scholarly journals Epidemiological profile and temporal trend of mortality from cerebrovascular diseases in Northeast of Brazil, 1996-2016

2021 ◽  
Author(s):  
Rodrigo da Rosa Mesquita ◽  
Tatiana Farias de Oliveira ◽  
Gibson Barros de Almeida Santana ◽  
Antônio Leopoldo do Nascimento Gama Albuquerque ◽  
Amanda Karine Barros Ferreira Rodrigues ◽  
...  

Background: Cerebrovascular diseases represent the second leading cause of mortality in the world and Brazil occupies the leadership in the ranking of mortality in South America. Objectives: This study sought to analyze the sociodemographic profile and the time trend of the mortality rate from cerebrovascular disease in the Northeast of Brazil, 1996-2016. Methods: This is an ecological study of time series involving deaths from cerebrovascular diseases in the Northeastern of Brazil, 1996-2016. Sociodemographic variables (age, schooling, marital status, skin color, ICD category and federation units) were included and calculated crude and standardized mortality rates, according to gender and age group. A joinpoint regression model was applied for the temporal analysis, with a level of significance of 5%. Results: There were 490.433 deaths from cerebrovascular diseases in the Northeast of Brazil, 1996-2016. Of these deaths, 50,03% (n = 245.354) were women, 79,72% (n = 390.957) elderly, 46,66% (n = 228.851) brown, 51,81% (n = 332.439) illiterate and 37,93% (n = 186.014) were married. Of the causes of death, 56,63% (n = 277.741) resulted from stroke, not specified as hemorrhagic or ischemic (I64). In the Northeast, there was a predominance of the elderly population, with growth of 1.2% (p < 0.001). Conclusions: Standardized mortality increased in four states, being higher in Maranhão and Piauí, with a predominance of females and age equal to or above 60 years.

Author(s):  
Geovana Elizabeth Miotto ◽  
Betine Pinto Moehlecke Iser ◽  
Bruno Tafarel Ribeiro ◽  
Fernanda Brigido Castilhos ◽  
Daniel Albrecht Iser

Introduction: In recent years there has been an increase in the number of AIDS diagnoses in the general population, with a significant growth among elderly individuals. Objective: To analyze the epidemiological situation of AIDS in the elderly population and its temporal trend in the Santa Catarina State. Methods: Ecological study, conducted with the elderly (≥60 years) living in Santa Catarina, who were diagnosed with AIDS and notified in the Brazilian Information System for Notifiable Diseases (SINAN) from 2008 to 2018. The incidence rate according to sex, age group and health macro-region was calculated, as well as the time trend, through linear regression. Race/skin color and scholarity were analyzed by proportion in relation to the total. Results: 1,365 cases were notified from 2008 to 2018. There was an increase in cases from 6,7/100.000 in 2008 to 23,1 in 2018 (1,77% yearly), higher among men aged 60 to 69 and living in the area of Florianópolis. Conclusion: there was an increase in AIDS notifications among the elderly in the state.


2016 ◽  
Vol 26 (4) ◽  
pp. 25246
Author(s):  
Felipe Zancan Espanhol ◽  
Rita de Cássia S. M. De Oliveira ◽  
Gustavo Paes Silvano ◽  
André Luciano Manoel ◽  
Laise Rodrigues Silveira ◽  
...  

