Diabetes Mellitus, metabolic syndrome and fall risk: a cross-sectional study with community-dwelling elderly
DOI:
https://doi.org/10.33448/rsd-v10i13.20940Keywords:
Metabolic Syndrome; Diabetes; Falls; Elderly; Metabolic syndrome; Diabetes Mellitus; Accidental falls; Aged.Abstract
This is the objective of comparing the association between metabolic syndrome and diabetes as a risk of remaining em elderlys in the community. To achieve the objectives, a quantitative study was chosen with a cross-sectional design of an analytical type with individuals aged 60 years or older, not institutionalized, residents in the urban area of the municipality of Rio Branco / Acre. The high risk of falls corresponded to 77 male persons (43.4%), persons independent of the sex aged 80 years or older (70.7%), showing depressive symptoms (53.6%) and dependent on assistance for the performance of basic daily life activities (51.7%). Non-model for metabolic syndrome there was association with depressive symptoms, instrumental activities of daily life and age group, being that those with depressive symptoms, dependence for instrumental activities of daily life and age group from 70 to 79 years and 80 years and most of had high risk of falling. In the diabetes model, there is an increased chance of risk of falls, along with depressive symptoms, instrumental activities of daily living and age group independent of basic activities of daily living, education and cognitive decline. Due to the health status compromised by the lack of diabetes control, excessive weight gain and loss, insufficient food intake, the elderly becomes susceptible to variation in serum glucose tolerance levels and sarcopenia acquisition, contributing to future problems such as osteoporosis, falls, fractures and loss of independence or mobility.
References
ADA. American Diabetes Association. (2020). Standards of Medical Care in Diabetes: Abridged for Primary Care Providers. Clinical Diabetes. 38 (1) 10-38. 10.2337/cd20-as0
Albert, K., Eckel, R., Grundy, S., Zimmet, P., Cleeman, J., & Donato, K. (2009). Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention. International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 20;120(16):1640-5. 10.1161/CIRCULATIONAHA.109.192644
Alexandre, T.S., Meira, D.M., Rico, N. C., & Mizuta, S. K. (2012). Accuracy of timed up and go test for screening risk of falls among Community-dwelling elderly. Rev. Brasileira de Fisioterapia. 16(5). 381-8. 10.1590/s1413-35552012005000041
Brasil. (2012). Resolução nº 466, de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos., Diário Oficial da União.
Büchele, G., Becker, C., Cameron, I., Konig, H., Robinovitch, S., & Rapp, K. (2014). Preditors of serious consequences of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes. Journal of the American Medical Directors Association. 15(8)559-563. 10.1016/j.jamda.2014.03.015
Canuto, C. P. A. S., Oliveira, L. P. B. A., Medeiros, M. R. S., & Barros, W. C. T. S. (2020). Segurança do paciente idoso hospitalizado: Uma análise do risco de quedas. Rev. da Escola De Enfermagem da USP. 10.1590/S1980-220X2018054003613
Cavalcante, G. (2021). Principais fatores associados à Síndrome Metabólica em Idosos. Revista Multidisciplinar em Saúde. 2(1), 6. 10.51161/rems/653
Costa, M., Lima, L., Silva, I., Rehem, T., Funghetto, S., & Stival, M. (2021). Risco cardiovascular aumentado e o papel da síndrome metabólica em idosos hipertensos. Esc. Anna Nery. 10.1590/2177-9465-EAN-2020-0055
Dias, V., Carlos, A., Lemos, A., Filho, B., Perracini, M., & Souza, A. (2020). Fatores associados ao desempenho funcional de idosos com diabetes mellitus tipo 2. Rev. Pesquisa, Sociedade e Desenvolvimento. 9(11), 5. 10.33448/rsd-v9i11.10185
