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Knowing the prevalence of potentially avoidable hospitalizations (PAHs) and the factors associated with them is essential if preventive action is to be taken. Studies on PAHs mainly concern adults, and very few have been carried out in South America. To the best of our knowledge, there has been no study on PAHs in French Guiana, particularly among older adults. This case-control study aimed to estimate the prevalence of PAHs in the Guianese population aged over 65 and to analyze their associated factors. We used the 2017-2019 data from the French National Health Service database (Système National des Données de Santé). The patients were age- and sex-matched 1 : 3 with controls without any PAH in 2019. Factors associated with PAHs were investigated through two conditional logistic regression models [one including the Charlson comorbidity index (CCI) and one including each comorbidity of the CCI], with calculation of the adjusted odds ratio (aOR) and 95% confidence interval (CI). The PAH incidence was 17.4 per 1000 inhabitants. PAHs represented 6.6% of all hospitalizations (45.6% related to congestive heart failure or hypertension). A higher CCI was associated with PAHs [aOR 2.2 (95% CI: 1.6, 3.0) and aOR 4.8 (95% CI: 2.4, 9.9) for 1-2 and ≥3 comorbidities, respectively, versus 0], as was immigrant health insurance status [aOR 2.3 (95% CI: 1.3, 4.2)]. Connective tissue disease, chronic pulmonary disease, congestive heart failure, diabetes, and peripheral vascular disease were comorbidities associated with an increased risk of PAHs. While the prevention of PAHs among immigrants is probably beyond the reach of the Guianese authorities, primary care and a public health policy geared toward prevention should be put in place for the French Guianese population suffering from cardiovascular disease in order to reduce PAHs.
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Hospitalização , Humanos , Guiana Francesa/epidemiologia , Idoso , Masculino , Feminino , Hospitalização/estatística & dados numéricos , Estudos de Casos e Controles , Idoso de 80 Anos ou mais , Comorbidade , Fatores de Risco , Bases de Dados FactuaisRESUMO
The myelodysplastic syndrome (MDS) is a heterogeneous group of clonal disorders of hematopoietic progenitor cells related to ineffective hematopoiesis and an increased risk of transformation to acute myelogenous leukemia. MDS is divided into categories, namely lineage dysplasia (MDS-SLD), MDS with ring sideroblasts (MDS-RS), MDS with multilineage dysplasia (MDS-MLD), MDS with excess blasts (MDS-EB). The International Prognostic Classification System (IPSS) ranks the patients as very low, low, intermediate, high, and very high based on disease evolution and survival rates. Evidence points to toll-like receptor (TLR) abnormal signaling as an underlying mechanism of this disease, providing a link between MDS and immune dysfunction. Microbial signals, such as lipopolysaccharides from gram-negative bacteria, can activate or suppress TLRs. Therefore, we hypothesized that MDS patients present gut microbiota alterations associated with disease subtypes and prognosis. To test this hypothesis, we sequenced the 16S rRNA gene from fecal samples of 30 MDS patients and 16 healthy elderly controls. We observed a negative correlation between Prevotella spp. and Akkermansia spp. in MDS patients compared with the control group. High-risk patients presented a significant increase in the genus Prevotella spp. compared to the other risk categories. There was a significant reduction in the abundance of the genus Akkermansia spp. in high-risk patients compared with low- and intermediate-risk. There was a significant decrease in the genus Ruminococcus spp. in MDS-EB patients compared with controls. Our findings show a new association between gut dysbiosis and higher-risk MDS, with a predominance of gram-negative bacteria.
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Resumo Objetivo Caracterizar o conhecimento que relacione a velhice, trabalho, idadismo e ações na saúde do trabalhador a partir de uma revisão de escopo. Método Baseado em uma pergunta norteadora e critérios de busca foi realizada uma seleção de artigos entre abril a junho de 2023 nas bases Scientific Eletrônico Library Online (SCIELO), Web of Science, Scopus, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e PUBMED. No total de 1.745 produções encontradas, 26 artigos corresponderam aos critérios de elegibilidade, sendo estes publicados nos últimos 10 anos. Resultados Da análise, resultaram duas categorias a serem discutidas: impactos do idadismo na saúde do trabalhador e ações para a saúde da pessoa idosa nos ambientes de trabalho. As principais medidas encontradas para a redução do idadismo nos ambientes de trabalho incluem a presença de uma equipe de saúde nos ambientes de trabalho que levam ao adoecimento e incentivo à educação em gerontologia para os trabalhadores. Conclusão Observou-se a incipiência de estudos sobre a velhice do trabalhador, o reconhecimento acerca das doenças mais frequentes entre pessoas idosas que trabalham e as profissões em que elas se encontram mais vulneráveis ao idadismo. Novas investigações poderão dar subsídios para que sejam promovidas políticas com atenção a pessoa idosa que trabalha e o desenvolvimento de uma cultura organizacional geracional.
Abstract Objective To characterize the knowledge that relates aging, work, ageism, and actions in worker health through a scope review. Method Based on a guiding question and search criteria, a selection of papers was conducted between April and June 2023 in the Scientific Electronic Library Online (SCIELO), Web of Science, Scopus, Latin American and Caribbean Health Sciences Literature (LILACS), and PUBMED databases. Out of a total of 1,745 productions found, 26 papers met the eligibility criteria, all of which were published in the last 10 years. Results From the analysis, two categories emerged for discussion: the impacts of ageism on worker health and actions for the health of elderly people in work environments. The main measures found to reduce ageism in work environments include the presence of a health team in workplaces that lead to illness and the promotion of education in gerontology for workers. Conclusion The incipiency of studies on the aging of the worker was observed, as well as the recognition of the most common diseases among elderly people who work and the professions in which they are most vulnerable to ageism. Further investigations may provide insights for the promotion of policies attentive to elderly people in the workforce and the development of a generational organizational culture.
