QUEDAS E FATORES ASSOCIADOS ENTRE IDOSOS ATENDIDOS EM UMA CLÍNICA ESCOLA: UM ESTUDO DE COORTE

Autores

  • Cíntia Lira Borges
  • Marcelo Vasconcelos Mapurunga
  • Davi José Barros de Vasconcelos
  • Arnaldo Aires Peixoto Júnior
  • José Wellington de Oliveira Lima

DOI:

https://doi.org/10.25110/arqsaude.v27i3.2023-010

Palavras-chave:

Acidentes por Quedas, Sarcopenia, Fragilidade, Incidência, Fatores de Risco

Resumo

Objetivo: Estimar a prevalência, a incidência e os fatores associados a quedas entre idosos atendidos em uma clínica escola. Método: O estudo foi dividido em dois componentes, sendo o seguimento transversal de agosto de 2016 a novembro de 2018 (n=129), e o de coorte de agosto de 2018 a novembro de 2018 (n=66). Realizaram-se análises estatísticas, a partir da Regressão Múltipla de Poisson, entre o desfecho e as características sociodemográficas e de saúde. Resultados: A prevalência e a incidência de quedas foram de 44,2% e 36,4%, respectivamente. Na análise de regressão múltipla de Poisson do estudo transversal, as variáveis sintomas dispépticos, baixos valores no teste Time Up and Go e ter hipertensão foram associadas com a variável queda. No estudo de coorte, a análise reforçou associação entre não ser ex-etilista e ter constipação. Conclusão: Considera-se elevada a prevalência e incidência de quedas entre os idosos avaliados, e ressalta-se a necessidade de identificação de grupos mais susceptíveis a esse desfecho.

Referências

SMITH, A. A et al. Assessment of risk of falls in elderly living at home. Rev Latino-Am Enfermagem. v. 25, n. e2754, 2017.

PITCHAI, P. et al. Prevalence, risk factors, circumstances for falls and level of functi-onal independence among geriatric population - A descriptive study. Indian J Public Health. v. 63, n. 1, p. 21-6, 2019.

LIANGWEN, Z. et al. Epidemiological characteristics and factors influencing falls among elderly adults in long-term care facilities in Xiamen, China. Medicine (Baltimore). v. 98, n. 8, p. 1-7, 2019.

MORI, H.; TOKUDA, Y. Differences and overlap between sarcopenia and physical frailty in older community-dwelling Japanese. Asia Pac J Clin Nutr. v. 25, n. 1, p. 157-65, 2019.

SANDER, G. B. et al. Development and validation of a cross-cultural questionnaire to evaluate nonulcer dyspepsia: the Porto Alegre Dyspeptic Symptoms Questionnaire (PADYQ). Dig Dis Sci. v. 49, n. 11-12, p.1822-9, 2004.

ENSRUD, K. E. et al. Study of Osteoporotic Fractures Research Group. Frailty and risk of falls, fracture, and mortality in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci. v. 62, n. 7, p. 744-51, 2007.

DROSSMAN, D. A. Functional gastrointestinal disorders: history, pathophysiology, clinical features and Rome IV. Gastroenterology. v. 150, n. 6, p. 1262-79, 2016.

CRUZ-JENTOFT, A. J. et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. v. 48, n. 1, p. 16-31, 2019.

PAGOTTO, V. et al. Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Rev Bra Enf. v. 71, n. 2, p. 322-28, 2018.

CRUZ-JENTOFT, A. J. et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing. v. 39, n. 4, p. 412-23, 2010.

BISCHOFF, H. A. et al. Identifying a cut-off point for normal mobility: a comparison of the timed ‘up and go’ test in community-dwelling and institutionalised elderly women. Age Ageing. v. 32, n. 3, p. 315-20, 2003.

SINGH, R. R.; MAURYA, P. Visual impairment and falls among older adults and elderly: evidence from longitudinal study of ageing in India. BMC Public Health. v. 22, n. 2324, p. 1-11, 2022.

WANG K. et al. The incidence of falls and related factors among chinese elderly community residents in six provinces. Int J Environ Res Public Health. v. 1, n. 22, p. 1-15, 2022.

