scholarly journals Prevalência de quedas e fatores associados em idosos institucionalizados do município de Anápolis - Prevalence of falls and associated factors with institutionalized elderly people in the city of Anápolis

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.

2016 ◽  
Vol 19 (4) ◽  
pp. 613-625 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Gizele Carmen Fagundes Ramos ◽  
Ana Teresa Fernandes Barbosa ◽  
Élen Débora Souza Vieira ◽  
Jéssica Santos Rocha Silva ◽  
...  

Abstract Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245432 ◽  
Author(s):  
Mayara Priscilla Dantas Araújo ◽  
Vilani Medeiros de Araújo Nunes ◽  
Larissa de Albuquerque Costa ◽  
Talita Araujo de Souza ◽  
Gilson de Vasconcelos Torres ◽  
...  

The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson’s Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5–8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.


2021 ◽  
Vol 58 (1) ◽  
pp. eUJ3040
Author(s):  
Gabriella Aparecida Vieira ◽  
◽  
Viviane Neusa Scheid ◽  
Thalia Fernanda Naszeniak ◽  
Eloá Angélica Koehnlein ◽  
...  

The aging process causes miscellaneous changes in the human body, including neurological changes, such as the decline in cognitive capacity. Studies report a probable relationship between cardiovascular disease (hereinafter, CVDs) and dementia, as both share common risk factors. This study aimed to evaluate the frequency of risk factors for cardiovascular diseases and cognitive status in elderly people of the southwestern Parana. Cross-sectional, quantitative study carried out with elderly people, both sexes, aged 60 or over, residing in three municipalities of the Southwest Region of Parana. Sociodemographic and clinical statistical data were realized through interviews. Cognitive assessment was measured using the Mini Mental State Examination – (hereinafter, MMSE) and the functional capacity of the research participants was assessed using the Pfeffer questionnaire – (QPAF). The risk of cardiovascular diseases was assessed by factors as: lifestyle, medical history and waist circumference (WC). The research data was composed by 82 elderly people, being 74.4% of them female, with a prevalence of age between 60 and 70 years. Of the interviewees, were 7.3% smokers, were 68.3% sedentary and 48.8% reported having cardiovascular disease. The presence of cognitive decline was present in 20.7% of the elderly and the frequency of risk for cardiovascular diseases, assessed by WC, was observed in 87.8% of the sample. This frequency of risk factors for cardiovascular diseases was elevated in the studied sample, however there was no association with the presence of cognitive decline.


Author(s):  
Mateus Augusto Bim ◽  
André de Araújo Pinto ◽  
Karoline Sousa Scarabelot ◽  
Gaia Salvador Claumann ◽  
Andreia Pelegrini

SLEEP ◽  
2021 ◽  
Author(s):  
Yu Kinoshita ◽  
Osamu Itani ◽  
Yuichiro Otsuka ◽  
Yuuki Matsumoto ◽  
Sachi Nakagome ◽  
...  

Abstract Study Objectives To determine the prevalence of and risk-factors for difficulty waking up for school among adolescents. Methods We used a self-administered questionnaire (140 junior high schools [JHSs]; 124 senior high schools [SHSs]) selected randomly in 2012 from throughout Japan. Results Total response rate: 60.7%. Data from 38,494 JHS and 61,556 SHS students were analyzed. The prevalence of at least one instance of school tardiness/absence due to difficulty waking up over a 30-day period was 10.9(95% confidence-interval:10.5-11.3)%/2.9(2.7-3.1)% for JHS-boys and 7.7(7.3-8.1)%/2.0(1.8-2.2)% for JHS-girls. The prevalence was 15.5(15.1-15.9)%/5.6(5.3-5.9)% for SHS-boys and 14.4(14.0-14.8)%/5.9(5.6-6.2)% for SHS-girls. We used ordinal regression to identify the risk factors associated with the experience of school tardiness/absence. Factors significantly associated with school tardiness in all four groups (JHS boys/girls, SHS boys/girls) were “no-participation-in-club-activities,” “early-morning-awakening,” “feeling bad throughout a morning,” “drinking,” and “smoking.” Among associated factors, the highest odds ratio was found for monthly smoking-days (none vs. at least one-day or more) for JHS-girls at 5.30(3.57-7.85). Factors significantly associated with school absence in all four groups were “no wishing to go to university,” “no participation in club activities,” “disorders of initiating and maintaining sleep,” “long internet use,” “drinking,” “smoking,” “poor-mental-health” and “feeling bad throughout a morning.” Among associated factors, the highest odds ratio was found for monthly smoking-days (none vs. at least one-day or more) for JHS-girls at 4.60(3.45-6.15). Conclusions These results suggest that the risk factors for difficulty waking up among adolescents are sleep status, lifestyle, and mental health, which can indicate the presence of an underlying disease.


2015 ◽  
pp. 1635 ◽  
Author(s):  
David Antay-Bedregal ◽  
Evelyn Camargo-Revello ◽  
German F. Alvarado

2016 ◽  
Vol 134 (5) ◽  
pp. 393-399 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
Camila Gigante Colamego ◽  
Maycon Sousa Pegorari ◽  
Pollyana Cristina dos Santos Ferreira ◽  
Flávia Aparecida Dias ◽  
...  