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Objetivo: Compreender a percepção dos idosos institucionalizados quanto ao abandono afetivo por parte de seus familiares.Método: Trata-se de um estudo exploratório, comabordagemqualitativa. Conduzido por meio de entrevistas semiestruturadas. A organização e análise dos dados foram baseadas na técnica de Minayo. O estudo foi realizado em uma Instituição de Longa Permanência para Idosos, localizada em uma cidade do nordeste de Santa Catarina.Resultados: Participaram do estudo nove idosos, com idades entre 60 e 89 anos, com diferentes estados civis (viúvos, casados e divorciados), variando sua escolaridade do nível básico ao superior, além de serem aposentados ou pensionistas. Foram identificadas quatro categorias analíticas: (1) vivência na instituição, (2) motivos para a institucionalização, (3) relacionamento familiar e (4) percepção do abandono familiar.Conclusão: alguns idosos enfatizaram sentir-se esquecidos na instituição, o que os deixa tristes e deprimidos. É crucial para a prática de a enfermagem compreender a realidade dos idosos nas Instituições de Longa Permanência, pois essa compreensão está diretamente ligada à prestação de cuidados em todos os níveis de assistência à saúde
Objective: To understand the perception of institutionalized elderly individuals regarding the emotional abandonment by their family members.Methodology: This is an exploratory study, using qualitative methods. Conducted through semi-structured interviews. Data organization and analysis were based on Minayo's technique. The study was conducted at a Long-Term Care Institution for the Elderly located in a city in northeastern Santa Catarina.Results: Nine elderly individuals participated in the study, ranging in age from 60 to 89 years old, with different marital statuses (widowed, married, and divorced), ranging in education from basic to higher levels, and being retirees or pensioners. Four analytical categories were identified: (1) experience in the institution, (2) reasons for institutionalization, (3) family relationships, and (4) perception of family abandonment.Conclusion: Some elderly individuals emphasized feeling forgotten in the institution, which makes them feel sad and depressed. Understanding the reality of the elderly in Long-Term Care Institutions is crucial for nursing practice, as this understanding is directly linked to providing care at all levels of healthcare assistance in the Health Care Network
Objetivo: Comprender la percepción de las personas mayores institucionalizadas con respecto al abandono afectivo por parte de sus familiares. Metodología:Se trata de un estudio exploratorio, utilizando métodos cualitativos. Realizado a través de entrevistas semiestructuradas. La organización y análisis de los datos se basaron en la técnica de Minayo. El estudio se llevó a cabo en una Institución de Larga Estadía para Personas Mayores lubicada en una ciudad del noreste de Santa Catarina. Resultados:Nueve personas mayores participaron en el estudio, con edades comprendidas entre 60 y 89 años, con diferentes estados civiles (viudos, casados y divorciados), variando en educación desde niveles básicos hasta superiores, y siendo jubilados o pensionistas. Se identificaron cuatro categorías analíticas: (1) experiencia en la institución, (2) motivos para la institucionalización, (3) relaciones familiares y (4) percepción del abandono familiar. Conclusión:Algunas personas mayores enfatizaron sentirse olvidadas en la institución, lo que los hace sentir tristes y deprimidas. Es crucial para la práctica de enfermería comprender la realidad de los adultos mayores en las Instituciones de Larga Estancia, ya que esta comprensión está directamente vinculada con la prestación de cuidados en todos los niveles de asistencia sanitaria en la Red de Atención a la Salud.
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Saúde do Idoso Institucionalizado , Família , Saúde do Idoso , Abuso de Idosos , Enfermagem GeriátricaRESUMO
Resumo O objetivo deste artigo foi verificar a associação entre a violência doméstica com a obesidade e a desnutrição em pessoas idosas de Florianópolis, Santa Catarina, Brasil. Estudo transversal avaliados na coorte EpiFloripa Idoso em 2013/2014. Os desfechos foram o índice de massa corporal (IMC) e a obesidade abdominal (CC aumentada). A violência contra pessoa idosa foi mensurada através do instrumento HawlekSengstock Elder Abuse Screening Test (H-S/EAST), e a VPI por meio do instrumento Conflict Tatics Scales Form R (CTS-1). Utilizou-se modelos de regressão logística e regressão logística multinomial. Observou-se que os homens apresentaram maior chance de obesidade abdominal quando em situação de violência. Já as mulheres apresentaram maior chance de obesidade abdominal em situação de abuso direto quando sofreram violência por parceiro íntimo (VPI) e quando foram perpetradoras desta violência. Em relação ao IMC, as mulheres idosas em situação de violência e que sofreram VPI foram associadas às maiores chances de sobrepeso. Em contrapartida, os homens em situação de vulnerabilidade demonstraram maior chance de baixo peso. Conclui-se que a violência contra pessoa idosa e a VPI geram impacto assimétrico sobre o estado nutricional em relação ao sexo.
Abstract The objective of this article was to verify the association between domestic violence and obesity and malnutrition in elderly people in Florianópolis, Santa Catarina, Brazil. Cross-sectional study evaluated in the EpiFloripa Elderly cohort in 2013/2014. The outcomes were body mass index (BMI) and abdominal obesity (increased WC). Violence against elderly people was measured using the HawlekSengstock Elder Abuse Screening Test (H-S/EAST) instrument, and IPV using the Conflict Tatics Scales Form R (CTS-1) instrument. Logistic regression and multinomial logistic regression models were used. It was observed that men had a greater chance of abdominal obesity when in situations of violence and in the potential abuse dimension. Women were more likely to have abdominal obesity in the dimension of violation of personal rights or abuse, when they suffered IPV and when they were perpetrators of IPV. In relation to BMI, elderly women in situations of violence were associated with a greater chance of being overweight and those who suffered IPV. On the other hand, men in vulnerable situations were more likely to be underweight. It is concluded that violence against elderly people and IPV generate an asymmetric impact on nutritional status in relation to sex.
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Este artigo tem como objetivo analisar os dados produzidos por uma pesquisa qualitativa que investigou os sentidos atribuídos ao Serviço de Convivência e Fortalecimento de Vínculos (SCFV) por seus usuários(as) em Florianópolis/SC. Por meio da observação participante realizada em um SCFV durante três meses e da aplicação de uma entrevista coletiva com idosos(as), este artigo traz algumas análises sobre os processos de significação vivenciados por esses sujeitos. Apoiados na perspectiva sócio-histórica, elaboramos dois eixos de significação, que serão discutidos neste artigo: 1) Intersubjetividade e vínculo: o SCFV como "lugar acolhedor" e de "bons encontros"; 2) O(a) idoso(a) e os processos de exclusão: o SCFV como promotor da cidadania. Em termos de resultados, é possível afirmar que esse espaço se configura como um lugar importante na vida desses(as) idosos(as) - onde eles(as) se sentem acolhidos, ouvidos e reconhecidos como sujeitos. Além do fato de esse espaço ser marcado por afetos e "bons encontros", o grupo também o revelou como um lugar potente para processos de reflexão e questionamento contra as diversas formas de segregação e violências vividas cotidianamente por ele.(AU)