Aims: To evaluate the prevalence of hyperglycemia and associated factors in the elderly population of a municipality in southern Brazil.Methods: Cross-sectional population-based study, carried out with the elderly (≥60 years) living in the city of Tubarão, state of Santa Catarina, Brazil, from September 2010 to May 2011. Participants were selected by simple random sampling. The elderly were registered by the Community Health Agents of the Family's Health Strategy Program. Sociodemographic data (age, gender, skin color, marital status, employment status and education), behavioral data (physical activity, alcohol use and smoking) and clinical data (obesity, drug use and family history of diabetes) were recorded. After answering these questions the participants were scheduled to attend the clinic for blood collection and anthropometric measurements. The prevalence of hyperglycemia was assessed from fasting blood glucose tests, and individuals with values ≥126 mg/dL or use of hypoglycemic drugs were considered hyperglycemic. To assess the association between the variables of interest, the chi-square test was applied. The pre-determined confidence interval was of 95% and the error α of 5%.Results: Eight hundred thirty-three elderly patients were included, and 220 were considered hyperglycemic according to the methodology criteria (prevalence of 26.4%). Of the patients included in the hyperglycemia group, 190 were using oral hypoglycemic drugs, and of these, 112 had also fasting glucose ≥126 mg/dL, while in 78 fasting glucose was <126 mg/dL. Also in the hyperglycemia group, 30 patients had fasting glucose ≥126 mg/dL and were not on hypoglycemic treatment. Having parents diagnosed with diabetes and being obese were associated with the presence of hyperglycemia.Conclusions: This study suggests that a large portion of the elderly population have fasting hyperglycemia, requiring a wider evaluation for diabetes mellitus.


2019 ◽  
Vol 40 ◽  
Author(s):  
Caroline Rossetto ◽  
Juana Vieira Soares ◽  
Mayara Lindner Brandão ◽  
Ninon Girardon da Rosa ◽  
Idiane Rosset

Abstract OBJECTIVE To analyze the ranking and percentage variation of the main causes of hospital admissions and death of Brazilian elders between 2005 and 2015, according to gender and age groups. METHOD Retrospective and temporal analysis study. The six main causes of hospitalization and death of elders were collected in DATASUS according to sex and age groups (60 ~ 79, ≥80) in 2017. RESULTS Heart Failure (2005) and pneumonia (2015) were the two main causes of hospital admissions in both sexes and age groups, except for the younger group. Acute Myocardial Infarction was the main cause of death in 2005 and 2015. The second cause in the overall ranking was the Stroke in 2005 and Pneumonia in 2015. CONCLUSION Circulatory and respiratory diseases were the main causes of hospital admissions and death among the elderly, highlighting the impotant increase in pneumonia as a cause of morbimortality.


2021 ◽  
Vol 9 (2) ◽  
pp. 3774-3779
Author(s):  
Shradha Santosh Shah ◽  
◽  
Sandhya Wasnik ◽  

Aim: To evaluate the effect of Pilates exercise on the level of fatigue, cognition and knee proprioception in elderly population (60-80 years). Study design: experimental study; randomized control trial. Method: 40 subjects both male and female of age ranging from 60-80 years (66.578 ± 4.857 in group A and 69.4 ± 5.442 in group B) were assigned in to two groups. The objective of the study was explained, and the subjects were screened based on the inclusion and exclusion criteria. Pre-interventional and post-interventional data analysis was done for FSS, 6MWT, MoCA and KJPS error angle. Group A (Experimental group) received Pilates exercise. Group B (control group) received aerobic and strengthening exercises. Both the groups underwent exercises 3 times a week on alternate days for 6 weeks. Duration of exercise for both groups was 45-60 minutes. Results: Both the groups showed clinically and statistically significant improvement in FSS (p<0.0001 in both groups) 6MWT (p<0.0001 in both groups), MoCA (p<0.001 in both groups) and KJPS scores (p<0.0002 in group A and p<0.0001 in group B) at the end of 6 weeks of treatment. There was no significant difference between the groups for FSS (p=0.7226), 6MWT (p=0.813), MoCA (p=0.416) and KJPS (p=0.6213). Conclusion: A significant improvement were observed in both the groups; which concluded that both the groups are equally effective in improvement of FSS, 6MWT, MoCA and KJPS scores. KEY WORDS: Pilates exercise, elderly population, fatigue, cognition, knee proprioception.


2018 ◽  
Vol 21 (4) ◽  
pp. 397-407 ◽  
Author(s):  
Marciane Kessler ◽  
Luiz Augusto Facchini ◽  
Mariangela Uhlmann Soares ◽  
Bruno Pereira Nunes ◽  
Sandra Mattos França ◽  
...  

