OBJECTIVE: To execute the process of translation and cultural adaptation of the Minnesota Leisure Time Activities Questionnaire for the Portuguese-Brazil and to verify its intra and inter-rater reliability in community-dwelling elderly.
METHODS: Thirty-nine elderly were evaluated (71.2 ± 6.8 y.), irrespective of gender, race and/or social class, being excluded those who had cognitive impairment (Mini-Mental State Exam, the Brazilian version). The process of translation and cultural adaptation followed the criteria proposed by Beaton et al. (2000). The data analysis was done to the intra-class coefficient correlation in the annual and the last two weeks activities. The visual analysis was done for the Bland and Altman graphics'.
RESULTS:: There was a strong significant intra and inter-rater concordance for the application concerning the last two weeks (ICC = 0.911, p = 0.000, ICC = 0.777, p = 0.000), and for the information concerning the annual activities (ICC = 0.969, p = 0.000, ICC = 0.791, p = 0.000) performed by the elderly. The validity analyses had a satisfactory result considering the average of differences seen through Bland-Altman graphics, with a little variability between measures.
CONCLUSION: The results found allow to state that the Portuguese-Brazil version of the Minnesota Leisure Time Activities Questionnaire can be used as a tool to verify the weekly and/or annual calorie consumption in community-dwelling elders.
Keywords: Physical activity, reliability, questionnaire.
OBJECTIVE: To investigate the association between functional disability for basic and instrumental activities of daily living and behavioral aspects of health in the elderly and residents of neighborhoods Restinga and Far southern city of Porto Alegre.
METHODS: A cross-sectional study, including 638 individuals aged greater than or equal to 60 years. For the evaluation of basic and instrumental activities of daily living, Katz's Index and Lawton Scale, were used respectively. Defined as functional disability for each area needing help in at least one activity investigated. The independent variables were: smoking, physical activity, excessive alcohol consumption, hypertension, depression, diabetes, hypercholesterolemia, osteoporosis, hospitalizations in the previous year, number of physician visits in the last three months and self-rated health. We used the Wald test for heterogeneity and trend in the crude analysis and Poisson regression with robust variance in the adjusted analysis.
RESULTS:: The prevalence of disability for basic and instrumental activities was 15.8% (95% CI: 12.9-18.6) and 25.9% (95% CI: 22.5-29.3), respectively. It was observed that elderly patients with osteoporosis (PR = 1.64) and greater number of physician visits in the last three months had higher occurrences of failure to basic activities. As for instrumental activities, the elderly diagnosed with depression had greater functional disability (PR = 1.39). Both the functional and basic activities for instrumental activities were associated with physical inactivity and poor self-rated health.
CONCLUSION: Functional disability for basic and instrumental activities were associated with several behavioral and health. Physical inactivity and poorer perceptions of health were the factors most strongly associated with disability in both areas investigated.
Keywords: Elderly, disabled health, daily activities, cross-sectional studies, motor activity.
OBJECTIVE: The present study has as objective evaluates the balance, the trunk mobility and the risk of falls in patients with Parkinson's disease.
METHODS: They were appraised six senior of both sexes with age same or larger than 60 years bearers of the Parkinson's disease. The research used an evaluation record for collection of the data of the history, a scale for evaluation of the corporal balance (scale of Berg), other scale (Downton) to evaluate fall risk and the test of functional reach to measure the mobility of the trunk and static balance. The statistical analysis used was the Pearson's test correlation with level of significance of 5% and 1%.
RESULTS:: There is a correlation between the corporal balance and the risk of falls with r -0,8083, the correlation between the age and the risk of falls with r -0,7394, there is no correlation between the functional reach and the risk of falls with r -0,3593 and the time of lesion with risk of falls with r equal the -0,2292.
CONCLUSION: The decrease of the static balance is directly related with the largest risk of falls and that the test of functional reach doesn't allow to predict on the risk of falls among the studied population.
Keywords: Risk of falls, balance, Parkinsons disease.
INTRODUCTION: With increasing life expectancy, interest is growing in the elderly remain independent and quality of life. In this context, sexual activity is an important part and the exercise has shown protective effect on the sexual health in aging.
OBJECTIVE: The objective of this study was to explore the relationship between physical fitness and sexual activity in men 55 to 72 years.
METHODS: The participants underwent an exercise test and were interviewed about risk factors and cardiovascular aspects of life such as sexual satisfaction, desire and frequency. The data collected was used Spearman correlation tests for nonparametric variables and chi-square for categorical variables.
RESULTS:: The physical fitness and aspects of sexual activity were lower in older subjects. Adjusted for age, seniors with higher functional ability had better scores for sexual desire and frequency, but with no correlation to satisfaction. The lowest satisfaction scores were justified by the difficulty in maintaining an erection during the sexual act, and was associated with the high cholesterol risk factors.
