OBJECTIVE: Evaluation of the population aged 60 years and older in the city of Arapongas - Paraná state - according to the sociodemographic and health variables.
METHOD: A descriptive and exploratory, quantitative, using a semi-structured questionnaire and Katz Index.
RESULTS: 9,295 elderlies participants of the study were in the range of 60 to 79 years old, where the females were more often than the males. About the marital status, most of them are married, with schooling less than three years, living with a family composition of two people. Although all of them are retired, a significant portion assumes an alternative source of income. In the health profile, the study subjects did not use tobacco or alcohol, they are independent, do not practice regular physical activity and noticed their health as good or regular. Indicators of morbidity: most subjects reported no falls, and when they occurred, did not cause fractures. The conditions established, the chronic degenerative diseases were the most reported. Regarding the profile of hospitalization causes diseases of the circulatory system were the most frequent, followed by diseases from the digestive system and external causes.
CONCLUSION: The subjects' profile is similar to the findings in the literature, but the discrepancies found suggest a possible need of an improvement in the accessibility of elderly to health services.
Keywords: Health transition, demographic transition, morbidity, aged.
OBJECTIVE: The aim of this article is to investigate the association between the mobility standard in the daily activities and the cognitive decline. 131 elderly individuals participated in the study (77.5 ± 9.15 years).
METHODS: Several aspects were assessed such as functional decrease (Katz and Lawton-Brody Indexes), Mini Mental State Examination, sociodemographical variables and mobility conditions.
RESULTS: There was significant association between cognitive impairment of activities in daily living and instrumental activities of daily living, cognitive decline and caregivers needs.
CONCLUSION: Mobility is an easy instrument and may be useful for preventive actions to reduce functional disability in elderlies.
Keywords: Health of the elderly, frail elderly, mobility limitation.
OBJECTIVES: Verify the possible correlation between the responses obtained by "The Hearing Handicap Inventory for the Elderly - HHIE" questionnaire and the hearing thresholds measured in a group of institutionalized elderly.
METHODS: The sample consisted of people resident in a long-term institution for elderly who had results from the HHIE questionnaire and an audiometric evaluation. The study included 41 individuals, of which 30 were females, aged between 63 and 92 years old.
RESULTS: All participants in this study presented some degree of hearing loss being the most with mild degree. Only 34% of the participants had a hearing handicap resulting in a weak positive correlation and statistically not significant with hearing loss.
CONCLUSION: The frequency of hearing loss was high in the sample studied, but less than half of study participants presents auditory handicap. We hypothesize that nursing home residents with mild hearing loss perceive more intensely their hearing handicap than those with more severe loss. Nursing home residents with severe hearing loss would restrict their daily life activities and social participation, not perceiving the hearing handicap.
Keywords: Hearing disorders; questionnaires; homes for the aged.
OBJECTIVE: This study sought to identify, through the Defense Style Questionnaire (DSQ-40), the defensive style and protection of greater intensity in 15 caretakers of cancer patients in palliative care who were admitted to the "Programa de Internação Domiciliar Interdisciplinar (Pidi)" in the period from August to October 2011.
METHODS: This is a cross sectional study of quantitative approach.
RESULTS: This study showed that caretakers have greater intensity of defenses belonging to the mature defensive style, as anticipation.
CONCLUSION: It indicates that a good deal with the situation in progress, demonstrating resilience and suggesting the mature of the caretakers in the adaptive process as individual who provides care to their family in the process of the end of life.
Keywords: Caregivers, defense mechanisms, palliative care, medical oncology.
OBJECTIVE: To verify the association between religiosity and the feelings of loneliness in elderly widowers.
METHODS: A group of 200 elderly windowers aged > 60 years attending the outpatient clinic of the Institute of Geriatrics and Gerontology of PUCRS participated. The instruments used were the scale of the Ucla Loneliness Scale and Frequency of Religious Practices and Religiosity Scale of Intrinsic/Extrinsic.
RESULTS: The results showed a high level of loneliness in the sample, with an average of 48.4%. For the estimative of the scale of solitude, the results indicated that 36.7% of the variations occurred in scale score of solitude can be explained by the incomes, the highest is the income the highest is the level of solitude. Still it was found significance in the correlation between loneliness and sex, for it came out that widowers demonstrate greater social satisfaction than widows. Most elderly presented tendency to intrinsic religiosity (Md = 25.5). Another significant relationship was found between religiosity and the age range of participants, the oldest the person is, the greatest is the tendency for the practice of intrinsic religiosity. Significant difference was found only in the relationship between the scale of loneliness and social religiosity scale.
CONCLUSION: As a general overview it was found that income is a predictive factor for the feeling of loneliness and the age range is a predictive factor for the practice of intrinsic religiosity among elderly widows. Furthermore, the practice of social religiosity can decrease the feeling of loneliness in elderly widowers.
Keywords: osteoarthritis, knee, aged, obesity, quality of life, hydrotherapy
OBJECTIVE: Investigate the ideal pattern of body image (BI) ideal established for older women and identify the relationship between the dissatisfaction degree with their BI and the variables of anthropometric and aerobic fitness.
METHODS: A total of 47 elderly women (66.12 ± 3.4 years; VO2 peak 20.3 mL.kg.min-1) were submitted to body fat percentage (%BF) evaluation using Dexa and a cardiopulmonary exercise test. Body image was evaluated through the nine silhouette scale proposed by Sorensen and Stunkard.
RESULTS: Volunteers presented a significant dissatisfaction grade in relation to their real body image (p < 0,001). The dissatisfaction grade presented a positive and significant correlation with BMI (r = 0.56) and %BF (r = 0.39) but not with the peak oxygen consumption (p > 0.05).