This study aims to analyze the data produced by qualitative research that investigated the meanings attributed to the Service of Coexistence and Strengthening of Bonds (Serviço de Convivência e Fortalecimento de Vínculos - SCFV) by its users in the municipality of Florianópolis. By participant observation carried out in an SCFV for three months and the application of a collective interview with older adults, this study will bring some analysis of the processes of meaning experienced by these subjects. Sustained by the socio-historical perspective, we elaborated two axes of meaning to be discussed in this study : 1. Intersubjectivity and bonding: the SCFV as a "warm place" and "good meetings;" and 2. Older adults and processes of exclusion: the SCFV as a enhancer of citizenship. Results show that this space configures an important place in the lives of these older adults — a place in which they feel welcomed, heard, and recognized as subjects. In addition to the fact this space is marked by affections and "good meetings," the group also shows itself as a potent place for processes of reflection and questioning against the various forms of segregation and violence daily experienced by these people.(AU)
Este artículo tiene como objetivo analizar los datos producidos por un estudio cualitativo sobre los significados atribuidos al Servicio de Convivencia y Fortalecimiento de Lazos (SCFL) por sus usuarios en Florianópolis (Santa Catarina, Brasil). Desde la observación participante realizada en un SCFL durante el período de tres meses y desde la aplicación de una entrevista colectiva con personas mayores, este artículo presenta algunos análisis sobre los procesos de significado vividos por estos sujetos. Apoyados en la perspectiva sociohistórica, elaboramos dos ejes de significado que serán discutidos: 1) Intersubjetividad y vinculación: el SCFL como "lugar de acogida" y "buenos encuentros"; 2) Las personas mayores y los procesos de exclusión: el SCFV como promotor de ciudadanía. Los resultados permiten afirmar que este espacio se configura como un lugar importante en la vida de estas personas mayores, un lugar donde se sienten acogidos, escuchados y reconocidos como sujetos. Además de que este espacio está marcado por afectos y "buenos encuentros", el grupo también se reveló como un lugar propenso a procesos de reflexión y cuestionamiento frente a las diversas formas de segregación y violencia que viven a diario estas personas.(AU)
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Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Serviço Social , Idoso , Centros de Convivência e Lazer , Grupos Populacionais , Política de Saúde , Apego ao Objeto , Psicologia , Qualidade de Vida , Previdência Social , Seguridade Social , Sistema Único de Saúde , Envelhecimento , Exercício Físico , Entrevista , Cognição , Violência Doméstica , Observação , Vida , Autonomia Pessoal , Pesquisa Qualitativa , Abuso de Idosos , Prevenção de Doenças , Prazer , Inclusão Social , Vulnerabilidade Social , Cidadania , Acessibilidade aos Serviços de Saúde , Atividades de Lazer , Destreza MotoraRESUMO
Resumo: Pesquisa de desenvolvimento metodológico cujo objetivo foi desenvolver curso massivo aberto on-line (MOOC) para enfermeiros sobre prevenção e tratamento da lesão por pressão na pessoa idosa, à luz da Teoria de Margaret Newman. Trata-se de pesquisa metodológica, aplicada à elaboração e validação de curso on-line, pautada nas cinco etapas do modelo ADDIE de design instrucional. A primeira etapa envolveu análise, com a definição de conteúdo a partir de revisão integrativa de literatura: utilização das Teorias de enfermagem no cuidado às pessoas idosas com lesão por pressão. A segunda etapa proporcionou desenho do curso, com definição de objetivos de aprendizagem, atividades, duração e ferramentas do curso. A etapa três foi representada pela criação e edição dos recursos educacionais abertos. Na etapa quatro, ocorreu a hospedagem do conteúdo e mídias no ambiente virtual escolhido. A quinta etapa incluiu a validação de conteúdo e aparência por juízes experts. Como resultados, emergiram três produções científicas em formato de revisão integrativa: 1) estratégias de continuidade do cuidado de enfermagem, ações preventivas e de tratamento da lesão por pressão em pessoas idosas; 2) Avaliação e fatores de risco para desenvolvimento de lesão por pressão em pessoas idosas; 3) Prevenção e tratamento de lesões por pressão em pessoas idosas. Foram criados 24 produtos técnicos em formato de material didático, contemplados por: quatro (4) vídeos de apresentação: apresentação das autoras, apresentação do curso, apresentação dos módulos 1 e 2; seis (6) videoaulas, três (3) para o módulo 1 e três (3) para o módulo 2. Oito (8) infográficos divididos entre módulo 1 e módulo 2; dois (2) ebooks módulo 1 e módulo 2; um (1) estudo de caso; um (1) podcast e um (1) Curso no modelo MOOC Lesão por pressão na pessoa idosa: cuidado de enfermagem à luz da Teoria de Margaret Newman. O curso MOOC desenvolvido é potente para fortalecer a assistência de enfermagem aos idosos portadores de lesão por pressão. Além disso trata-se de estratégia de ensino inovadora para estudantes da área de ciências da saúde. A aplicação de forma sistematizada do referencial teórico deste estudo, a Teoria da expansão da consciência de Margaret Newman, evidenciou-se no processo formativo, uma vez que a teorista discute a enfermagem como profissão e que o processo formativo é estabelecido pela identidade e responde por suas práticas. Ressalta-se a relevância do estudo por se tratar do desenvolvimento de um curso teórico, no modelo MOOC, gratuito, disponível em uma plataforma confiável e aberta, em que o cursista pode organizar-se para o cumprimento das atividades conforme a sua disponibilidade de carga horária.
Abstract: Methodological development research whose objective was to develop a massive open online course (MOOC) for nurses on the prevention and treatment of pressure injuries in the elderly, in light of Margaret Newman's Theory. This is methodological research, applied to the development and validation of an online course, based on the five stages of the ADDIE model of instructional design. The first stage involved analysis, with the definition of content based on an integrative literature review: use of nursing theories in the care of elderly people with pressure injuries. The second stage provided the course design, defining learning objectives, activities, duration and course tools. Step three was represented by the creation and editing of open educational resources. In step four, the content and media were hosted in the chosen virtual environment. The fifth stage included content and appearance validation by expert judges. As results, three scientific productions emerged in the format of an integrative review: 1) nursing care continuity strategies, preventive actions and treatment of pressure injuries in elderly people; 2) Assessment and risk factors for the development of pressure injuries in elderly people; 3) Prevention and treatment of pressure injuries in elderly people. 24 technical products were created in teaching material format, comprising: four (4) presentation videos: presentation of the authors, presentation of the course, presentation of modules 1 and 2; six (6) video lessons, three (3) for module 1 and three (3) for module 2. Eight (8) infographics divided between module 1 and module 2; two (2) e-books module 1 and module 2; one (1) case study; one (1) podcast and one (1) Course using the MOOC model Pressure injuries in the elderly: nursing care in light of Margaret Newman's Theory. The MOOC course developed is powerful in strengthening nursing care for elderly people with pressure injuries. Furthermore, it is an innovative teaching strategy for students in the area of health sciences. The systematic application of the theoretical framework of this study, Margaret Newman's Consciousness Expansion Theory, was evident in the training process, since the theorist discusses nursing as a profession and that the training process is established by identity and responds to their practices. The relevance of the study is highlighted as it concerns the development of a theoretical course, in the MOOC model, free of charge, available on a reliable and open platform, in which the course participant can organize themselves to carry out the activities according to their availability. hourly.
