1
|
Milagres CS, Tôrres LHDN, de Almeida TB, Neri AL, Antunes JLF, de Sousa MDLR. Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study. Rev Saude Publica 2022; 56:104. [PMID: 36515306 PMCID: PMC9749652 DOI: 10.11606/s1518-8787.2022056004195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 01/11/2022] [Indexed: 12/15/2022] Open
Abstract
OBJETIVE To investigate the relationship between the masticatory function and the frailty of older people. METHODS Exploratory cross-sectional study using secondary data from the FIBRA Project on the frailty conditions of older people living in urban areas of six Brazilian municipalities, from 2008 to 2009. The population consisted of older adults aged 65 and over with no cognitive impairment. A single session identification questionnaire and the Mini-Mental State Examination (MMSE) were applied, followed by collecting sociodemographic data and data on the participants' self-assessment of masticatory function, general health, and oral health. RESULTS 2,341 older people (164 frail older adults), of whom 63.2% reported not having seen a dentist in the last year, and approximately 26% of them had three or more functional feeding problems. Older participants (OR = 2.88; 95%CI: 2.01-4.13), who are retired (OR = 2.31; 95%CI: 1.18-5.53), those who were depressed (OR = 2.31; 95%CI: 1.58-3.38), and those who self-assessed their general health as worse compared to others of the same age (OR = 3.91; 95%CI: 2.39-6.40) were at higher risk of frailty. Three or more problems related to the functional aspects of mastication were associated with a greater chance of frailty (OR = 2.06; 95%CI: 1.25-3.41). CONCLUSION This study found an association between masticatory function and a greater chance of frailty among the studied population.
Collapse
Affiliation(s)
- Clarice Santana Milagres
- Faculdade São Leopoldo MandicDepartamento de MedicinaArarasSPBrasilFaculdade São Leopoldo Mandic. Departamento de Medicina. Araras, SP, Brasil
| | - Luísa Helena do Nascimento Tôrres
- Universidade Federal de Santa MariaDepartamento de EstomatologiaCentro de Ciências da SaúdeSanta MariaRSBrasilUniversidade Federal de Santa Maria. Centro de Ciências da Saúde. Departamento de Estomatologia. Santa Maria, RS, Brasil
| | - Talita Bonato de Almeida
- Universidade Anhembi MorumbiPiracicabaSPBrasilUniversidade Anhembi Morumbi. Piracicaba, SP, Brasil
| | - Anita Liberalesso Neri
- Universidade Estadual de CampinasFaculdade de EducaçãoDepartamento de Psicologia da EducaçãoCampinasSPBrasilUniversidade Estadual de Campinas. Faculdade de Educação. Departamento de Psicologia da Educação.
Campinas, SP, Brasil
| | - José Leopoldo Ferreira Antunes
- Universidade de São PauloFaculdade de Saúde PúblicaDepartamento de EpidemiologiaSão PauloSPBrasilUniversidade de São Paulo. Faculdade de Saúde Pública. Departamento de Epidemiologia. São Paulo, SP, Brasil
| | - Maria da Luz Rosário de Sousa
- Universidade Estadual de CampinasFaculdade de OdontologiaDepartamento de Ciências da Saúde e
Odontologia InfantilPiracicabaSPBrasilUniversidade Estadual de Campinas. Faculdade de Odontologia. Departamento de Ciências da Saúde e
Odontologia Infantil. Piracicaba, SP, Brasil,Correspondence: Maria da Luz Rosário de Sousa Universidade Estadual de Campinas Av. Limeira, 901 - Areião 13414-018 Piracicaba, SP, Brasil E-mail:
| |
Collapse
|
2
|
Garcia TFM, Vallero CNDA, Assumpção DD, Aprahamian I, Mônica Sanches Y, Borim FSA, Neri AL. Number of ideas in spontaneous speech predicts cognitive impairment and frailty in community-dwelling older adults nine years later. Aging Ment Health 2022; 26:2022-2030. [PMID: 34806510 DOI: 10.1080/13607863.2021.1998347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVE To investigate the associations between linguistic parameters in spontaneous speech at baseline and cognitive impairment and frailty nine years later. METHODS A prospective analysis was carried out on data of the Frailty in Brazilian Older People Study (FIBRA) Study, a population-based study on frailty. From a probabilistic sample of 384 individuals aged 65 and older at baseline (2008-2009), 124 aged 73 years and older at follow-up were selected, as they had scored above the cutoff values of cognitive screening for dementia adjusted by years of schooling at baseline and had answered to the question What is healthy aging and had no frailty at baseline. Verbal responses were submitted to content analysis and had its ideas and words counted. Number of ideas corresponded to the frequency of meaning categories and number of words to all identified significant textual elements in the text constituted by the sample answers to that question. RESULTS Multivariate logistic regression analyses, controlling for the effects of age, sex, and education, showed that individuals with a high number of ideas at baseline had lower chance of having cognitive impairment (OR = 0.39; 95% CI 0.22 - 0.69) and frailty (OR 0.66; 95% CI 0.44 - 0.99) nine years later than those with low number of ideas. CONCLUSIONS Higher number of ideas, but not number of words, in spontaneous speech seems to be associated to a more positive prognosis in mental and physical health nine years later. Linguistic markers may be used to predict cognitive impairment and frailty in older individuals.
