Made available in DSpace on 2015-04-14T13:54:06Z (GMT). No. of bitstreams: 1 452760.pdf: 358304 bytes, checksum: 311712acedfd6fb22a28cd45c7844bb9 (MD5) Previous issue date: 2013-08-29 / Introduction: The videofluoroscopic swallowing exam (VFSE) allows for the evaluation of the swallowing process, and it is an important method to characterize and compare the different phases of swallowing, to classify the degree of dysphagia, and to identify laryngotracheal penetration/aspiration in adults and in the elderly. Objective: To compare the swallowing characteristics in young and elderly adults who underwent VFSE in two hospitals in southern Brazil. Methods: Retrospective study of individuals aged ? 18 years who underwent VFSE in two hospitals in southern Brazil, between May 2010 and May 2012. The evaluation comprised the analysis of the modified protocol (Furkim (1999) and the intake of three food consistencies, liquid, paste-like (nectar) and solid (pudding) contrasted with barium sulfate, according to the National Dysphagia Diet guidelines. Data were analyzed through Pearson s chi-square test, and in case of statistical significance, the test of adjusted residuals was used. Significance was established at p?0.05. The study was approved by the CEP-PUCRS under number 260.501. Results: We evaluated 553 individuals, from 18 to 98 years, 358 (64,7%) elderly, 51,7% adults, and 64,6% adults who had no pre-established etiologic diagnosis for dysphagia. The elderly with or without etiologic diagnosis for dysphagia presented more involvement in the oral, pharyngeal, and esophageal phases of swallowing when compared to adults from both groups. Regarding the scale of dysphagia severity and the age range of the undiagnosed group, 21,1% of adults presented a higher proportion of normality compared to the elderly (7,9%). When the scale of dysphagia was categorized into four groups (esophageal, normal, within functional limits/ mild dysphagia, and moderate/intense dysphagia), the following facts were observed: a significant association between the dysphagia severity scale and the age range (p=0.001) for the group of individuals without etiologic diagnosis for dysphagia, a higher proportion of normality in adults when compared to the elderly (38-30.2% vs. 22-12.0%), and a higher proportion of individuals classified as within functional limits and mild dysphagia in the elderly when compared to the adults (117-63,6% vs. 56-44,4%). Conclusion: The elderly presented more changes in the characteristics and efficiency of swallowing in the three phases of swallowing and higher levels of dysphagia when compared to adults. In individuals without pre-established diagnosis for dysphagia, the elderly also presented more changes in the characteristics of swallowing, higher levels of dysphagia, and presence of penetration and laryngotracheal aspiration. / Introdu??o: A Videofluoroscopia da Degluti??o (VFD) permite avalia??o do processo da degluti??o, sendo importante m?todo para caracterizar e comparar as diferentes fases da degluti??o, classificar grau de disfagia, identificar presen?a de penetra??o/aspira??o laringotraqueal em adultos e idosos. Objetivo: Comparar as caracter?sticas da degluti??o de adultos e idosos que realizaram exame de VFD em dois hospitais do Sul do Brasil. M?todos: Estudo retrospectivo com indiv?duos de idade maior ou igual a 18 anos submetidos ? VFD em dois hospitais do Sul do Brasil, entre maio de 2010 e maio de 2012. A avalia??o consistiu na an?lise do protocolo modificado (Furkim (1999) e ingest?o de tr?s consist?ncias de alimento l?quido (n?ctar), pastoso (pudim) e s?lido contrastados com sulfato de b?rio, conforme as diretrizes da National Dysphagia Diet. Os dados foram analisados atrav?s do teste qui-quadrado de Pearson, sendo que, em caso de signific?ncia estat?stica, foi utilizado o teste dos res?duos ajustados. Foram significativos valores de p?0,05. O estudo foi aprovado pelo Comit? de ?tica-PUCRS sob o n?mero 260.501. Resultados: Foram avaliados 553 indiv?duos, o mais jovem com 18 e o mais idoso com 98 anos, 358 (64,6%) eram idosos, 51,7% idosos e 64,6% adultos n?o apresentavam diagn?stico etiol?gico pr?-estabelecido de disfagia. Os idosos que foram encaminhados para fazer o exame sem diagn?stico etiol?gico pr?estabelecido de disfagia apresentaram mais comprometimento em fase oral, fase far?ngea e fase esof?gica da degluti??o quando comparados aos adultos sem diagn?stico etiol?gico pr?-estabelecido de disfagia. Em rela??o ? escala de severidade da disfagia e faixa et?ria do grupo sem diagn?stico etiol?gico pr?estabelecido de disfagia, 21,1% dos adultos apresentaram maior propor??o de normalidade em rela??o aos idosos (7,9%). Quando categorizada a escala de severidade de disfagia em quatro grupos (esof?gica, normal, dentro dos limites funcionais/disfagia discreta e disfagia moderada/intensa) para o grupo dos indiv?duos sem diagn?stico etiol?gico pr?-estabelecido de disfagia, observou-se associa??o significativa entre a escala de severidade de disfagia com a faixa et?ria (p=0,001), sendo que uma maior propor??o de normalidade foi encontrada nos adultos quando comparados aos idosos (38-30,2% vs 22-12,0%) e uma maior propor??o classificada como dentro dos limites funcionais e disfagia discreta encontrada nos idosos quando comparados com os adultos (117-63,6% vs 56- 44,4%). Conclus?o: Os idosos apresentaram mais altera??o nas caracter?sticas da degluti??o nas tr?s fases da degluti??o e n?veis mais elevados de disfagia quando comparados aos adultos. Nos indiv?duos sem diagn?stico etiol?gico pr?-estabelecido de disfagia os idosos apresentaram mais altera??es nas caracter?sticas da degluti??o, n?veis mais elevados de disfagia e presen?a de penetra??o e aspira??o laringotraqueal.

