Impacts of social isolation on the functionality of the elderly during the COVID-19 pandemic: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18895

Keywords:

Elderly; Coronavirus; Physical activity; COVID-19; International classification of functionality.

Abstract

The new coronavirus that causes Severe Acute Respiratory Syndrome (SARS-CoV-2), has expanded rapidly in Brazil and worldwide. Health services point out that the group most vulnerable to severe COVID-19 infection is the elderly. Social isolation measures, although protecting against contagion, have a direct impact on the functionality of the elderly, mainly on psychological and physical variables such as strength, balance, gait, and cardiorespiratory capacity, which are essential for carrying out daily activities. Purpose of the study was to describe the impacts of social isolation on the functionality of the elderly during the COVID-19 pandemic from a perspective based on the International Classification of Functionality (CIF). This is an integrative review. Studies that mentioned the descriptors "elderly" and "COVID-19" and that addressed the topic of social isolation and / or functionality and / or comorbidities were included. There was no restriction on the study design, language, and year of publication. The databases consulted were PubMed, Scopus, Science Direct and Google Scholar. 5057 studies were identified, 42 chosen by title and abstract. After rigorous reading in full, 7 met the objectives and were summarized in a table. Social isolation had psychological implications, sedentary behavior and reduced functionality in the elderly. Social isolation due to the COVID-19 pandemic has made the elderly population with sedentary habits, psychological and functional changes that interfere with daily activities. Oriented physical activity can be an important alternative to minimize the functional impacts of the elderly and assist in the biopsychosocial aspects recommended by the International Classification of Functionality.

References

Algilani, S., Östlund-Lagerström, L., Kihlgren, A., Blomberg, K., Brummer, R. J., & Schoultz, I. (2014). Exploring the concept of optimal functionality in old age. Journal of Multidisciplinary Healthcare, 7, 69–79. https://doi.org/10.2147/JMDH.S55178.

Alo, R.O.R., Alves, J. C., Colombo, C. S. S. S., Ghorayeb, N. (2020). Prática de Exercícios Físicos na População Idosa em Tempos de Pandemia. Rev Derc. 26(Suppl 2), S88-90.

Azizi, G.G., Orsini, M., Dortas Júnior, S.D., Vieira, P.C., Carvalho, R.S., & Pires, C.S.R, et al. (2020). Fisiologia do Exercício - Fisiologia do Exercício Respiratória Fisiologia do Exercício Respiratória. 19(1), 1–8.

Bhatt, T., Kumar, V., Pande, S., Malik, R., Khamparia, A., & Gupta, D. (2021). A Review on COVID-19. Studies in Computational Intelligence, 924(April), 25–42. https://doi.org/10.1007/978-3-030-60188-1_2.

Bouillon-minois, J.B, Lahaye, C., & Dutheil, F. (2020). Coronavirus and quarantine: will we sacrifice our elderly to protect them? Arch Gerontol Geriatr. 90, 104118. https://doi.org/10.1016/j.archger.2020.104118.

Costa, J. A., Silveira, J. de A., Santos, S. C. M. dos, & Nogueira, P. P. (2020). Implicações Cardiovasculares em Pacientes Infectados com Covid-19 e a Importância do Isolamento Social para Reduzir a Disseminação da Doença. Arquivos Brasileiros de Cardiologia, 114(5), 834–838. https://doi.org/10.36660/abc.20200243.

Da Silva-Grigoletto, M. E., Brito, C. J., & Heredia, J. R. (2014). Treinamento funcional: Funcional para que e para quem? Revista Brasileira de Cineantropometria e Desempenho Humano, 16(6), 714–719. https://doi.org/10.5007/1980-0037.2014v16n6p714.

Degens, H., & Alway, S. E. (2006). Control of muscle size during disuse, disease, and aging. International Journal of Sports Medicine, 27(2), 94–99. https://doi.org/10.1055/s-2005-837571.

Emerson, K.G. (2020). Coping with being cooped up: Social distancing during COVID-19 among 60+ in the United States. Rev Panam Salud Publica. 44, 1–7.

Ercole, F. F., Melo, L. S. de, & Alcoforado, C. L. G. C. (2014). Integrative review versus systematic review. Reme: Revista Mineira de Enfermagem, 18(1), 9–11. https://doi.org/10.5935/1415-2762.20140001.

Esakandari, H., Nabi-afjadi, M., Fakkari-afjadi, J., Farahmandian, N., Miresmaeili, S., & Bahreini, E. (2020). A comprehensive review of COVID-19 characteristics. 2, 1–10.

Goethals, L., Barth, N., Guyot, J., Hupin, D., Celarier, T., & Bongue, B. (2020). Impact of home quarantine on physical activity among older adults living at home during the COVID-19 pandemic: Qualitative interview study. JMIR Aging, 22(5), 1–5. https://doi.org/10.2196/19007.