Collapse
Affiliation(s)
| | | | | | - Ivan Aprahamian
- Group of Investigation on Multimorbidity and Mental Health in Aging (GIMMA), Geriatrics Division, Internal Medicine Department, Faculty of Medicine of Jundiaí, Jundiaí, Brazil.,Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Yassuda Mônica Sanches
- School of Medical Sciences, State University of Campinas, Campinas, Brazil.,School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | | | | |
Collapse
|
3
|
Oliveira ECT, Louvison MCP, Teixeira DSDC, de Menezes TN, Rosa TEDC, Duarte YADO. Difficulties in accessing health services among the elderly in the city of São Paulo-Brazil. PLoS One 2022; 17:e0268519. [PMID: 35588124 PMCID: PMC9119537 DOI: 10.1371/journal.pone.0268519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 05/02/2022] [Indexed: 11/18/2022] Open
Abstract
To identify difficulties in accessing health services by the elderly in the city of São Paulo/Brazil and the contributory factors that reflect inequalities. This is a cross-sectional study that used data from the Health, Well-being and Aging Study (SABE). The population is composed of elderly ≥ 60 years old, of both sexes, living in the urban area of São Paulo. For this analysis, we used data from the 2015 cohort of the SABE study, containing a sample of 1,221 individuals. The proportions of access difficulty and, through logistic regression, the associated factors were verified, based on Andersen’s Behavioral Model, which considers factors of predisposition, enabling and need as individual determinants of access to health care. It was observed that 37.0% of the elderly reported difficulty accessing health services when they needed it. This difficulty was greatest among females (42.3%), aged 60 to 69 years (40.9%), black race/color (58.8%), illiterate (44.5%), single/separated/divorced (44.3%), with income slower than one salary minimum (46.8%), without health insurance (51.9%), with poor/very poor self-assessment of health (54.7%), with multimorbidity (40.1%), frail (47.2%) and among those who used polypharmacy (40.8%). After multivariate analysis, in the final model, there was a positive association between difficulty of access and predisposing factors (female gender, age group 60 to 69 years, black race/color, illiterate), enabling factors (possession of health insurance) and need factors (regular and poor/very poor self-assessment of health and pre-fragility and frailty condition). The presence of difficulty in access associated with predisposing, enabling and need factors reflect the existence of inequalities caused by barriers that point to weaknesses in the organization of services. The identification of these barriers that hinder access highlights important points that can have an impact on the equity and resolution of care.