Made available in DSpace on 2015-04-14T13:54:06Z (GMT). No. of bitstreams: 1 452863.pdf: 2709042 bytes, checksum: e74b925745ac058509f2dfda6dcb815a (MD5) Previous issue date: 2013-08-15 / This study aimed to investigate the possible relationship between social support and quality of life in oldest-old subjects with 90 or more years of age living in Porto Alegre. Methods: The design is an exploratory transversal, observational and analytical research. The sample com-prised 60 respondents 90 years or older of both sexes interviewed during the period of No-vember 2011 to January 2012. The project was approved by the Research Ethics PUCRS un-der number 11/05451. The information of the data were obtained through structured inter-views, consisting of open and closed questions, involving six validated instruments of re-search: 1. General socio-demographic data; 2. Mini-Mental State Examination (MMSE); 3.WHOQOL-OLD 4. Social Support Survey; 5. Yesavage Geriatric Depression - short ver-sion (GDS-15 ); 6. Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL). The questionnaires were developed by the program TeleForm allowing the insertion of electronic data for analysis using the program EPI INFO version 3.5.1, con-sidering significant differences with p <0.05 and indicative of significance p> 0.05 and <0.1 . Results: The average income was higher in the oldest-old men than women. Although the results reveal considerable cognitive impairment in the survey, oldest-old men presented bet-ter levels of MMSE and GDS-15 than the women at same age. The mean IADL and ADL were also better in men than in women. The average number of contacts proved to be higher in females than in males. In relation to the various types of social support, the study shows that women need more material support than men. On the other hand, men needed more affec-tive, emotional, and information supports and positive interactions than women. The averages of all WHOQOL domains (Physical, Psychological, Social Relationships and Environment) and the overall level of quality of life, were higher among men than among women-lived, but the differences were not significant. There was a significant relationship between the various domains of the WHOQOL and the different types of social support. Conclusions: The men, though outnumbered, have better social support and quality of life that the long-lived. The results clearly show that all types of social support, although to a lesser extent the material support, influenced positively on the quality of life for the oldest old. / Este trabalho objetivou estudar a poss?vel rela??o entre suporte social e qualidade de vida em longevos com 90 ou mais anos de idade residentes em Porto Alegre. M?todos: O dese-nho foi definido como sendo transversal explorat?rio, observacional e anal?tico. A amostra contou com 60 longevos entrevistados de 90 anos ou mais de ambos os sexos no per?odo de novembro de 2011 a Janeiro de 2012. O projeto foi aprovado pelo Comit? de ?tica em Pesquisa da PUCRS sob n?mero 11/05451. As informa??es dos dados foram obtidos atra-v?s de entrevistas estruturadas, compostas por quest?es abertas e fechadas, envolvendo seis instrumentos validados de pesquisa: 1. Dados Gerais para coleta de dados; 2. Mini-Exame do Estado Mental (MEEM); 3.WHOQOL-OLD; 4.Escala de Apoio Social-Social Sup-port Survey of the Medical Outcomes Study (MOS); 5.Escala de Depress?o Geri?trica de Yesavage vers?o reduzida(GDS-15); 6. Atividades B?sicas de Vida Di?ria (ABVD) e Ativi-dades Instrumentais de Vida Di?ria (AIVD). Os question?rios foram elaborados pelo progra-ma TeleForm permitindo a inser??o eletr?nica dos dados para an?lise com a utiliza??o do programa EPIINFO vers?o 3.5.1 sendo considerado significativas as diferen?as com p<0,05 e indicativas de signific?ncia p > 0,05 e <0,1. Resultados: As m?dias da renda foram supe-riores nos idosos do que nas idosas longevas. Apesar dos resultados revelarem perdas cognitivas consider?veis, os homens longevos que participaram da pesquisa apresentaram ?ndices mais positivos do que as mulheres longevas em rela??o ao MEEM e a GDS-15. As m?dias de ABVD e AIVD tamb?m foram melhores nos homens do que nas mulheres. A m?-dia do n?mero de contatos revelou-se ser maior no sexo feminino do que no sexo masculi-no. Em rela??o aos diversos tipos de suporte social, o estudo aponta que as mulheres ne-cessitam mais do apoio material do que os homens. Por outro lado, os homens necessitam mais dos apoios afetivo, emocional, informa??o e de intera??o positiva do que as mulheres. As m?dias de todos os dom?nios do WHOQOL (F?sico, Psicol?gico, Rela??es Sociais e Meio Ambiente) e o n?vel total da Qualidade de Vida, foram maiores entre os homens do que en-tre as mulheres longevas, mas as diferen?as n?o foram significativas. Houve rela??o signifi-cativa entre os diversos dom?nios do WHOQOL e os diferentes tipos de suporte social. Con-clus?es: Os homens, embora em menor n?mero, apresentam um melhor suporte social e qualidade de vida que as longevas. Os resultados mostram claramente que todos os tipos de apoio social, embora em menor grau o suporte material, influenciam de forma positiva na qualidade de vida dos longevos.

Made available in DSpace on 2015-04-14T13:54:07Z (GMT). No. of bitstreams: 1 453185.pdf: 9880078 bytes, checksum: 76721bb081daeddb4dcd094fa41d9ca2 (MD5) Previous issue date: 2013-12-16 / Introduction: Loss of balance limits the life of the elderly as it is related to falls. The balance is maintained by the action of four Balance-Maintenance-Systems (BMS): vestibular, visual, somatosensory, and visual preference whose information is organized by the central nervous system (CNS). The CNS receives and organizes sensory information and plans the actions of effector organs responsible for maintaining body balance. The oldest-old (80 years or older) is the age group with the highest prevalence of falls and least studied. Objective: To study the involvement of mechanisms to maintain body balance, the risk of falls and fear of falling in elderly and oldest old. Methods: The participation of BMS was conducted in two groups: 32 elderly (60-69 years) and 30 oldest-old (80 years or more) performing cognitive screening (Mini Mental State Examination - MMSE), assessment of risk of falls (Timed Up and Go - TUG), fear of falling (Falls Efficacy Scale - FES) and Sensory Organization Test (SOT) by foam-laser dynamic posturography. This research project was approved by the Scientific Committee of the Institute of Geriatrics and Gerontology - PUCRS and by the Ethics Committee in Research of PUCRS. Results: The oldest-old performed worse in all SOT, significantly in those with somatosensory conflict. Significant differences were observed between elderly and oldest-old in the systems: visual (91.1?6.1 and 54.8?43.7), vestibular (76.5?9.8 and 38.3?33.3) and visual preference (78.9?17.8 and 64.2?23.3), with similar performance in somatosensory (86.8?7.9 and 83.8?17.3). TUG and FES differ significantly between the groups and associated with scores of SME. The association between TUG and the visual system was affected by the MMSE and FES. Physical activity and education were associated with scores of SME. Conclusions: We conclude that SME most affected were