González, K., Fuentes, J., & Márquez, J. L. (2017). Physical inactivity, sedentary behavior and chronic diseases. Korean Journal of Family Medicine, 38(3), 111–115. https://doi.org/10.4082/kjfm.2017.38.3.111.

Hammerschmidt, K. S. de A., & Santana, R. F. (2020). Saúde do idoso em tempos de pandemia COVID-19. Cogitare Enfermagem, 25. https://doi.org/10.5380/ce.v25i0.72849.

Hoffman, G. J., Webster, N. J., & Bynum, J. P. W. (2020). A Framework for Aging-Friendly Services and Supports in the Age of COVID-19. Journal of Aging and Social Policy, 32(4–5), 450–459. https://doi.org/10.1080/08959420.2020.1771239

Kerstin, K. (2020). Coping with being cooped up: Social distancing during COVID-19 among 60+ in the United States. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 44, 1–7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323755/.

Landry, M. D., Van den Bergh, G., Hjelle, K. M., Jalovcic, D., & Tuntland, H. K. (2020). Betrayal of Trust? The Impact of the COVID-19 Global Pandemic on Older Persons. Journal of Applied Gerontology, 39(7), 687–689. https://doi.org/10.1177/0733464820924131.

Lardieri, L. (2020). WHO: nearly all coronavirus deaths in europe are people aged 60 and older. US News. abril of 2020. available from: https://www.usnews.com/news/world-report/articles/2020-04-02/who-nearly-all-coronavirus-deaths-in-europe-are-people-aged-60-and-older.

Larsson, L., Degens, H., Li, M., Salviati, L., Lee, Y. Il, Thompson, W., Kirkland, J. L., & Sandri, M. (2019). Sarcopenia: Aging-related loss of muscle mass and function. Physiological Reviews, 99(1), 427–511. https://doi.org/10.1152/physrev.00061.2017.

Leite-Cavalcanti, C., Rodrigues-Gonçalves, M. da C., Rios-Asciutti, L. S., & Leite-Cavalcanti, A. (2009). Prevalência de doenças crônicas e estado nutricional em um grupo de idosos brasileiros. Revista de Salud Pública, 11(6), 865–877.

Lohne-Seiler, H., Torstveit, M. K., & Anderssen, S. A. (2013). Traditional versus functional strength training: Effects on muscle strength and power in the elderly. Journal of Aging and Physical Activity, 21(1), 51–70. https://doi.org/10.1123/japa.21.1.51.

Machado, C. J., Pereira, C. C. de A., Viana, B. de M., Oliveira, G. L., Melo, D. C., de Carvalho, J. F. M. G., de Moraes, F. L., & de Moraes, E. N. (2020). Estimates of the impact of COVID-19 on mortality of institutionalized elderly in Brazil. Ciencia e Saude Coletiva, 25(9), 3437–3444. https://doi.org/10.1590/1413-81232020259.14552020.

Maciel, M. G. (2010). Atividade física e funcionalidade do idoso. Motriz. Revista de Educação Física. UNESP, 1024–1032. https://doi.org/10.5016/1980-6574.2010v16n4p1024.

Malloy-diniz, L. F. et al. (2020). Saúde mental na pandemia de COVI-19: consideraçãoes práticas multidisciplinares sobre cognição, emoção e comportamento. Debates Em Psiquiatria, May, 2–14.

Malta, D.C. et. al. (2020). A pandemia da COVID-19 e as mudanças no estilo de vida dos brasileiros adultos : um estudo transversal. Epidemiol. Serv. Saúde [online]. 29(4), 1–13. https://doi.org/10.1590/S1679-49742020000400026.

McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567–580. https://doi.org/10.1007/s10522-016-9641-0.

Ministério da saúde. Painel de casos de doença pelo coronavírus 2019 (covid-19) no brasil pelo ministério da saúde. 2020, Disponível em: https://covid.saude.gov.br/

Mohanty, S., Sharma, P., & Sharma, G. (2020). Yoga for infirmity in geriatric population amidst COVID-19 pandemic: Comment on “Age and Ageism in COVID-19: Elderly mental health-care vulnerabilities and needs.” Asian Journal of Psychiatry, 53(June), 102199. https://doi.org/10.1016/j.ajp.2020.102199.

Nagarathna, R., Nagendra, H., & Majumdar, V. (2020). A perspective on yoga as a preventive strategy for coronavirus disease 2019. International Journal of Yoga, 13(2), 89. https://doi.org/10.4103/ijoy.ijoy_22_20.

