Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-29T13:48:24Z No. of bitstreams: 1 DanielleAlvesdeMeloDissertacao2016.pdf: 4128229 bytes, checksum: 28e21c5211a6e622f8da59c8d83da663 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-29T13:48:59Z (GMT) No. of bitstreams: 1 DanielleAlvesdeMeloDissertacao2016.pdf: 4128229 bytes, checksum: 28e21c5211a6e622f8da59c8d83da663 (MD5) / Made available in DSpace on 2017-06-29T13:48:59Z (GMT). No. of bitstreams: 1 DanielleAlvesdeMeloDissertacao2016.pdf: 4128229 bytes, checksum: 28e21c5211a6e622f8da59c8d83da663 (MD5) Previous issue date: 2016-03-21 / The aging of the world population is a challenge for health systems. Faced with the aging profile change, with the elderly population steadily increasing, it is necessary strategies to ensure healthy aging. One of the strategies for the aging quality is the use of various drugs, known as polypharmacy. However, the drugs, besides interact with each other, may interact with other factors such as consuming alcohol. The objective was to evaluate the concomitant use of poly pharmacy and alcohol by elderly of the Granja do Torto-D.F neighborhood, through a questionnaire of MEEN and another one structured. It is concluded that from the 202 elderly respondents, 130 (64%) use polypharmacy. However among those, only 16 people (8%) make concomitant use of alcohol. The low percentage may be related to the assistance that the elderly receive in the local health center, with the attendance of a multidisciplinary team. The constant monitoring of the public and the increase awareness of health condition and the risks of consuming alcohol and various drugs, enables the reduction of risks to the health and helps to maintain healthy habits. / O envelhecimento da popula????o mundial traz grandes desafios para os sistemas de sa??de. Frente ?? mudan??a do perfil do envelhecimento, com a popula????o idosa aumentando continuamente, ?? necess??rio estrat??gias que garantam o envelhecimento saud??vel. Uma das estrat??gias visando o envelhecimento com qualidade ?? o uso de variados medicamentos, conhecida como polifarm??cia. Entretanto, os medicamentos, al??m de interagirem entre si, podem ter intera????o com outros fatores, como a ingest??o de bebidas alco??licas. O objetivo do trabalho foi avaliar o uso concomitante de poli farm??cia e bebidas alco??licas por idosos do bairro Granja do Torto, Distrito Federal por meio de aplica????o de question??rio MEEN e outro estruturado. Conclui-se que dos 202 idosos entrevistados, 130 (64%) fazem uso de polifarm??cia. Entretanto entre estes apenas 16 pessoas (8%) fazem uso concomitante de bebidas alco??licas. O baixo percentual que pode estar relacionado com a assist??ncia que esses idosos recebem no posto de sa??de local, com atendimento de uma equipe multidisciplinar. O acompanhamento constante deste p??blico e o esclarecimento acerca da condi????o de sa??de e dos riscos do consumo de ??lcool e variados medicamentos possibilita diminui????o de riscos para a sa??de e auxilia a manter h??bitos de vida saud??veis.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-17T20:10:44Z No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5164818 bytes, checksum: 7903e0d0cab4f6b2f39cb20c4d8baac0 (MD5) / Rejected by Caroline Xavier (caroline.xavier@pucrs.br), reason: Devolvido devido ? falta de capa institucional no arquivo pdf. on 2017-08-21T12:33:45Z (GMT) / Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-23T13:11:03Z No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-08-24T11:59:43Z (GMT) No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) / Made available in DSpace on 2017-08-24T12:05:38Z (GMT). No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) Previous issue date: 2017-04-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This study aims to describe the medications used by people aged 55 years and over enrolled in the ?Programa de Envelhecimento Cerebral? (PENCE) of the Family Health Strategy of Porto Alegre. It will also describe among these patients the occurrence of polypharmacy, the use of