Luciana Correia Alves

Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review

Frailty is a syndrome that leads to practical harm in the lives of elders, since it is related to increased risk of dependency, falls, hospitalization, institutionalization, and death. The objective of this systematic review was to identify the socio-demographic, psycho-behavioral, health-related, nutritional, and lifestyle factors associated with frailty in the elderly. A total of 4,183 studies published from 2001 to 2013 were detected in the databases, and 182 complete articles were selected. After a comprehensive reading and application of selection criteria, 35 eligible articles remained for analysis. The main factors associated with frailty were: age, female gender, black race/color, schooling, income, cardiovascular diseases, number of comorbidities/diseases, functional incapacity, poor self-rated health, depressive symptoms, cognitive function, body mass index, smoking, and alcohol use. Knowledge of the complexity of determinants of frailty can assist the formulation of measures for prevention and early intervention, thereby contributing to better quality of life for the elderly.A fragilidade e uma sindrome que gera prejuizos praticos a vida do idoso, pois esta relacionada a maior risco de dependencia, quedas, hospitalizacao, institucionalizacao e morte. O objetivo desta revisao sistematica foi identificar os fatores sociodemograficos, psicocomportamentais, de condicoes de saude, estado nutricional e estilo de vida associados a fragilidade em idosos. Quatro mil cento e oitenta e tres trabalhos publicados entre 2001 e 2013 foram detectados nas bases bibliograficas e selecionados 182 artigos completos. Apos a leitura integral e aplicacao dos criterios de selecao, restaram 35 artigos elegiveis para analise. Os principais fatores associados foram: idade, sexo feminino, raca/cor da pele preta, escolaridade, renda, doencas cardiovasculares, numero de comorbidades/doencas, incapacidade funcional, autoavaliacao de saude ruim, sintomas depressivos, funcao cognitiva, indice de massa corporal, tabagismo e uso de alcool. O conhecimento da complexidade dos determinantes da fragilidade auxilia na formulacao de acoes de prevencao e intervencao precoce, garantindo maior qualidade de vida.

Fatores sociodemográficos e de saúde associados à fragilidade em idosos: uma revisão sistemática de literatura

Frailty is a syndrome that leads to practical harm in the lives of elders, since it is related to increased risk of dependency, falls, hospitalization, institutionalization, and death. The objective of this systematic review was to identify the socio-demographic, psycho-behavioral, health-related, nutritional, and lifestyle factors associated with frailty in the elderly. A total of 4,183 studies published from 2001 to 2013 were detected in the databases, and 182 complete articles were selected. After a comprehensive reading and application of selection criteria, 35 eligible articles remained for analysis. The main factors associated with frailty were: age, female gender, black race/color, schooling, income, cardiovascular diseases, number of comorbidities/diseases, functional incapacity, poor self-rated health, depressive symptoms, cognitive function, body mass index, smoking, and alcohol use. Knowledge of the complexity of determinants of frailty can assist the formulation of measures for prevention and early intervention, thereby contributing to better quality of life for the elderly.A fragilidade e uma sindrome que gera prejuizos praticos a vida do idoso, pois esta relacionada a maior risco de dependencia, quedas, hospitalizacao, institucionalizacao e morte. O objetivo desta revisao sistematica foi identificar os fatores sociodemograficos, psicocomportamentais, de condicoes de saude, estado nutricional e estilo de vida associados a fragilidade em idosos. Quatro mil cento e oitenta e tres trabalhos publicados entre 2001 e 2013 foram detectados nas bases bibliograficas e selecionados 182 artigos completos. Apos a leitura integral e aplicacao dos criterios de selecao, restaram 35 artigos elegiveis para analise. Os principais fatores associados foram: idade, sexo feminino, raca/cor da pele preta, escolaridade, renda, doencas cardiovasculares, numero de comorbidades/doencas, incapacidade funcional, autoavaliacao de saude ruim, sintomas depressivos, funcao cognitiva, indice de massa corporal, tabagismo e uso de alcool. O conhecimento da complexidade dos determinantes da fragilidade auxilia na formulacao de acoes de prevencao e intervencao precoce, garantindo maior qualidade de vida.

Desigualdade social intraurbana: implicações sobre a epidemia de dengue em Campinas, SP, em 2014

This paper investigates whether the segmentation of social groups in the urban fabric, with differential access to the city’s resources and services, can influence the spatial and temporal distribution of dengue cases. The study’s site is the city of Campinas, state of Sao Paulo, in which we analyzed the dengue cases reported from January to December 2014. For this purpose, geoprocessing and spatial analysis tools were applied. The findings indicated that social inequality could be conditioning the distribution of dengue cases in conjunction with other factors that contributed to the occurrence of the largest epidemic recorded in Campinas so far.

Factores sociodemográficos y de salud asociados con la fragilidad en ancianos: una revisión sistemática de la literatura

Frailty is a syndrome that leads to practical harm in the lives of elders, since it is related to increased risk of dependency, falls, hospitalization, institutionalization, and death. The objective of this systematic review was to identify the socio-demographic, psycho-behavioral, health-related, nutritional, and lifestyle factors associated with frailty in the elderly. A total of 4,183 studies published from 2001 to 2013 were detected in the databases, and 182 complete articles were selected. After a comprehensive reading and application of selection criteria, 35 eligible articles remained for analysis. The main factors associated with frailty were: age, female gender, black race/color, schooling, income, cardiovascular diseases, number of comorbidities/diseases, functional incapacity, poor self-rated health, depressive symptoms, cognitive function, body mass index, smoking, and alcohol use. Knowledge of the complexity of determinants of frailty can assist the formulation of measures for prevention and early intervention, thereby contributing to better quality of life for the elderly.A fragilidade e uma sindrome que gera prejuizos praticos a vida do idoso, pois esta relacionada a maior risco de dependencia, quedas, hospitalizacao, institucionalizacao e morte. O objetivo desta revisao sistematica foi identificar os fatores sociodemograficos, psicocomportamentais, de condicoes de saude, estado nutricional e estilo de vida associados a fragilidade em idosos. Quatro mil cento e oitenta e tres trabalhos publicados entre 2001 e 2013 foram detectados nas bases bibliograficas e selecionados 182 artigos completos. Apos a leitura integral e aplicacao dos criterios de selecao, restaram 35 artigos elegiveis para analise. Os principais fatores associados foram: idade, sexo feminino, raca/cor da pele preta, escolaridade, renda, doencas cardiovasculares, numero de comorbidades/doencas, incapacidade funcional, autoavaliacao de saude ruim, sintomas depressivos, funcao cognitiva, indice de massa corporal, tabagismo e uso de alcool. O conhecimento da complexidade dos determinantes da fragilidade auxilia na formulacao de acoes de prevencao e intervencao precoce, garantindo maior qualidade de vida.