Maria Angélica Binotto

Força de preensão manual e atividade física em idosos fragilizados

OBJECTIVE To investigate the association between handgrip strength (HS) and physical activity in physical frailty elderly. METHOD Cross-sectional quantitative study with a sample of 203 elderly calculated based on the population estimated proportion. Tests were applied to detect cognitive impairment and assessment of physical frailty. Descriptive statistics and multivariate analysis by binary logistic regression were used, and also Students t-test and Fishers exact test. RESULTS A total of 99 (64.3%) elderly showed decreased handgrip strength and 90 (58.4%) elderly presented decrease in physical activity levels. There was a statistically significant difference between these two components (p=0.019), in which elderly who have decreased HS have lower levels of physical activity. For low levels of physical activity and decreased HS, there was no evidence of significant difference in the probability of the classification as frail elderly (p<0.001). CONCLUSION The components handgrip strength and physical activity are associated with the frail elderly. The joint presence of low levels of physical activity and decreased handgrip strength leads to a significantly higher probability of the elderly to be categorized as frailty.OBJETIVO Investigar a associacao entre forca de preensao manual e atividade fisica em idosos na condicao de fragilidade fisica. METODO Estudo quantitativo transversal realizado com amostra de 203 idosos, calculada com base na estimativa da proporcao populacional. Foram aplicados testes para rastreio da alteracao cognitiva e avaliacao da fragilidade fisica. Foram empregados: estatistica descritiva e analise multivariada por regressao logistica binaria, teste t de Student e teste exato de Fisher. RESULTADOS 99 (64,3%) idosos apresentaram forca de preensao diminuida e 90 (58,4%) diminuicao do nivel de atividade fisica. Houve diferenca estatisticamente significativa entre essas duas componentes ( p=0,019), na qual idosos que apresentam FPM diminuida possuem menores niveis de atividade fisica. Para os baixos niveis de atividade fisica e diminuida FPM houve evidencia de diferenca significativa em relacao a probabilidade de classificacao do idoso como fragil ( p<0,001). CONCLUSAO As componentes forca de preensao manual e atividade fisica estao associadas em idosos na condicao de fragilidade. A presenca conjunta de baixos niveis de atividade fisica e diminuida forca de preensao manual leva a uma probabilidade significativamente maior de o idoso ser categorizado como fragil.

Handgrip strength and physical activity in frail elderly

OBJECTIVE To investigate the association between handgrip strength (HS) and physical activity in physical frailty elderly. METHOD Cross-sectional quantitative study with a sample of 203 elderly calculated based on the population estimated proportion. Tests were applied to detect cognitive impairment and assessment of physical frailty. Descriptive statistics and multivariate analysis by binary logistic regression were used, and also Students t-test and Fishers exact test. RESULTS A total of 99 (64.3%) elderly showed decreased handgrip strength and 90 (58.4%) elderly presented decrease in physical activity levels. There was a statistically significant difference between these two components (p=0.019), in which elderly who have decreased HS have lower levels of physical activity. For low levels of physical activity and decreased HS, there was no evidence of significant difference in the probability of the classification as frail elderly (p<0.001). CONCLUSION The components handgrip strength and physical activity are associated with the frail elderly. The joint presence of low levels of physical activity and decreased handgrip strength leads to a significantly higher probability of the elderly to be categorized as frailty.OBJETIVO Investigar a associacao entre forca de preensao manual e atividade fisica em idosos na condicao de fragilidade fisica. METODO Estudo quantitativo transversal realizado com amostra de 203 idosos, calculada com base na estimativa da proporcao populacional. Foram aplicados testes para rastreio da alteracao cognitiva e avaliacao da fragilidade fisica. Foram empregados: estatistica descritiva e analise multivariada por regressao logistica binaria, teste t de Student e teste exato de Fisher. RESULTADOS 99 (64,3%) idosos apresentaram forca de preensao diminuida e 90 (58,4%) diminuicao do nivel de atividade fisica. Houve diferenca estatisticamente significativa entre essas duas componentes ( p=0,019), na qual idosos que apresentam FPM diminuida possuem menores niveis de atividade fisica. Para os baixos niveis de atividade fisica e diminuida FPM houve evidencia de diferenca significativa em relacao a probabilidade de classificacao do idoso como fragil ( p<0,001). CONCLUSAO As componentes forca de preensao manual e atividade fisica estao associadas em idosos na condicao de fragilidade. A presenca conjunta de baixos niveis de atividade fisica e diminuida forca de preensao manual leva a uma probabilidade significativamente maior de o idoso ser categorizado como fragil.

