Multidimensional analysis of frailty in older people of a Brazilian community: a cross-sectional study
DOI:
https://doi.org/10.33448/rsd-v11i8.31182Keywords:
Activities of daily living; Aging; Geriatric assessment; Frailty; Independent living.Abstract
In Brazil, the aging process takes place under unfavorable economic, social and health conditions. Therefore, a better understanding of the functionality patterns of different elderly populations becomes essential, especially in times of Covid-19. The objective of study is to assess the functionality of institutionalized and community older people. Cross-sectional study with 51 older people, divided into two groups: Institutionalized Older People Group (GII) and Community Older People Group (GIC), assessed by the Mini Mental State Examination, Clinical Functional Vulnerability Index-20 (IVCF-20), Barthel Scale, Lawton Scale and Tinneti Scale, descriptive analysis, multivariate multiple correspondence technique, multinomial and binomial logistic regression, with the R software were performed. The results showed: the quartiles: robust GIC (IVCF-20=6.75), independent (Lawton=21/Barthel=100). The fragile GII (IVCF-20=18), partially dependent (Lawton=13/Barthel=100). In GII association of frail older people and high risk of falls. In the GIC there is no association. The GIC showed more chances compared to the GII: 198.34 cognitively normal; 5.48 robust; more than 100,000 independents; and 14 low risk of falls. In this way, it is concluded that older people in the community have better functional performance than older people living in the two Long Term Care Institutions.
References
Almeida, L. M. S., Meucci, R. D., Dumith, S. C. (2019). Prevalence of falls in elderly people: a population based study. RAMB, 65(11), 1397-1403. https://doi.org/10.1590/1806-9282.65.11.1397
Bagueixa, M. A. H. L., Pimentel, M. H., Iglesias, M. J. G. (2017). Fragilidade no idoso internado num serviço de ortopedia. RPOT, 25(3), 173-185. https://core.ac.uk/download/pdf/153415983.pdf
Belasco, A. G. S., Okuno, M.F.P. (2019). Realidade e desafios para o envelhecimento. REBEn, 72(Suppl 2), 1-2. http://dx.doi.org/10.1590/0034-7167.2019-72suppl201
Bertschi, D., Kiss, C. M., Beerli, N., Kressig, R. W. (2021). Sarcopenia in hospitalized geriatric patients: insights into prevalence and associated parameters using new EWGSOP2 guidelines. EJCN, 75(1), 653-660. https://doi.org/10.1038/s41430-020-00780-7
Carraro, U., Marcante, A., Ravara, B., Albertin, G., Maccarone, M. C., Piccione, F., et al. (2021). Skeletal muscle weakness in older adults home-restricted due to COVID-19 pandemic: a role for full-body in-bed gym and functional electrical stimulation. Aging Clin Exp Res, 33(7), 2053-2059. https://doi.org/10.1007/s40520-021-01885-0
Carvalho, T. C., Valle, A. P., Jacinto, A. F., Mayoral, V. F. S., Boas, P. J. F. V. (2018). Impacto da hospitalização na funcionalidade de idosos: estudo de coorte. RBGG, 21(2), 136-144. https://doi.org/10.1590/1981-22562018021.170143
Crooms, R. C., Gelfman, L. P. (2020). Palliative Care and End-of-Life Considerations for the Frail Patient. Anesth Analg, 130(6), 1504-1515. https://doi.org/10.1213/ane.0000000000004763
Dias, E. N., Pais-Ribeiro, J. L. (2018). Quality of life: comparison between the elderly in a Brazilian community and the institutionalized elderly. Kairós, 21(1), 37-54. https://doi.org/10.23925/2176-901X.2018v21i1p37-54
Dufournet, M., Moutet, C., Achi, S., Delphin-Combe, F., Krolak-Salmon, P., Dauphinot, V., et al. (2021). Proposition of a corrected measure of the Lawton instrumental activities of daily living score. BMC Geriatr, 21(39), 01-10. https://doi.org/10.1186/s12877-020-01995-w
Faller, J. W., Pereira, D. N., Souza, S., Nampo, F. K., Orlandi, F. S., Matumoto, S. (2019). Instruments for the detection of frailty syndrome in older adults: A systematic review. PLoS One, 14(4), 01-23. https://doi.org/10.1371/journal.pone.0216166. eCollection 2019
Freer, K., Wallington, S. L. (2019). Social frailty: the importance of social and environmental factors in predicting frailty in older adults. Br J Community Nurs, 24(10), 486-492. https://doi.org/10.12968/bjcn.2019.24.10.486
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001), Frailty in older adults: evidence for a phenotype. JGABSMS, 56(3), 146-156. https://doi.org/10.1093/gerona/56.3.m146
Guedes, R. C., Dias, R., Neri, A. L., Ferriolli, E., Lourenço, R. A., Lustosa, L. P. (2020). Frailty syndrome in Brazilian older people: a population based study. CSC, 25(5), 1947-1954. https://doi.org/10.1590/1413-81232020255.21582018
