmar em idosos institucionalizados / Description of self-perceived health and hand grip strenght in institutionalized elderly

Abstract Objectives: to identify the demographic and clinical profile, context of risk and the occurrence of falls among institutionalized elderly persons; analyze the association between the classification of risk of falling using the Brazilian version of the Morse Fall Scale and the occurrence of falls in such individuals. Method: A cohort study was performed in two long-stay institutions in the city of Porto Alegre, Brazil. The sample consisted of 193 elderly persons. Descriptive and inferential statistics (Chi-squared and Fisher tests) were used for analysis. Results: The occurrence of falls was associated with hearing impairment, hand grip strength, Katz Index score, degree of dependence according to Collegial Board Resolution 283/2005 and risk of falls according to the MFS-B. Conclusion: Falls have multifactorial causes, which makes it important to identify the agents that contribute to their occurrence, as it is known that institutionalization significantly increases the risk of falling. Multidisciplinary actions are important for reducing the risk of falls, together with the use of instruments that can predict such risk among institutionalized elderly people.

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Effects of Multicomponent Exercise Training on Physical Functioning among Institutionalized Elderly

ISRN Rehabilitation ◽

10.5402/2012/124916 ◽

2012 ◽

Vol 2012 ◽

pp. 1-7 ◽

Cited By ~ 9

Author(s):

Maria Justine ◽

Tengku Aizan Hamid ◽

Vikram Mohan ◽

Madhanagopal Jagannathan

Keyword(s):

Exercise Training ◽

Grip Strength ◽

Upper Limb ◽

Physical Functioning ◽

Lower Limb ◽

Exercise Group ◽

Institutionalized Elderly ◽

Hand Grip ◽

Lower Limb Strength ◽

Cardiorespiratory Endurance

This quasiexperimental study aimed to measure the effects of 12-week multicomponent exercise training on physical functioning among institutionalized elderly. Forty-three participants (age = 70.88 ± 7.82 years) were self-assigned to an intervention (n=23) or control (n=20) group. Before and after training, cardiorespiratory endurance, arm curl strength, grip strength, lower limb strength, upper and lower limb flexibility, balance, and mobility were assessed. The training included aerobic, resistance, balance and flexibility exercises, performed 3 times per week. Significant increases (P<0.05) were observed in the exercise group on cardiorespiratory endurance (41.79%), right arm curl strength (25%), left arm curl strength (30.79%), right hand grip strength (13.65%), left hand grip strength (9.93%), lower limb strength (46.19%), balance (49.58%), and mobility (26.37%). Measures of flexibility in the exercise group also showed improvement (right lower limb (63.57%), left lower limb (44.17%), right upper limb (36.67%), and left upper limb (63.1%)) but were not statistically significant (all, P>0.05). The control group did not show any significant changes (P>0.05) in any variables. The data suggested that 12-week multicomponent exercise training may improve physical functioning among institutionalized elderly.

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The Relationship Between Antioxidant Nutrient Intake and Cataracts in Older People

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831.76.6.359 ◽

2006 ◽

Vol 76 (6) ◽

pp. 359-366 ◽

Cited By ~ 11

Author(s):

Rodríguez-Rodríguez ◽

Ortega ◽

López-Sobaler ◽

Aparicio ◽

Bermejo ◽

...

Keyword(s):

Vitamin C ◽

Older People ◽

Dietary Intake ◽

Protective Effect ◽

Elderly People ◽

Nutrient Intake ◽

Institutionalized Elderly ◽

Weighing Method ◽

The Relationship

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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Leisure Activities and the Subjective Well-Being of Older Adults in Croatia

GeroPsych ◽

10.1024/1662-9647/a000179 ◽

2018 ◽

Vol 31 (1) ◽

pp. 31-39 ◽

Cited By ~ 1

Author(s):

Ljiljana Kaliterna Lipovčan ◽

Tihana Brkljačić ◽

Zvjezdana Prizmić Larsen ◽

Andreja Brajša-Žganec ◽

Renata Franc

Keyword(s):

Older Adults ◽

Leisure Activities ◽

Leisure Activity ◽

Later Life ◽

Perceived Health ◽

Well Being ◽

Hierarchical Regression ◽

Subjective Well Being ◽

Convenience Sample ◽

Financial Status

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.

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Suicidal Ideation and Self-Determination in Institutionalized Elderly

Crisis ◽

10.1027//0227-5910.22.1.15 ◽

2001 ◽

Vol 22 (1) ◽

pp. 15-19 ◽

Cited By ~ 9

Author(s):

Andrée Fortin ◽

Sylvie Lapierre ◽

Jacques Baillargeon ◽

Réal Labelle ◽

Micheline Dubé ◽

...

Keyword(s):

Self Determination ◽

Current Debate ◽

Elderly Persons ◽

Rational Suicide ◽

Institutionalized Elderly ◽

Significant Difference ◽

Social Subscale ◽

Civil Status ◽

The Right ◽

Taking Action

The right to self-determination is central to the current debate on rational suicide in old age. The goal of this exploratory study was to assess the presence of self-determination in suicidal institutionalized elderly persons. Eleven elderly persons with serious suicidal ideations were matched according to age, sex, and civil status with 11 nonsuicidal persons. The results indicated that suicidal persons did not differ from nonsuicidal persons in level of self-determination. There was, however, a significant difference between groups on the social subscale. Suicidal elderly persons did not seem to take others into account when making a decision or taking action. The results are discussed from a suicide-prevention perspective.

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