Body Composition As A Frailty Marker For The Elderly Community

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Background: Body composition (BC) in the elderly has been associated with diseases and mortality; however, there is a shortage of data on frailty in the elderly. Objective: To investigate the association between BC and frailty, and identify BC profiles in nonfrail, prefrail, and frail elderly people. Methods: A cross-sectional study comprising 235 elderly (142 females and 93 males) aged > 65 years, from the city of Amparo, State of Sao Paulo, Brazil, was undertaken. Sociodemographic and cognitive features, comorbidities, medication, frailty, body mass index (BMI), muscle mass, fat mass, bone mass, and fat percent (%) data were evaluated. Aiming to examine the relationship between BC and frailty, the Mann-Whitney and Kruskal-Wallis nonparametric tests were applied. The statistical significance level was P<0.05. Results: The nonfrail elderly showed greater muscle mass and greater bone mass compared with the prefrail and frail ones. The frail elderly had greater fat % than the nonfrail elderly. There was a positive association between grip strength and muscle mass with bone mass (P<0.001), and a negative association between grip strength and fat % (P<0.001). Gait speed was positively associated with fat mass (P=0.038) and fat % (P=0.002). The physical activity level was negatively associated with fat % (P=0.022). The weight loss criterion was positively related to muscle mass (P<0.001), bone mass (P=0.009), fat mass (P=0.018), and BMI (P=0.003). There was a negative association between fatigue and bone mass (P=0.008). Discussion: Frailty in the elderly was characterized by a BC profile/phenotype with lower muscle mass and lower bone mass and with a higher fat %. The BMI was not effective in evaluating the relationship between BC and frailty. The importance of evaluating the fat % was verified when considering the tissue distribution in the elderly BC.1016611667Faculty of Medical Sciences, State University of Campinas (FCM-Unicamp)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Body composition as a frailty marker for the elderly community

Body composition (BC) in the elderly has been associated with diseases and mortality; however, there is a shortage of data on frailty in the elderly. To investigate the association between BC and frailty, and identify BC profiles in nonfrail, prefrail, and frail elderly people. A cross-sectional study comprising 235 elderly (142 females and 93 males) aged > 65 years, from the city of Amparo, State of Sao Paulo, Brazil, was undertaken. Sociodemographic and cognitive features, comorbidities, medication, frailty, body mass index (BMI), muscle mass, fat mass, bone mass, and fat percent (%) data were evaluated. Aiming to examine the relationship between BC and frailty, the Mann-Whitney and Kruskal-Wallis nonparametric tests were applied. The statistical significance level was P<0.05. The nonfrail elderly showed greater muscle mass and greater bone mass compared with the prefrail and frail ones. The frail elderly had greater fat % than the nonfrail elderly. There was a positive association between grip strength and muscle mass with bone mass (P<0.001), and a negative association between grip strength and fat % (P<0.001). Gait speed was positively associated with fat mass (P=0.038) and fat % (P=0.002). The physical activity level was negatively associated with fat % (P=0.022). The weight loss criterion was positively related to muscle mass (P<0.001), bone mass (P=0.009), fat mass (P=0.018), and BMI (P=0.003). There was a negative association between fatigue and bone mass (P=0.008). Frailty in the elderly was characterized by a BC profile/phenotype with lower muscle mass and lower bone mass and with a higher fat %. The BMI was not effective in evaluating the relationship between BC and frailty. The importance of evaluating the fat % was verified when considering the tissue distribution in the elderly BC1016611667COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPE

Envelhecimento e atividade fisica : analise das relações pedagogicas professor-aluno