Collapse
Affiliation(s)
| | - Marília Cristina Prado Louvison
- Department of Policy, Management and Health, Faculty of Public Health, University of São Paulo (USP), São Paulo, São Paulo, Brazil
| | | | | | | | - Yeda Aparecida de Oliveira Duarte
- Coordinator of the Health, Well-Being and Aging Study (SABE), School of Nursing, Faculty of Public Health, University of São Paulo (USP), São Paulo, São Paulo, Brazil
| |
Collapse
|
4
|
Diniz MAA, Zazzetta MS, Gomes GADO, Orlandi FDS, Kusumota L, Gratão ACM. Frailty in younger-old and oldest-old adults in a context of high social vulnerability. GERIATRICS, GERONTOLOGY AND AGING 2022. [DOI: 10.53886/gga.e0220024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: To analyze the factors associated with physical frailty in community-dwelling younger-old (60 to 74 years) and oldest-old (75 years or older) adults in a region of high social vulnerability. Social vulnerability refers to the absence of or difficulty obtaining social support from public institutions, situations that hinder the realization of or deny citizens their social rights and affect their social cohesion, and the ability to react to high-risk social situations – associated health and illness. In this study, we used the São Paulo Social Vulnerability Index developed by the SEADE Foundation, which classifies social vulnerability based on socioeconomic and demographic conditions. Methods: Quantitative analytical study of 303 older adults. Fried frailty phenotype assessment was performed and the Mini Mental State Examination, Geriatric Depression Scale, Katz Index of Independence in Activities of Daily Living, and the Lawton Scale of Instrumental Activities of Daily Living were administered. Descriptive statistics and logistic regression were used to analyze data. Results: Of the older adults, 12.21% were nonfrail, 60.72% were prefrail, and 27.06% were frail. The single factor most associated with frailty was depressive symptoms (OR = 2.65; 95%CI 1.38 – 5.08) in the younger-old and illiteracy (OR = 14.64; 95%CI 1.82 – 116.51) in the oldest old. Conclusion: The factor most associated with frailty in younger-old adults (aged 60 to 74 years) was depressive symptoms, whereas in the oldest old (aged 75 or older), the factor most associated with frailty was being illiterate. The results of this investigation should prompt health professionals and managers to discuss and program new strategies for health promotion and prevention of factors that may aggravate frailty, respecting the differences found between older adults in early and later old age.
Collapse
|
5
|
Andrade LEL, New York BSDAC, Gonçalves RSDSA, Fernandes SGG, Maciel ÁCC. Mapping instruments for assessing and stratifying frailty among community-dwelling older people: a scoping review. BMJ Open 2021; 11:e052301. [PMID: 34937719 PMCID: PMC8704957 DOI: 10.1136/bmjopen-2021-052301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 11/13/2021] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To map in the current literature instruments for the assessment and stratification of frailty in community-dwelling older people, as well as to analyse them from the perspective of the Brazilian context. DESIGN Scoping review. STUDY SELECTION The selection of studies took place between March and April 2020. Includes electronic databases: Medline, Latin American and Caribbean Literature in Health Sciences, Scopus, Web of Science and Cumulative Index of Nursing and Literature Health Alliance, in addition to searching grey literature. DATA EXTRACTION A data extraction spreadsheet was created to collect the main information from the studies involved, from the title to the type of assessment and stratification of frailty. RESULTS In summary, 17 frailty assessment and stratification instruments applicable to community-dwelling older people were identified. Among these, the frailty phenotype of Fried et al was the instrument most present in the studies (45.5%). The physical domain was present in all the instruments analysed, while the social, psychological and environmental domains were present in only 10 instruments. CONCLUSIONS This review serves as a guideline for primary healthcare professionals, showing 17 instruments applicable to the context of the community-dwelling older people, pointing out advantages and disadvantages that influence the decision of the instrument to be used. Furthermore, this scoping review was a guide for further studies carried out by the same authors, which aim to compare instruments.
