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Previous issue date: 2014-03-26 / Objective: To evaluate the prevalence of anemia among elderly people related to the socioeconomic, hygienic, sanitary and health conditions in older people attended by the Family Health Strategy (FHS) in the city of Porto Alegre, Rio Grande do Sul, Brazil. Methods: Observational, cross-sectional and exploratory study in which community health workers applied a questionnaire, that contained epidemiological information, and the project researchers collect the blood sampling. This study is part of the "Clinical and epidemiological study of the elderly people attended by the FHS in the city of Porto Alegre". The initial sample calculated for this project was 1080 senior citizens, it were chosen 36 from each of the 30 ESF teams. For this work was establish a minimun sample size of 540 senior citizens, considering 2,5% of error for an expected prevalence of anemia of 10,0%. The hematological parameters evaluated were hemoglobin concentration, mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration (MCHC) and red cell distribution width (RDW). Results: Were assessed 556 senior citizens, aged 60 or older, of both sexes. The prevalence of anemia, assessed by hemoglobin measurement was 8,8%, representing 10,1% for men and 8,1 % for women . A normochromic normocytic anemia was the type of anemia most commonly found (34,0%), suggesting chronic disease. Furthermore, the prevalence of normocytic and hypochromic anemia was 32,0%, suggesting an evolution of anemia by chronic disease in early stages of iron deficiency. Analysing health and socioeconomic conditions, significant differences were found among age range, race, educational level, presence or absence of primary caregiver, hospitalization, thyroid disease, report of weakness and use of antianemics medications. Conclusion: Numerous are the triggering factors of low hemoglobin levels. Factors such as age, race, family income, education, care, associated diseases are relevant to influence this event. Anemia should not be considered only associated with aging condition, but to many diseases that are common in this population and therefore deserves appropriate medical attention. Characterization of anemia should be carefully performed to aid its correct treatment. / Objetivo: Avaliar a preval?ncia de anemia em idosos relacionando com as condi??es socioecon?micas, higi?nicas e sanit?rias e de sa?de dos idosos atendidos pela Estrat?gia Sa?de da Fam?lia do munic?pio de Porto Alegre, Rio Grande do Sul, Brasil. M?todos: Estudo transversal explorat?rio observacional, no qual agentes comunit?rios de sa?de aplicaram um question?rio, que continha informa??es epidemiol?gicas e os pesquisadores do projeto realizaram a coleta de sangue. Este estudo faz parte do Estudo epidemiol?gico e cl?nico dos idosos atendidos pela ESF do munic?pio de Porto Alegre (EMISUS). A amostra inicial calculada para este projeto era de 1080 idosos, sendo sorteados 36 de cada uma das 30 equipes da ESF. Para este trabalho foi definido um tamanho amostral m?nimo de 540 idosos, considerando 2,5% de erro aceit?vel para uma preval?ncia de anemia esperada de 10,0%. Os par?metros hematol?gicos avaliados foram concentra??o de hemoglobina, volume corpuscular m?dio (VCM), concentra??o de hemoglobina corpuscular m?dia (CHCM) e amplitude de distribui??o das hem?cias (RDW). Resultados: Foram avaliados 556 idosos com 60 anos ou mais, de ambos os sexos. A preval?ncia de anemia, avaliada pela dosagem de hemoglobina, foi de 8,8%, representando 10,1% para os homens e 8,1% para as mulheres. A anemia normoc?tica e normocr?mica foi o tipo de anemia mais comumente encontrada (34,0%), sugestiva de doen?a cr?nica. Al?m disso, a preval?ncia de anemia normoc?tica e hipocr?mica foi de 32,0%, sugerindo uma evolu??o da anemia por doen?a cr?nica nas fases inicias de defici?ncia de ferro. Na an?lise das condi??es socioecon?micas e de sa?de, diferen?as significativas foram encontradas em entre a faixa et?ria, cor, escolaridade, presen?a ou n?o de cuidador principal, interna??o hospitalar, doen?as da tire?ide, relato de fraqueza e utiliza??o de antian?micos. Conclus?o: In?meros s?o os fatores desencadeantes dos baixos n?veis de hemoglobina. Fatores como faixa et?ria, ra?a, renda mensal familiar, escolaridade, cuidados e doen?as associadas s?o relevantes para influenciar neste acontecimento. A anemia n?o deve ser considerada uma condi??o associada somente ao processo de envelhecimento, mas sim ?s in?meras doen?as, que s?o frequentes nesta popula??o e, portanto, merece aten??o cl?nica adequada. A caracteriza??o da anemia deve ser cuidadosamente realizada para auxiliar no tratamento correto.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2726 |
| Date | 26 March 2014 |
| Creators | Buffon, Pedro Luis Dinon |
| Contributors | Carli, Geraldo Att?lio de |
| Publisher | Pontif?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 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 PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 500, 600, 2296420844541114010 |
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