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Humanos , Masculino , Feminino , Idoso , Úlcera por Pressão , Educação Continuada em Enfermagem , Cuidados de EnfermagemRESUMO
Background: This study aims to describe the relationship between life satisfaction, positive affect, depression and anxiety symptoms with sociodemographic, psychosocial and clinical variables, and to identify the relative importance of these predictor groups. Methods: We evaluated life satisfaction (SWLS), positive affect (PANAS), depressive (PHQ-9), and anxiety (GAI) symptoms and their association with sociodemographic, psychosocial and clinical variables in a multistage, random general population sample of fully functioning individuals aged 60-80 years from the Concepción province and Gran Santiago, Chile (n = 396). We performed weighted multiple regression analysis, considering the complex sample structure with age group, sex, and geographical area, complemented with general and conditional dominance analyses to estimate the relevance of the predictor groups. Results: We found significant associations with the geographical area, sex, age, education level, household members, having a partner, employment status, caregiver status, economic satisfaction, presence of chronic diseases, medication use, and alcohol use. Satisfaction with health was the most important predictor for positive affect (p < 0.001), depressive (p < 0.001), and anxiety (p < 0.001) symptoms, while alcohol use was the most significant predictor for life satisfaction (p < 0.001). Conclusion: Simultaneously studying the positive and negative dimensions of wellbeing and mental health in older adults allows for a more comprehensive perspective on the challenges faced during this stage of life. This study accounts for previously unknown associations and contributes to the identification of common and specific predictors in both dimensions.
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Resumen Este estudio propone un sistema de cribado primario para diagnosticar la sarcopenia en adultos mayores a través de medidas antropométricas. Esta investigación exploratoria involucró inicialmente a 150 personas de edad avanzada, de las cuales 122 fueron seleccionadas después de un proceso de depuración de datos. Empleando técnicas de aprendizaje automático como el agrupamiento jerárquico y los árboles de decisión, se redujeron las 13 medidas antropométricas originales a cinco características clave. Se crearon tres sistemas de clasificación: el primero basado en parámetros previamente establecidos (masa muscular apendicular, velocidad de marcha y fuerza de agarre); el segundo consideró medidas de las extremidades superiores (masa muscular promedio de ambos brazos, fuerza de agarre, velocidad de marcha y porcentaje de grasa corporal); y el tercero se centró en las medidas de las extremidades inferiores (masa muscular promedio de ambas piernas, fuerza de agarre, velocidad de marcha y porcentaje de grasa corporal). Estos sistemas de clasificación se validaron clínicamente en un grupo de 57 pacientes previamente diagnosticados por especialistas, de los cuales 10 recibieron un diagnóstico positivo de sarcopenia. Los resultados mostraron eficiencias similares en los tres sistemas, con ocho de los diez diagnósticos positivos conocidos clasificados en el mismo grupo. Además, el estudio proporciona puntos de corte específicos para cada sistema, facilitando así el diagnóstico clínico de la sarcopenia por parte de profesionales médicos.
Abstract This study proposes a primary screening system for diagnosing sarcopenia in older adults through anthropometric measures. This exploratory research initially involved 150 elderly individuals, of whom 122 were selected after a data purification process. Using machine learning techniques such as hierarchical clustering and decision trees, the original set of 13 anthropometric measures was reduced to five key features. Three classification systems were created: the first based on previously established parameters (appendicular muscle mass, walking speed, and grip strength); the second considered upper limb measures (average muscle mass of both arms, grip strength, walking speed, and body fat percentage); and the third focused on lower limb measures (average muscle mass of both legs, grip strength, walking speed, and body fat percentage). These classification systems were clinically validated in a group of 57 patients previously diagnosed by specialists, of which 10 received a positive sarcopenia diagnosis. The results showed similar efficiencies in all three systems, with eight of the ten known positive diagnoses classified in the same group. Additionally, the study provides specific cut-off points for each system, thus facilitating the clinical diagnosis of sarcopenia by medical professionals.
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Objetivo: Determinar relación entre Envejecimiento exitoso y Calidad de vida de personas mayores institucionalizadas. Material y Método: Estudio descriptivo y correlacionai con muestreo intencional; previo consentimiento informado, participaron 14o personas mayores asistentes a un hogar del municipio de Montería, Colombia. Se incluyeron a personas de 6o y más años; sus características sociodemográficas fueron identificadas por una cédula de datos. La Calidad de vida se midió con WHOQOL-bref y el Envejecimiento exitoso con Successful Aging Inventory (SAI). Los datos recolectados por enfermeras/os, se procesaron en SPSS v22 y analizados con estadística descriptiva, normalidad con Kolmogorov Smirnov y corrección de Lilliefors; como no hubo distribución normal, el objetivo se respondió con correlación de Spearman. Resultados: Existe relación negativa y significativa entre Envejecimiento exitoso global (p= ,012), Desempeño funcional (p= ,025) y Proposito y satisfacción con la vida (p= ,012) con la dimensión Social de la Calidad de vida; se observo relación negativa y significativa (p= ,013) entre el Propósito y satisfacción con la vida con la dimensión Ambiental de la Calidad de vida. Conclusiones: la mayoría de las personas mayores presentaron un envejecimiento exitoso y tienen su Calidad de vida global y Percepción de su salud altas. Existe relación negativa y significativa entre Envejecimiento exitoso, Desempeño funcional y Propósito y satisfacción con la dimensión Social de la Calidad de vida; existe relación negativa y significativa entre el Propósito y satisfacción con la vida con la dimensión Ambiental de la calidad de vida. No hay relación entre los puntajes globales de Envejecimiento exitoso y Calidad de vida.
Objective: To determine the relationship between successful aging and quality of life among institutionalized elderly people. Materials and Methods: Descriptive and correlational study using intentional sampling. It was carried out, after prior informed consent, with 140 elderly people who attended a nursing home in the city of Monteria, Northern Colombia. People over 60 years and older were included and their sociodemographic characteristics were recorded in a data sheet. The quality of life was measured with the WHOQOL-bref questionnaire and the Successful aging was measured with the Succesful Aging Inventory (SAI). Data collected by nurses were processed in SPSS v22 and analyzed with descriptive statistics, Kolmogorov-Smirnov test for normality and Lilliefors correction. As there was no normal distribution, the Spearman's correlation was applied. Results: There is a negative and significant relationship between the overall successful aging (p= .012), functional performance (p= .025) and life purpose and satisfaction (p= .012) with the social dimension of quality of life; a negative and significant relationship (p= .013) was also observed between life purpose and satisfaction with the environmental dimension of quality of life. Conclusions: Most of the elderly people showed successful aging and had a high overall quality of life and health perception. There is a negative and significant relationship between successful aging, functional performance, as well as life purpose and satisfaction with the social dimension of quality of life; there is a negative and significant relationship between life purpose and satisfaction with the environmental dimension of quality of life. There is no relationship between the overall scores of successful aging and quality of life.
