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Previous issue date: 2016-08-04 / Population aging in Brazil and in the world has revealed, in recent years, the growth
of the elderly aged ???80 years old, the oldest old. The increase in the population of the
oldest old entailed a new epidemiological scenario, characterized by multiple chronic
diseases, morbidity and functional dependence. The objective of this research was to
associate the epidemiological profile with the functional capacity of the oldest old.
This is a cross-sectional study, carried out in the city of Teresina-Piau??, at two Basic
Health Units (BHU). The sample was composed by 103 elderly males and females,
with 80 years or more, enrolled in the BHU and with cognitive capacity preserved.
The data collection was performed by means of application of the questionnaire with
sociodemographic and epidemiological information. For assessment of the functional
capacity, we used the Katz ??ndex, Lawton and Brody Scale and the Short Physical
Performance Battery (SPPB). The sociodemographic data and epidemiological data
were analyzed by simple descriptive statistics. The Chi-square test and the
Spearman correlation test was applied. Among the oldest old, 40.8% were
dependent partial, and 2.9% were dependent on the full realization of the basic
activities of daily life (BADL); 97.1% were partial dependents, 1.9% were dependent
in full for instrumental activities of daily living (IADL), and 24.3% were dependent on
the functional mobility. Functional capacity was associated to the use of assistive
walking devices, the use of three or more medications, the consumption of alcoholic
beverage, the use of prosthesis in hip or knee, diabetes, arthropathies and
osteoporosis and, more significantly, to the fear of falling. The fear of falling was the
only variable that was associated with BADL, IADL and functional mobility. In
conclusion, there was a higher prevalence of independence in the performance of the
BADL, dependence for the IADL and low performance in functional mobility. The fear
of falling was the variable that showed the most significant association with functional
capacity. / O envelhecimento populacional no Brasil e no mundo revelou, nos ??ltimos anos, o
crescimento dos idosos com idades ???80 anos, os idosos longevos. O aumento da
popula????o de longevos implicou um novo cen??rio epidemiol??gico, caracterizado por
m??ltiplas doen??as cr??nicas, morbidade e depend??ncia funcional. O objetivo da
presente pesquisa foi associar o perfil epidemiol??gico ?? capacidade funcional de
idosos longevos. Trata-se de um estudo descritivo, transversal, realizado na cidade
de Teresina-Piau??, em duas Unidades B??sicas de Sa??de (UBSs). A amostra foi
composta por 103 idosos do sexo masculino e feminino, com 80 anos ou mais,
cadastrados nas UBSs e com capacidade cognitiva preservada. A coleta de dados
foi realizada por meio de aplica????o de question??rio com informa????es
sociodemogr??ficas e epidemiol??gicas. Para avalia????o da capacidade funcional,
utilizou-se o ??ndice de Katz, Escala de Lawton e Brody e o Short Physical
Performance Battery. Os dados sociodemogr??ficos e epidemiol??gicos foram
analisados por estat??stica descritiva simples. Aplicou-se o teste de Qui-quadrado e o
teste de correla????o de Spearman. Dentre os idosos longevos, 40,8% eram
dependentes parciais, e 2,9% eram dependentes totais na realiza????o das atividades
b??sicas de vida di??ria (ABVD); 97,1% eram dependentes parciais, 1,9% eram
dependentes totais nas atividades instrumentais de vida di??ria (AIVD), e 24,3% eram
dependentes quanto ?? mobilidade funcional. A capacidade funcional associou-se ao
uso de dispositivos auxiliares de marcha, ao uso de tr??s ou mais medicamentos, ao
consumo de bebida alco??lica, ao uso de pr??tese no quadril ou joelho, ?? diabetes,
artropatias e osteoporose e, mais significativamente, ao medo de cair. O medo de
cair foi a ??nica vari??vel que associou-se ?? ABVD, AIVD e mobilidade funcional.
Concluiu-se que houve maior preval??ncia de independ??ncia para a realiza????o das
ABVD, depend??ncia para as AIVD e baixo desempenho na mobilidade funcional. O
medo de cair foi a vari??vel que apresentou associa????o mais significativa com a
capacidade funcional.
| Identifer | oai:union.ndltd.org:IBICT/oai:bdtd.ucb.br:tede/2183 |
| Date | 04 August 2016 |
| Creators | Amorim, Diane Nogueira Paranhos |
| Contributors | Vila??a, Karla Helena Coelho, Carvalho, Gustavo Azevedo |
| Publisher | Universidade Cat??lica de Bras??lia, Programa Strictu Sensu em Gerontologia, UCB, Brasil, Escola de Sa??de e Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UCB, instname:Universidade Católica de Brasília, instacron:UCB |
| Rights | info:eu-repo/semantics/openAccess |
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