Fragilidade e qualidade de vida de idosos usuários da atenção básica de saúde

OBJECTIVE to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná. METHOD a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength. RESULTS of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail. CONCLUSION in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.

Frailty and quality of life in elderly primary health care users

OBJECTIVE to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná. METHOD a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength. RESULTS of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail. CONCLUSION in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.

Relação entre fragilidade física e características sociodemográficas e clínicas de idosos

Objetivo: Investigar la asociacion entre el sindrome de fragilidad fisica y las caracteristicas sociodemograficas y clinicas de las personas mayores usuarios de la atencion basica de la salud. Metodos: Estudio cuantitativo transversal. La muestra se calculo en base a la proporcion de la poblacion estimada y constaba de 203 personas mayores usuarios de la Unidad Basica de Salud. Las pruebas se utilizan para la deteccion del deterioro cognitivo, la evaluacion de la fragilidad fisica y cuestionario sociodemografico y clinico. Resultados: La edad y la educacion fueron presentados significativo para el grupo de ancianos fragiles. Las variables sexo, problemas de salud, soledad, caidas y la incontinencia urinaria fueron estadisticamente significativas para no fragil. Conclusion: La fragilidad se relaciona con la edad y la educacion variables sociodemograficas y la no fragilidad estaba relacionada con el genero y los problemas de las variables de salud clinicos, la soledad, caidas y la incontinencia urinaria. La identificacion de las variables asociadas a la fragilidad permite el desarrollo de las intervenciones y cuidados especificos para la gestion de la fragilidad.Objective: To investigate the association between the syndrome of physical frailty and sociodemographic and clinical characteristics of elderly users of the basic health care. Methods: Cross-sectional quantitative study. The sample was calculated based on the estimated population proportion and consisted of 203 elderly users of the Basic Health Unit. Tests were applied for screening of cognitive impairment, assessment of physical frailty and sociodemographic and clinical questionnaire. Results: The age and education variables appeared as significant for the group of frail elderlies. The gender, health problems, loneliness, falls and urinary incontinence variables were statistically significant for the non-frail ones. Conclusion: Frailty was related to the sociodemographic variables age and education and non-frailty was related to gender and clinical variables, such as health problems, loneliness, falls and urine incontinence. The identification of the variables associated with frailty allows the development of interventions and specific care for the management of frailty.

The relationship between physical frailty and sociodemographic and clinical characteristics of elderly

Objetivo: Investigar la asociacion entre el sindrome de fragilidad fisica y las caracteristicas sociodemograficas y clinicas de las personas mayores usuarios de la atencion basica de la salud. Metodos: Estudio cuantitativo transversal. La muestra se calculo en base a la proporcion de la poblacion estimada y constaba de 203 personas mayores usuarios de la Unidad Basica de Salud. Las pruebas se utilizan para la deteccion del deterioro cognitivo, la evaluacion de la fragilidad fisica y cuestionario sociodemografico y clinico. Resultados: La edad y la educacion fueron presentados significativo para el grupo de ancianos fragiles. Las variables sexo, problemas de salud, soledad, caidas y la incontinencia urinaria fueron estadisticamente significativas para no fragil. Conclusion: La fragilidad se relaciona con la edad y la educacion variables sociodemograficas y la no fragilidad estaba relacionada con el genero y los problemas de las variables de salud clinicos, la soledad, caidas y la incontinencia urinaria. La identificacion de las variables asociadas a la fragilidad permite el desarrollo de las intervenciones y cuidados especificos para la gestion de la fragilidad.Objective: To investigate the association between the syndrome of physical frailty and sociodemographic and clinical characteristics of elderly users of the basic health care. Methods: Cross-sectional quantitative study. The sample was calculated based on the estimated population proportion and consisted of 203 elderly users of the Basic Health Unit. Tests were applied for screening of cognitive impairment, assessment of physical frailty and sociodemographic and clinical questionnaire. Results: The age and education variables appeared as significant for the group of frail elderlies. The gender, health problems, loneliness, falls and urinary incontinence variables were statistically significant for the non-frail ones. Conclusion: Frailty was related to the sociodemographic variables age and education and non-frailty was related to gender and clinical variables, such as health problems, loneliness, falls and urine incontinence. The identification of the variables associated with frailty allows the development of interventions and specific care for the management of frailty.