Abstract Objective: to verify the prevalence of urinary incontinence and its relationship with physical and mental health indicators in the elderly population of Bagé, Rio Grande do Sul, Brazil. Method: a cross-sectional population-based study was conducted in 2008 with 1,593 elderly persons. Poisson regression was used for crude and adjusted analysis between the outcomes and the independent variables. Results: the prevalence of urinary incontinence was 20.7%, being 26.9% among women and 10.3% among men. The associated factors were female gender, age 70 to 74 and 75 years or over, yellow/brown/indigenous ethnicity/skin color and no schooling. The prevalence of functional disability, depression, cognitive deficit and very poor/poor self-perception of health was significantly higher in women with urinary incontinence. Among incontinent men, the same was observed with regard to functional disability and cognitive deficit. Conclusion: the occurrence of urinary incontinence in the elderly is frequent, especially in women, with a significant relationship with physical and mental health conditions in the elderly population. These results support the development of care strategies to prevent incontinence and minimize its health impacts.


2021 ◽  
Vol 13 (9) ◽  
pp. 4752
Author(s):  
Kaniz Fatima ◽  
Sara Moridpour ◽  
Tayebeh Saghapour

The elderly population is increasing rapidly. Understanding travel behaviour for this group of commuters (in terms of the trip purpose and travel time) is necessary for future transport planning. Many researchers are working on travel’s spatial and temporal analysis to provide operational decision making and transport network planning. This research study’s primary purpose is to identify the influence of trip duration (using public transport), time of the day (usage of public transport), and public transport (PT) accessibility over public transport mode preference by elderly (over 65 years of age) commuters. The methodology of this study is divided into two parts as spatial analysis and temporal analysis. The research identified the dependency of trip duration, time of the day, geographical areas, and PT access over transport mode preference of elderly. The temporal study shows that transport mode preference can vary depending on trip purposes. However, for specific trip durations and times of the day, the elderly sometimes choose PT as a mobility mode. For instance, on shopping trips between 10:00 and 11:00 a.m., the elderly have a greater possibility of choosing public transport over private vehicles. Moreover, the results show the public transport mode preference based on different times of the day and trip purposes. Urban and transport planner can use the results to modify/plan public transport schedule, which can be easily accessible by the elderly population.


2017 ◽  
Vol 5 (1) ◽  
pp. 56
Author(s):  
Annah Rachel Graciano ◽  
Luís Pedro Ferreira de Assis ◽  
Andressa Meline Cozer ◽  
Vitória Castilho Amâncio ◽  
Júlia Maria Rodrigues de Oliveira

ResumoObjetivo: Verificar a prevalência e coeficientes de mortalidade específica de dengue no Brasil na população de idosos correlacionando as taxas por sexo feminino e masculino. Métodos: Estudo ecológico descritivo com delineamento de tendência temporal. Foram usadas como fontes de dados o Sistema de Informação Hospitalar, Sistema de Informação de Mortalidade e Instituto Brasileiro de Geografia e Estatística.  A população correspondeu aos idosos com idade entre 60 e 100 anos atendidos no Sistema Único de Saúde e que tiveram diagnóstico de dengue entre os anos de 2008 e 2015. Resultados: As taxas de prevalência não se alteraram no âmbito da população geral entre os anos de 2008 e 2015. Houve aumento significativo no número de mortes por dengue. No grupo de idosos, a prevalência aumentou substancialmente, e a mortalidade específica nesse grupo apresentou valores muito maiores que a mortalidade da população geral acometida pela dengue. Conclusões: São de extrema importância estudos sobre o acometimento da dengue em grupos de idosos para o desenvolvimento de políticas públicas e criação de protocolos específicos no diagnóstico e tratamento nessa faixa etária, considerando a falta de evidências científicas que comportem conduta adequada no manejo de tais pacientes.Palavras-chave:Dengue. Epidemiologia nos Serviços de Saúde. Medicina Preventiva.AbstractObjective: To determine the prevalence and specific dengue coefficients of mortality in Brazil in the elderly population correlating the rates by male and female. Methods: Analytical ecological study with temporal trend of design. It was used as data sources Sistema de Informação Hospitalar, Sistema de Informação de Mortalidade and Instituto Brasileiro de Geografia e Estatística. The population corresponded to the elderly aged between 60 years to 100 attended at Brazilian public health system whom were diagnosed with dengue between 2008 and 2015. Results: The prevalence rates did not change in the general population between the years 2008 and 2015. There was a significant increase in the number of deaths from dengue. In the elderly group, the prevalence increased substantially, and the specific mortality analysis in this group showed higher values than the mortality of the general population affected by dengue. Conclusions: It is very important to underline studies on the involvement of dengue in elderly groups for the development of public politics and the creation of specific protocols for the diagnosis and treatment in that age group, considering the lack of scientific evidence to entail proper conduct in handling such patients.Keyword:Dengue. Health Services Research. Preventive medicine.


