Nathalia Hammerschmidt Kolb Carneiro

Prevalence of pre-frailty for the component of gait speed in older adults

Objetivo: investigar la prefragilidad y los factores asociados a esa condicion, considerando medidas de velocidad de la marcha de los ancianos. Metodo: la seleccion de los participantes ocurrio por medio de criterios de inclusion/exclusion y prueba de rastreo cognitivo. La muestra fue calculada con base en la estimativa de la proporcion poblacional y fue constituida por 195 ancianos usuarios de una Unidad Basica de Salud de Curitiba, PR. Los datos fueron recolectados mediante cuestionario sociodemografico/clinico y prueba de velocidad de la marcha. Resultados: la prefragilidad para la velocidad de la marcha posee moderada prevalencia (27,3%) y se asocio al intervalo de edad entre 60 y 69 anos, baja escolaridad, no sentirse solitario, utilizar antihipertensivos, presentar enfermedad cardiovascular y sobrepeso. Conclusion: se considera relevante identificar a los ancianos en la condicion de prefragilidad, ya que de esa manera existe la posibilidad de intervenir inmediata con la finalidad de estacionar el cuadro. Es significativo el deficit de estudios sobre el sindrome de la fragilidad en ancianos brasilenos, principalmente aquellos que se refieren a un componente aislado. Considerando que la enfermeria gerontologica se encuentra en los primeros pasos en lo que se refiere a la tematica, se entiende que la identificacion de la prevalencia debe ser el punto primordial de las investigaciones sobre el tema.

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.

Quality of life of frail elderly users of the primary care

Objective Identifying the quality of life of frail elderly patients, users of primary care services. Methods A cross-sectional, quantitative study. The sample size was calculated based on the estimate of population proportion and consisted of 203 elderly. Data were collected by using a questionnaire of physical activity for the elderly, fatigue/exhaustion, quality of life, and by carrying out a test of gait speed, handgrip strength and anthropometric measurement. Results Among the 203 seniors, 39 were fragile. The mean scores for quality of life presented by the frail elderly were the following: 60.4 for pain, functional capacity 61.1, limitations due to physical aspects 71.1, general state of health 71.4, vitality 75, mental health 76.4, emotional aspects 81.1 and social aspects 85.6. Conclusion The dimensions of quality of life of the frail elderly that had lower mean scores were pain, functional capacity, limitations due to physical aspects and general state of health.

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.

INDEPENDÊNCIA FUNCIONAL EM IDOSOS LONGEVOS NA ADMISSÃO HOSPITALAR

The aim of this quantitative cross-sectional study was to assess the functional independence of long-living elderly at the time of hospitalization. The study was conducted in two teaching hospitals, in the period between January and June of 2011, with 116 long-living elderly. The Functional Independence Measure Scale was applied for data collection and data analyses were performed using descriptive statistics. The score of the total Functional Independence Measure varied from 48 to 126, with a mean of 105.9% (±17.9), which represents functional independence. The motor Functional Independence Measurement of 30 to 91 (77.3%; ±14.5) and the social/cognitive Functional Independence Measurement of 18 to 35 (28.6%; ±4.9). At the hospital admission, the long-living elderly appeared to be independent in all of the Functional Independence Measurement domains. Knowing the functional capacity is essential to plan care throughout the entire hospitalization process. DESCRIPTORS: Aged 80 and over. Longevity. Hospitalization. Geriatric nursing.

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.

Functional independence of long-living elderly at hospital admission

The aim of this quantitative cross-sectional study was to assess the functional independence of long-living elderly at the time of hospitalization. The study was conducted in two teaching hospitals, in the period between January and June of 2011, with 116 long-living elderly. The Functional Independence Measure Scale was applied for data collection and data analyses were performed using descriptive statistics. The score of the total Functional Independence Measure varied from 48 to 126, with a mean of 105.9% (±17.9), which represents functional independence. The motor Functional Independence Measurement of 30 to 91 (77.3%; ±14.5) and the social/cognitive Functional Independence Measurement of 18 to 35 (28.6%; ±4.9). At the hospital admission, the long-living elderly appeared to be independent in all of the Functional Independence Measurement domains. Knowing the functional capacity is essential to plan care throughout the entire hospitalization process. DESCRIPTORS: Aged 80 and over. Longevity. Hospitalization. Geriatric nursing.

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.