OBJECTIVE: Description of the characteristics of hospitalizations due to falls in elderly people in São Paulo city.
METHODS: This was a cross-sectional, retrospective study. Secondary data from the National Health System (SUS) of seniors aged 60 or older who were hospitalized for an accidental fall during the year 2013 in the city of São Paulo were studied.
RESULTS: 8,234 admissions were recorded by an accidental fall, elderly, in 2013. Femoral fracture (32.9%); intracranial injury (15.8%).
CONCLUSION: In the present study, a higher frequency of hospitalizations for accidental fall in females and hospitalizations for accidental fall was greater was found in the group of those aged 80 years and over. The primary diagnosis for hospitalization was fractures of the femur as a result of surgical treatment femur fracture and arthroplasty.
Keywords: Aged; Hospitalization; Health of the elderly
OBJECTIVE: Comparison of the anthropometric and pulmonary function between elderly women who attend a hydrotherapy program and sedentary elderly women.
METHODS: An observational, field and cross-sectional study has been done with elderly women (n=23) between 60 and 75 years old, they were divided in two groups: G1 (hydrotherapy elderly women practitioners) and G2 (sedentary elderly), the following variables were used: socio-demographic characteristics (age, marital status and labor activity exercised), pulmonary function data (thoracic mobility, respiratory pressures, peak expiratory flow, and smoking), anthropometric measurements (body mass index, skinfold triceps, arm muscle circumference and waist/hip ratio) and the modified Baecke physical activity questionnaire for elderly people. It has been performed a descriptive analysis of the data through SPSS obtaining the mean and standard deviation of all variables. The variables normality was checked by the Shapiro-Wilk test and the homogeneity by Levene's test. In order to evaluate the differences, we used the nonparametric Mann-Whitney test with significance level of p<0.05.
RESULTS: Significant difference between both groups (p<0.05) in peak expiratory flow variables and in the total score of the Baecke questionnaire.
CONCLUSION: The water activity held once a week was not able to create significant differences in all anthropometrics and pulmonary parameters in elderly women.
Keywords: Aging; Anthropometry; Respiratory function tests; Hydrotherapy; Sedentary lifestyle
OBJECTIVE: The aim of this study was to compare the peak expiratory flow (PEF) measurements between sedentary elderly people and those who practice regular physical activity relating them to variables such as gender, age, smoking habits, physical activity and socioeconomic factors.
MATERIAL AND METHODS: The study gathered 86 elderly people aged over 60 years old duly registered in the Family Health Program in Camacan city council, Bahia state. During the examination, the volunteers were instructed to perform their peak expiratory efforts starting with an inspiration at the level of inspiratory reserve volume. Three PEF measurements were performed with 1 minute intervals between them, considering for registration the most far-reaching measure, considering that measure was not the last, superior than 5% or surpassing 20 L/min the previous one.
RESULTS: There was statistically significant relationship between gender and PEF (p=0,0012), and physical activity versus PEF (p=0,004).
CONCLUSION: PEF values from evaluated people were related to gender and physically activity and not to the age or level tobacco addiction.
Keywords: Pulmonary disease; Chronic obstructive; Motor activity; Smoking; Spirometry
OBJECTIVE: Comparison of quality of life of menopausal women considering the values of waist circumference (CA).
METHODS: 626 women aged between 40 and 65 years old who did not use hormone replacement therapy and were awaiting medical care in the Family Health Strategy of Montes Claros, north of Minas Gerais, Brazil, were recruited. The variables assessed were age, education level, family income, smoking history in the last 12 months, marital status, number of births, physical activity level, body mass index, abdominal girth, menopausal status, type of menopause, symptoms of menopause, medications and previous diseases. Through the Menopause Rating Scale (MRS) evaluated the quality of life and its relationship with climacteric symptoms. A comparison of the quality of life of menopausal women according to waist circumference, indicating a significant difference (p<0.05) in somatic-vegetative symptoms.
RESULTS: Overall MRS score there was no significant difference (12.85) for CA without risk against (14.97) for CA of high risk. Only vegetative somatic symptoms were significantly different, with worse quality of life scores (6.30) compared with the group of women without risk (4.79).
CONCLUSION: This indicates that the quality of life of climacteric woman is compromised by increased abdominal girth. Thus, to reduce further damage in women at this stage, the practice of physical exercises and proper diet are very important in improving the quality of life during menopause.
Keywords: Quality of life; Climacteric; Abdominal circumference
OBJECTIVE: To compare the discriminatory power of anthropometric indices and body composition in the detection of increased fasting glucose in elderly women.
METHODS: This cross-sectional study was conducted with 144 elderly women of a group of seniors from a city in Minas Gerais, Brazil. Measures evaluated were body mass index (BMI), waist circumference (WC), percentage body fat (%BF) by bipolar and tetrapolar bioimpedance, and fasting blood glucose. The receiver operating curve (ROC) was constructed to analyze the discriminatory indexes power, and the area under the curve was used to define which cutoff points that best discriminated the increased glucose.