Instituto Brasileiro de Geografia e Estatística. Projeção da população do Brasil por sexo e idade para o período 2010-2060. [Internet]. Rio de Janeiro, 2018. [cited Mai 19, 2019]. Available from: https://www.ibge.gov.br/estatisticas/sociais/populacao/9109-projecao-da-populacao.html?=&t=resultados
James, S. L., Lucchesi, L. R., Bisignano, C., Castle, C. D., Dingels, Z. V., Fox, J. T., et al. (2020). The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017. Inj Prev, 26(2), i3-i11. http://dx.doi.org/10.1136/injuryprev-2019-043286
Kaushal, N., Langlois, F., Desjardins-Crépeau, L., SHagger, M., Bherer, L. (2019). Investigating dose–response effects of multimodal exercise programs on health-related quality of life in older adults. CIA, 14, 209-217. https://doi.org/10.2147/CIA.S187534
Lee, H., Lee, E., Jang, I. Y. (2020). Frailty and Comprehensive Geriatric Assessment. J Korean Med Sci, 35(3), 01-13. https://doi.org/10.3346/jkms.2020.35.e16
Lourenço, R. A., Moreira, V. G., Banhato, E. F. C., Guedes, D. V., Silva, K. C. A., Delgado, F. E. F., et al. (2019). Prevalência e fatores associados à fragilidade em uma amostra de idosos que vivem na comunidade da cidade de Juiz de Fora, Minas Gerais, Brasil: estudo FIBRA-JF. CSC, 24(1), 35-44. https://doi.org/10.1590/1413-81232018241.29542016
Maia, L. C., Colares, T. F. B., Moraes, E. N., Costa, S. M., Caldeira, A. P. (2020). Idosos robustos na atenção primária: fatores associados ao envelhecimento bem-sucedido. RSP, 54(35), 01-11. https://doi.org/10.11606/s1518-8787.2020054001735
Mkrtchyan, G. V., Abdelmohsen, K., Andreux, P., Bagdonaite, I., Barzilai, N., Brunak, S., et al. (2020). ARDD 2020: from aging mechanisms to interventions. Aging, 12(24), 24484-24503. https://doi.org/10.18632/aging.202454
Moreira, W. E. M., Cassimiro, M. S., Sales, A. C. M., Pires, R. L. C. C., Carvalho, P. M. M. (2020). Comparison of Expiratory Flow Peak and Thoracic Cirtometry Between Elderly People, Before and After Respiratory Physiotherapy. RBCS, 24(Supl), 141-152. https://doi.org/10.22478/ufpb.2317-6032.2020v24nSupl.2.39669
Pagno, A. R., Gross, C. B., Gewehr, D. M., Colet, C. F., Berlezi, E. M. (2018). A terapêutica medicamentosa, interações potenciais e iatrogenia como fatores relacionados à fragilidade em idosos. RBGG, 21(5), 610-619. https://doi.org/10.1590/1981-22562018021.180085
Said, C. M., Batchelor, F., Duque, G. (2020). Physical Activity and Exercise for Older People During and After the Coronavirus Disease 2019 Pandemic: A Path to Recovery. JAMDA, 21(7), 977-979. https://dx.doi.org/10.1016%2Fj.jamda.2020.06.001
Scarabelot, L. F., Monteiro, M. M., Rubert, M. C. S., Zetola, V. H. F. (2019). Is the Mini-Mental State Examination the best cognitive screening test for less educated people?. Arq Neuropsiquiatr, 77(5), 330-334. https://doi.org/10.1590/0004-282X20190043
Simeão, S. F. A. P., Martins, G. A. L., Gatti, M. A. N., Conti, M. H. S., Vitta, A., Marta, S. N. (2018). Estudo comparativo da qualidade de vida de idosos asilados e frequentadores do centro dia. CSC, 23(11), 3923-3934. https://doi.org/10.1590/1413-812320182311.21742016
Strini, V., Schiavolin, R., Prendin, A. (2021). Fall Risk Assessment Scales: A Systematic Literature Review. Nurs Rep, 11(2), 430-443. https://doi.org/10.3390/nursrep11020041
Stubbs, B., Perara, G., Koyanagi, A., Veronese, N., Vancampfort, D., Firth, J., et al. (2020). Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study. JAMDA, 21(12), 1893-1899. https://doi.org/10.1016/j.jamda.2020.03.005
Vieira, L. S., Gomes, A. P., Bierhals, I. O., Farías-Antunez, S., Ribeiro, C. G., Miranda, V. I. A., et al. (2018). Quedas em idosos no Sul do Brasil: prevalência e determinantes. RSP, 52(22), 01-13. https://doi.org/10.11606/S1518-8787.2018052000103
Yi, Y., Ding, L., Wen, H., Wu, J., Makimoto, K., Liao, X. (2020). Is Barthel Index Suitable for Assessing Activities of Daily Living in Patients With Dementia?. Front Psychiatry, 11(282), 01-11. https://dx.doi.org/10.3389%2Ffpsyt.2020.00282
Zeng, B., Chen, D., Qiu, Z., Zhang, M., Wang, G. (2020). Expert consensus on protocol of rehabilitation for COVID-19 patients using framework and approaches of WHO International Family Classifications. Aging Med, 3(2), 82-94. https://doi.org/10.1002/agm2.12120
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Wagner Elias de Melo Moreira; Luciane Teixeira Passos Giarola; Davi Butturi-Gomes; Jorge Luiz de Carvalho Mello; Diba Maria Sebba Tosta de Souza
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.