the vestibular and visual. Differences between elderly and oldest-old were higher than expected for the visual and vestibular systems, but smaller in the somatosensory system. Dynamic posturography may be efficient to guide rehabilitation programs encouraging the use of more appropriate strategies for each elderly or oldest-old. / Introdu??o: A perda de equil?brio limita a vida dos idosos por ser relacionado ?s quedas. O equil?brio ? mantido pela a??o de quatro Sistemas de Manuten??o do Equil?brio (SME): vestibular, visual, prefer?ncia visual e somatossensorial, cujas informa??es s?o organizadas pelo sistema nervoso central. Este recebe e organiza as informa??es sensoriais e planeja as a??es dos ?rg?os efetores respons?veis pela manuten??o do equil?brio corporal. Os longevos (80 anos ou mais de idade) s?o o grupo et?rio com maior preval?ncia de quedas e pouco estudado. Objetivo: Estudar a participa??o dos mecanismos de manuten??o do equil?brio corporal, o risco de quedas e o medo de cair em idosos e longevos. Metodologia: Foi realizada a participa??o dos SME em dois grupos: 32 idosos (60 a 69 anos) e 30 longevos (80 anos ou mais), por meio de rastreio cognitivo (Mini Exame do Estado Mental MEEM), avalia??o do risco de quedas (Timed Up and Go TUG), do medo de cair (Falls Efficacy Scale-International-Brasil FES-I-Brasil) e Teste de Organiza??o Sensorial (TOS) pela Posturografia Din?mica Foam-Laser. O projeto desta pesquisa foi aprovado pela Comiss?o Cient?fica do Instituto de Geriatria e Gerontologia da PUCRS e pelo Comit? de ?tica em Pesquisa da PUCRS. Resultados: Os longevos desempenharam pior em todas as condi??es do TOS, significativamente aquelas com conflito somatossensorial. Observaram-se diferen?as significativas entre idosos e longevos nos sistemas visual (91,1?6,1 e 54,8?43,7), vestibular (76,5?9,8 e 38,3?33,3) e prefer?ncia visual (78,9?17,8 e 64,2?23,3), tendo desempenho similar no somatossensorial (86,8?7,9 e 83,8?17,3). TUG e FES diferiram significativamente entre os grupos e foram associados com escores dos SME. A associa??o entre TUG e o sistema visual foi afetada pelo MEEM e FES. Atividade f?sica e escolaridade foram associados com escores dos SME. Conclus?es: Os SME mais afetados foram o vestibular e visual. Diferen?as entre idosos e longevos foram maiores que o esperado para os sistemas visual e vestibular, mas menores no sistema somatossensorial. A Posturografia Din?mica pode ser eficiente para orientar programas de reabilita??o estimulando a utiliza??o de estrat?gias mais apropriadas para cada idoso ou longevo.

Made available in DSpace on 2015-04-14T13:54:07Z (GMT). No. of bitstreams: 1 453678.pdf: 323040 bytes, checksum: fd4b44c4b7c1c3b0c9912c9eb1ee0883 (MD5) Previous issue date: 2014-01-17 / Introduction : Parasitic infections are a public health problem in Brazil and in other developing countries with variations according to sanitation, socioeconomic status, educational level, age, and hygienic habits, among other variables. In the elderly population, few studies have been published about intestinal parasites and Toxoplasma gondii infections. Objective : To evaluate the prevalence of intestinal parasitic infections and T. gondii seroprevalence associated with the demographic, socioeconomic, hygienic, sanitary and health conditions of the elderly of the Family Health Strategy (FHS) in the city of Porto Alegre, Rio Grande do Sul, Brazil. Methods : This cross-sectional study collected a random sample of FHS elderly individuals living in the city of Porto Alegre, from march 2011 to december 2012. For selection of the elderly, 30 FHS teams were selected, of which 36 respondents were randomly selected by ESF. Data collection was conducted by Community Health Workers (CHW) during home visits; the CHW administered a general epidemiological questionnaire and provided instructions to each patient regarding the collection of fecal samples. Blood and stool samples were collected later by the project team at the healthcare unit where each elderly individual was registered. The blood samples intended for hemograms were sent to the Clinical Pathology Laboratory of the S?o Lucas Hospital. The blood samples intended for toxoplasmosis examination and the fecal samples intended for parasitological stool examination were sent to the Biochemistry, Molecular Genetics and Parasitology Laboratory of the Institute of Geriatrics and Gerontology, PUCRS. Results : The prevalence of intestinal parasites was 10.8%, with the following frequencies: 29 (44.0%), Endolimax nana; 21 (32.0%), Entamoeba coli; 6 (9.0%), Giardia lamblia; 4 (6.0%), Ascaris lumbricoides; 3 (5.0%), Strongyloides stercoralis; 2 (3.0%), Trichuris trichiura; and 1 (2.0%), Iodamoeba butschlii. We found no significant association between infection and the demographic and socioeconomic variables. Regarding the hygiene and sanitary variables, the elderly who had other pets that were not cats or dogs had a higher prevalence of intestinal parasites (27.8% (P=0.041)), and those who had animals that were bathed more often had a higher prevalence of enteroparasites (16.0% (P=0.024)); these associations remained significant in the multivariate analysis. Regarding the health variables, the elderly who did not have hypertension or mental disease had a higher prevalence of intestinal parasites than those who had these diseases (15.4% (P=0.032) and 12.8% (P=0.049), respectively). In assessing the hemogram, anemia was no significant relationship with intestinal parasites and association with eosinophilia was significant when examined only the prevalence of pathogenic parasites: 7.3% (P=0.010). In T. gondii analysis were evaluated 599 elderly individuals; the seroprevalence of T. gondii IgG and IgM was 88.0% and 0.8%, respectively. In the multivariate analysis, the following variables were independently associated with IgG antibody positivity: age, personal income and use of eyeglasses. With respect to IgM antibody positivity, the independently associated variables were age, self-rated health and wears glasses. In assessing the seroprevalence, 581 elderly individuals were evaluated. Conclusion : The prevalence of intestinal parasites in the elderly was low compared with that found in other studies, and the parasites were predominantly nonpathogenic, such as E. coli and E. nana. These findings implicate interpersonal transmission, environmental contamination or the ingestion of contaminated food or water in this population. There was a high prevalence of elderly individuals who were positive for toxoplasma IgG antibodies. This finding raises concern regarding potential latent infection because this population may have compromised immunity. The findings highlight the importance of the ongoing measures related to sanitation and hygiene education in this community. / Introdu??o : As parasitoses constituem um problema de sa?de p?blica no Brasil, apresentando varia??es de acordo com as condi??es de saneamento b?sico, n?vel socioecon?mico, grau de escolaridade, idade e h?bitos de higiene, entre outras vari?veis. Na popula??o idosa s?o raros os estudos publicados sobre infec??es por enteroparasitos e pelo Toxoplasma gondii. Objetivo : Avaliar a preval?ncia das infec??es enteroparasit?rias e a soropreval?ncia de