Non-frail elderly people and their license to drive motor vehicles

OBJECTIVE to analyse the link between the non-frailty condition and the results of driving license for elderly people to drive motor vehicles. METHOD cross-sectional study with data collection in the sample period from August 2015 to March 2016. Study performed with 347 elderlies (≥60 years). RESULTS 180 (51.9%) of the participants were classified as non-frail. 48 (26.7%) of them were considered capable to drive, 121 (67.2%) capable to drive with restrictions and 11 (6.1%) temporarily uncapable. No significant relation was found between the non-frailty conditions and the results of the motor vehicles driving license study (p=0.557). CONCLUSION The absence of physical frailty does not necessarily points out that the elderly are able to drive motor vehicles. Tracking the frailty subsidizes preventive interventions, which seek to interfere positively in the act of driving. This is an unprecedented study in nursing and it highlights an essential field for the performance of gerontological nursing.

Fragilidad y calidad de vida de ancianos usuarios de la atención básica de salud

OBJECTIVE to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná. METHOD a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength. RESULTS of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail. CONCLUSION in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.

Factors associated with decreased hand grip strength in the elderly

Objetivo: Investigar os fatores associados a diminuicao da Forca de Preensao Manual (FPM) em idosos. Metodos: Estudo quantitativo transversal, cuja amostra foi constituida por 203 idosos da atencao primaria a saude. Os dados foram coletados entre janeiro e abril de 2013 mediante questionario sociodemografico/clinico e teste de FPM. Aplicou-se estatistica descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05. Resultados: 48,8% dos idosos apresentaram FPM diminuida, associada as variaveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024). Conclusao: Foi elevada a distribuicao da FPM diminuida, isso e preocupante, uma vez que e um fator limitante para as atividades de vida diaria. A associacao significativa entre algumas variaveis reforcam essas restricoes. Investigar os fatores associados a diminuicao da FPM instrumentaliza os enfermeiros para a gestao da fragilidade e ela podera evitar desfechos para a sindrome da fragilidade fisica.Objective: To investigate the factors associated with decreased hand grip strength in the elderly. Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values ​​of p ≤ 0.05 were considered to be significant. Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024). Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.

Factores asociados con la fuerza de prensión manual disminuida en ancianos

Objetivo: Investigar os fatores associados a diminuicao da Forca de Preensao Manual (FPM) em idosos. Metodos: Estudo quantitativo transversal, cuja amostra foi constituida por 203 idosos da atencao primaria a saude. Os dados foram coletados entre janeiro e abril de 2013 mediante questionario sociodemografico/clinico e teste de FPM. Aplicou-se estatistica descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05. Resultados: 48,8% dos idosos apresentaram FPM diminuida, associada as variaveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024). Conclusao: Foi elevada a distribuicao da FPM diminuida, isso e preocupante, uma vez que e um fator limitante para as atividades de vida diaria. A associacao significativa entre algumas variaveis reforcam essas restricoes. Investigar os fatores associados a diminuicao da FPM instrumentaliza os enfermeiros para a gestao da fragilidade e ela podera evitar desfechos para a sindrome da fragilidade fisica.Objective: To investigate the factors associated with decreased hand grip strength in the elderly. Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values ​​of p ≤ 0.05 were considered to be significant. Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024). Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.