Neto, J.F. et. al. (2016). Associação da Funcionalidade, Saúde e Incapacidade com avaliação funcional em idosas em dois diferentes treinamentos. Motricidade, 12(s2), 88-98.

Nikolich-Zugich, J., Knox, K. S., Rios, C. T., Natt, B., Bhattacharya, D., & Fain, M. J. (2020). SARS-CoV-2 and COVID-19 in older adults: what we may expect regarding pathogenesis, immune responses, and outcomes. GeroScience, 42(2), 505–514. https://doi.org/10.1007/s11357-020-00186-0.

Organização Mundial da Saúde (OMS). Envelhecimento ativo: uma estrutura de política. Genebra: Organização Mundial da Saúde, 2002. [Acessado em 26 de setembro de 2020]. Disponível em: http://whqlibdoc.who.int/hq/2002/who_nmh_nph_02.8.pdf.

Organização Mundial da Saúde. CIF: Classificação Internacional de Funcionali¬dade, Incapacidade e Saúde. Lisboa. 2004, Disponível em: http://www.inr.pt/ uploads/docs/cif/CIF_port_ 2004.

Pereira, M. D., Oliveira, L. C. de, Costa, C. F. T., Bezerra, C. M. de O., Pereira, M. D., Santos, C. K. A. dos, & Dantas, E. H. M. (2020). A pandemia de COVID-19, o isolamento social, consequências na saúde mental e estratégias de enfrentamento: uma revisão integrativa. In Research, Society and Development (Vol. 9, Issue 7). https://doi.org/10.33448/rsd-v9i7.4548.

Plagg, B., Engl, A., Piccoliori, G., & Eisendle, K. (2020). Prolonged social isolation of the elderly during COVID-19: Between benefit and damage. Archives of Gerontology and Geriatrics, 89(April), 104086. https://doi.org/10.1016/j.archger.2020.104086.

Roschel, H., Artioli, G. G., & Gualano, B. (2020). Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. Journal of the American Geriatrics Society, 68(6), 1126–1128. https://doi.org/10.1111/jgs.16550.

Santana, J.C. (2016). Funtional Training: Exercices and programming for training and performance. Human Kinetics.

Santini, Z. I., Jose, P. E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K. R., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health, 5(1), e62–e70. https://doi.org/10.1016/S2468-2667(19)30230-0.

Santos, S. da S., Brandão, G. C. G., & Araújo, K. M. da F. A. (2020). Isolamento social: um olhar a saúde mental de idosos durante a pandemia do COVID-19. Research, Society and Development, 9(7), e392974244. https://doi.org/10.33448/rsd-v9i7.4244.

Sen-Crowe, B., McKenney, M., & Elkbuli, A. (2020). Social distancing during the COVID-19 pandemic: Staying home save lives. American Journal of Emergency Medicine, 38(7), 1519–1520. https://doi.org/10.1016/j.ajem.2020.03.063.

Silveira, M. P., da Silva Fagundes, K. K., Bizuti, M. R., Starck, É., Rossi, R. C., & de Resende e Silva, D. T. (2020). Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature. Clinical and Experimental Medicine, 2019(0123456789). https://doi.org/10.1007/s10238-020-00650-3.

Smith, M. L., Steinman, L. E., & Casey, E. A. (2020). Combatting Social Isolation Among Older Adults in a Time of Physical Distancing: The COVID-19 Social Connectivity Paradox. Frontiers in Public Health, 8(July), 1–9. https://doi.org/10.3389/fpubh.2020.00403.

Soares, C. B. et. al. (2010). Revisão Integrativa versus Revisão Sistemática. Revista Mineira de Enfermagem. 8(1), 102–6.

Souza, E. C. et. al. (2016). Functional training and international classification of functioning: an approach. Rev Bras Cineantropom Desempenho Hum. 18(4), 493-97.

Wang, J. (2020). Prevenção e controle de COVID-19 em lares de idosos, orfanatos e prisões. Environ Pollut. 266(1). 10.1016 / j.envpol. 2020.115161.

Wullems, J. A., Verschueren, S. M. P., Degens, H., Morse, C. I., & Onambélé, G. L. (2016). A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures. Biogerontology, 17(3), 547–565. https://doi.org/10.1007/s10522-016-9640-1.

Published

16/08/2021

How to Cite

SOUZA, E. C. de .; OLIVEIRA, A. C. de .; LIMA, S. V. M. A. .; MELO, G. C. de .; ARAÚJO, K. C. G. M. de . Impacts of social isolation on the functionality of the elderly during the COVID-19 pandemic: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 10, p. e498101018895, 2021. DOI: 10.33448/rsd-v10i10.18895. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18895. Acesso em: 3 dec. 2021.

Issue

Section

Review Article