Navegando por Palavras-chave "idoso fragilizado"

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    As condições crônicas e a incapacidade funcional em idosos
    (Universidade Federal de São Paulo (UNIFESP), 2015-07-12) Bento, Carlos Adriano Pla [UNIFESP]; Ramos, Luiz Roberto Ramos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: to evaluate the prevalence of chronic conditions and examine the relationship between chronic conditions and functional disability in the elderly. Methods: Survey of 759 patients of records evaluated in EPIDOSO project ? Phase 2, from which data of sociodemographic and chronic conditions: self-reported diseases, diagnoses by medical evaluation, impairment, signs, symptoms and surgeries were observed. The association between chronic conditions and disability was analyzed through the logistic regression models. Results: Chronic diseases were observed in 99.5% of patients with mean of 5.7 diseases per individual. The most prevalent diseases were systemic arterial hypertension (70%), dyslipidemia (66%) and arthropathy (59%). Chronic conditions most associated with disability were: gait and balance disorders (OR 8.95 95% CI 5.12 to 15.63), change in muscle strength (OR 3.67 95% CI 1.28 to 11.09 ), urinary incontinence (OR 2.91 95% CI 1,71- 4,93) and falls (OR 2.20 95% CI 1.29 to 3.77). Conclusions: This study showed a high prevalence of chronic conditions after medical evaluation. Highlighting classic chronic diseases with hypertension, joint disease, dyslipidemia and depression, but also organic functional changes such as tooth loss, hearing loss, urinary incontinence; Signs and symptoms, as decreased sexual desire, joint pain and sleep disorders. Chronic conditions not classically characterized as diseases were the most strongly associated with functional disability. The gait and balance changes, change in muscle strength, incontinence and falls were the health problems associated with more disability than the classic diseases such as hypertension and diabetes. The findings of this study show that the maintenance of functional capacity depends not only on control of chronic diseases, but fundamentally the physical, psychological and functional for the elderly.
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    Efeitos do treinamento aeróbico na qualidade de vida em idosos, um estudo randomizado e controlado
    (Universidade Federal de São Paulo (UNIFESP), 2016-05-20) Alabarse, Silvio Lopes [UNIFESP]; Oliveira Filho, Japy Angelini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The world?s population is ageing, in Brazil, the increase in the life expectancy is also due to advances in health care. Among the factors that determine whether the aging is positive or not, the physical health is related to the possibility of managing their own choices with greater or less dependence. Aging causes physiological changes which can be reduced with physical exercises. However, for a predominantly aerobic training prescribed by professionals, is relevant to be aware of an appropriate instruction in order to generate benefits and enhance the autonomy and the independence of elderly. The hypothesis of the study was that seniors, when included in a physical exercises program, could improve their physical function, the quality of life and their functional autonomy. To check the effects of aerobic training on their quality of life, it was done a physical workout with 69 cases, both genders and average age of 68 years old. The training group (TG) was composed by 40 people undergoing continuous walking at an intensity of 50% to 75% of HRMáx., for 30 minutes, three times a week. In the control group (CG), 29 patients supervised and oriented to not doing physical exercises involving walking. Both answered the questionnaire about quality of life called WHOQUOL-OLD and performed maximal exercise test before and after training. Statistics, descriptive and analytical analyses were made; calculus performed by ?Statistical Package for the Social Sciences (SPSS, v.20.0)?; significance level of p?0,05; and study approved by the Research and Ethics Committee of the institution linked to the study. VO2peak relative of TG and CG did not change [TG, 23,67ml.Kg-1.min-1 (± 5,2) to 24,46ml.Kg-1.min-1 (± 5,6) (p = 0,06 / CG, 23,61ml.Kg-1.min-1 (± 4,9) to 23,57ml.Kg-1.min-1 (± 4,6) (p = 0,95)]. The quality of life did not improve in CG and TG [CG, 64,9 (± 12,0) to 63,1 (± 13,1) (p = 0,41) / TG, 65,5 (± 14,0) to 65,6 (± 16,0) (p = 0,95)]. Relative oxygen consumption in resting condition in TG and CG did not improve [TG, 5,93ml.Kg-1.min-1 (± 1,8) to 6,89ml.Kg-1.min-1 (± 2,3) (p = 0,75 / CG, 5,62ml.Kg-1.min-1 (± 2,1) to 6,23ml.Kg-1.min-1 (± 1,6) (p = 0,28)]. The muscular strength of the lower limbs raised in TG, while CG did show progress [TG, 12,0 units (± 2) to 12,5 units (± 2,5) (p = 0,001) / CG, 11 units (± 2,0) to 12 units (± 2,4) (p = 0,20)]. The amount of depressive symptoms in patients of TG decreased, compared to CG [TG, 2,7 units (± 2,4) to 1,9 units (± 1,9) (p = 0,04 / CG, 2,9 units (± 2,7) to 2,9 units (± 2,4) (p = 0,94)]. The variables mobility and risk of falls in TG had positive changes in comparison to CG, which did not show changes [TG, 454s (± 65,3) to 417s (± 68,9) (p = 0,001 / CG, 478s (± 116,7) to 451s (± 55,9) (p = 0,12)]. Difficulties regarding the daily activities for the TG decreased, while CG did not present changes [TG, 2,3 (± 2,7) to 1,2 (± 1,8) (p = 0,002 / CG, 2,1 (± 2,3) to 2,4 (± 2,4) (p = 0,35)]. TG reported less complaints of pain, while CG remained without changes [TG, 4,3 (± 3,1) to 2,9 (± 3,0) (p = 0,006 / CG, 4,4 (± 3,2) to 4,2 (± 3,2) (p = 0,68)]. We conclude that a physical training involving walking for elderly, with a simple prescription during a short period of training, despite not causing, in a wide form, physiological changes in aerobic capacity and in the quality of life, is capable of producing functional, sensitive, social and emotional improvements. Furthermore, surely this special population can enjoy a successful and independent aging through physical exercise.