Flor, L., & Campos, M. (2017). Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional. Rev. Brasileira de Epidemiologia. 20(1), 16. 10.1590/1980-5497201700010002
Gasparotto, L., Falsarella, G., & Coimbra, A. (2014). Falls in elderly: basics concepts and updates of research in health. Rev. Brasileira de Geriatria e Gerontologia.17(1): 201-9. 10.1590/S1809-98232014000100019
Gotzmeister, D., Zecevic, A., Klinger, L., & Salmoni, A. (2015). People are getting lost a little bit: systemic factors that contribute to falls in Community-dwelling octogenarians. Canadian Journal on Aging. 34(3):397-410. 10.1017/S071498081500015X
Grosser, R., Silva, C., Kleber, P., Paula, G., Restelatto, M; & Cetolin, S. et al. (2020). Síndrome metabólica em idosos: relação com multimorbidade e capacidade funcional/ Metabolic syndrome in the elderly: relationship with multimorbity and functional capacity. Brasilian Journal of Health Review. 10.34119/bjhrv3n4-254
Gurka, M.J., Filipp, S.L., Pearson, T.A., & DeBoer, M.D. (2018). Assessing baseline and temporal changes in cardiometabolic risk using metabolic syndrome severity and common risk scores. Journal of the American Heart Association. 7(16):e009754. 10.1161/JAHA.118.009754. PMid:30369320
Gu, Y., & Dennis, S. M. (2017). Are falls prevention programs effective at reducing the risk factors for falls in people with type-2 diabetes mellitus and peripheral neuropathy: A systematic review with narrative synthesis. Journal of Diabetes and its Complications. 31(2), 504-516. 10.1016/j.jdiacomp.2016.10.004
IBGE - Instituto Brasileiro de Geografia e Estatística. (2021). IBGE cidades. Rio Branco. http://www.ibge.gov.br/home/estatistica/populacao/censo/tabelas_pdf/total_populacao_acre.pdf
Kehoe, L., Walton, J., & Flynn, A. (2019). Nutritional challenges for older adults in Europe: current status and future directions. Proceedings of the Nutrition Society. 78(2), 221-233. 10.1017/S0029665118002744
Lee, A. K., Juraschek, S. P., Windham, B. G., Lee, C. J., Sharrett, A. R., & Coresh, J. (2020). Severe Hypoglycemia and Risk of Falls in Type 2 Diabetes: The Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care. 43(9), 2060-2065. 10.2337/dc20-0316
Liaw, F. Y., Kao, T.W., Wu, L. W., Wang, C. C., Yang, H. F., & Peng, T. C. (2016). Components of Metabolic Syndrome and the Risk of Disability among the Elderly Population. International Journal of Scientific Reports. 10.1038/srep22750
Louvison, M., Lebrão, M., Duarte, Y., Santos, J., Malik, A., & Almeida E. (2008). Desigualdades no uso e acesso aos serviços de saúde entre idosos do município de São Paulo. Rev. Saúde Pública. 42(4):733-40. 10.1590/S0034-89102008000400021
MS – Ministério da Saúde. (2020). Cartilha sobre a Situação de Hipertensão e Diabetes no Brasil. http://189.28.128.100/dab/docs/portaldab/docum entos/atlas_hipertensao_diabetes.pdf
Nascimento, M. (2017). Factores predictores de caídas en mujeres que practican actividad física. Rev. Brasileira em Promoção da Saúde. 30(3):1-7. 10.5020/18061230.2017.6302
Oliveira, E., Pereira, D., Ribeiro, E., & Mukai, H. (2020). Prevalência de depressão em idosos com diabetes mellitus: uma revisão integrativa. CONIC-SEMESP. Retrieved May 22, 2021, from http://conic-semesp.org.br/anais/files/2020/trabalho-1000005635.pdf
Paiva, F., Lima, L., Funes, M., Volpe, C., Funguetto, S., & Stival, M. (2019). A influência da dor na qualidade de vida de idosos portadores de Diabetes Mellitus / The influence of pain on elderly diabetics' quality of life / La influencia del dolor en la calidad de vida de ancianos portadores de Diabetes Mellitus. Rev. Enfermagem UERJ. 27: e31517. 10.12957/reuerj.2019.31517
Polit, D.F, & Beck, C.T. (2019). Fundamentos de pesquisa em Enfermagem: Avaliação de evidências para a prática da Enfermagem. - 9.ed. - Porto Alegre: Artmed.