Collapse
|
6
|
Aliberti MJR, Szlejf C, Lima-Costa MF, de Andrade FB, Alexandre TS, Ferri CP, Suemoto CK. Frailty Modifies the Association of Hypertension With Cognition in Older Adults: Evidence From the ELSI-Brazil. J Gerontol A Biol Sci Med Sci 2021; 76:1134-1143. [PMID: 33420508 DOI: 10.1093/gerona/glaa303] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The relationship between hypertension and cognition in later life is controversial. We investigated whether the association of hypertension with cognition differs in older adults according to the frailty status using cross-sectional data from the Brazilian Longitudinal Study of Aging, a nationally representative sample of adults aged ≥50 years. METHOD Hypertension was defined by a medical diagnosis or measured blood pressure ≥140/90 mm Hg. Frailty status was assessed using the Cardiovascular Health Study criteria. We estimated the association of hypertension and systolic and diastolic blood pressure with global cognition, orientation, memory, and verbal fluency z-scores, using multiple linear regression models. We also investigated interactions between hypertension and frailty on cognitive performance and impairment. RESULTS We evaluated 8609 participants (mean age = 61.9 ± 9.6 years, 53% women). Participants with hypertension (59% of adults aged 50-64 and 77% of those aged ≥65 years) had poorer scores for global cognitive performance than those without hypertension, especially among adults aged 50-64 years (β = -0.09; 95% confidence interval = -0.15, -0.04; p = .001). However, frailty modified the associations of hypertension with cognitive performance and impairment in those aged ≥65 years (p-values for interaction = .01 and .02, respectively). Among nonfrail older adults, hypertension was associated with cognitive impairment. In contrast, among frail older adults, hypertension was related to better global and memory cognitive z-scores. CONCLUSIONS Hypertension was associated with worse cognitive performance. Among older adults, hypertension was related to cognitive impairment only in nonfrail participants. Frailty evaluation may help clinicians offer personalized hypertension management in older adults.
Collapse
Affiliation(s)
- Márlon J R Aliberti
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Brazil.,Research Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil
| | - Claudia Szlejf
- Department of Diagnostic and Ambulatory Medicine, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
| | | | - Fabíola B de Andrade
- Rene Rachou Research Institute, Oswaldo Cruz Foundation (FIOCRUZ), Minas Gerais, Brazil
| | - Tiago S Alexandre
- Department of Gerontology, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Cleusa P Ferri
- Department of Psychiatry, Universidade Federal de Sao Paulo, Brazil
| | - Claudia K Suemoto
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Brazil
| |
Collapse
|
7
|
Tavares DMDS, Oliveira NGN, Marmo FAD, Meneguci J. Using structural equation modeling in the understanding of functional disability in older adults. Rev Lat Am Enfermagem 2021; 29:e3451. [PMID: 34190942 PMCID: PMC8253352 DOI: 10.1590/1518-8345.4555.3451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 11/12/2020] [Indexed: 11/22/2022] Open
Abstract
Objective: to analyze functional disability and its associated factors among
community-dwelling older adults. Method: a cross-sectional study, conducted with 1,635 older adults distributed in the
following age groups: 60 to 69, 70 to 79, and 80 years old or more, living
in a health macro-region of the state of Minas Gerais. Descriptive and
trajectory analysis was carried out (p<0.05). The parameters were
estimated by the Maximum Likelihood method. Results: the highest percentage was female, with a monthly income of 1 minimum wage
and living with a companion. In the age groups from 60 to 69 and from 70 to
79 years old, older adults with a partner predominated; and, among those
aged 80 years old or more, widowed individuals prevailed. In the three
groups, functional disability occurred hierarchically. Lower schooling,
frailty and depressive symptomatology were factors directly associated with
functional disability in the advanced activities; frailty and sedentary
behavior were directly associated with functional disability in the
instrumental activities. In the older adults aged between 60 and 69 years
old and from 70 to 79 years old, sedentary behavior was associated with
greater dependence on the basic activities. Conclusion: the expanded understanding of the factors in the functional disability of the
older adults, according to age group, helps the health professional in the
development of preventive measures for this disease.
