Capacidade funcional de idosos longevos: associa????o com o perfil epidemiol??gico

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Amorim, Diane Nogueira Paranhos lattes
Orientador(a): Vila??a, Karla Helena Coelho lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Cat??lica de Bras??lia
Programa de Pós-Graduação: Programa Strictu Sensu em Gerontologia
Departamento: Escola de Sa??de e Medicina
País: Brasil
Palavras-chave em Português:
Área do conhecimento CNPq:
Resumo em Inglês: Population aging in Brazil and in the world has revealed, in recent years, the growth of the elderly aged ???80 years old, the oldest old. The increase in the population of the oldest old entailed a new epidemiological scenario, characterized by multiple chronic diseases, morbidity and functional dependence. The objective of this research was to associate the epidemiological profile with the functional capacity of the oldest old. This is a cross-sectional study, carried out in the city of Teresina-Piau??, at two Basic Health Units (BHU). The sample was composed by 103 elderly males and females, with 80 years or more, enrolled in the BHU and with cognitive capacity preserved. The data collection was performed by means of application of the questionnaire with sociodemographic and epidemiological information. For assessment of the functional capacity, we used the Katz ??ndex, Lawton and Brody Scale and the Short Physical Performance Battery (SPPB). The sociodemographic data and epidemiological data were analyzed by simple descriptive statistics. The Chi-square test and the Spearman correlation test was applied. Among the oldest old, 40.8% were dependent partial, and 2.9% were dependent on the full realization of the basic activities of daily life (BADL); 97.1% were partial dependents, 1.9% were dependent in full for instrumental activities of daily living (IADL), and 24.3% were dependent on the functional mobility. Functional capacity was associated to the use of assistive walking devices, the use of three or more medications, the consumption of alcoholic beverage, the use of prosthesis in hip or knee, diabetes, arthropathies and osteoporosis and, more significantly, to the fear of falling. The fear of falling was the only variable that was associated with BADL, IADL and functional mobility. In conclusion, there was a higher prevalence of independence in the performance of the BADL, dependence for the IADL and low performance in functional mobility. The fear of falling was the variable that showed the most significant association with functional capacity.
Link de acesso: https://bdtd.ucb.br:8443/jspui/handle/tede/2183
Resumo: Population aging in Brazil and in the world has revealed, in recent years, the growth of the elderly aged ???80 years old, the oldest old. The increase in the population of the oldest old entailed a new epidemiological scenario, characterized by multiple chronic diseases, morbidity and functional dependence. The objective of this research was to associate the epidemiological profile with the functional capacity of the oldest old. This is a cross-sectional study, carried out in the city of Teresina-Piau??, at two Basic Health Units (BHU). The sample was composed by 103 elderly males and females, with 80 years or more, enrolled in the BHU and with cognitive capacity preserved. The data collection was performed by means of application of the questionnaire with sociodemographic and epidemiological information. For assessment of the functional capacity, we used the Katz ??ndex, Lawton and Brody Scale and the Short Physical Performance Battery (SPPB). The sociodemographic data and epidemiological data were analyzed by simple descriptive statistics. The Chi-square test and the Spearman correlation test was applied. Among the oldest old, 40.8% were dependent partial, and 2.9% were dependent on the full realization of the basic activities of daily life (BADL); 97.1% were partial dependents, 1.9% were dependent in full for instrumental activities of daily living (IADL), and 24.3% were dependent on the functional mobility. Functional capacity was associated to the use of assistive walking devices, the use of three or more medications, the consumption of alcoholic beverage, the use of prosthesis in hip or knee, diabetes, arthropathies and osteoporosis and, more significantly, to the fear of falling. The fear of falling was the only variable that was associated with BADL, IADL and functional mobility. In conclusion, there was a higher prevalence of independence in the performance of the BADL, dependence for the IADL and low performance in functional mobility. The fear of falling was the variable that showed the most significant association with functional capacity.