Prato, S., Andrade, S., Cabrera, M., Dip, R., Santos, H., & Dellaroza, M. (2017). Frequência e fatores associados a quedas em adultos com 55 anos e mais. Rev Saúde Pública. 51:37. 10.1590/S1518-8787.2017051005409
Rinkel, W. D., Nieuwkasteele, S. V., Cabezas, M.C., Neck, J. W., Birnie, E., & Coert, J. H. (2019). Balance, risk of falls, risk factors and fall-related costs in individuals with diabetes. Journal Diabetes Research and Clinical Practice. 10.1016/j.diabres.2019.107930
Shlisky, J., Bloom D. E., Beaudreault, A. R., Tucker, K. L., & Keller, H. H. (2017). Nutritional Considerations for Healthy Aging and Reduction in Age-Related Chronic Disease. Advances in Nutrition. 8(1), 17–26. 10.3945/an.116.013474
Silva, P., Sacramento, A., Carmo, I., Silva, L., Siqueira, S., & Soares, S. (2019). Factors associated with metabolic syndrome in older adults: a population-based study. Rev. Brasileira de Enfermagem. 22. (2), 228. 10.1590/0034-7167-2018-0620
Simão, A.F., Precoma, D.B., Andrade, J.P., Correa Filho, H., Saraiva, J.F.K., & Oliveira, G.M.M. (2013). I Diretriz brasileira de prevenção cardiovascular. Arq. Brasileiros de Cardiologia.101(6),1-63. 10.5935/abc.2013S012.
Siqueira, F., Fachini, L., Silveira, D., Piccini, R., Tomas, E., & Thumé, E. (2011). Prevalence of falls in elderly in Brazil: a contrywide analysis. Cad. Saúde Pública. 27(9):1819-1826. 10.1590/s0102-311x2011000900015
Sousa, N., Lima, M., Cesar, C., & Barros, M. (2018). Active aging: prevalence and gender and age differences in a population-based study. Cad. Saúde Pública. 34(11):e00173317. 10.1590/0102-311x00173317
Tamura, Y., Omura, T., Toyoshima, K., & Araki, A. (2020) Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty. Nutrients. 12(11), 3367. 10.3390/nu12113367
Vaupel, J.W., Villavicencio F., & Bergeron-Boucher, M.P. (2021). Demographic perspectives on the rise of longevity. Proceedings of the National Academy of Sciences of the United States of America. 10.1073/pnas.2019536118. PMID: 33571137; PMCID: PMC7936303.
Wallander, M., Axelsson, K. F., Nilsson, A. G., Lundh, D., & Lorentzon, M. (2017). Type 2 Diabetes and Risk of Hip Fractures and Non-Skeletal Fall Injuries in the Elderly: A Study from the Fractures and Fall Injuries in the Elderly Cohort (FRAILCO). Journal of Bone and Mineral Research. 32(3), 449–460. 10.1002/jbmr.3002
WHO. World Health Organization. (2017). Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity. World Health Organization. https://apps.who.int/iris/handle/10665/258981
Xavier, P., & Trindade, A. (2018). Avaliação do risco de queda e equilíbrio em mulheres no climatério. Rev Kairós-Gerontologia. 21(2), 155-170. 10.23925/2176-901X.2018v21i2p155-170
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Copyright (c) 2021 Greiciane da Silva Rocha ; Catherine de Farias Sussuarana ; Tábatta Renata Pereira de Brito; Francimar Leão Jucá; Rozilaine Redi Lago; Alice Helena de Souza Paulino; Valgerlângela Maria Sousa da Silva
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