PURPOSE: To adapt and validate the physical activities scale for older women.
METHODS: The sample, selected for convenience, consisted of 50 women with an average age of 71.3 years (± 9.15). The adaptation was made from a scale that measures physical activity in a period of 24 hours, in a typical week day. The activities described and illustrated have been adapted accordingly to the logic of the original instrument which has nine levels of intensity ranging from lying/sleeping (0.9 METs) to high-intensity physical activities (> 6 METs). After having explored the face validity, a correction factor scale based on the assessment of 20 elderly was set. The concurrent validity between the corrected scale and the Kcal expenditure obtained by uniaxial sensors in 30 elderly were explored for three age groups (60 to 69, 70 to 79 and > 80 years). Descriptive statistics and measures of agreement plus dispersion plot diagrams were carried out (CI = 95%; α = 5%).
RESULTS: The results showed that both the validity (R = 0.67 and R = 0.74) and the reproducibility (R = 0.96 and R = 0.91) presented satisfactory levels of agreement for the elderly women, except for the older category (> 80 years). On the other hand, in the data dispersion diagrams the results suggested a greater range of data for the measures of validity.
CONCLUSION: The adapted scale seems to be a simple alternative and reasonably valid measure of daily physical activity for older Brazilian women.
Keywords: Physical activity, validity, questionnaire, elderly.
OBJECTIVES: To translate into Portuguese a modified version of the Physical Performance Test and to assess its internal consistency and intra- and inter-examiner reliability in the community-dwelling Brazilian elderly population.
MATERIAL AND METHODS: The linguistic adaptation followed these steps: translation into Portuguese, back translation into English, assessment of the translation by an expert committee and pilot study. With the final version of the instrument inter and intra-examiner reliability was assessed.
RESULTS: Thirty participants were assessed. In the process of translation and adaptation, only for the item 8 was inserted the number of stairs (10) that corresponds to a one flight No other doubt on understanding occurred related to the remaining items. Intra and inter-examiners reliability were calculated by intraclass correlation coefficient (ICC) with values of 0.81(IC95% 0.51; 0.93) and 0.86 (IC95% 0.63; 0,95), respectively; with Cronbachs alpha of 0.89 and 0.92, respectively. Paired T-tests yielded no statistically significant results for intra and inter-examiner test-retest (p > 0.05).
CONCLUSION: The modified version of the Physical Performance Test was translated into Portuguese and adapted for its use in the Brazilian community-dwelling elderly with adequate levels of internal consistency and reliability.
Keywords: Linguistic adaptation, reliability, Physical Performance Test, elderly.
OBJECTIVES: To verify the geographical distribution, in the Brazilian territory, of the elderly beneficiaries of the Aeronautical Command Health System.
METHODS: The group was composed by the present beneficiaries of the System, of both sexes, with age equal or over 60, living in the Brazilian territory. The data was collected from the Personnel Management System, and a regionalized distribution of the elderly population was obtained.
RESULTS: It was observed a total of 60.402 elderly entailed to the Health System, representing 21% of the total population assisted. The following distribution by regions of the national territory was obtained: Southeast Region, with 36.287 elderly (60,0%); Northeast Region, with 9.786 (16,2%); South Region, with 5.574 (9,2%); Center-west Region, with 5.010 (8,3%) and North Region, with 3.702 (6,3%). Of the total of elderly assisted, 45.842 (75%) are concentrated in only five states: Rio de Janeiro (24.993), São Paulo (8.811), Pernambuco (4.723), Distrito Federal (4.204) and Rio Grande do Sul (3.111).
CONCLUSIONS: The number of elderly beneficiaries assisted by the Health System of the Aeronautical Command is well above the average of the other health operators of the national market and presents a different geographical distribution from the Brazilian general population
Keywords: Elderly, distribution, management.
Due to the improvement in the conditions of public health, the life expectation increased, and consequently a larger number of women reaches the climacteric. This is characterized by symptoms as fogachos, migraine, vaginite atrófica, infections in the urinary treatment, hands and cold feet, forgetfulness and depression. With the intention of reducing these symptoms the therapy of replacement hormonal has been used (TRH). However, this method presents some negative aspects harming the health and the quality of the women's life. For this reason, it increased the interest in the treatment of the menopause through alternative therapies, among them I use him/it of isoflavone, that are fitoestrógenos with molecular structure similar to the endogenous hormone. With this bibliographical revision we looked for to verify the effects of the isoflavone contained in the soy in the climacteric period. Some studies demonstrate that the isoflavone reduces the symptoms menopauses in intensity and in frequency. However, in other investigations it was verified that isoflavone ingestion for women in the menopause doesn't eliminate the number of heat waves, but it reduces your intensity depending on the ingested amount. It is known, however, of the properties nutritions of this leguminous and your antioxidant effects, besides being a natural product and free from saturated fat, cholesterol and lactose, benefitting the individual in a general way.
Keywords: Soil; climatery; soils climatery, isoflavones in the climatery
This article aims to reflect on the primary health care for eldery in Brazil. The models and paradigms of assistance for the elderly are discussed, looking at new perspectives to overcome the old model of care to the elderly, including its challenges, barriers, and its social, cultural, psychological and physical complexity.
Keywords: Primary health care, elderly, older, health professionals.
This article aims to discuss several aspects regarding the use of medicines among elderly people. This topic has become particularly important due to the population aging and the special characteristics of the use of medicines among older people. We carried out a search of Scielo and PubMed databases and some selected articles were discussed. It is emphasized the need for a better understanding of the drug use patterns as an important strategy to inform policies towards health prnmotion for older people.
Keywords: Aging health, drug utilization, clinical pharmacology.
Progressive loss of autonomy and dependence for daily living activities due to cognitive impairment defines dementia. Once it can be caused by a potentially treatable organic condition, it is appropriate to consider de use of laboratory and image methods. In this report, a case of dementia due to brain tumor is presented. This is an unusual cause of cognitive impairment, at which symptoms and signs are similar to those found in other causes of dementia, with some particularities. Besides rapidly progressive cognitive impairment, the patient also had apathy, weakness, gait dysfunction and urge urinary incontinence, leading to poor performance on daily living activities. There was a progressive clinical decline over a six-month period. Several possible diagnoses are considered, including the atypical ones. An image method was very important in making the correct diagnosis. The surgical treatment was successful and the patient recovered her independence on daily activities.
Keywords: Dementia, brain tumor, differential diagnosis, cognitive impairment.