O envelhecimento da população mundial vem se acentuando a cada ano que passa, dando mostras de que teremos um grande percentual de pessoas idosas, devido aos avanços da medicina e às mudanças de comportamento em relação à saúde e ao estilo de vida, como a realização de atividades físicas a fim de obter uma melhor qualidade de vida. Em decorrência a esse aumento significativo da população idosa, podemos observar números cada vez maiores de clubes para Terceira Idade, com programas de atividades físicas que possam assegurar as habilidades executadas no cotidiano dos mesmos, a qual proporcionará a manutenção da saúde física e mental e preservar a autonomia tão importante para essa população e também possibilitar a socialização dos mesmos e favorecer os aspectos bio-psico-social destas pessoas. Em nosso trabalho o enfoque esteve voltado para as questões pedagógicas presentes nas aulas de atividade física para a população idosa, destacadas algumas ferramentas indispensáveis no exercício docente, como a metodologia e a didática de ensino. Dessa forma, o objetivo principal desse trabalho foi coletar dados através de um questionário composto de questões fechadas, na procura de identificar o grau de satisfação dos alunos de terceira idade, sobre a qualidade da metodologia e didática de ensino utilizada pelos Professores de Educação Física, nas aulas para alunos dessa faixa etária praticantes de atividades físicas, realizadas nas Praças de Esportes da região Sul do município de Campinas. Tivemos como objetivo secundário dessa pesquisa, obter informações sobre o perfil encontrado na relação pedagógica entre professor e alunos, dentro do cotidiano das aulas. Com os resultados da pesquisa, pudemos verificar que entre os voluntários do estudo, a maioria dos alunos respondeu estar satisfeita com a qualidade das atividades propostas nas aulas. Quando analisado o relacionamento pedagógico entre professor e aluno, constatamos que existe um alto grau de satisfação conforme os resultados obtidos.The aging of the world-wide population comes if accenting to each year that it passes, giving to samples of that will have a great percentage of aged people, had to the advances of the medicine and the changes of behavior in relation to the health and the style of life, as the accomplishment of physical activities in order to get one better quality of fife. In result to this significant increase of the aged population, we can observe bigger numbers each time of clubs for Third Age, with programs of physical activities that can assure the abilities executed in the daily one of the same ones, which will provide the maintenance of the physical and mental health and to preserve the autonomy so important this population and also to make possible the socialization of the same ones and to favor the aspects bio-psycho-social of these people. In our work the approach was come back toward the pedagogical questions gifts in the classes of physicai activity for the aged population, detached some indispensable tools in the teaching exercise, as the methodology and the didactics of education. Of this form, the main objective of this work was to collect known element through a composed questionnaire of closed questions, in the search to identify the degree of satisfaction of the pupils of third age, on the quality of the methodology and didactics of education used for the Professors of Physical Education, in the lessons for practicing pupils of this age band of physical activities, carried through in the Squares of Sports of the South region of the city of Campinas. We had as objective secondary of this research, to get information on the profile found in the pedagogical relation between professor and pupils, inside of the daily one of the classes. With the results of the research, we could verify that it enters the volunteers of the study, the majority of the pupils had answered to be satisfied with the quality of the activities proposals in the lessons. When analyzed the pedagogical relationship between professor and pupil, we evidence that one high degree of in agreement satisfaction exists the gotten results

Prevalence and factors associated with rheumatic disease and chronic joint symptoms in elderly

