Fragility syndrome: determinant factors in institutionalized elderly
DOI:
https://doi.org/10.21270/archi.v10i7.5053Palavras-chave:
Aged, Institutionalization, Housing for the Elderly, FrailtyResumo
The aim of the study was to evaluate the frailty syndrome in residents of a Long-Term Care Facility for the Elderly. A cross-sectional study was carried out on 24 subjects over the age of 60 years. For the screening of frailty syndrome, the criteria of the Cardiovascular Study were used, which classifies the subjects into fragile, pre-fragile and non-fragile according to five criteria: decreased handgrip strength; self-reported fatigue; decrease in walking speed; unintentional weight loss; and low level of physical activity. The average age of the population studied was 81.13 years, with 54.20% being female. Among the elderly, 83.33% were frail, 12.50% were pre-frail and 4.17% were not frail. Elderly people over 80 years old had a higher incidence of frailty when compared to those aged 60 - 79 years, with 85.7% and 80%, respectively. Since 66.67% of the elderly had decreased handgrip muscle strength, 37.50% reported fatigue, 41.67% demonstrated decreased gait speed, 12.50% unintentional weight loss and 87.50% were physically inactive. We identified a high prevalence of DES among the elderly residing in the institution studied, thus reinforcing the importance of early screening for frailty in institutionalized elderly.
Downloads
Referências
Subra J, Gillette-Guyonnet S, Cesari M, Oustric S, Vellas B, Platform Team. The Integration Of Frailty Into Clinical Practice: preliminary results from the gérontopôle. J Nutr Health Aging. 2012;16(8):714-20.
Marchiori GF, Tavares DMS. Mudanças nas condições de fragilidade e componentes fenotípicos em idosos após hospitalização. Rev Lat Am Enfermagem. 2017;25:e2905.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):146-57.
Vieira RA, Guerra RO, Giacomin KC, Vasconcelos KSS, Andrade ACS, Pereira LSM. Prevalência de fragilidade e fatores associados em idosos comunitários de Belo Horizonte, Minas Gerais, Brasil: dados estudo FIBRA. Cad Saude Pública. 2013;29(8):1631-643.
Escuin MR, Vaca JG, Pérez RV, García MDA, Iglesias MS, Carbonell JLO, et al. Frailty and mortality or incident disability in institutionalized older adults: the FINAL study. Maturitas. 2014;18(4):329-34.
Mesquita AF, Silva EC, Eickemberg M, Roriz CKA, Medeiros MB, Ramos LB. Factors associated with sarcopenia in institutionalized elderly. Nutr Hosp 2017;34(2):345-51.
Benedetti TRB, Mazo GZ, Gonçalves LHT. Bateria de testes AAHPERD: adaptação para idosos institucionalizados. RBCDH. 2014; 16(1):1-14.
Alexandre TS, Duarte YA, Santos JL, Wong R, Lebrão ML. Sarcopenia according to the European Working Group on Sarcopenia in Older People (EWGSOP) versus dynapenia as a risk factor for mortality in the elderly. J Nutr Health Aging. 2014;18(8):751-56.
Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutilidade no Brasil. Rev Bras Ativ Fís Saúde. 2001;6(2):5-18.
Pinheiro NCG, Holanda VCD, Me LA, Medeiros AKB, Lima KC. Desigualdade no perfil dos idosos institucionalizados na cidade de Natal, Brasil. Cien Saude Colet. 2016;12(11):3399-405.
Souza TK, Mesquita LAS, Pereira LA, Azeredo CM. Baixo peso e dependência funcional em idosos institucionalizados de Uberlândia (MG), Brasil. Cien Saude Colet. 2014;19(8):3513-520.
Pereira MLAS, Moreira PA, Oliveira CC, Roriz AKC, Amaral MTR, Mello AL, et al. Nutritional status of institutionalized elderly Brazilians: a study with the Mini Nutritional. Nutr Hosp. 2015;31(3):1198-204.
Santo CE. Perfil da saúde e qualidade de vida de idosos de uma instituição de longa permanência do município de Bauru, São Paulo [tese]. Bauru/SP: Universidade de São Paulo Faculdade de Odontologia de Bauru; 2014.
Silva EC, Roriz AKC, Eickemberg M, Mello AL, Côrtes EBQ, Feitosa CA et al. Factors associated with anemina in the institutionalized elderly. PLoS One. 2016;11(9):e0162240.
Martikainen P, Moustgaard H, Einio R, Murphy M. Life expectancy in long-term institutional care by marital status: multistate life table estimates for older finnish men and women. J Gerontol B Psychol Soc Sci.2013;69(2):303-10.
Pereira AA, Borim FSA, Neri AL. Risk of death in elderly persons based on the frailty phenotype and the frailty index: a review study. Rev bras geriatr gerontol. 2017;20(2):273-85.
Pereira IFS, Spyrides MHC, Andrade LMB. Estado nutricional de idosos no Brasil: uma abordagem multinível. Cad Saude Publica. 2016;32(5):e00178814.
Raso V, Tolea MI, Mancini RB, Matsudo SMM. Grip strength predicts physical function in nursing home residents. Medical Express. 2017;4(1):M170104.
Kojima G. Prevalence of frailty in nursing homes: a systematic review and meta-analysis. J AM Med Dir Assoc. 2015;16(11):940-45.
Hajek A, Brettschneider C, Lange C, Pesselt T, Wiese B, Steinmann S et al. Longitudinal predictors of institutionalization in old age. PLoS One. 2015;10(12):e0144203.
Mansfield JC, Wirtz PW. Predictors of entry to the nursing home: does length of follow-up matter? Arch Gerontol Geriatr. 2011;53(3):309-15.
Duca GF, Antes DL, Hall PC. Quedas e fraturas entre residentes de instituições de longa permanência para idosos. Rev Bras Epidemiol. 2013;16(1):68-76.
Cordeiro LM, Paulino JL, Bessa MEP, Borges CL, Leite SFP. Qualidade de vida dos idosos fragilizados e institucionalizados. Acta Paul Enferm. 2015;28(4):361-66.
Reis KMC, Jesus CAC. Cohort study of institutionalized elderly people: fall risk factors. Rev Lat Am Enfermagem. 2015;23(6):1130-138.
de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154.
Mello AC, Engstrom EM. Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cad Saude Publica. 2014;30(6):1143-168.
Lenardt MH, Carneiro NHK, Binotto MA, Setoguchi LS, Cechinel C. Relação entre fragilidade física e características sociodemográficas e clínicas de idosos. Esc Anna Nery. 2015;19(4):585-92.
Yang F, Chen QW. Evaluation of frailty and influencing factors in old people in hospital institution: evidence for a phenotype of frailty. Medicine (Baltimore). 2018;97(3):e9634.
Puts MTE, Toubasi S, Andrew MK, Ashe MC, Ploeg J, Atkinson E et al. Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies. Age and Ageing. 2017;46(3):383‐392.
Tuner G, Clegg A. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age Uk and Royal College of general practitioners. Age and Ageing. 2014;43(6):744-47.
Artabe IA, López OS, Hernández NS, Gutierrez NF, Malafarina V. The relationship between nutrition and frailty: effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas. 2016;93:89-99.
López LL, Maseada A, Labra C, Folgueira LR, Villamil JLR, Calenti JCM. Nutritional determinants of frailty in older adults: a systematic review. BMC Geriatr. 2017;17(1):108.