INTRODUCTION: Falls are considered a public health problem due to its prevalence and consequences that may affect the elderly's quality of life (QL).
AIM: Analyze the relationship between falling by accident and the elderly QL.
METHODOLOGY: This is a cross-sectional study based on the population in Goiânia, with 914 elderlies of the community. The collected data addressed socio economical and demographical factors and falls; the QL was evaluated by the SF-36 questionnaire. The associations were analyzed by the Mann-Whitney and Kruskal-Wallis tests.
RESULTS: The prevalence of falls that was found was 34.7%, being superior in the female gender (38.0%) and the age group was over 80 years old (45.4%). The analysis showed no significant difference in relation to the average of most of the domain of the SF-36 according to the occurrence of falls. But in the association of falls, QL and age group, the average for the emotional aspects (EA) was 72.9 years old for fallers and 84.6 years old for non-fallers (p = 0.047).
CONCLUSION: In this study, one can observe the high prevalence of falls, mainly in the female and older groups (80 years of age and up). As to the relationship between QL and falls, the fallers presented a lower average only in the EA domain. Therefore, it is suggested that new studies could potentially investigate the relationship between factors in these two areas, emphasizing the use of the qualitative methodology to portray the impact of falls in the QL of this population.
Keywords: accidents by falls; aged; quality of life.
OBJECTIVES: To evaluate the nutritional risk in elderly hospitalized patients using the mini nutritional assessment short form and to check its applicability in the hospital routine.
METHODS: Cross-sectional study conducted with 253 elderly patients, both genders, aged > 65 years, admitted to the Hospital of the University of São Paulo. Parameters assessed: demographics (age and sex), calf circumference, clinical profile (admission diagnosis, comorbidities and clinical outcome) and the nutritional risk using the Mini Nutritional Assessment short form. Statistical analysis was performed using analysis of variance (ANOVA), χ2 test and Spearman's rank correlation coefficient.
RESULTS: 68.0% of subjects were classified as malnourished or on nutritional risk. Negative and weak correlation was found between calf circumference and length of hospital stay (r = -0.198; p = 0.002). When stratified by gender, calf circumference was positively correlated with body mass index (r = 0.698; p < 0.001) and negatively with age (r = -0,271; p < 0.001) and length of hospital stay (r = -454; p < 0.001) among women.
CONCLUSION: The Mini Nutritional Assessment short form is a practical and applicable nutritional screening tool to be used in the hospital routine.
Keywords: nutritional screening; nutritional status; aged.
OBJECTIVES: To apprehend the perception that a group of aged patients have from affective bonds established with healthcare professionals, in order to know which features they relate to healthcare professionals and to describe which features facilitate or impede the emotional bonds.
METHODS: A field study with a qualitative approach in the School of Physiotherapy Clinic UniChristus from August 2013 to June 2014. Eight individuals of both genders, aged 60 years or older comprised the study. Data were collected through semi-structured interviews using a voice recorder, and analyzed based on Bardin's content analysis.
RESULTS: Insatisfaction with the healthcare assistance was reported. Among the attributes that facilitate the health professional-patient relationship, the following were mentioned: being patient, attentive and to promote dialog. The absence of the professional, not looking at the patient and lack of attention were mentioned as attitudes that hamper the relationship.
CONCLUSION: It becomes necessary to train health professionals to take care of the elderly, seeking to humanize assistance, as well as addressing their needs. It is important to mention that the practice of a more humanized assistance demands the offer of decent working conditions.
Keywords: aged; health personnel; object attachment.
INTRODUCTION: In the ageing process, maintaining physical fitness is essential for increased life expectancy and better quality of life. Exercises that combine dance moves and water practices seem to be adequate for such purpose, as they gather different skills like rhythm, space-time coordination, force, muscle strength and power, stimulating neuroplasticity and maintaining functional skills. Thus, it is important to assess the effects of such activities on functionality and balance maintenance ability in populations of middle-aged individuals.
OBJECTIVE: To identify the effects of a physical program based on dance moves in water on balance and agility of individuals aged 50 to 75 years.