CONCLUSION: The findings suggest that the highest the body fat is the highest the degree of dissatisfaction. There was no distortion of body image among the elderly surveyed.
Keywords: Body image, aging, physical fitness.
OBJECTIVES: The objective of this study was to evaluate its frequency and impact on mortality in three years of monitoring in Nursing Home residents.
METHODS: A prospective study in 65 aged people in Nursing Home, located in Cariacica, ES, for three years (2005-2008). For data evaluation we used the Board survival Kaplan Meier and Cox regression with adjustment for comorbidities. Values of ρ < 0.05 were considered significant.
RESULTS: Sixty-five subjects (51.5% men), 79 ± 8 (60-97) years, 62.1% (41) hypertensive, 24% (16), immobility syndrome, 16.7% (11) with senile dementia and 12.1% (8) with diabetes mellitus. 18 (27.3%) had anemia. There were 16 deaths from different causes, as follows: group without anemia (9.09% women and 20% men), anemia (44.4% women and 55.5% men), LogRank 0.004. Analysis of Cox regression adjusted for comorbidities (age, senile dementia, immobility, diabetes), RR 3.21 (95% CI 1.05 to 19.76).
CONCLUSIONS: The aged presented a high frequency of anemia in this Nursing Home and it was an important independent risk factor for mortality in both sexes.
Keywords: Anemia, homes for the aged, aged, mortality.
OBJECTIVE: Evaluate the effects of training on balance and motor coordination applied to users of a cardiopulmonary and Metabolic Rehabilitation (CMR) project.
METHODS: It is randomized and controlled clinical trial, with the participation of sixteen elderlies (> 60 years), Senador José Ermírio de Morais Medical Centre patients in 2011. They were blinded sorted and divided into two groups: a control group, which performed the routine protocol of the project; and, an experimental group, which was added to a regular protocol of the training program in balance and coordination. The participants completed 12 weeks of intervention, performing it three times a week. They were evaluated by the tests: Tinetti, Adapted Romberg, Time Up and Go and coordination test (AAHPERD).
RESULTS: Comparing the two groups, the experimental one presented a better performance in Tinetti, Time Up and Go and coordination (AAHPERD) tests.
CONCLUSION: A balance and coordination training in elderly patients of the CMR, held for 12 weeks, proved efficiency in decreasing the falls probability in this group.
Keywords: Postural balance, exercise, accidental falls, aged.
Brazilian population is fastly growing older, and it is being foreseen that, in 2020, the elderly population will reach 16,2 million. The event of fall in those individuals can mean a great decline in functional independence and great losses in In their life quality. About 28% to 35% of the aged ones above of 65 years had suffered, at least, one fall in the period of one year. The etiologies generally are multifactorial; extrinsic and intrinsic factors, being these last one related to the static disequilibrium, difficulty of postural, dynamic control, deficit of muscular force and power.
Some studies suggest that training programs of muscular force or balance can reduce, the risk of falling, while others suggest that only multifactorial programs are effective in this reduction. Objectifying to evaluate the effect of the physical resisted exercises and/or muscular force training as an only intervention in the improvement of the balance and the prevention of fall in aged people, a bibliographical revision of current literature was done.
The only intervention with resisted exercise traditional showed to improve the muscular force in aged people, however, it had a limited effect in the improvement of balance, and also, in their functional capacity; this way, it had a limited effect in the reduction of the risk of falling. However, in recent studies, the training of muscular power shows benefits for balance and functional capacity in aged people.Thus, it is suggested that programs that promote balance and prevent falls in aged people must be multisensorial, enclosing the multiples and important factors important factors of the risk of falling population.
Keywords: Exercise, postural balance, accidental falls, aged.
The Brazilian population is progressively becoming elderly and the number of elderly who has suffered some kind of fall has increased. Changes that occur with the body of an elderly individual should be observed to assess and prevent the fall. Falls can occur by intrinsic and extrinsic factors. The Poma test - Brazilian Evaluation of the Performance Oriented Mobility (Performance Oriented Mobility Assessment) is used for the purpose of evaluating the risk factors of falls in elderly. This research aims to demonstrate how the Poma test is applied in Brazil and to classify the physical changes that most influence the risk of a fall in an elderly. The method used was through a survey of the literature. The method used was through in the literature. This article is of paramount importance for the multidisciplinary team that works directly with elderly that are living in communities, institutionalized or not, to assess and prevent a possible fall, as well as, for the general population.
Keywords: Aging, physiotherapy, accidental falls.
OBJECTIVE: Assess the frequency of orthostatic hypotension and its symptoms in outpatients and identify possible risk factors for the patient's profile.
METHOD: A hundred elderly aged 65 years old or over it of both sexes that sought outpatient care at "Hospital do Servidor Público Estadual", had their the blood pressure measured in the supine position after a resting of 3 minutes in this position and in a standing position after 1 - 3 minutes, when the patient was asked about the symptoms. The risk factors for orthostatic hypotension were asked previously.
RESULTS: Frequency of orthostatic hypotension was 38% and of these only 11% had symptoms. The association of changes in systolic and diastolic blood pressure was more frequent, 24%, compared to isolated changes. One or more risk factors were found in all patients of the sample, and the use of medications and hypertension were the most common.
CONCLUSION: There is a high frequency of orthostatic hypotension in ambulatory elderly, especially chronic users of drugs and hypertense elders.
Keywords: orthostatic hypotension, aged, drug tolerance, blood pressure, syncope.