T. gondii de acordo com as condi??es demogr?ficas, socioecon?micas, higi?nicas, sanit?rias e de sa?de dos idosos atendidos pela Estrat?gia Sa?de da Fam?lia (ESF) do munic?pio de Porto Alegre, Rio Grande do Sul, Brasil. Metodologia : Estudo transversal coletado em uma amostra aleat?ria de idosos da ESF do munic?pio de Porto Alegre, no per?odo de mar?o de 2011 a dezembro de 2012. Para a sele??o dos idosos, foram sorteadas 30 equipes da ESF, das quais foram sorteados 36 idosos por ESF. A coleta de dados foi realizada pelos Agentes Comunit?rios de Sa?de (ACS), em visita domiciliar, por meio de question?rio geral de inqu?rito epidemiol?gico e orienta??o quanto ? coleta de amostras fecais. A coleta de sangue e fezes foi realizada posteriormente pela equipe do projeto na unidade de sa?de onde os idosos estavam cadastrados. As amostras de sangue para a realiza??o de hemograma foram encaminhadas para o Laborat?rio de Patologia Cl?nica do Hospital S?o Lucas da PUCRS. As amostras de sangue para o exame de toxoplasmose e as amostras para a realiza??o do exame parasitol?gico de fezes foram encaminhadas para o Laborat?rio de Bioqu?mica, Gen?tica Molecular e Parasitologia do Instituto de Geriatria e Gerontologia da PUCRS. Resultados : Na avalia??o dos enteroparasitos, foram avaliados 581 idosos e a preval?ncia de enteroparasitoses foi de 10,8%, sendo 29 (44,0%) de Endolimax nana, 21 (32,0%) de Entamoeba coli, 6 (9,0%) de Giardia lamblia, 4 (6,0%) de Ascaris lumbricoides, 3 (5,0%) de Strongyloides stercoralis, 2 (3,0%) de Trichuris trichiura e 1 (2,0%) de Iodamoeba b?tschlii. N?o foi encontrada nenhuma associa??o significativa com as vari?veis demogr?ficas e socioecon?micas. Nas vari?veis higi?nicas e sanit?rias, os idosos que diziam ter outros animais de estima??o, exceto gato ou cachorro, apresentaram maior preval?ncia de enteroparasitos: 27,8% (P=0,041), e os que possu?am animais que eram banhados com maior frequ?ncia tamb?m apresentaram maior preval?ncia de enteroparasitos: 16,0% (P=0,024); essas vari?veis se mantiveram na an?lise multivariada. Na associa??o com as vari?veis de sa?de, os idosos que n?o apresentavam hipertens?o arterial ou doen?a mental tiveram maior preval?ncia de enteroparasitos do que os que tinham essas doen?as: 15,4% (P=0,032) e 12,8% (P=0,049), respectivamente. Na avalia??o do hemograma, anemia n?o teve rela??o significativa com as enteroparasitoses, e a associa??o com eosinofilia foi significativa quando avaliada a preval?ncia somente de parasitos patog?nicos: 7,3% (P=0,010). Na an?lise do T. gondii, foram avaliados 599 idosos com soropreval?ncia para T. gondii IgG de 88,0% e 0,8% para T. gondii IgM. Na an?lise multivariada, as vari?veis que se associaram de forma independente para IgG positivo foram: faixa et?ria, renda pessoal e uso de ?culos; e para IgM positivo: faixa et?ria, autopercep??o de sa?de e uso de ?culos. Conclus?o : A preval?ncia de enteroparasitos encontrada nos idosos foi baixa quando comparada com outros estudos, ocorrendo um predom?nio de parasitos n?o patog?nicos, como E. coli e E. nana. Esses achados indicam a possibilidade de transmiss?o interpessoal, contamina??o ambiental ou mesmo a ocorr?ncia de ingest?o de alimentos ou ?gua contaminados. Com rela??o ? toxoplasmose, foi encontrada uma alta preval?ncia de anticorpos IgG positivo para T. gondii nos idosos. A preocupa??o ? para uma potencial infec??o latente, uma vez que essa popula??o est? sujeita a condi??es que podem comprometer sua imunidade. Sugere-se, assim, o desenvolvimento de medidas relacionadas a saneamento b?sico e programas cont?nuos de educa??o sanit?ria na comunidade estudada.

Made available in DSpace on 2015-04-14T13:54:07Z (GMT). No. of bitstreams: 1 457208.pdf: 1118772 bytes, checksum: 23b31c92f8c562f00af8456ba96df7fb (MD5) Previous issue date: 2014-02-21 / Introduction: The aging population is a challenge of this century, impacting society and imposing needs of structural adjustments. The longevity involves numerous changes in the lives of the elderly and when associated with functional disability may impair functionality, health, precluding an autonomous and healthy life and impairing quality of life. Objective: To study the relationship between functional capacity, ability to make decisions and quality of life of the oldest old. Methods: This study was descriptive analytical cross-sectional quantitative research in the oldest-old (80 years or more) of RS. The instruments used were general questionnaire, a survey of interaction between the oldest-old and his/her life, assessment of functional independence, quality of life, and ability to make decisions. Results: The sample consisted of 47 oldest-old, divided in octogenarians (19) and nonagenarians (28). The average of moral psychological phase of octogenarians was classified as conscientious and nonagenarians average was conformist. Both groups showed greater loss in decisions related to activities at home. Nonagenarians had worse functional capacity and quality of life when compared to octogenarians. The quality of life was associated with functional capacity and ability to decision making. Conclusions: Investigating factors that may contribute to the oldest-old has higher quality of life is essential for the restructuring of services, public health action plan and providing care with dignity, reaching to maintain functional independence as long as possible, preservation or recovery autonomy and always give priority to a better quality of life of seniors in the final stage of their lives. / Introdu??o: O envelhecimento populacional ? um desafio deste s?culo, impactando a sociedade e provocando necessidades de ajustes estruturais. A longevidade envolve in?meras altera??es na vida do idoso e quando associada ? incapacidade funcional pode comprometer a funcionalidade, sa?de, privando-o de uma vida aut?noma e saud?vel e prejudicando a qualidade de vida. Objetivo: Estudar a rela??o entre capacidade funcional, capacidade de tomar decis?o e qualidade de vida de longevos. M?todos: Trata-se de uma pesquisa quantitativa descritiva anal?tica transversal, em longevos (80 anos ou mais) do RS. Os instrumentos utilizados foram question?rio geral, question?rio de intera??o entre o longevo e sua vida, medidas de independ?ncia funcional, qualidade de vida e capacidade de tomar decis?o. Resultados: A amostra foi composta por 47 longevos, divididos em octogen?rios (19) e nonagen?rios (28). A m?dia da fase psicol?gico moral dos octogen?rios foi classificada como conscienciosa e nonagen?rios conformista. Os grupos apresentaram maior perda nas decis?es relacionadas a atividades no lar. Os nonagen?rios apresentaram pior capacidade funcional e qualidade de vida quando comparado aos octogen?rios. A qualidade de vida foi associada ? capacidade funcional e ? capacidade de tomada de decis?o. Conclus?es: Investigar os fatores que possam contribuir para que o longevo tenha maior qualidade de vida ? fundamental para a reestrutura??o dos servi?os, planejar a??es de sa?de p?blica e prestar atendimento com dignidade, buscando por maior tempo poss?vel ? manuten??o da independ?ncia funcional, preserva??o ou recupera??o da autonomia e primar sempre por uma melhora da qualidade de vida destes idosos na etapa final de suas vidas.