QIAO, M.; TRUONG, K. N.; FRANZ, J. R. Does local dynamic stability during unperturbed walking predict the response to balance perturbations? An examination across age and falls history. Gait Posture. v. 62, p. 80-85, 2018.

WARD, R. E. et al. Functional performance as a predictor of injurious falls in older adults. J Am Geriatr Soc. v. 69, n. 2, p. 315-20, 2015.

HSIEH, K. L. et al. Factors associated with falls in older adults: A secondary analys-is of a 12-month randomized controlled trial. Arch Gerontol Geriatr. v. 108, n. 104940, 2023.

OLGUN, Y.; YAZAR, T. Prevalence of sarcopenia in patients with geriatric depres-sion diagnosis. Ir J Med Sci. v. 188, n. 3, p. 931-8, 2018.

SANTANASTO, A. J. et al. Body composition remodeling and mortality: The Health Aging and Body Composition Study. J Gerontol A Biol Sci Med Sci. v. 72, n. 4, p. 513-19, 2017.

CHO, B. Y. et al. BMI and central obesity with falls among community-dwelling older adults. Am J Prev Med. v. 54, n. 4, p. e59-e66, 2018.

JANSEN, S. et al. The association of cardiovascular disorders and falls: a systematic review. J Am Med Dir Assoc. v. 17, n. 3, p. 193-9, 2016.

MARZETTI, E. et al. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. v. 29, n. 1, p. 35-42, 2017.

YANG, M. et al. Sarcopenia predicts readmission and mortality in elderly patients in acute care wards: a prospective study. J Cachexia Sarcopenia Muscle. v. 8, n. 2, p. 251-58, 2017.

MERLINI, L.; BONALDO, P.; MARZETTI, E. “Editorial: pathophysiological me-chanisms of sarcopenia in aging and in muscular dystrophy: a translational appro-ach”. Front Aging Neurosci. v. 7, n. 153, 2015.

BALOGUN, S. et al. Prospective associations of low muscle mass and function with 10-year falls risk, incident fracture and mortality in community-dwelling older adults. J Nutr Health Aging. v. 21, n. 7, p. 843-48, 2017.

MENANT, J. C. et al. Strength measures are better than muscle mass measures in predicting health-related outcomes in older people: time to abandon the term sarcope-nia? Osteoporos Int. v. 28, n. 1, p. 59-70, 2017.

CARDON-VERBECQ, C. et al. A Predicting falls with the cognitive timed up-and-go dual task in frail older patients. Ann Phys Rehabil Med. v. 60, n. 2, p. 83-6, 2017.

MAKINO, K. et al. Prospective associations of physical frailty with future falls and fear of falling: a 48-month cohort study. Phys Ther. v. 101, n. 6, 2021.

MIDDLETON, R. et al. Mortality, falls, and fracture risk are positively associated with frailty: a SIDIAP Cohort Study of 890 000 patients. J Gerontol A Biol Sci Med Sci. v. 77, n. 1, p. 148-154, 2022.

GOMES, S.; DUARTE, Y. A. O.; SANTOS, J. L. F. Intestinal constipation in the elderly and associated factors – SABE Study. J Coloproctol. v. 39, n. 2, p. 1-6, 2018.

ORTOLÁ, R. et al. Patterns of alcohol consumption and risk of falls in older adults: a prospective cohort study. Osteoporos Int. v. 28, n. 11, p. 3143-152, 2017.

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Publicado

31-03-2023

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BORGES, Cíntia Lira; MAPURUNGA, Marcelo Vasconcelos; DE VASCONCELOS, Davi José Barros; PEIXOTO JÚNIOR, Arnaldo Aires; LIMA, José Wellington de Oliveira. QUEDAS E FATORES ASSOCIADOS ENTRE IDOSOS ATENDIDOS EM UMA CLÍNICA ESCOLA: UM ESTUDO DE COORTE. Arquivos de Ciências da Saúde da UNIPAR, [S. l.], v. 27, n. 3, p. 1185–1203, 2023. DOI: 10.25110/arqsaude.v27i3.2023-010. Disponível em: https://revistas.unipar.br/index.php/saude/article/view/9423. Acesso em: 15 nov. 2024.

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