Objetivo: Determinar a relação entre envelhecimento bem-sucedido e qualidade de vida de pessoas idosas institucionalizadas. Material e Método: Estudo descritivo e correlacional com amostragem intencional. O estudo foi realizado, após consentimento informado prévio, com 140 idosos que frequentaram um asilo na cidade de Montería, no norte da Colômbia. Foram incluídas pessoas de 60 anos ou mais e suas características sociodemográficas foram registradas em uma ficha de dados. A qualidade de vida foi medida com o questionário WHOQOL-bref e o inventário Successful Aging Inventory (SAI) foi usado para medir o envelhecimento bem- sucedido. Os dados coletados pelos enfermeiros e enfermeiras foram processados por meio do programa SPSS versão 22 e analisados com estatísticas descritivas e teste Kolmogorov-Smirnov para normalidade e correção de Lilliefors. Como não houve distribuição normal, foi aplicada a correlação do Spearman. Resultados: Existe uma relação negativa e significativa entre o envelhecimento geral bem-sucedido (p= ,012), desempenho funcional (p= ,025) e propósito de vida e satisfação (p= ,012) com a dimensão social da qualidade de vida; uma relação negativa e significativa (p= ,013) também foi observada entre o propósito de vida e satisfação com a dimensão ambiental da qualidade de vida. Conclusões: A maioria dos idosos demonstrou um envelhecimento bem- sucedido e teve uma alta percepção geral de qualidade de vida e saúde. Há uma relação negativa e significativa entre o envelhecimento bem-sucedido, desempenho funcional, bem como propósito de vida e satisfação com a dimensão social da qualidade de vida; há uma relação negativa e significativa entre proposito de vida e satisfação com a dimensão ambiental da qualidade de vida. Não há relação entre as pontuações gerais do envelhecimento bem-sucedido e a qualidade de vida.
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Introducción: la pandemia COVID-19 ha tenido un gran impacto en la vida y en especial en las personas mayores. El objetivo del presente estudio fue explorar un protocolo de cribado online para detectar tempranamente Deterioro Cognitivo Leve en personas mayores. Métodos: fue de tipo cuantitativo y cualitativo. La muestra fue de 22 personas mayores de las comunas de Coronel y Lota, Región del Bio-bio. El protocolo estaba compuesto por: Cuestionario sociodemográfico, Test del Reloj Versión Cacho, Moca versión validada en Chile, Escala Depresión Yesavage y Test Acentuación de Palabras. El procedimiento consistió en la aplicación del protocolo a través de un Tablet o Laptop. Resultados: se encontró que la mayoría no presentaba deterioro cognitivo, pero si depresión. Conclusiones: se discute sobre la aplicación de un protocolo de diagnóstico online en personas mayores y los indicadores de depresión que podrían estar dado por la situación actual de pandemia.
The COVID-19 pandemic has had a great impact in the world, more so in the lives of elderly people. The objective of this study was to explore an online screening protocol to detect early Mild Cognitive Impairment. The method was both quantitative and qualitative, the sample included 22 elderly people from the Coronel y Lota, Biobio region. The protocol was integrated with a sociodemographic questionnaire, the Clock Drawing Test (Cacho Version), MOCA (validated in Chile version), Yesavage Depression Scale (Reduced version) and the Word Accentuation Test. The evaluation involved applying the protocol online in a tele neuropsychological assessment. The results showed that most of the elder people evaluated did not present cognitive impairment but did have depression. The application of an online diagnostic protocol in older people and the indicators of depression that could be given by the current pandemic situation are discussed.
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Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Disfunção Cognitiva/diagnóstico , Teletriagem Médica , COVID-19 , Diagnóstico Precoce , Depressão/diagnóstico , Pandemias , Estilo de Vida , Testes NeuropsicológicosRESUMO
Medical ozone reestablishes cellular redox balance so that it may be a valid therapeutic approach in the prevention and management of age-related diseases with oxidative etiology in older people. The aim of this study is to evaluate oxidative stress and some vasoactive substances in elderly (60-70 years) rheumatoid arthritis patients with diabetes and hypertension, as well as another group with bronchial asthma patients in order to demonstrate the beneficial effects of medical ozone in the prevention and therapy of age-related diseases in these age groups. A randomized clinical study with 45 older patients (60-70 years) was performed. Group I (n = 15) with rheumatoid arthritis + diabetes and hypertension received no ozone treatment, and group II (n = 30) was treated with medical ozone. This group was divided into two subgroups (n = 15 each), group IIa: the same as group I + medical ozone and group IIb: bronchial asthma patients. Indicators of RA in I and IIa groups were evaluated. Redox balance was assessed through defense and injury biomarkers. Thromboxane A2 (TXA2) and prostacyclin levels were assessed in group IIb patients. Medical ozone arrested oxidative injury progression in the Ia group and decreased thromboxane levels and the TXA2/6-keto PGF1α ratio in the IIb group. Medical ozone arrested the progression of oxidative damage and modulated those endogenous mechanisms that promote a suitable redox status and TXA2/PGI2 balance. These results suggest that medical ozone may become a standard approach in the prevention and management of age-related oxidative diseases in elderly people.
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INTRODUCTION: Demographic trends indicate that population aging is not exclusive to developed countries. Argentina reaches 15.5% of the elderly population. The Covid-19 pandemic has brought to the forefront the public health situation of this population, challenging health systems, with disproportionate impacts on this group, which has suffered more than 80% of the deaths in the country, mainly in those with comorbidities. OBJECTIVE: To analyze the sociodemographic and environmental conditions involved in the process of development of health and nutrition profiles of the elderly people of Córdoba, Argentina 2020. METHODOLOGY: Epidemiological, cross-sectional, population-based study that included 221 elderly people (≥60 years old), through random sampling. Data on sociodemographic and environmental conditions, health and dietary profiles were collected through structured interviews. RESULTS: The average age of the participants was 68 years. Eighty-five percent recognized neighborhood contamination, 38% of them being garbage dumps close to their homes. Eighty-nine percent reported at least one non-communicable disease (NCD) or associated risk factor and 66% were overweight (BMI≥25kg/m2). The presence of obesity (BMI≥30kg/m2) was associated (OR=2.05; CI 1.007-3.922) with the development of NCDs. Only 4% of the population complied with the daily fruit and vegetable consumption recommendation. CONCLUSION: The predominant characteristics of the health and dietary profiles associated with NCDs identified suggest the need to study in depth the social determinants that condition the aging process.
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COVID-19 , Pandemias , Idoso , Humanos , Estudos Transversais , Argentina/epidemiologia , COVID-19/epidemiologia , Sobrepeso , Fatores de Risco , PrevalênciaRESUMO
La sarcopenia se define como una combinación de baja fuerza y masa muscular con alteración funcional del músculo, que afecta a poblaciones de diferentes edades por diversos motivos. La prevalencia global en adultos mayores se ha estimado en 10% (IC 95%: 8-12%) en hombres y 10% (IC 95%: 8-13%) en mujeres. Recientemente ha cobrado importancia su detección en enfermedades reumáticas, particularmente las inflamatorias. En esta revisión narrativa hemos considerado: a) recomendaciones para el diagnóstico de la sarcopenia; b) herramientas útiles para la práctica clínica y la investigación; c) su relación con las enfermedades reumáticas. Según el último Consenso Europeo de Sarcopenia la búsqueda debe comenzar cuando el paciente reporta síntomas y/o signos (debilidad, lentitud al caminar, desgaste muscular, pérdida de masa muscular, etc.). Para los adultos mayores se recomienda el cuestionario SARC-F como herramienta de tamizaje. Varias pruebas establecen los puntos de corte que deben utilizarse para diagnosticar la baja fuerza muscular, la disminución en la masa muscular y la alteración en el rendimiento físico. La relevancia de diagnosticar precozmente la sarcopenia se basa en el impacto clínico, económico y social que tiene, incluyendo la funcionalidad y calidad de vida de las personas, muy importante en aquellas con enfermedades reumatológicas.
