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Autopercep??o do envelhecimento, autoimagem corporal, autopercep??o de saude e morbidades prevalentes em idosos

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Previous issue date: 2014-01-21 / Self Perception of aging is a good indicator of successful aging. Studies on perception of aging have shown that a young subjective age and a high satisfaction with aging are associated with good health, high levels of wellbeing and few medical symptoms. The Aging Perception Questionnaire (APQ) is composed by 32 questions and evaluates self-perception of aging from distinct domains involving opinions about one s own aging process. There is no such a scale in Brazil up to date. The validation process of the APQ was performed with a sample of 402 individuals, from 60 to 104 years of age (68,3 ?7,4), specially women(59,2%). Confirmatory factor analysis demonstrated good adequacy of the Brazilian instrument .The internal consistency of the original data, presented an index of 0.889, indicating that the sample size is adequate for the application of the technique. The internal consistency of each dimension was also observed ranging from 0.555 to 0.831. The positive control and positive consequences were the dimensions that stood out in this population, with statistically significant values (p < 0.001), reflecting the perception of individuals to aggregate positive aspects and to have control over their own aging. Diabetes mellitus and depressive mood showed statistically significant levels when associated with the APQ.Body image satisfaction can influence behavior of individuals improving their performance in physical and social terms. On the other hand, physical disabilities resulting from aging also affect the perception of body image. Body satisfaction was observed in this work through the Stunkard Nine Figure Scale , in which individuals choose the figure that look more like his/her actual body image and the figure he/she believes that more closely resembles his/her ideal body image . A difference between the two figures demonstrates dissatisfaction with body image. Most respondents (67.2 %) reported being dissatisfied with their body image. The presence of obesity was significantly associated with body dissatisfaction (p<0,001), as well as depressive mood. There was also a trend towards a significant association with the presence of hypertension (0.087) and DM (0.056). In the analysis of the perception of aging and satisfaction with body image there is evidence that the group not satisfied with their body image is more inclined to believe that aging has a negative impact on their life. Self perceived health status was determined by a simple question (In general, how do you consider your health). In this sample, the majority reported having regular health (54.8 %) and only 6.1 % said they have great health. There was a significant association between perception of poor/bad health with the presence of DM, where 41.9 % (n = 13) of the individuals with this perception had DM (p < 0.05). There was also a relevant relationship with poor / very poor perception of health with obesity (p < 0.05), cardiovascular disease (p <0.05) and depressive mood (p < 0.001). In the analyses of the relationship between perception of aging and self perceived health, individuals with poor / bad and good / fair health appeared more inclined to believe that getting older makes it harder in their lives, compared to the group with great health perception. / A auto percep??o do envelhecimento ? um bom indicador de um envelhecimento bem sucedido. Estudos abordando a percep??o sobre envelhecimento mostram que uma idade subjetiva jovem e uma alta satisfa??o com o envelhecimento est?o associadas ? boa sa?de, altos n?veis de bem estar e poucos sintomas m?dicos. O question?rio de auto percep??o do envelhecimento (QAPE) ? composto por 32 quest?es e avalia a auto percep??o do envelhecimento a partir de dom?nios distintos envolvendo opini?es sobre o pr?prio envelhecimento. N?o dispomos no Brasil de uma escala de aferi??o a que se prop?e o QAPE.O processo de valida??o do QAPE contou com a participa??o de 402 idosos, entre 60 e 104 anos(68,3 ?7,4), na maioria mulheres(59,2%). A an?lise fatorial confirmat?ria demonstrou boa adequa??o do instrumento brasileiro. A consist?ncia interna dos dados originais apresentou um ?ndice igual a 0,889, indicando que o tamanho amostral est? adequado para a aplica??o da t?cnica. A consist?ncia interna de cada uma das dimens?es tamb?m foi verificada variando de 0,555 a 0,831. As dimens?es controle positivo e conseq??ncias positivas foram as que mais se destacaram nesta popula??o, com valores significativos estatisticamente (p<0,001), refletindo a percep??o dos indiv?duos de agregarem aspectos positivos e terem um controle sobre seu pr?prio envelhecimento. O diabete mellitus e o humor depressivo demonstraram ?ndices significativos estatisticamente quando associados a APE.A satisfa??o com a imagem corporal pode influenciar comportamentos dos indiv?duos melhorando o seu desempenho em termos f?sicos e sociais. Por outro lado, as incapacidades f?sicas resultantes do envelhecimento, tamb?m afetam a percep??o da imagem corporal. A satisfa??o corporal foi verificada neste trabalho atrav?s da Escala de Nove Silhuetas de Stunkard, no qual o indiv?duo escolhe a silhueta que considera mais semelhante a sua imagem corporal real e tamb?m a silhueta que acredita ser mais semelhante ? imagem corporal ideal. Uma diferen?a entre as duas figuras comprova uma insatisfa??o com a imagem corporal. A maioria dos entrevistados (67,2%) referiu estar insatisfeito com sua imagem corporal. A presen?a de obesidade mostrou-se significativamente associada a insatisfa??o corporal (p<0,001), assim como a presen?a de humor depressivo. Houve tamb?m uma tend?ncia de associa??o significativa com a presen?a de hipertens?o(0,087) e DM(0,056). Na an?lise da percep??o de envelhecimento e satisfa??o com imagem corporal h? evid?ncias de que, o grupo n?o satisfeito com sua imagem corporal est? mais inclinado a acreditar que o envelhecimento tem um impacto negativo em sua vida. A auto percep??o de sa?de foi determinada por meio de uma simples pergunta (De uma maneira geral, como voc? considera sua sa?de). Nesta amostra, a maioria referiu ter uma sa?de regular (54,8%) e apenas 6,1% disseram ter uma sa?de ?tima. Houve associa??o significativa da percep??o de sa?de m?/p?ssima com a presen?a de DM, onde 41,9%(n=13) dos investigados com esta percep??o apresentaram DM(p<0,05). Ainda verificou-se que se mostraram relacionadas de forma relevante com a percep??o m?/p?ssima as condi??es de obesidade .

Identiferoai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2735
Date21 January 2014
CreatorsRocha, Laura Maria Brenner Ceia Ramos Mariano da
ContributorsTerra, Newton Luiz
PublisherPontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, BR, Instituto de Geriatria e Gerontologia
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS
Rightsinfo:eu-repo/semantics/openAccess
Relation4438661476953179033, 500, 600, 2296420844541114010

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