Made available in DSpace on 2015-04-14T13:54:07Z (GMT). No. of bitstreams: 1 457865.pdf: 173993 bytes, checksum: 6dff587a0c1ae5bb76bb0a89bdca2525 (MD5) Previous issue date: 2014-03-28 / Introduction : Little attention has been given to the problems associated with parasitic diseases. The most susceptible elderly suffer not only the effects on your immune system, but also on their nutritional state. It's ridiculous that there are papers on the theme parasites in the elderly in our country. Objective : To describe the prevalence of intestinal parasites in elderly residents in asylums in Porto Alegre Metropolitan Regions (S?o Leopoldo and Novo Hamburgo) and Serrana in RS (Bento Gon?alves and Caxias do Sul) and in the employees of these institutions. Methods : Cross-sectional study in a sample of 200 elderly residents in asylums in the Metropolitan Region of Porto Alegre and in the Region Serrana in Rio Grande do Sul. The elderly s feces were assessed by parasite stool testing. The elderly and workers sociodemographic, economic, hygiene habits, symptomatology and coprologic survey conditions and variables were assessed through a questionnaire. Statistical analysis was performed using Statistical Package for Social Sciences version 17.0 software. Results were expressed as frequencies, mean and standard deviation, considering significant p <0.05. This study was approved by the Ethics Committee in Research of PUCRS, under protocol number 147 597. Results : We analyzed 12 asylums, they were collected samples of 145 (72.5%) women and of 55 (27.5%) men, with average age 79.4?9.5 years old. The prevalence of enteroparasitosis was of 4.0%, where 6 (75.0%) corresponded to Endolimax nana and 2 (25.0%) to Entamoeba coli. The private homes for the aged showed higher positivity (4.7%) than the public ones (2.8%). Regarding eating habits, the elderly who ate more salads, vegetables and fruits had a higher prevalence (25.0%) compared to those who ate everything and to those who ate only meat, bread and pasta (p=0.008). As for the workers, 25 (96.2%), with average age of 37.3?10.0 years old. There was a prevalence of 19.2%, where 3 (60.0%) corresponded to E. nana, 1 (20.0%) E. coli and 1 (20.0%) biparasitism. Conclusion : The prevalence of intestinal parasites was low both in the elderly, as the workers. The non-pathogenic intestinal parasites were found, these results may be related to the socio-sanitary conditions of the environments found in these asylums. The prevalence of 6.1% of intestinal parasites in the Metropolitan Region of Porto Alegre and 2.0% in the Region Serrana in RS, showing the peculiar conditions found in these southern regions, confirming that the parasites present variations according to each region. / Introdu??o : Pouca ?nfase tem sido dada aos problemas associados ?s infec??es enteroparasit?rias. Os idosos mais suscet?veis sofrem n?o s? os efeitos sobre seu estado imunol?gico, como tamb?m no seu estado nutricional. ? irris?ria a exist?ncia de trabalhos publicados sobre o tema parasitoses no idoso, em nosso pa?s. Objetivo : Descrever a preval?ncia de parasitos intestinais em idosos residentes nas Institui??es de Longa Perman?ncia (ILPIs) na Regi?o Metropolitana de Porto Alegre (S?o Leopoldo e Novo Hamburgo) e Serra (Bento Gon?alves e Caxias do Sul) e em trabalhadores destas institui??es. M?todos : Estudo transversal realizado em uma amostra de 200 idosos residentes em ILPIs na Regi?o Metropolitana de Porto Alegre e na Serra do Rio Grande do Sul (RS). As fezes dos idosos foram avaliadas atrav?s do exame parasitol?gico de fezes (EPF). Foram avaliadas as condi??es e vari?veis sociodemogr?ficas, econ?micas, h?bitos de higiene, sintomatologia e inqu?rito coprol?gico dos idosos e trabalhadores atrav?s de um question?rio. A an?lise estat?stica foi realizada pelo programa Statistical Package for the Social Sciences Vers?o 17.0. Os resultados foram expressos por frequ?ncias, m?dia e desvio padr?o, considerando significativo p < 0,05. Essa pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa da PUCRS, sob o n?mero de protocolo 147.597. Resultados : Analisou-se 12 lares geri?tricos, foram coletadas amostras de 145 (72,5%) mulheres e 55 (27,5%) homens, com m?dia de idade de 79,4?9,5 anos. A preval?ncia de enteroparasitoses foi de 4,0%, onde 6 (75,0%) correspondiam a Endolimax nana e 2 (25,0%) Entamoeba coli. As ILPIs particulares apresentaram maior positividade (4,7%) do que as p?blicas (2,8%). Quanto aos h?bitos alimentares, os idosos que ingeriam mais saladas, verduras e frutas tiveram uma preval?ncia maior (25,0%) em rela??o aos que tinham uma ingest?o de todos os grupos alimentares e aos que ingeriram apenas carnes, p?es e massas (p= 0,008). Quanto aos trabalhadores das ILPIs, 25 (96,2%), com m?dia de idade de 37,3?10,0 anos. Verificou-se uma preval?ncia de 19,2%, onde 3 (60,0%) correspondiam a E. nana, 1 (20,0%) E. coli e 1(20,0%) biparasitismo. Conclus?o : A preval?ncia de enteroparasitoses foi baixa tanto nos idosos, quanto nos trabalhadores. Os enteroparasitos encontrados foram n?o patog?nicos, podendo estes resultados estar relacionados com as condi??es s?cio-sanit?rias dos ambientes encontrados nestas ILPIs. Houve preval?ncia de 6,1% de enteroparasitoses na Regi?o Metropolitana de Porto Alegre e 2,0% na Regi?o Serrana do RS, evidenciando as peculiares condi??es encontradas nestas regi?es ga?chas, confirmando que as parasitoses apresentam varia??es de acordo com cada regi?o.