Sarcopenia is defined as a combination of low muscle strength and mass with muscle function impairment that affects the population at different age ranges for different reasons. The global prevalence at the elderly was estimated at 10% (95% CI: 8-12%) in men and 10% (95% CI: 8-13%) in women. In recent years, the detection of sarcopenia in rheumatic diseases has become relevant. The aim of this revision was to develop a review regarding: a) recommendations for the diagnosis of sarcopenia; b) most useful tools for detection in clinical practice and research; c) relationship with some rheumatic diseases. According to the latest European Sarcopenia Consensus, in clinical practice, the search must start when the patient reports symptoms and signs (weakness, slow walking, muscle wasting, disease that leads to muscle loss, etc.). For the elderly population the SARC-F test is recommended as a screening tool. Several tests have established cut-off points to be used to diagnose low muscle strength, decrease in muscle mass or physical performance impairment. The relevance of early diagnosis of sarcopenia is based on the clinical, economic, social impact and also on functionality and quality of life in people, particularly in those with rheumatic diseases.
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IdosoRESUMO
BACKGROUND: Dementia is a priority public health issue due to its high prevalence worldwide and its economic, social, and health impact. However, there are few reports in Mexico based on formal tests and with a clinical approach based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). OBJECTIVE: This study estimates the prevalence of the main types of dementia among elderly people living in the community in Mexico City. METHODS: A population-based, two-step study was conducted, including 6,204 elderly individuals aged 60 or above with in-home assessment. All participants were screened for cognitive impairment; those who presented some cognitive problem underwent a standardized neurological examination. Each diagnosis was based on the criteria for dementia in the DSM-5, and the final consensus diagnosis of dementia was determined by an expert panel. RESULTS: The global estimated prevalence of dementia in the Mexican population was 7.8% met the criteria for Alzheimer's disease, 4.3% for vascular dementia, and 2.1% for mixed dementia. The prevalence of dementia was higher in women than in men (15.3% versus 12.5%, respectively). CONCLUSION: These results provide evidence to propose strategies for Latin American countries where dementia represents a challenge due to the heterogeneity of the populations and socioeconomic disparities, requiring early diagnosis and at the first levels of care.
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Doença de Alzheimer , Demência , Idoso , Envelhecimento , Doença de Alzheimer/diagnóstico , Demência/diagnóstico , Demência/epidemiologia , Demência/psicologia , Feminino , Humanos , Masculino , México/epidemiologia , PrevalênciaRESUMO
Introduction: Frailty is an indicator of health status in old age and a common clinical syndrome in older adults that carries an increased risk of poor health outcomes, including falls, incidents of disability, hospitalization, and mortality. This study aimed to identify the different trajectories of frailty and the factors related to frailty among Mexican older adults over time. Methods: Data are from a four-wave panel composed of older Mexican adults from 2001 to 2015 of the Mexican Health and Aging Study (MHAS). Frailty is the accumulation of deficits using a frailty index. A multilevel analysis, using hierarchical models, was applied to know the changes of frailty trajectories and what factors are related to it. Results: Being female, older, being widowhood, and having a lower level of education were risk factors for having a high frailty index and lower financial satisfaction doing activities at home have adverse effects. Conclusion: The findings of this work present information about the prevalence of frailty considering the proportion of deficits that individuals possess and their main associated components in older Mexican adults. It is necessary to improve socioeconomic health conditions in phases before old age to avoid developing frailty in the future.
Introducción: La fragilidad es un indicador del estado de salud en la vejez y un síndrome clínico común en los adultos mayores que conlleva un mayor riesgo de resultados de salud deficientes, que incluyen caídas, incidentes de discapacidad, hospitalización y mortalidad. Este estudio tuvo como objetivo identificar las diferentes trayectorias de la fragilidad y los factores relacionados con ésta entre los adultos mayores mexicanos a lo largo del tiempo. Metodología: Los datos provienen de un panel de cuatro ondas compuesto por adultos mayores mexicanos de 2001 a 2015 del Estudio Nacional de Salud y Envejecimiento en México (ENASEM). La fragilidad es la acumulación de déficits utilizando un índice de fragilidad. Se aplicó un análisis multinivel, utilizando modelos jerárquicos, para conocer los cambios de trayectorias de fragilidad y qué factores se relacionan con ella. Resultados: Ser mujer, ser mayor, ser viuda y tener un menor nivel de educación fueron factores de riesgo para tener un índice de fragilidad alto y una menor satisfacción financiera o realizar actividades en el hogar tienen efectos adversos. Conclusiones: Los hallazgos de este trabajo presentan información acerca de la prevalencia de la fragilidad considerando la proporción de déficits que poseen los individuos y sus primordiales componentes asociados en adultos mayores mexicanos. Se requiere mejorar las condiciones socioeconómicas de salud en fases previas a la vejez para evitar desarrollar fragilidad en el futuro.
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Abstract The aim of this work is to describe and analyze the association of PGI/PGII ratio (indicator of gastric atrophy) with H. pylori-CagA and life style factors such as caloric intake, obesity, and harmful habits amongst H. pylori-positive elderly people infected in Costa Rica using an exploratory multigroup structural equations model (SEM). Using a sample of 1748 H. pylori-positive elderly people from CRELES first wave study, a SEM was employed analyze if the relationships between PGI/PGII ratio with levels of H. pylori-CagA, caloric intake, obesity, and harmful habits, differs by sex, age and risk areas subgroups. The proposed SEMs exhibited a good fit in males (RMSEA = 0.039), females (RMSEA = 0.000), low-risk area (RMSEA = 0.038), middle-risk area (RMSEA = 0.042), individuals under 80 years (RMSEA = 0.038) and individuals aged 80 and over (RMSEA = 0.042), while an acceptable fit was observed for the high-risk area (RMSEA = 0.061). Fitted SEMs showed that CagA predicted PG-ratio as expected, with effects increasing with the risk area, but similar between sex and age groups. All indicators measuring obesity (BMI, arms, and waist) showed significant standardized coefficients, with similar effects between sex, age and risk area groups. No other significant effects or differences between groups were identified. We propose a good-fitted SEM model for the possible relationships between CagA and PG ratio and the geographical risk area level for elderly people. No differences were observed on measured parameters between male and female population, or between under 80 years and older individuals.