Orientador: Arlete Maria Valente CoimbraDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: As doenças reumáticas representam condição multifatorial, responsável pela limitação funcional, pelo alto custo para o paciente e sociedade, o que compromete a Qualidade de Vida Relacionada à Saúde (QVRS), tendo, portanto, grande relevância para a saúde pública. O presente estudo, na área da saúde e qualidade de vida na velhice, tem em sua composição dois artigos, que apresentam como objetivo determinar a prevalência e os fatores associados às doenças reumáticas e aos sintomas articulares crônicos, bem como suas repercussões sobre a QVRS. Este estudo transversal, com caráter epidemiológico envolveu 2209 idosos (?60 anos) do município de Amparo-SP. Foram avaliados os dados sociodemográficos, as doenças reumáticas, os sintomas articulares, as condições de saúde, os sintomas depressivos pela GDS-15 e a qualidade de vida pelo SF-36. Para investigar a associação entre doenças reumáticas/sintomas articulares e fatores de risco foram utilizadas a regressão logística univariada e a multivariada. Para determinar a relação entre as condições reumáticas e a QVRS empregou-se tanto a Análise de Variância Multivariada (MANOVA) como a Análise de Variância Univariada (ANOVA). As doenças reumáticas atingiram 22.7% dos idosos e associaram-se significativamente com: sexo feminino (Odds Ratio - OR 1.91), renda familiar 3-9.9 salários mínimos (SM) (OR 1.29), ?10 SM (OR 2.34), doença cardiovascular (OR 1.42), catarata (OR 1.39), glicocorticóides (OR 5.24), outros anti-inflamatórios (OR 2.24), dor (OR 0.983). Após ajuste para glicocorticóides e diabetes identificou-se OR=1.42 para catarata. Os sintomas articulares acometeram 45.6% da amostra e apresentaram a seguinte relação: mulheres (OR 1.40), Índice de Massa Corporal (IMC) 18.5-24.9 kg/m² (OR 2.29), 25.0-29.9 kg/m² (OR 2.55), ?30.0 kg/m² (OR 3.31), capacidade funcional (OR 0.990), estado geral de saúde (OR 0.993) e dor (OR 0.981). Após ajuste para glicocorticóides e diabetes identificou-se OR=1.30 para catarata. Ao investigar o impacto das doenças reumáticas sobre a QVRS verificou-se o comprometimento relativo da: capacidade funcional (F=10.9) e dor (F=34.77). Os sintomas articulares repercutiram: capacidade funcional (F=10.9); aspectos físicos (F=72.61); dor (F=164.29); estado geral de saúde (F=71.95); vitalidade (F=55.78); aspectos sociais (F=73.14); aspectos emocionais (F=49.09); saúde mental (F=44.72). A identificação destas características possibilita determinar o impacto das alterações osteoarticulares nos diversos domínios da saúde, maior entendimento dos processos fisiopatológicos, além de auxiliar nas medidas preventivas precoces e eficientes.Abstract: Rheumatic diseases represent a multifactorial condition responsible for functional limitations and high cost to the patient and society, undermining health-related quality of life (HRQOL). The present study considered two articles on health and quality of life in old age, aiming to determine prevalence and risk factors associated with rheumatic diseases and chronic joint symptoms, as well as their impact on HRQOL. The following questionnaires were applied in this cross-sectional study comprising 2,209 elderly (?60 years): self-reported medical diagnosis of rheumatism and chronic joint symptoms, sociodemographic, health status, ADL, IAVD, GDS-15 and SF-36. Univariate and multivariate analyses were used to investigate association between rheumatic diseases/chronic arthritis symptoms and selected factors. To determine the relationship between rheumatism conditions and HRQOL was employed MANOVA e ANOVA, with p?0.05. The prevalence of arthritis was 22.7%. Multivariate analysis showed significant arthritis: female sex (OR 1.91); family income ?10 minimum wages (mw) (OR 2.34); cardiovascular disease (OR 1.42); cataract (OR 1:39); glucocorticoids (OR 5.24); pain (OR 0.983). A significant association between cataract and arthritis was detected even after adjusting for use of glucocorticoids and diabetes (OR 1.42). The prevalence of chronic joint symptoms was 45.6%. Multivariate regression results for joint symptoms included: female gender (OR 1.40); BMI ?30.0 kg/m² (OR 3.31); functional capacity (OR 0.990); general health (OR 0.993) and pain (OR 0.981). A significant association between cataract and joint pain was detected after adjusting for the use of glucocorticoids and diabetes (OR 1.42). It was found impairment when investigating the impact of rheumatic diseases on HRQOL: physical functioning (F = 10.9) and pain (F = 34.77). The joint symptoms caused the following problems: functional (F=10.9), physical problems (F=72.61), pain (F=164.29), general health (F=71.95), vitality (F=55.78), social (F=73.14), emotional (F= 49.09), mental health (F= 44.72). The identification of these characteristics will allow determining the impact of osteoarticular changes on the various health fields, providing a better understanding of pathophysiological processes, as well as contributing to early and effective preventive measures.MestradoGerontologiaMestre em Gerontologi

Mortality in brazilian community‐dwelling older adults: 7 years of follow up in primary care

To describe the main causes and factors associated with mortality in community‐dwelling older adults in a county where the public health system covers most of the population. Methods We analyzed data from an existing cross‐sectional study of 2209 participants (age ≥60 years) in a city in southeast Brazil where 92% of the population is served by a public system of primary care. Over a period of 7 years, 386 participants died and were included in the sample. We assessed the impacts that dependence on others for basic activities of daily living and instrumental activities of daily living, Geriatric Depression Scale scores, and health history have on mortality. Results The participants' mean age was 75.2 years (SD 8.2); 51.7% of the participants were women, and 51.3% had depressive symptoms. The main causes of death were circulatory diseases (40.3%), cancer (19.8%) and respiratory diseases (13.5%). Multivariate analysis showed that, taken together, the use of more than four medications per day, smoking, lower income, older age and dependence on others for a greater number of instrumental activities of daily living predicted death in this population. Conclusions Understanding the factors that are associated with mortality can facilitate understanding, and aid in developing policies regarding primary care for the elderly16780480