Made available in DSpace on 2015-04-14T13:54:08Z (GMT). No. of bitstreams: 1 458313.pdf: 1360175 bytes, checksum: 2f0164f5a268448e34545956f38aa6cb (MD5) Previous issue date: 2014-03-26 / Introduction: Acupuncture is an Oriental therapy that has shown in several studies to be beneficial in treating various conditions. Several studies have shown acupuncture as a good treatment option for stress, depression as well as for improving sleep, however, few studies have a good design and robust control groups. Objective: the present work is to analyze the effect of acupuncture on stress, depression and sleep quality, as well as over the immune system. Methods: forty-eight elderly residents in the community took place in this single blind, placebo-controlled trial, randomized into two groups (n = 24 real acupuncture and control n = 24) placebo controlled. The intervention consisted of sessions held twice a week for five weeks thirty minutes long. The intervention consisted of ten (twice a week) true acupuncture sessions (n=24) or placebo (n=24). Acupuncture points involved were SP6 (Sanyityiao), LI4 (Hegu), ST36 (Zusanli), LR3 (Taichong), PC6 (Neiguan) and EX - NH3 (Yintang). Placebo group also received needle which were inserted into surface sites far from true acupuncture points. Sleep quality was assessed by questionnaire PSQI (Pittsburgh Sleep Quality Index), stress and depression were assessed through interviews where specific clinical questionnaires (Beck Depression Scale and BDI - II) were applied. Peripheral blood was collected and lymphocytes were isolated from peripheral blood mononuclear cells (PBMCs) and immunophenotyped by flow cytometry for several lymphocytes subtypes as B cells, activated T cells, regulatory T cells (REG), natural killer cells (NK) and CD28 - associated T cell senescence. Measurements were conducted before the beginning and at the very end of treatment. The groups were homogeneous at baseline. Results: acupuncture is highly effective for improving quality of sleep (-53.23 %, p < 0.01) depression (-48.41 %, p < 0.01) and stress (-25.46 %, p < 0 01). However, no effect on immune system could be observed. Conclusion: Acupuncture was effective in improving sleep quality and decreased stress and depression scores in the elderly. Further studies are necessary to investigate the impact of acupuncture on immunity. / Introdu??o: A acupuntura ? uma terapia oriental que tem demonstrado ser ben?fica no tratamento de v?rias condi??es. Diversos estudos t?m mostrado que a acupuntura ? uma boa op??o de tratamento para o stress, depress?o, bem como para melhorar o sono. No entanto, poucos estudos t?m um bom design e grupos de controle robusto e envolvem idosos. Objetivos: o presente trabalho visou analisar o efeito da acupuntura sobre o stress, depress?o e qualidade do sono, bem como sobre o sistema imunol?gico em idosos. M?todos: quarenta e oito idosos residentes na comunidade foram recrutados em um estudo ?nico cego, randomizado em dois grupos (acupuntura verdadeira N=24 e controle N=24), controlado por placebo. A interven??o consistiu em sess?es realizadas duas vezes na semana por um per?odo de cinco semanas com trinta minutos de dura??o. Os pontos de acupuntura envolvidos foram SP6 (Sanyinjiao), LI4 (Hegu), ST36 (Zusanli), LR3 (Taichong), PC6 (Neiguan) e EX - NH3 (Yintang). Grupo Placebo tamb?m recebeu agulha que foram inseridos em pontos superficiais longe dos pontos verdadeiros de acupuntura. A qualidade do sono foi avaliada pelo question?rio PSQI (Pittsburgh Sleep Quality Index), estresse e depress?o foram avaliados atrav?s de entrevistas, onde question?rios cl?nicos espec?ficos (Beck Depression Scale e BDI - II) foram aplicados. O sangue perif?rico foi recolhido e os linf?citos foram isolados a partir de c?lulas mononucleares do sangue perif?rico (PBMC) e imunofenotipadas por citometria de fluxo para v?rios subtipos de linf?citos, as c?lulas B, nas c?lulas T ativadas, c?lulas T regulat?rias, c?lulas Natural Killers (NK) e c?lulas T associadas a senesc?ncia. Os pontos de medi??es foram realizadas antes do come?o das sess?es e no final do tratamento. Os grupos foram homog?neos no in?cio do estudo. Resultados: a acupuntura ? altamente eficaz para melhorar a qualidade do sono ( -53,23 %, p < 0,01) depress?o ( -48,41 %, p < 0,01) e estresse ( -25,46 %, p < 0 01) . No entanto, nenhum efeito sobre o sistema imunit?rio pode ser observado. Conclus?o: A acupuntura foi eficaz em melhorar a qualidade do sono e diminui??o do estresse e de depress?o em idosos. Mais estudos s?o necess?rios para investigar o impacto da acupuntura sobre a imunidade.