2011 ◽  
Vol 5 (2) ◽  
pp. 80
Author(s):  
Brian Davis

The elderly market has received increased attention in recent years as the business community recognizes the size and buying power of this group. The diversity of the elderly population poses challenges for managers who wish to develop an understanding of this unique consumer group. A segmentation perspective is offered as a means to integrate divergent research findings by considering retail patronage motives of three groups of older shoppers. Recommendations are suggested to guide retail marketing efforts aimed at each of these segments.


2021 ◽  
Author(s):  
Gabriela Almeida Rocha ◽  
Marcelo Ribeiro Cesar ◽  
Rayssa Victória Couto e Souza ◽  
Daniela Almeida Rocha ◽  
Gabriel Barbosa de Freitas ◽  
...  

Introduction: Elders are a heterogeneous group with gender and age-based differences. The frailty concept makes the debate about the major factor that leads those patients to emergency relevant. Therefore, the high potential of morbidity and mortality of neurological occurrences established the scenario in which this study has been designed. Objective: Report the number of hospitalizations by neurological diseases to evaluate its prevalence in the context of emergency admissions and establish a connection between etiology-health promotion. Methods: It is a cross-sectional retrospective study settled in Juiz de Fora, which is part of the Consórcio Intermunicipal de Saúde da Região Sudeste (CISDESTE). Care provided by Serviço de Atendimento Móvel de Urgência (SAMU) to elderly above 61 years old for the period between April/2015 to March/2019 were included in Microsoft Excel 2010 spreadsheets. Information such as age, gender, and type of patient’s neurological occurrence was added to the script. Results: In the period of analysis, 28718 occurrences of elders attended by SAMU were notified. From this total, 7778 (27%) were related to neurological occurrences. Analyzing gender, female patients represented the majority of occurrences, despite the incidence of neurological disorders, which was lower than in male patients (23,5% to 25,6% and 28,5% to 34,5% respectively). Conclusion: It was demonstrated that male is a population at risk of disabling and acute neurological events. The importance of individual care to the elderly is noted, and new studies must be done.


GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 145-151
Author(s):  
Mahshid Foroughan ◽  
Zahra Jafari ◽  
Ida Ghaemmagham Farahani ◽  
Vahid Rashedi

Abstract. This study examines the psychometric properties of the IQCODE and its applicability in the Iranian elderly population. A group of 95 elderly patients with at least 4 years of formal education who fulfilled the criteria of DSM-IV-TR for dementia were examined by the MMSE and the AMTs. The Farsi version of the IQCODE was subsequently administered to their primary caregivers. Results showed a significant correlation ( p = .01) between the score of the questionnaire and the results of the MMSE ( r = −0.647) and AMTs ( r = −0.641). A high internal reliability of the questionnaire was confirmed by Cronbach’s alpha coefficient (α = 0.927) and test-retest reliability by correlation coefficient ( r = 0.81). This study found that the IQCODE has acceptable psychometric properties and can be used for evaluating the cognitive state in the elderly population of Iran.


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