Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:21:24Z No. of bitstreams: 1 JaquelinePereiraMotaDissertacao2017.pdf: 844360 bytes, checksum: 3ba79b2bca37832eac56780d0cc50814 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:21:38Z (GMT) No. of bitstreams: 1 JaquelinePereiraMotaDissertacao2017.pdf: 844360 bytes, checksum: 3ba79b2bca37832eac56780d0cc50814 (MD5) / Made available in DSpace on 2017-07-03T21:21:39Z (GMT). No. of bitstreams: 1 JaquelinePereiraMotaDissertacao2017.pdf: 844360 bytes, checksum: 3ba79b2bca37832eac56780d0cc50814 (MD5) Previous issue date: 2017-02-17 / Aging is a dynamic and progressive process, whose individual presents progressive loss of their capacities and development of pathological processes increasing vulnerability and predisposing it to morbidity and mortality. Thus, the elderly person is 80 years old or older due to biological aging, making it more fragile and this factor was the research target of this research. The objective of this study was to evaluate the presence of fragility and pre-frailty in association with sarcopenia syndrome measured by the scale of SARC-F in long-lived elderly patients treated in an outpatient setting, in the Federal District. The method used was a cross-sectional and quantitative, observational study with 71 elderly men and women, followed at the Geriatrics outpatient clinic of the Cardiology Institute of the Federal District, Taguatinga unit as part of the multicenter project National Program for Academic Cooperation (PROCAD). Data were collected between March and October 2016, by screening in the outpatient registry. Instruments used: a questionnaire on sociodemographic data, anthropometric measures, instruments for the evaluation of sarcopenia and fragility, and the application of the tests to investigate the fragility with the phenotype of five criteria suggested by Fried et al. For statistical analysis, an electronic database was built in the Excel?? program and the data analyzed in the Statistical Package for Social Science (SPSS) version 22.0. In the descriptive analysis, we used descriptive statistics (means, standard deviation and frequencies), the non-parametric Chi-square test for comparison of the qualitative variables and for the quantitative data the t-test was used for independent samples. The results were considered statistically significant when the significance of p-value <0.05. The results and discussion indicated the mean age of 84.73 (?? 3.59 and p = 0.95) years, and in the age range between 80 and 84 years, 62.1% (n = 18) of the elderly were fragile (N = 51 and p = 0,79), being 43.1% (n = 25), white (71.8%) and 54.3% (n = 25). = 22) fragile, average monthly personal income of up to two minimum wages of 59.4% (n = 41 and p = 0.04) in which 60% (n = 18) scored for fragile and comprised 40.8% ( (N = 29 and p = 0.37), and 48.8% (n = 20) were fragile, with regard to the level of education and primary schooling, 45.1% (n = 32 and p = 0.27), 60 % (N = 18) scored for fragile. In the anthropometric calculations, the mean weight was 64 (?? 12.6) kg, mean height 1.56m (?? 0.80) and BMI 26.2 (?? 4.55). The total number of pre-frail elderly (p = 0.04) was 57.7% (n = 41) and fragile was 42.3% (n = 30) and 25.4% (n = 18) Longevity are sarcopenic, and 83.3% (n = 15) of these were fragile. It was concluded that there is a positive association between the fragility syndrome and the sarcopenia syndrome measured through the scale of F-SARS and that long-lived women are more vulnerable to the fragility syndrome. These results will support and help the multiprofessional team to identify fragility in the elderly in the long term through preventive research in actions that aim to minimize its effects and promote a better quality of life and a healthy aging. / O envelhecimento ?? um processo din??mico e progressivo, cujo indiv??duo apresenta perda progressiva de suas capacidades e desenvolvimento de processos patol??gicos aumentando a vulnerabilidade e predispondo-o ?? morbimortalidade. Assim, o idoso longevo ?? o indiv??duo que possui 80 anos ou mais devido ao envelhecimento biol??gico, tornando-o mais fr??gil e este fator foi o alvo de investiga????o desta pesquisa.Objetivou-se avaliar a presen??a de fragilidade e pr??fragilidade em associa????o com a s??ndrome da sarcopenia mensurada por interm??dio da escala de SARC-F em idosos longevos atendidos em um contexto ambulatorial, no Distrito Federal. O m??todo utilizado foi um delineamento transversal e quantitativo, de car??ter observacional, com 71 idosos,de ambos os sexos, acompanhados no ambulat??rio de Geriatria, do Instituto de Cardiologia do Distrito Federal, unidade de Taguatinga como parte do projeto multic??ntrico Programa Nacional de Coopera????o Acad??mica (PROCAD).Os dados foram coletados entre mar??o e outubro de 2016, por triagem no cadastro ambulatorial. Instrumentos utilizados: question??rio sobre dados sociodemogr??ficos, medidas antropom??tricas, instrumentos de avalia????o da sarcopenia e da fragilidade, e aplica????o dos testes para investiga????o da fragilidade com o fen??tipo de cinco crit??rios sugeridos por Fried et al. Para a an??lise estat??stica, construiu-se um banco de dados eletr??nico no programa Excel?? e os dados analisados no programa StatisticalPackage for Social Science (SPSS) vers??o 22.0. Na an??lise descritiva, foi utilizada estat??stica descritiva (m??dias, desvio padr??o e frequ??ncias), o teste n??o param??tricoQui-quadrado para compara????o das vari??veis qualitativas e para os dados quantitativos foi utilizado o teste t para amostras independentes. Os resultados foram considerados estatisticamente significativos quando a signific??ncia de p-valor <0,05. Os resultados e discuss??o indicarama m??dia de idade de 84,73 (??3,59 e p=0,95) anos, sendo que na faixa et??ria entre 80 e 84 anos, 62,1% (n=18) dos idosos eram fr??geis, 46 mulheres (64,8% e p=0,05) sendo 54,3% (n=25) fr??geis, ra??a branca 71,8% (n=51 e p=0,79), sendo 43,1% (n=22) fr??geis, renda pessoal mensal m??dia de at?? dois sal??rios m??nimosde 59,4% (n=41 e p=0,04) na qual60% (n=18) pontuaram para fr??gil e era constitu??do de 40,8% (n=29 e p=0,37) de casados sendo 48,8% (n=20) fr??geis, quanto ao grau de instru????o e escolaridade at?? o prim??rio, 45,1% (n=32 e p=0,27), 60% (n=18) pontuaram para fr??gil. Nos c??lculos antropom??tricos, a m??dia de peso foi de 64 (??12,6) quilos, m??dia de altura 1,56m (??0,80) e IMC de 26,2(??4,55). O total de idosos pr??-fr??geis (p=0,04) foi de 57,7% (n=41) e fr??geis foi de 42,3% (n=30) e 25,4% (n=18) dos idosos longevos s??o sarcop??nicos, sendo que 83,3% (n=15) destes eram fr??geis. Concluiu-se que h?? uma associa????o positiva entre a s??ndrome da fragilidade e a s??ndrome da sarcopeniamensurada por interm??dio da escala de SARC-F e que as mulheres longevas s??o mais vulner??veis ?? s??ndrome da fragilidade. Estes resultados subsidiar??o e auxiliar??o a equipe multiprofissionala buscar identificar a fragilidade em idosos longevos por interm??dio da investiga????o preventiva nas a????es que visem minimizar seus efeitos e promover melhor qualidade de vida e um envelhecimento saud??vel.