Made available in DSpace on 2015-04-14T13:54:08Z (GMT). No. of bitstreams: 1 458311.pdf: 654167 bytes, checksum: d2c032e45eb7641da5293df32e9c1a80 (MD5) Previous issue date: 2014-03-27 / INTRODUCTION: Aging causes a series of bodily and psychological changes, but esthetic changes in old age are still poorly reported in the literature, these changes being related to body image, mood and quality of life. GOALS: Characterize the body image, the mood and the quality of life for women in the postmenopausal who search for a specialized esthetic treatment. METHODS: Took part in this cross-sectional study 46 women who searched aesthetic care. The following data were collected: presence of SSD (Geriatric Depression Scale: GDS-15), QOL (WHOQOL-bref), satisfaction/dissatisfaction with BI (Stunkard s silhouettes scale), age, marital status, occupation, personal and family income in minimum wages (MW), education, the duration of menopause, body mass index (BMI), reason for seeking aesthetic treatments and physical changes observed in the postmenopausal period. The data were analyzed by the Fisher test and t-student test, in addition the correlation coefficient of Pearson ou Spearman. The level of significance was 5% (p?0,05). The study was approved by CEP-PUCRS. RESULTS: The average age of the participants was 60 years and the menopause duration ranged from 5.4 to 13.7 years. There were 39 women (84,4%) insatisfied with their body images, presented scores above 70 points in all QOL s domains and 27 (69,2%) did not presented SSD. With regard to BMI, 41.3% of participants were eutrophic, 41.3% were overweight and 17.4% obese. Dissatisfaction with BI presented significant positive associations with the SSD (rs=0,367; p=0,012) and BMI (rs=0,522; p<0,001), and negative ones with the physical (rs=-0,393; p<0,01), psychological (rs=-0,355; p<0,05) and environment of QOL (rs=-0,329; p<0,05). Most searched the service only because of women aesthetic or because of aesthetic and health. Most participants (85%) showed satisfaction with the actual esthetic treatment. The main physical changes noticed in the postmenopausal were: the elasticity decrease (76.08%) and the skin oiliness (52.17%) as well as increase in facial ptosis (80.43%), facial sagging (78.26%), body fat (78.26%) body sagging (73.91%), white hair (69.50%), body weight (65.21%), skin drying (65.21%), spots on the face (56.52%) and fatigue (52.17%). CONCLUSION: The study showed that most of the evaluated women are dissatisfied with their BI, there is a high level of satisfaction with their QOL and do not presented SSD. The satisfaction with their BI is related with a better QOL, least likelihood of presenting SSD, lower BMI and higher income. These women sought treatment primarily for aesthetic and health issues, and most of them are satisfied with the treatment. / INTRODU??O: O envelhecimento provoca uma s?rie de altera??es corporais e psicol?gicas, por?m altera??es est?ticas na velhice ainda s?o pouco relatadas na literatura, estando essas altera??es relacionadas ? imagem corporal (IC), humor e qualidade de vida (QV). OBJETIVOS: Caracterizar quanto ? imagem corporal, ao humor e ? qualidade de vida (QV) as mulheres p?s-menop?usicas que buscam atendimento est?tico especializado. M?TODOS: Estudo transversal com 46 mulheres que buscaram atendimento est?tico. Foram utilizados a Escala de Depress?o Geri?trica - GDS-15, WHOQOL bref, Escala de Silhuetas de Stunkard, al?m de um question?rio relacionado ? idade, estado civil, ocupa??o, renda pessoal e familiar, escolaridade, tempo de menopausa, ?ndice de Massa Corporal (IMC), raz?o pela procura de tratamento est?tico e mudan?as f?sicas percebidas no per?odo da p?s-menopausa. Os dados foram analisados pelo teste exato de Fisher e teste t-student, al?m do coeficiente de correla??o de Pearson ou Spearman. O n?vel de signific?ncia foi de 5% (p?0,05). O estudo foi aprovado pelo CEPPUCRS. RESULTADOS: A m?dia de idade das participantes foi de 60 anos e o tempo de menopausa variou de 5,4 a 13,7 anos. Verificou-se que 39 mulheres (84,8%) est? insatisfeita com sua IC, apresentou escores superiores a 70 pontos em todos os dom?nios da QV, e 27 (69,2%) n?o apresentou SSD. Em rela??o ao IMC, 41,3% das participantes eram eutr?ficas, 17,4% obesas e 41,3% apresentaram sobrepeso. A insatisfa??o com a IC apresentou associa??o positiva com os SSD (rs=0,367; p=0,012) e com o IMC (rs=0,522; p<0,001), e negativas com os dom?nios f?sico (rs=-0,393; p<0,01), psicol?gico (rs=-0,355; p<0,05) e ambiente (rs=-0,329; p<0,05) da QV. A maioria das mulheres buscou o servi?o por raz?es est?ticas somente (41,3%) ou por raz?es est?ticas e de sa?de (41,3%). Verificou-se que 85% da amostra apresentou satisfa??o com o tratamento est?tico atual, sendo que as principais mudan?as f?sicas percebidas foram diminui??o da elasticidade (76,08%) e oleosidade da pele (52,17%), aumento da ptose facial (80,43%), flacidez facial (78,26%), gordura corporal (78,26%), flacidez corporal (73,91%), cabelos brancos (69,50%), peso corporal (65,21%), ressecamento da pele (65,21%), manchas na face (56,52%) e cansa?o (52,17%). CONCLUS?O: O estudo mostrou que a maioria das mulheres avaliadas s?o insatisfeitas com a sua IC, t?m alto n?vel de satisfa??o com sua QV e n?o apresentam SSD. Nelas a satisfa??o com a IC est? relacionada ? melhor QV, menor probabilidade de apresentar SSD, menor IMC e maior renda. Essas mulheres buscaram atendimento principalmente por quest?es de est?tica e sa?de, estando, em sua maioria, satisfeitas com o tratamento.