Collapse
Affiliation(s)
| | | | - Flavia Aparecida Dias Marmo
- Universidade Federal do Triângulo Mineiro, Departamento de Enfermagem em Educação e Saúde Comunitária, Uberaba, MG, Brazil
| | | |
Collapse
|
8
|
Da Mata FAF, Miranda Forte Gomes M, Lício Ferreira Santos J, Aparecida de Oliveira Duarte Y, Gomes Pereira M. Depression and frailty in older adults: A population-based cohort study. PLoS One 2021; 16:e0247766. [PMID: 33662006 PMCID: PMC7932072 DOI: 10.1371/journal.pone.0247766] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 02/13/2021] [Indexed: 12/20/2022] Open
Abstract
Background Studies have shown an association between depression and frailty, even though the literature has not reached a consensus regarding how these syndromes interact. Although prospective cohort studies on this topic are still scarce, they could contribute to understanding this relationship. We aimed to observe whether depressive symptoms are risk factors for the onset of frailty among older adults living in São Paulo, Brazil. Methods Prospective cohort study using the “Health, Well-being and Aging” (SABE) Study databases of 2006 and 2010. The sample was representative of the community-dwelling older adults living in São Paulo, and it is composed of non-frail men and women aged 60 years and older without cognitive decline. We calculated the frailty incidence rate between older adults with and without depressive symptoms and calculated the incidence rate ratio. Multiple analysis was carried out through Poisson regression with robust variance estimation. Results The initial sample (n = 1,109) presented a mean age of 72 years (from 60 to 96) and 61.1% were women. The final sample was composed of 830 individuals, and the mean follow-up time in the study was 3.8 years. After adjusting the model, depressive symptoms did not predict the onset of frailty at follow-up. Conclusion Depressive symptoms were not shown to be a risk factor for frailty among older adults living in São Paulo in this study.
Collapse
|
9
|
Saraiva MD, Rangel LF, Cunha JLL, Rotta TCA, Douradinho C, Khazaal EJB, Aliberti MJR, Avelino-Silva TJ, Apolinario D, Suemoto CK, Jacob-Filho W. Prospective GERiatric Observational (ProGERO) study: cohort design and preliminary results. BMC Geriatr 2020; 20:427. [PMID: 33109121 PMCID: PMC7590705 DOI: 10.1186/s12877-020-01820-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 10/05/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The demographic changes in Brazil as a result of population aging is one of the fastest in the world. The far-reaching new challenges that come with a large older population are particularly disquieting in low- and middle-income countries (LMICs). Longitudinal studies must be completed in LMICs to investigate the social and biological determinants of aging and the consequences of such demographic changes in their context. Therefore, we designed the Prospective GERiatric Observational (ProGERO) study, a longitudinal study of outpatient older adults in São Paulo, Brazil, to collect data both on aging and chronic diseases, and investigate characteristics associated with adverse outcomes in this population. METHODS The ProGERO study takes place in a geriatric outpatient clinic in the largest academic medical center in Latin America. We performed baseline health examinations in 2017 and will complete subsequent in-person visits every 3 years when new participants will also be recruited. We will use periodic telephone interviews to collect information on the outcomes of interest between in-person visits. The baseline evaluation included data on demographics, medical history, physical examination, and comprehensive geriatric assessment (CGA; including multimorbidity, medications, social support, functional status, cognition, depressive symptoms, nutritional status, pain assessment, frailty, gait speed, handgrip strength, and chair-stands test). We used a previously validated CGA-based model to rank participants according to mortality risk (low, medium, high). Our selected outcomes were falls, disability, health services utilization (emergency room visits and hospital admissions), institutionalization, and death. We will follow participants for at least 10 years. RESULTS We included 1336 participants with a mean age of 82 ± 8 years old. Overall, 70% were women, 31% were frail, and 43% had a Charlson comorbidity index score ≥ 3. According to our CGA-based model, the incidence of death in 1 year varied significantly across categories (low-risk = 0.6%; medium-risk = 7.4%; high-risk = 17.5%; P < 0.001). CONCLUSION The ProGERO study will provide detailed clinical data and explore the late-life trajectories of outpatient older patients during a follow-up period of at least 10 years. Moreover, the study will substantially contribute to new information on the predictors of aging, senescence, and senility, particularly in frail and pre-frail outpatients from an LMIC city.
Collapse
Affiliation(s)
- Marcos Daniel Saraiva
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil.
| | - Luís Fernando Rangel
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Julia Lusis Lassance Cunha
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Thereza Cristina Ariza Rotta
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Christian Douradinho
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Eugênia Jatene Bou Khazaal
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Márlon Juliano Romero Aliberti
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Thiago Junqueira Avelino-Silva
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Daniel Apolinario
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Claudia Kimie Suemoto
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| | - Wilson Jacob-Filho
- Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, 8° andar, Setor Azul (Clinica Medica), LIM-66, Cerqueira Cesar, Sao Paulo, SP, 05403-000, Brazil
| |
Collapse
|