potentially inappropriate medications and its association with patients? socioeconomic, lifestyle and health variables, especially the signs and symptoms of depression and cognitive deficit. A cross-sectional population-based study conducted from January 2013 to December 2015, approved by the Research Ethics Committee of PUCRS (n? 826.858). The prevalence of polypharmacy was reported in 35.7% of the population and was the most common drug amount of all age groups, including the younger individuals (55-59 years) (28.1%). After adjustment for socioeconomic and health variables, women (OR 2.46; 95% CI 1.71-3.53), 75-79 years (OR 3.13; 95% CI 1.68-5.83), 1-3 years of study (OR 2.57; 95% CI 1.43-4.59), ex-smokers (OR 1.89; 95% CI 1.29-2.78), poor or very poor self-perceived health (OR 6.43; 95% CI 3.20-12.90), chronic conditions (cardiovascular-related) and depression symptoms were strongly associated with polypharmacy. The prevalence of PIM in the total population was 65.4%, representing a common finding in all age groups, including younger individuals (55-59 years) (60.0%). Former smokers (OR 1.06; 95% CI 1.00-1.12) and current smokers (OR 1.10; 95% CI 1.01-1.18), regular self-perception of health (OR 1.08; 95% CI 1.02-1.15), use three or four medications (OR 1.88; 95% CI 1.65-2.15), and individuals with signs and symptoms of cognitive deficit (OR 1.14; 95% CI 1.03-1.26) and depression (OR 1.12; 95% CI 1.04-1.21) were significantly associated with PIM. Polypharmacy (OR 2.80; 95% CI 2.48-3.16) had the strongest association. Polypharmacy and MPI are prevalent in middle-aged individuals, a population that is poorly researched, and the elderly. The present study proposed an advance in pharmacoepidemiological studies, analyzing some gaps in the literature related to middle-aged adults with unfavorable socioeconomic characteristics, such as low income and schooling. / Este estudo tem por objetivo descrever os medicamentos utilizados por pessoas com 55 anos ou mais, cadastradas no Programa de Envelhecimento Cerebral (PENCE) da Estrat?gia Sa?de da Fam?lia de Porto Alegre, a ocorr?ncia de polifarm?cia, o uso de medicamentos potencialmente inapropriados e a associa??o com vari?veis socioecon?micas, h?bitos de vida e sa?de, principalmente os sinais e sintomas de depress?o e de d?ficit cognitivo. Estudo transversal de base populacional, realizado entre janeiro de 2013 a dezembro de 2015, aprovado pelo Comit? de ?tica em Pesquisa da PUCRS (n? 826.858). A preval?ncia de polifarm?cia na popula??o total foi de 35,7%, representando um achado comum a todas as faixas et?rias, incluindo os indiv?duos mais jovens (55-59 anos) (28,1%). Ap?s o ajuste para as vari?veis socioecon?micas e de sa?de, as mulheres (OR 2,46; IC 95% 1,71-3,53) e os indiv?duos com 75-79 anos (OR 3,13; IC 95% 1,68-5,83), 1-3 anos de estudo (OR 2,57; IC 95% 1,43-4,59), ex-fumantes (OR 1,89; IC 95% 1,29-2,78), com pior autopercep??o de sa?de (OR 6,43; IC 95% 3,20-12,90), com doen?as cr?nicas (principalmente as cardiovasculares) e com sintomas depressivos foram fortemente associados ? polifarm?cia. A preval?ncia de PIM na popula??o total foi de 65,4%, representando um achado comum a todas as faixas et?rias, incluindo os indiv?duos mais jovens (55-59 anos) (60,0%). Os ex-fumantes (OR 1,06; IC 95% 1,00-1,12) ou atuais (OR 1,10; IC 95% 1,01-1,18), com autopercep??o de sa?de regular (OR 1,08; IC 95% 1,02-1,15), que faziam uso de tr?s ou quatro medicamentos (OR 1,88; IC 95% 1,65-2,15) e com sinais e sintomas de d?ficit cognitivo (OR 1,14; IC 95% 1,03-1,26) e depress?o (OR 1,12; IC 95% 1,04-1,21) foram significativamente associados com o maior consumo de MPI, sendo a polifarm?cia (OR 2,80; IC 95% 2,48-3,16) a vari?vel com a mais forte rela??o. Polifarm?cia e MPI s?o prevalentes em indiv?duos de meia-idade, uma popula??o que ? pouco pesquisada, e em idosos. O presente estudo prop?s um avan?o nos estudos farmacoepidemiol?gicos, analisando algumas lacunas na literatura relacionada aos adultos de meia-idade com caracter?sticas socioecon?micas desfavor?veis, como baixas renda e escolaridade.