Resumen El objetivo de este trabajo es describir y analizar la asociación entre PGI/PGII (indicador de atrofia gástrica con H. pylori-CagA y factores asociados a estilo de vida como ingesta calórica, obesidad y hábitos nocivos entre adultos mayores positivos por H. pylori en Costa Rica utilizando modelos de ecuaciones estructurales multigrupo (SEM). Con una muestra de 1748 adultos mayores del estudio CRELES, se utilizó un SEM para analizar las relaciones entre PGI/PGII, CagA, ingesta calórica, obesidad y hábitos nocivos difieren por sexo, edad y áreas de riesgo. Los SEMs propuestos exhibieron un buen ajuste en hombres (RMSEA = 0.039), mujeres (RMSEA = 0.000), área de bajo riesgo (RMSEA = 0.038), áreas de riesgo medio (RMSEA = 0.042), individuos menores de 80 años (RMSEA = 0.038) e individuos de 80 años o más (RMSEA = 0.042), mientras que hubo un ajuste aceptable en áreas de alto riesgo (RMSEA = 0.061). Los SEMs ajustados mostraron que CagA predice la relación PGI/II en la dirección esperada con efectos proporcionales al área de riesgo, pero no por sexo y edad. Todos los indicadores medibles de obesidad (IMC, brazos y cintura) mostraron coeficientes estandarizados significativos con efectos similares entre los grupos por sexo, edad y área de riesgo. No se encontraron otros efectos o diferencias significativas. Proponemos un modelo SEM bien ajustado para las posibles relaciones entre CagA y PGI/II y el nivel de riesgo del área geográfica en adultos mayores. No se encontraron diferencias en las variables analizadas entre hombres y mujeres ni entre los grupos de edad.
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Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Helicobacter pylori , Ingestão de Energia , Gastrite Atrófica , ObesidadeRESUMO
Resumen Introducción: la fragilidad es un indicador del estado de salud en la vejez y un síndrome clínico común en adultos mayores; conlleva un elevado riesgo de resultados deficientes de salud que incluyen caídas, incidentes de discapacidad, hospitalización y mortalidad. Este estudio tuvo como objetivo identificar las diferentes trayectorias de la fragilidad y los factores relacionados con esta entre adultos mayores mexicanos a lo largo del tiempo. Metodología: los datos provienen de un panel de cuatro rondas compuesto por adultos mayores mexicanos y desarrollado de 2001 a 2015 por el Estudio Nacional de Salud y Envejecimiento en México (ENASEM). La fragilidad es la acumulación de déficits a partir de un índice de fragilidad. Se aplicó un análisis multinivel, utilizando modelos jerárquicos para conocer los cambios de trayectorias de fragilidad y qué factores se relacionan con ella. Resultados: ser mujer mayor, viuda y tener un bajo nivel educativo fueron factores de riesgo para un índice de fragilidad alto y una menor satisfacción financiera o realizar actividades en el hogar tienen efectos adversos. Conclusiones: se halló una prevalencia de la fragilidad según la proporción de déficits que poseen los individuos y sus primordiales componentes asociados. Se requiere mejorar las condiciones socioeconómicas de salud en fases previas a la vejez con miras a evitar la presencia de fragilidad en el futuro.
Abstract Introduction: Frailty is an indicator of health status in old age and a common clinical syndrome in older adults that carries an increased risk of poor health outcomes, including falls, incidents of disability, hospitalization, and mortality. This study aimed to identify the different trajectories of frailty and the factors related to frailty among Mexican older adults over time. Methods: Data are from a four-wave panel composed of older Mexican adults from 2001 to 2015 of the Mexican Health and Aging Study (MHAS). Frailty is the accumulation of deficits using a frailty index. A multilevel analysis, using hierarchical models, was applied to know the changes of frailty trajectories and what factors are related to it. Results: Being female, older, being widowhood, and having a lower level of education were risk factors for having a high frailty index and lower financial satisfaction doing activities at home have adverse effects. Conclusion: The findings of this work present information about the prevalence of frailty considering the proportion of deficits that individuals possess and their main associated components in older Mexican adults. It is necessary to improve socioeconomic health conditions in phases before old age to avoid developing frailty in the future.
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Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Fragilidade , Estudos Longitudinais , MéxicoRESUMO
RESUMEN Los adultos mayores tienen mayor riesgo de desarrollar epilepsia. Con un aumento progresivo de la expectativa de vida, este grupo muestra el más rápido incremento entre los pacientes con epilepsia. El tratamiento en sí se complica debido a los cambios fisiológicos relacionados con el envejecimiento, las comorbilidades, los problemas cognitivos concomitantes, las interacciones farmacológicas complejas y las dificultades en la adherencia a regímenes medicamentosos. Las crisis epilépticas se pueden controlar en la mayoría de los pacientes adultos mayores con dosis bajas de un solo fármaco anticrisis epiléptica de efecto específico. La tolerabilidad es un factor importante en la selección del fármaco, ya que los pacientes adultos mayores tienden a ser muy sensibles a los efectos secundarios. Para los fármacos anticrisis epiléptica que operan como inductores enzimáticos se debe valorar su retiro del arsenal terapéutico en favor de nuevos agentes que han demostrado similar eficacia y mejor tolerabilidad. Lamotrigina y levetiracetam son los fármacos anticrisis epiléptica más recomendados actualmente para el manejo de este cuadro en los adultos mayores. Aun cuando puede tratarse de una epilepsia fácilmente controlable, es recomendable mantener el tratamiento de forma indefinida en los adultos mayores dada la tendencia recurrente de las crisis. Se requieren más estudios que aborden los mecanismos fisiopatológicos de la epilepsia en este grupo etario y una mayor inclusión de los adultos mayores en ensayos clínicos, así como el desarrollo de modelos de atención integral que optimice el cuidado de estos pacientes.
SUMMARY Elderly people are at a higher risk of developing epilepsy. With a progressive increase in life expectancy, this is the fastest growing group of epilepsy patients. Their treatment is complicated by the presence of physiological changes related to aging, comorbidities, concomitant cognitive problems, complex drug interactions, and difficulties in the adherence to medication regimes. Seizures can be controlled in elderly people patients with low doses of a single epileptic seizure drug. Tolerability is an important factor in drug selection, as elderly people patients tend to be very sensitive to side effects. Enzyme-inducing anti-seizure drugs should gradually be left out of the therapeutic arsenal in favor of new anti-seizure drugs that have shown similar efficacy and better tolerability. Levetiracetam and lamotrigine are the most recommended anti-seizure drugs for older adults with epilepsy nowadays. Although it could be easily controlled, it is recommended that older adults continue their treatment indefinitely, due to the recurrent seizures' proclivity. More studies are needed to address the pathophysiological mechanisms of epilepsy in this age group, and greater inclusion of elderly people in clinical trials is needed, as is the development of comprehensive care models to provide optimal patient care.