ABSTRACT CONTEXT AND OBJECTIVE: Identification of frailty syndrome and its relationship with cardiovascular risk factors among hospitalized elderly people is important, since this may contribute towards broadening of knowledge regarding this association within tertiary-level services. This study aimed to evaluate the cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people. DESIGN AND SETTING: Observational cross-sectional study in a public teaching hospital. METHODS: The participants were elderly patients admitted to clinical and surgical wards. The cardiovascular risk factors assessed were: body mass index (BMI), waist circumference, systemic arterial hypertension (SAH), blood glucose, total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL) and triglycerides. To identify frailty syndrome, the method proposed by Fried was used. The data were analyzed through descriptive statistics, chi-square test (P < 0.10) and multinomial logistic regression (P < 0.05). RESULTS: A total of 205 individuals were evaluated. It was found that 26.3% (n = 54) of the elderly people were frail, 51.7% (n = 106) were pre-frail and 22% (n = 45) were non-frail. The preliminary bivariate analysis (P < 0.10) for the regression model showed that frailty was associated with BMI (P = 0.016), LDL cholesterol (P = 0.028) and triglycerides (P = 0.093). However, in the final multivariate model, only overweight remained associated with the pre-frail condition (odds ratio, OR = 0.44; 95% confidence interval, CI = 0.20-0.98; P = 0.045). CONCLUSION: States of frailty were highly present in the hospital environment. The pre-frail condition was inversely associated with overweight.


2013 ◽  
Vol 33 (4) ◽  
pp. 218-225 ◽  
Author(s):  
S Konrad ◽  
A Hossain ◽  
A Senthilselvan ◽  
JA Dosman ◽  
MD Pahwa

Introduction Knowledge about chronic bronchitis (CB) among Aboriginal people in Canada is limited. The aim of this study was to determine the prevalence of CB and its associated factors among Aboriginal people aged 15 years plus. Methods Logistic regression analysis was used on data from the cross-sectional 2006 Aboriginal Peoples Survey to determine risk factors associated with CB. Results CB prevalence was 6.6% among First Nations, 6.2% among Métis and 2.4% among Inuit. Prevalence was higher among females than males (7.2% versus 5.0%). Individuals with CB were more likely to be older, living at a lower income, with a lower educational attainment and residing in rural areas. Smoking status and body mass index were also significantly associated with CB, but their effect differed by sex. Obesity was particularly significantly associated with CB among females compared with males, and current smoking and non-smoking status was significantly associated with CB among females but not males. Conclusion These findings identify factors associated with CB among Aboriginal people. As such, they may represent potentially preventable risk factors that can inform health promotion and disease prevention practices.


Author(s):  
Ekra Kouadio Daniel ◽  
Okoubo Guillaume ◽  
Orsot Tetchi ◽  
Ekou Kokora Franck

Objectives: To estimate the current national prevalence of hypertension and to identify associated factors, in a context of increasing cardiovascular diseases and rampant urbanization in Côte d'Ivoire. Methodology: This was a secondary analysis of data from the survey on the prevalence and characteristics of diabetes in Côte d'Ivoire. The cross-sectional, descriptive and analytical study was conducted among 3198 adults aged 20 to 79 years, in the twenty health regions of Côte d'Ivoire from 23 November to 22 December 2017. Risk factors were identified by binary stepwise logistic regression using Stata version 15 software. Results: The survey population was predominantly female (55%) and lived in urban areas (55.38%). The prevalence of hypertension in Côte d'Ivoire was 39.92% [95% CI : 37.28 - 42.62]. Independent of other factors, hypertension in adults is associated with age, place of residence, education level, marital status, income and nutritional status. However, the consumption of fruits and vegetables is protective of hypertension. Conclusion: The prevalence of hypertension in Côte d'Ivoire is very high with a greater burden in the older populations. Interventions targeting the associated modifiable risk factors are needed to correct this alarming epidemiological situation.


2021 ◽  
Author(s):  
Zenawi Zeramariam Araia ◽  
Araia Berhane Mesfin ◽  
Amanuel Hadgu Mebrahtu ◽  
Adiam Ghebreyohanns Tewelde ◽  
Randa Osman ◽  
...  

Abstract Background: Both diabetes mellitus (DM) and tuberculosis (TB) are among the leading causes of morbidity and mortality in Eritrea. TB-DM comorbidity is known to complicate TB care, control and prevention. However, systematically studied epidemiological data on TB-DM comorbidity and its associated risk factors is lacking in this country. Objective: This study aimed to assess the prevalence of DM and its associated factors among TB patients in Maekel region, Eritrea.Methods: Analytical cross-sectional study was conducted in eleven TB diagnostic and treatment sites. Pretested data extraction tool was used to collect data from medical records. Prevalence data was analysed using frequencies, proportions and median. To determine DM risk factors, univariable and multivariable logistic regression analysis was done with 95%CI and p value < 0.05 considered significant. Results: Out of total eligible (1,134) TB cases, DM prevalence was 9.88%. Age and BMI were identified as independent risk factors for DM among TB patients. Higher odds of DM was found among TB patients aged 45-54 (aOR: 4.85[1.39-16.94], p= 0.013) and those ≥ 55 (aOR: 6.99[2.12-23.04], p= 0.001). TB cases with normal BMI were two times more likely to have DM (aOR: 2.00[1.23-3.26], p= 0.005) compared to those underweight. Conclusion: The prevalence of DM among TB cases observed in this study is high, a clarion call to scale up current efforts to integrate TB-DM services within routine care. Furthermore, age and BMI were identified as independent risk factors for DM in TB cases, pointing to the need to pay attention to age and BMI status when managing this co-morbidityKey words: TB-DM prevalence, transient hyperglycaemia, fasting blood glucose, pre-diabetes, Eritrea.


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