CONCLUSION: Although physical fitness is associated with better scores for sexual desire and frequency, the use of medications for erection and sexual counseling with a therapist can help the elderly increase in sexual satisfaction.
Keywords: Aging, physical fitness, sexual activity.
OBJECTIVES: Parkinson's disease is related to the decline in daily functional activities, favoring reduced quality of life. Because of it, the aim of this study was to analyze the balance and gait agility of parkinsonian and their correlation on the functional activities.
METHODS: It was evaluated 21 volunteers: 10 parkinsonian and 11 clinically healthy individuals. All the volunteers were assessed using the Berg Balance Scale (BBS), the Time Up and Go Test (TUGT) and a pedometer during 48 hours.
RESULTS: It was observed that the values obtained by BBS and TUGT were significantly different between the groups (p < 0.05). For the number of steps it was not observed the same, the steps/48 hours were equivalent for both groups. Furthermore, it was observed great correlation between the number of steps and the BBS.
CONCLUSION: Individuals with Parkinson disease showed a deficit of balance and gait agility, but there was no interference in the independence of gait, since the subjects evaluated had similar number of steps in relation to the control group during the evaluation period.
Keywords: Parkinson disease, physical therapy, postural balance, gait.
OBJECTIVE: To describe the distribution of hospitalizations in the Unified Health System (SUS) of elderly in Recife, with respect to cost and length of hospitalization, according to gender, age and major causes from 1998 to 2005.
METHODS: A study of descriptive and cross-sectional nature were performed, using data obtained from the Bank of the Hospitalization System of the SUS, focusing on the analysis of Hospitalization Authorizations (AIHs) issued for elderly patients (aged 60 and over) in the referred period. Gender, age and primary diagnosis were studied as independent variables while cost and length of hospitalization were the dependent variables. The statistical analysis were performed by means of Pearson's chi-square test and linear regression.
RESULTS: A total number of 137,546 hospitalizations with cost of R$ 101,019,926.20 have been described throughout the study period. Of this total, R$ 49,661,829.38 was allocated for males (49.2%) and R$ 51,358,096.77 for females (50.8%). The ratio between the proportion of funds paid for hospitalizations and the proportional size of the population increases gradually with age for both sexes. The average cost and length of hospitalization decrease with increasing age. 70.6% of total expenditures (R$ 71,480,950.14) were for circulatory diseases, mental disorders, respiratory diseases, digestive tract, and neoplasms. The mean length of hospitalization was longer for the mental and behavioral disorders.
CONCLUSION: Knowing the profile of hospitalizations has shown to be very important for monitoring and evaluating the health care system and the outcome of this study reinforces the need for implementing prevention activities and health programs throughout the life course.
Keywords: Aging, elderly, morbidity, hospitalization.
Gerontology is the elderlys study that includes the relation between biological, psychological and social aspects. It's a dynamic e personal process. The song "foster child" is a classic regional Brazilian song that shows a lot of aspects about elderly; the family and her relationships since of children education until their responsibility to take care of the parents when they became older. Themes like violence, asylum, to be father in law and others will be discuss in this song. The regional Brazilian song is so popular and it can be used to get information and paradigms changes in the society
Keywords: Gerontology, elderly, regional Brazilian song, family.
In Brazil, the elderly population presents the fastest growing segment in proportional terms and according to World Health Organization, the global impact of cancer more than doubled in 30 years. National estimates of 2010, which will be also valid for 2011, show the occurrence of 489,270 new cases. Although the link between cancer and senectude be complex and fundamental questions remain unanswered, it is expected that these indicators will increase even more with the progressive aging of the population. In this context, it is necessary to develop an interaction between oncology and geriatrics, in order to promote the evaluation of elderly patients with cancer individually, in its multiple dimensions, focusing on their comorbidities, functional status, level of dependence and the physiological factors related to senescence that limit treatment to develop the best therapeutic regimen for each patient in an interdisciplinary way, ensuring equal access to quality care.
Keywords: Medical oncology, geriatrics, geriatric assessment.
Human cytomegalovirus (HCMV) is associated with important cause of morbidity and mortality in immunocompromised individuals, but their action in immunocompetent individuals has gained prominence in the field of geriatrics, in immunosenescence's works, with numerous studies revealing a significant association between HCMV chronic infection and increase of functional limitations and mortality in the population after 60 years. Research has demonstrated that HCMV chronic infection is directly related to immunological changes of aging, specifically with changes in lymphocyte T cell response, this set of changes was called immune risk profile (IRP), which is associated with the limitation on the ability of the immune system to organize an effective response to pathogenic microorganisms, resulting in increased susceptibility to infections, among other consequences. This article aims to review the role of HCMV in the aging, the immune risk profile markers and their consequences for the health of elderly population.
Keywords: Cytomegalovirus, elderly, immune risk profile, immunosenescence.