RESUMO
Resumo: Trata-se de estudo quantitativo transversal cujo objetivo foi analisar a correlação entre funcionalidade e força de preensão manual e a condição de fragilidade física em idosos da atenção primária à saúde. Participaram 389 idosos (=60 anos) de ambos os sexos, cadastrados em uma Unidade Básica de Saúde de Curitiba, Paraná. A coleta de dados ocorreu de janeiro a novembro de 2019, foi precedida pela aplicação do miniexame do estado mental, seguida dos questionários sociodemográfico e clínico, escala da medida de independência funcional (MIF) e avaliação da fragilidade física. Os dados foram organizados no programa Microsoft Excel® 2007 e analisados no software R CORE TEAM, mediante estatística descritiva, análises bivariadas (p<0,05), testes de Kruskal-Wallis, Dunn, qui-quadrado e Spearman. Dos 389 idosos, 34 (8,7%) eram frágeis, 186 (47,8%) pré-frágeis, 169 (43,5%) não frágeis, 255 (65,6%) do sexo feminino e 186 (47,8%) na faixa etária entre 60 e 69 anos. A FPM reduzida foi identificada em 82 (21%) idosos e distribuída entre 27 (79,5%) frágeis e 55 (29,5%) pré-frágeis. Houve correlação significativa entre funcionalidade e força de preensão manual segundo à condição de fragilidade física (PË= 0,330; p=<0,001). A média da FPM foi maior no grupo de idosos não frágeis (28,9 Kgf), comparada aos pré-frágeis (24,6 Kgf) e frágeis (17,1 Kgf). A pontuação média da funcionalidade (MIF) foi maior no grupo de idosos não frágeis (122,1 pontos) em relação aos pré-frágeis (120,6pontos) e frágeis (114,2 pontos). Quanto à tarefa da MIF "controle de urina", observou-se elevada frequência idosos frágeis completamente dependentes (n=9; 26,4%) e pré-frágeis moderadamente dependentes (n=52; 27,9%). Para a tarefa "interação social" observou-se expressiva frequência de idosos frágeis moderadamente dependentes(n=12; 35,3%). Para a tarefa "resolução de problemas" evidenciou-se a mesma frequência (n=7; 20,6%) de idosos frágeis completamente dependentes e moderadamente dependentes. Na avaliação da tarefa "memória" destacaram-se os pré-frágeis moderadamente dependentes (n=26; 14%). A correlação entre funcionalidade (MIF) e FPM se mostrou fraca, positiva e significativa entre os idosos da amostra investigada (PË= 0,330; p=<0,001), entre os não frágeis (PË= 0,252;p=<0,001) e entre os pré-frágeis (PË= 0,236; p=0,001). O desempenho nas tarefas "controle de urina" e "subir e descer escadas" correlacionou-se significativamente à FPM (p=<0,005) entre os idosos pré-frágeis. Destacam-se, com maior coeficiente de correlação com a FPM, as tarefas "controle de urina" para os idosos não frágeis (PË=0,309) e "subir e descer escadas" para os pré-frágeis (PË=0,222). Já a tarefa "resolução de problemas" correlacionou-se à FPM entre os idosos pré-frágeis (p=<0,004) e frágeis (p=<0,017), sendo entre esses o maior coeficiente de correlação (PË= 0,408). Verifica-se ainda a correlação entre a tarefa "expressão verbal e não verbal" e a FPM para o grupo de idosos frágeis (p=<0,025; PË= 0,383). Conclui-se que houve correlação positiva entre funcionalidade e FPM entre os idosos não frágeis e pré-frágeis, indicando que quanto maior a FPM, melhor é o desempenho funcional. Destacam-se resultados expressivos para a prática clínica de enfermagem gerontológica, que podem subsidiar estratégias preventivas voltadas à manutenção da FPM e da funcionalidade, principalmente entre os idosos não frágeis e pré-frágeis.
Abstract: This is a cross-sectional quantitative study whose objective was to analyze the correlation between functionality and handgrip strength and the condition of physical frailty in elderly people in primary health care. Participants were 389 elderly people (=60 years) of both sexes, registered at a Basic Health Unit in Curitiba, Paraná. Data collection took place from January to November 2019, was preceded by the application of the mini-mental state exam, followed by sociodemographic and clinical questionnaires, functional independence measure scale (FIM), and assessment of physical frailty. Data were organized in Microsoft Excel® 2007 program and analyzed in R CORE TEAM software, using descriptive statistics, bivariate analyzes (p<0.05), Kruskal-Wallis, Dunn, chi-square, and Spearman tests. Of the 389 elderly, 34 (8.7%) were frail, 186 (47.8%) were pre-frail, 169 (43.5%) were non-frail, 255 (65.6%) were female and 186 (47.8%) in the age group between 60 and 69 years. Reduced HGS was identified in 82 (21%) elderly and distributed among 27 (79.5%) frail and 55 (29.5%) pre-frail. There was a significant correlation between functionality and handgrip strength according to the condition of physical frailty (PË=0.330; p=<0.001). The average HGS was higher in the group of non-frail elderly (28.9 Kgf), compared to pre-frail (24.6 Kgf) and frail (17.1 Kgf). The mean functionality score (MIF) was higher in the group of non-frail elderly (122.1 points) compared to pre-frail (120.6 points) and frail (114.2 points). As for the FIM task "urine control", a high frequency of completely dependent frail elderly (n=9; 26.4%) and moderately dependent pre-frail (n=52; 27.9%) was observed. For the "social interaction" task, there was a significant frequency of moderately dependent frail elderly was observed (n=12; 35.3%). For the "problem solving" task, the same frequency (n=7; 20.6%) of completely dependent and moderately dependent frail elderly individuals was observed. In the evaluation of the "memory" task, the moderately dependent pre-frail stood out (n=26; 14%). The correlation between functionality (MIF) and HGS was weak, positive, and significant among the elderly in the investigated sample (PË= 0.330; p=<0.001), among the nonfrail (PË=0.252; p=<0.001) and among the elderly. pre-fragile (PË= 0.236; p=0.001). The performance in the tasks "urine control" and "going up and down stairs" was significantly correlated with HGS (p=<0.005) among the pre-frail elderly. The tasks "urine control" for the non-frail elderly (PË=0.309) and "going up and down stairs" for the pre-frail stand out, with the highest correlation coefficient with HGS (PË=0.222). The "problem solving" task was correlated with HGS among pre-frail (p=<0.004) and frail (p=<0.017) elderly, with the highest correlation coefficient (PË=0.408) among these. There is also a correlation between the task "verbal and non-verbal expression" and HGS for the frail elderly group (p=<0.025; PË=0.383). It was concluded that there was a positive correlation between functionality and HGS among the non-frail and pre-frail elderly, indicating that the higher the HGS, the better the functional performance. Significant results for the clinical practice of gerontological nursing stand out, which can support preventive strategies aimed at maintaining HGS and functionality, especially among non-frail and pre-frail elderly people.