Made available in DSpace on 2015-04-14T13:54:08Z (GMT). No. of bitstreams: 1 458299.pdf: 263118 bytes, checksum: 28a242a52843afe5c81516fedc81c24a (MD5) Previous issue date: 2013-03-19 / Background: Given the importance of identifying nutritional needs, dietary intake of centenarians and other oldest old groups has been studied on several prospects, dietary patterns of the oldest old as well as predictors of nutritional deficiency in this population. Objective: To evaluate the nutritional status of the oldest old. Methods: An observational, cross-sectional, descriptive and analytical with the oldest old. The study population consisted of elderly aged over 90 years living in Porto Alegre. The nutritional assessment was conducted analyzing dietary parameters, such as 24 hours Food Recall and Food Frequency Questionnaire (FFQ). We also checked the anthropometric, biochemical and socioeconomic characteristics. Results: We evaluated 44 elderly, 33 (75%) women and 11 (25%) men. The oldest old respondents, 31 (72%) did not need financial assistance to buy food, but only 31% purchased or participated in the acquisition of food. Participation in the preparation of their own meal was 29.5%, and 20.5% said the longevity prepare your meal without assistance. Men had a higher socioeconomic status than women, with significant p = 0.0174. It was verified low calcium intake, fruit and vegetables and high consumption of sweet foods and drinks. Conclusion: In this study we found that most of the oldest patient was outside the nutritional risk and total caloric intake of the oldest was adequate. However we observed some important micronutrient deficiencies. In this case, the oldest of nutritional assessment was of paramount importance, since it allows developing strategies for implementing nutritional interventions directed in order to meet the demands of this population and consequently generate improved quality of life. / Introdu??o: O consumo alimentar de centen?rios e popula??es de vida longa tem sido estudado sobre v?rias perspectivas dado a import?ncia de se identificar as necessidades nutricionais, os padr?es alimentares bem como os fatores preditores de defici?ncia nutricional em longevos. Objetivo: Avaliar o estado nutricional de idosos longevos. Metodologia: Estudo observacional, transversal, descritivo e anal?tico com idosos longevos. A popula??o estudada foi composta por idosos com idade igual ou superior a 90 anos, residentes em Porto Alegre. Para a realiza??o da avalia??o nutricional dos longevos foi realizada an?lise dos par?metros diet?ticos, atrav?s de um Recordat?rio Alimentar de 24horas e Question?rio de Frequ?ncia Alimentar (QFA). Tamb?m foram verificados os par?metros antropom?tricos, par?metros bioqu?micos e as caracter?sticas socioecon?micas. Resultados: Foram avaliados 44 idosos, sendo 33 (75%) mulheres e 11(25%) homens. Dos longevos entrevistados 31 (72%) n?o necessitava aux?lio financeiro para adquirir os alimentos, mas apenas 31% compravam ou participavam na aquisi??o dos alimentos. A participa??o no preparo da pr?pria refei??o foi de 29,5%, sendo 20,5% o longevo referiu preparar sua refei??o sem aux?lio. Os homens possu?am uma classe socioecon?mica mais elevada que as mulheres, sendo significativo p= 0,0174. Foi verificada baixa ingest?o de c?lcio, frutas e legumes e elevado consumo de alimentos doces e refrigerantes. Conclus?o: Neste estudo observamos que a maioria dos longevos apresentava-se fora do risco nutricional e a ingest?o cal?rica total dos longevos foi adequada. Entretanto observamos defici?ncias de alguns micronutrientes. Neste caso, a avalia??o nutriional dos longevos foi de suma import?ncia, pois possibilita desenvolver estrat?gias para a implanta??o de interven??es nutricionais direcionadas, de modo a atender as demandas desta popula??o e, consequentemente gerar melhora na qualidade de vida.

Made available in DSpace on 2015-04-14T13:54:08Z (GMT). No. of bitstreams: 1 458359.pdf: 326775 bytes, checksum: c64297193922c4c48da36e64ba96d8e3 (MD5) Previous issue date: 2014-03-26 / The purpose of the health care provided to the elderly should be not only the cure of diseases, but also the improvement and preservation of their quality of life (QOL). For this reason, the interest in the association of diseases and QOL has been growing. Of all diseases, depression, the most prevalent psychiatric disorder among the elderly, has a direct effect on activities of daily living and QOL. Some psychosocial factors often assessed using QOL scales, such as bereavement, disabling physical diseases and loneliness, have been described as risk factors for depression among the elderly. This study identified which QOL dimensions were more severely affected by depression in a group of elderly individuals with major or minor depression, compared with a group without depression. This prospective cross-sectional study enrolled 468 elderly individuals (60 years or older) seen in the Family Health Strategy units of Porto Alegre, Brazil. Participants were randomly selected from the groups of individuals followed up by the 27 teams of the Family Health Strategy using number drafts stratified by Health Management Districts in Porto Alegre. Psychiatrists in the healthcare teams made the diagnoses of depression using the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0. Quality of life was evaluated using the validated Brazilian version of the Flanagan Quality of Life Scale. Community health agents collected sociodemographic data using a questionnaire in Portuguese about the general health of the elderly. The analysis of results revealed that, of the total sample, 12% had major depression and 4%, minor depression, whereas 84% did not have depression. Women (20.86%) had depression more often than men (7.6%). Among women, all the dimensions of quality of life were affected by depression. In the group of men, the dimensions of social, community and civic activities and of recreation were not significantly different between individuals with and without depression. For both men and women, a positive perception of quality of life was more frequent among those without depression / Um objetivo dos cuidados com a sa?de dos idosos deve ser a melhoria ou manuten??o da sua qualidade de vida e n?o meramente a cura ou prolongamento da vida, por isso vem crescendo o interesse na rela??o das doen?as com a qualidade de vida. Entre as doen?as, aparece a depress?o como o transtorno psiqui?trico mais prevalente na popula??o idosa, com influ?ncia direta nas atividades da vida di?ria e qualidade de vida. Alguns aspectos psicossociais, geralmente avaliados atrav?s de escalas de qualidade de vida s?o apontados como fatores de risco para a depress?o em idosos, entre eles perdas afetivas, as doen?as f?sicas incapacitantes e a solid?o. O objetivo do presente estudo ? identificar qual ou quais as dimens?es da qualidade de vida de idosos com depress?o maior e depress?o menor s?o mais afetadas, comparando-os com idosos sem depress?o. O estudo ? do tipo transversal com coleta prospectiva. A amostra aleat?ria constituiu-se de 468 idosos (60 anos ou mais) atendidos pela Estrat?gia Sa?de da Fam?lia de Porto Alegre. Os participantes foram randomicamente selecionados de 27 Equipes de Sa?de da Fam?lia do Munic?pio de Porto Alegre (ESF/POA) sorteadas de modo estratificado por Ger?ncia Distrital. Para o presente estudo foram utilizados dados do diagn?stico de depress?o coletados por psiquiatras da equipe que utilizaram a vers?o brasileira do Mini International Neuropsychiatric Interview 5.0.0 plus (M.I.N.I. 5.0.0 plus). A avalia??o de qualidade de vida foi realizada atrav?s da Escala de Qualidade de Vida Adaptada de Flanagan, validada para o portugu?s. Foram utilizados tamb?m dados sociodemogr?ficos coletados pelos agentes comunit?rios de sa?de atrav?s do Question?rio Global do Idoso. Em rela??o aos resultados da amostra: foram diagnosticados 12% com depress?o maior, 4% com depress?o menor e 84% sem depress?o. Mulheres (20,86%) s?o mais afetadas pela depress?o do que homens (7,6%). Nas mulheres todas as dimens?es da qualidade de vida s?o impactadas pela depress?o. Nos homens a dimens?o atividades sociais, comunit?rias e c?vicas e a dimens?o lazer n?o apresentam diferen?as significativas entre aqueles com depress?o e sem depress?o. Em homens e mulheres h? o aumento da percep??o positiva de qualidade de vida nos idosos sem depress?o em rela??o aqueles com depress?o