Preliminary study of the associated factors with falls in the elderly
DOI:
https://doi.org/10.33448/rsd-v10i3.13761Keywords:
Aged; Health of the elderly; Risk factors; Morbidity.Abstract
Introduction: Fall is a public health problem and the identification of associated factors constitutes an important strategy in health prevention. Objective: To identify the frequency of falls and associated factors among elderly people enrolled in a Basic Health Unit (BHU). Methodology: A cross-sectional study carried out in BHU in the city of Petrolina, PE (Brazil) involving 40 elderly people aged ≥60 years. Socioeconomic assessment, general health status, and history of falls, and fear of falling were assessed by structured questionnaires. The Mini-Mental State Examination (MMSE) was used as an indicator of cognitive function and the Timed Up and Go (TUG) was used to assess the risk of fall. An anthropometric assessment was also performed. The distribution of absolute and relative frequencies was calculated with confidence intervals at 95% (CI95%). Associations between the occurrence of falls and the other variables were calculated using the Chi-square or Fisher's exact tests. Results: 38 elderly people were included, with a median age of 68.5 years, 42.1% (n=16) had a history of at least one fall in the last 12 months and 21.1% (n=8) failed to perform any activity for fear of falling. There were no significant associations between the occurrence of falls and the variables age, sex, diabetes mellitus, systemic arterial hypertension, risk of fall, fear of falling, visual impairment, and osteoarticular disease. Conclusion: The frequency of falls was high among the elderly analyzed and no significant associations were verified between the occurrence of falls and the predictive factors.
References
Abreu, D. R. de O. M., Azevedo, R. C. de S., da Silva, A. M. C., Reiners, A. A. O., & Abreu, H. C. A. (2016). Factors associated with recurrent falls in a cohort of older adults. Ciência & Saúde Coletiva, 21(11), 3439–3446. https://doi.org/10.1590/1413-812320152111.21512015
Almeida-Santos, M. A., Barreto-Filho, J. A., Oliveira, J. L. M., Reis, F. P., da Cunha Oliveira, C. C., & Sousa, A. C. S. (2016). Aging, heart rate variability and patterns of autonomic regulation of the heart. Archives of Gerontology and Geriatrics, 63, 1–8. https://doi.org/10.1016/j.archger.2015.11.011
Antunes, J. L. F., Chiavegatto Filho, A. D. P., Duarte, Y. A. O., & Lebrão, M. L. (2018). Desigualdades sociais na autoavaliação de saúde dos idosos da cidade de São Paulo. Revista Brasileira de Epidemiologia, 21(suppl 2), 1–14. https://doi.org/10.1590/1980-549720180010.supl.2
Bekibele, C. O., & Gureje, O. (2010). Fall Incidence in a Population of Elderly Persons in Nigeria. Gerontology, 56(3), 278–283. https://doi.org/10.1159/000236327
Bischoff, H. A., Stähelin, H. B., Monsch, A. U., Iversen, M. D., Weyh, A., von Dechend, M., Akos, R., Conzelmann, M., Dick, W., & Theiler, R. (2003). 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 and Ageing, 32(3), 315–320. https://doi.org/10.1093/ageing/32.3.315
Borges, A. M., Santos, G., Kummer, J. A., Fior, L., Molin, V. D., & Wibelinger, L. M. (2014). Autopercepção de saúde em idosos residentes em um município do interior do Rio Grande do Sul. Revista Brasileira de Geriatria e Gerontologia, 17(1), 79–86. https://doi.org/10.1590/S1809-98232014000100009
Boyd, R., & Stevens, J. A. (2009). Falls and fear of falling: burden, beliefs and behaviours. Age and Ageing, 38(4), 423–428. https://doi.org/10.1093/ageing/afp053
Brucki, S. M. D., Nitrin, R., Caramelli, P., Bertolucci, P. H. F., & Okamoto, I. H. (2003). Sugestões para o uso do mini-exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria, 61(3 B), 777–781. https://doi.org/10.1590/S0004-282X2003000500014
Gamage, N., Rathnayake, N., & Alwis, G. (2019). Prevalence and associated risk factors of falls among rural community-dwelling older people: a cross-sectional study from southern Sri Lanka. Current Gerontology and Geriatrics Research, 2019, 2370796. https://doi.org/10.1155/2019/2370796
Levorato, C. D., Mello, L. M. de, Silva, A. S. da, & Nunes, A. A. (2014). Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Ciência & Saúde Coletiva, 19(4), 1263–1274. https://doi.org/10.1590/1413-81232014194.01242013
Miranda, G. M. D., Mendes, A. da C. G., & Silva, A. L. A. da. (2016). Population aging in Brazil: current and future social challenges and consequences. Revista Brasileira de Geriatria e Gerontologia, 19(3), 507–519. https://doi.org/10.1590/1809-98232016019.150140
Motta, L. B. da, Aguiar, A. C. de, Coutinho, E. S. F., & Huf, G. (2010). Prevalência e fatores associados a quedas em idosos em um município do Rio de Janeiro. Revista Brasileira de Geriatria e Gerontologia, 13(1), 83–91. https://doi.org/10.1590/S1809-98232010000100009
Nascimento, J. S., & Tavares, D. M. dos S. (2016). Prevalência e fatores associados a quedas em idosos. Texto & Contexto - Enfermagem, 25(2), e0360015. https://doi.org/10.1590/0104-07072016000360015
Park, S. H. (2018). Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 30(1), 1–16. https://doi.org/10.1007/s40520-017-0749-0
Pereira A. S.; Shitsuka D. M.; Parreira F. J., & Shitsuka R. (2018). Metodologia da pesquisa científica. UAB/NTE/UFSM.