RESULTS: The areas under the ROC was 0.655 to BMI (p=0.015), 0.669 (p=0.008) to WC and 0.646 (p=0.022) for tetrapolar bioimpedance, with no statistical difference between the observed areas.
CONCLUSION: The anthropometric and body composition indexes showed discrimination power of increased glucose levels, with the exception of the bipolar bioimpedance analysis.
Keywords: Body composition; Anthropometry; Aged; Blood glucose; ROC Curve
OBJECTIVE: Evaluation of the prevalence of potentially inappropriate medication (PIM) use in elderly patients admitted to the wards of Internal Medicine, Infectious Diseases, Neurology and Cardiology at Hospital de Clínicas (HC-UFPR).
METHODS: An observational, cross-sectional, analytical, retrospective study to identify inappropriate medication use among hospitalized elderly patients, between January and December 2012. The sample was composed by all the evaluated elderly patients that were hospitalized at the wards. The Beers Method version 2012 was used to identify MPI.
RESULTS: A total of 605 admissions of 512 patients were evaluated. The mean age of patients was 71±7.4 years old in Medicine Clinical. For Infectious Diseases 67±5.4 years old, Neurology 70±6.5 years old, and 71±7.9 years old for Cardiology. Out of the 8.715 medications used by this population, 1.933 (~22%) were inappropriate for seniors. Considering the ATC, the groups with more prescriptions were A - digestive tract and metabolism (48.5%), B - blood and hematopoietic organs (17.4%), N - nervous system (17%), and C - cardiovascular apparatus (12.5%). MPI between the active ingredients were most prescribed metoclopramide (28.45%), glibenclamide (17.17%), diazepam (6.67%) and mineral oil (6.31%).
CONCLUSION: This study showed that prescribing PIM among hospitalized elderly is common practice and its prevalence is similar to that found in other studies, even when used prior to 2012. The criteria group of drugs that act on the digestive system and metabolism was the most used. This study will serve as an instrument of therapeutic education for the safe and rational use of medication and awareness of prescribers, and may assist in choosing safer alternatives for the elderly and as a possible tool for multidisciplinary interventions in the management of MPI patient.
Keywords: Aged; Inappropriate prescribing; Pharmacoepidemiology
OBJECTIVE: To perform a systematic review of studies published in the last five years, about postural control and balance deficits in patients with Parkinson's disease (PD).
METHODS: The systematic literature review was performed by searching in indexed databases, with Parkinson's disease, balance, postural control, physiotherapy descriptors, and qualification Articles by Jadad Quality Scale. That scale study is considered poor if you get a score of 2 or less after evaluation.
RESULTS: Six studies obtained value three, two obtained value four, eight total that could be considered good and reproducible.
CONCLUSION: The use of the UPDRS and HY scales were frequently used as evaluation method in selected studies. Regarding interventions, exercises and functional training had good results. Interventions provided a good qualification studies because their methodological designs, as well as description of them.
Keywords: Parkinson's disease; Balance; Postural control; Physiotherapy
INTRODUCTION: Population aging is a universal phenomenon that causes an increase in the prevalence of typical health problems of the elderly, most chronic degenerative diseases, mental and behavioral disorders, among whom alcoholism and cognitive impairment, are pointed in some work as psychiatric disorders often found in over 60 patients. Alcoholism is a public health problem, and interferes with the subjects life in bio-psycho-social aspects alcoholics and elderly are more vulnerable to the harmful consequences of alcohol, mild cognitive impairment to advanced dementia.
OBJECTIVE: To review the literature on the relationship between alcohol and cognitive function in the elderly.
RESULTS: We identified limited research on psychoactive substances among the elderly; 2-10% of older people do abuse alcohol; chronic alcoholism in the elderly is an etiological factor in cognitive disorders; difficulties in identifying these case.
DISCUSSION: Alcoholism and alcohol abuse can accelerate brain aging and clinically presenting acutely with transient cognitive impairment and neurodegeneration in chronic use, neurotoxicity and impairment of cerebral metabolism occurs, causing mild cognitive impairment to irreversible lesions with dementia installed.
CONCLUSION: The ratio of alcohol and cognitive function in the elderly is complex and arouse interest in research in this area. The term alcoholic dementia is still questioned. However, it is a generic term to describe the cognitive and behavioral changes caused by chronic alcohol use with symptoms predominantly in frontal areas with damage in the functionality and quality of life. Therefore, it is necessary to understand mental disorders in the elderly and detect them early, for immediate intervention and promotion of healthy aging.
Keywords: Elderly/aged; Ethanol; Alcoholism; Dementia; Cognition disorders