METHODS: 15 subjects of both genders (63.93 ± 6.97 years) were submitted to a 50-minute physical program of dance moves in water, twice a week. The participants were submitted to the Wii® balance board test and the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) agility test at program start, week 6 and week 12. Analyses of variance (ANOVA two-way and ANOVA one-way) were used to test the differences between the assessments and experimental conditions. Tukey's post hoc test was applied to determine where the differences occurred. The tests presented a significance level of p < 0.05.
RESULTS: Improved agility (p < 0.05) was observed without changes in the balance maintenance ability (p > 0.05).
CONCLUSION: Exercises based on dance moves in water are effective to increase agility, but they have no influence on the balance maintenance ability of individuals aged 50 to 75 years. Then, this program can be used as a therapy tool in rehabilitation and maintenance of some functional abilities.
Keywords: ageing; physical therapy specialty; hydrotherapy; dancing.
INTRODUCTION: Due to the growing number of people over 80 years of age in the world, there is a need to discuss how these seniors are outpacing life expectancy. It is expected that longevity be accompanied by quality and independency, meaning that the oldest old achieve a successful aging. However, few studies deal with this subject in this subgroup.
OBJECTIVE: To evaluate the information available in the literature on successful aging in the oldest old through an integrative review.
METHODS: Search in electronic databases (PubMed, SciELO and LILACS) using the following terms for research: "envelhecimento bem-sucedido" and "successful aging". A total of 4.283 articles were initially found. After reading titles and abstracts, articles that approached the successful concept of aging in elderly above 80 years were selected. Review articles and studies that describe the sample without addressing the issue were excluded.
RESULTS: Eight articles were included for analysis, all written in English. The most used method was the cross-observational. The successful aging definition was quite variable. The most common component was the physical one (absence of diseases and functionality) and less emphasis was given to psychological aspects. Different models have been proposed, but the most common was the Rowe and Kahn. The prevalence of successful aging was very heterogeneous (0 to 62.3%) and the lower frequencies were related to biomedical models. There were descriptions of several associated factors, but the ones that have been reported among the studies were: to be married and having higher educational levels.
CONCLUSION: The current knowledge about successful aging in the oldest old is limited and there is no consensus regarding its definition and components. Most authors are still focusing their research on biomedical aspects, however we suggest attention should also be given to psychosocial models in this population.
Keywords: aging; aged; health of the elderly; longevity; aged, 80 and over.
A prescrição de hipnóticos aprovados para insônia diminuiu em mais de 50%, enquanto de antidepressivos ultrapassou a dos primeiros. Entretanto, existem poucos dados sobre a sua eficácia no tratamento da insônia, e muitas dessas medicações podem estar associadas com efeitos adversos desconhecidos. Antidepressivos estão associados com vários efeitos nos padrões do sono, o que depende basicamente das propriedades farmacológicas dos agentes ativos, tais como o grau de inibição dos receptores de serotonina ou noradrenalina, os efeitos nos receptores 5-HT1A e 5-HT2, a(s) ação(ões) no receptor alfa-adrenérgico e/ou sítios histaminérgicos. A mirtazapina é um antidepressivo específico, noradrenérgico e serotonérgico que atua antagonizando os receptores alfa-2 adrenérgicos e bloqueando os receptores 5-HT2 e 5-HT3. Tem uma afinidade elevada para os receptores de histaminérgicos H1, baixa afinidade para os receptores dopaminérgicos e carece de atividade anticolinérgica. Apesar destes efeitos benéficos potenciais da mirtazapina no sono, não há ensaios clínicos randomizados controlados com placebo sobre a mirtazapina em insônia primária até o momento. A mirtazapina foi associada com melhorias no sono em indivíduos insones e em pacientes com depressão. Os efeitos colaterais mais comuns da mirtazapina, como boca seca, sonolência, aumento de apetite e aumento de peso corporal, foram, sobretudo, rápidos e transitórios. Considerando seu uso frequente na população geriátrica, este manuscrito traz uma revisão acerca do uso da mirtazapina em transtornos do sono.
Keywords: sono; antidepressivos; transtornos do sono; tratamento.