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Prato, S. C. F., Andrade, S. M. de, Cabrera, M. A. S., Dip, R. M., Santos, H. G. dos, Dellaroza, M. S. G., & Mesas, A. E. (2017). Frequency and factors associated with falls in adults aged 55 years or more. Revista de Saúde Pública, 51, 37. https://doi.org/10.1590/s1518-8787.2017051005409
Rivasi, G., Kenny, R. A., Ungar, A., & Romero-Ortuno, R. (2020). Predictors of incident fear of falling in community-dwelling older adults. Journal of the American Medical Directors Association, 21(5), 615–620. https://doi.org/10.1016/j.jamda.2019.08.020
Rodrigues, I. G., Fraga, G. P., & Barros, M. B. de A. (2014). Falls among the elderly: risk factors in a population-based study. Revista Brasileira de Epidemiologia, 17(3), 705–718. https://doi.org/10.1590/1809-4503201400030011
Santos, R. K. M. dos, Maciel, Á. C. C., Britto, H. M. J. de S., Lima, J. C. C., & Souza, T. O. de. (2015). Prevalência e fatores associados ao risco de quedas em idosos adscritos a uma Unidade Básica de Saúde do município de Natal, RN, Brasil. Ciência & Saúde Coletiva, 20(12), 3753–3762. https://doi.org/10.1590/1413-812320152012.00662015
Santos, M. A. A., Sousa, A. C. S., Reis, F. P., Santos, T. R., Lima, S. O., & Barreto-Filho, J. A. (2013). Envelhecer altera relevantemente a frequência cardíaca média? Arquivos Brasileiros de Cardiologia, 101(5), 388–398. https://doi.org/10.5935/abc.20130188
Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T., & de Rooij, S. E. (2008). Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19–24. https://doi.org/10.1093/ageing/afm169
Siqueira, F. V., Facchini, L. A., Silveira, D. S. da, Piccini, R. X., Tomasi, E., Thumé, E., Silva, S. M., & Dilélio, A. (2011). Prevalence of falls in elderly in Brazil: a countrywide analysis. Cadernos de Saúde Pública, 27(9), 1819–1826. https://doi.org/10.1590/S0102-311X2011000900015
Smith, A. de A., Silva, A. O., Rodrigues, R. A. P., Moreira, M. A. S. P., Nogueira, J. de A., & Tura, L. F. R. (2017). Assessment of risk of falls in elderly living at home. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.0671.2754
Szabo, S. M., Janssen, P. A., Khan, K., Potter, M. J., &Lord, S. R. (2008). Older women with age-related macular degeneration have a greater risk of falls: a physiological profile assessment study. Journal of the American Geriatrics Society, 56(5), 800–807. https://doi.org/10.1111/j.1532-5415.2008.01666.x
Teixeira, D. K. da S., Andrade, L. M., Santos, J. L. P., & Caires, E. S. (2019). Falls among the elderly: environmental limitations and functional losses. Revista Brasileira de Geriatria e Gerontologia, 22(3), 1–10. https://doi.org/10.1590/1981-22562019022.180229
Vieira, L. S., Gomes, A. P., Bierhals, I. O., Farías-Antúnez, S., Ribeiro, C. G., Miranda, V. I. A., Lutz, B. H., Barbosa-Silva, T. G., Lima, N. P., Bertoldi, A. D., & Tomasi, E. (2018). Falls among older adults in the South of Brazil: prevalence and determinants. Revista de Saúde Pública, 52, 22. https://doi.org/10.11606/S1518-8787.2018052000103
Wamser, E. L., Valderramas, S. R., Paula, J. A. de, Schieferdecker, M. E. M., Amarante, T. P., Pinotti, F., Coelho, R. A., Stanczk, L., Guimarães, A. T. B., & Gomes, A. R. S. (2015). Melhor desempenho no teste timed up and go está associado a melhor desempenho funcional em idosas da comunidade. Geriatrics Gerontology Aging, 9(2), 138–143. https://doi.org/10.5327/Z2447-2115201500040003
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Copyright (c) 2021 Alaine Souza Lima Rocha; Leny Gleystiane Miguel de Santana; Antonieta de Sousa Barros; Arley Ribeiro de Castro; Amanda Virgínia de Souza Lima Lopes; Clécio de Lima Lopes; Laísla da Silva Paixão Batista; Paula Andreatta Maduro; Paulo Adriano Schwingel
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