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Chagas JDM, Santos EHR, Ronchi CF, Biagini AP. Sleep and Life Quality in Frail Elderly - A Narrative Review. Sleep Sci 2023; 16:102-116. [PMID: 37151774 PMCID: PMC10157801 DOI: 10.1055/s-0043-1767742] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 05/09/2022] [Indexed: 05/09/2023] Open
Abstract
Introduction Population aging is a growing reality worldwide, characterized by a rapidly developing event that is not always associated with quality of life. Elderly health stands out, pointing to the need for public health policies that ensure effective and resolutive approaches for this population, and should be applied especially by primary health care, through actions that encourage active aging. The present review aimed to identify whether sleep disorders impact the quality of life in frail elderly. Methods We proceeded with the selection of keywords that led to the search of articles. The search was defined in the Lilacs, PubMed, and Embase databases, conducted from July to November, 2020.We have found a total of 455 articles, of which 9 were included in the present review. Results The studies obtained subjective (self-report and questionnaires) and objective (devices and exams) data that characterized frailty, disorders, and sleep quality in the elderly. Some studies have found a relationship between frailty and sleep disorders in women, others in men, and some have identified the existence of a relationship between these factors and the age of the participants who composed the samples. Conclusion Based in our results, we conclude that disorders and poor sleep quality interfere in the quality of life of frail elderly.
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Affiliation(s)
| | | | | | - Angelo Piva Biagini
- Federal University of Uberlandia, Physical Therapy, Uberlandia, MG, Brazil
- Address for correspondence Angelo Piva Biagini
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Ouyang S, Zheng C, Lin Z, Zhang X, Li H, Fang Y, Hu Y, Yu H, Wu G. Risk factors of falls in elderly patients with visual impairment. Front Public Health 2022; 10:984199. [PMID: 36072374 PMCID: PMC9441862 DOI: 10.3389/fpubh.2022.984199] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 07/27/2022] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To examine the risk factors for falls in elderly patients with visual impairment (VI) and assess the predictive performance of these factors. METHODS Between January 2019 and March 2021, a total of 251 elderly patients aged 65-92 years with VI were enrolled and then prospectively followed up for 12 months to evaluate outcomes of accidental falls via telephone interviews. Information of demographics and lifestyle, gait and balance deficits, and ophthalmic and systemic conditions were collected during baseline visits. Forward stepwise multivariable logistic regression analysis was performed to identify independent risk factors of falls in elderly patients with VI, and a derived nomogram was constructed. RESULTS A total of 143 falls were reported in 251 elderly patients during follow-up, with an incidence of 56.97%. The risk factors for falls in elderly patients with VI identified by multivariable logistic regression were women [odds ratio (OR), 95% confidence interval (CI): 2.71, 1.40-5.27], smoking (3.57, 1.34-9.48), outdoor activities/3 months (1.31, 1.08-1.59), waking up frequently during the night (2.08, 1.15-3.79), disorders of balance and gait (2.60, 1.29-5.24), glaucoma (3.12, 1.15-8.44), other retinal degenerations (3.31, 1.16-9.43) and best-corrected visual acuity (BCVA) of the better eye (1.79, 1.10-2.91). A nomogram was developed based on the abovementioned multivariate analysis results. The area under receiver operating characteristic curve of the predictive model was 0.779. CONCLUSIONS Gender, smoking, outdoor activities, waking up at night, disorders of balance and gait, glaucoma, other retinal degeneration and BCVA of the better eye were independent risk factors for falls in elderly patients with VI. The predictive model and derived nomogram achieved a satisfying prediction of fall risk in these individuals.
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Affiliation(s)
- Shuyi Ouyang
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Chunwen Zheng
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
- Graduate School, Shantou University Medical College, Shantou, China
| | - Zhanjie Lin
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
- Graduate School, Shantou University Medical College, Shantou, China
| | - Xiaoni Zhang
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Haojun Li
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Ying Fang
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Yijun Hu
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
- Yijun Hu
| | - Honghua Yu
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
- *Correspondence: Honghua Yu
| | - Guanrong Wu
- Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
- School of Medicine, South China University of Technology, Guangzhou, China
- Guanrong Wu
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Job strain is prospectively associated with a lower frequency of fruit consumption in schoolteachers. Public Health Nutr 2021; 24:1678-1686. [PMID: 33622446 DOI: 10.1017/s1368980021000860] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE The current study aimed to analyse the prospective association between perceived work demand and changes in eating behaviours in schoolteachers. DESIGN This was a prospective cohort study with self-reported information obtained on the Demand Control Support Questionnaire and eating behaviours at baseline and after a 2-year follow-up. The analyses were performed using mixed-effects models adjusted for the main confounders. SETTING The setting consisted of elementary and secondary schools located in a large city in southern Brazil. PARTICIPANTS The participants were 502 schoolteachers (65·9 % females, median age of 42·7 years [interquartile range 34·2, 49·4]). RESULTS A total of 39·2 % of the schoolteachers were classified at baseline with job strain, 28·9 % with passive job, 12·2 % with active job and 19·7 % with low-strain job. In the fully adjusted models, compared with teachers who reported low-strain job, those with higher levels of job strain were more likely to reduce (coefficient = 0·064; 95 % CI 0·018, 0·109) and less likely to increase (coefficient = -0·066; 95 % CI -0·115, -0·016) their frequency of fruit consumption regardless of sociodemographic, lifestyle, health conditions and social support at work. CONCLUSION Job strain plays a relevant role in the frequency of fruit consumption over time in schoolteachers. The balance between demand and control at work must be considered in strategies for promoting healthy eating despite perceived social support.
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Almeida EBD, Lima-Silva TB, Menna-Barreto L. Depressive symptoms and chronotypes of elderly nursing home residentes: A case management study. Dement Neuropsychol 2020; 14:165-170. [PMID: 32595886 PMCID: PMC7304271 DOI: 10.1590/1980-57642020dn14-020010] [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] [Indexed: 11/24/2022] Open
Abstract
Institutionalization potentiates the tendency for specific sleep disturbances which occur with aging, besides negative health consequences such as increased rate of depressive symptoms.
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De Sousa-Araújo IV, C Gomes N, Santos-Nascimento J, Neves Romanato Ribeiro CC, Dos Santos Tavares DM. [Falls in older adults: predictors and space distribution]. ACTA ACUST UNITED AC 2019; 21:187-194. [PMID: 33027328 DOI: 10.15446/rsap.v21n2.70298] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 01/18/2019] [Indexed: 11/09/2022]
Abstract
OBJECTIVE This work seeks to calculate the prevalence of falls in the last 12 months among the elderly from the community of the city of Uberaba; verify the occurrence of falls in the elderly of the community according to sociodemographic and health characteristics; and identify and group the types of falls among the older individuals in the city of Uberba. METHODS Cross-sectional study carried out with 612 elderly people living in the urban area of Uberaba. Descriptive and bivariate analyzes were performed using the chi-square test (p<0.05). The kernel density estimation was used to estimate the intensity of the events. This project was approved by the Research Ethics Committee through Protocol No. 573.833. RESULTS It was found that 24.7% of the elderly had falls in the last 12 months. The highest proportion of the elderly who suffered falls was female (p=0.004); aged 80 years or more (p=0.001); illiterate (p=0.026); who lived alone (p=0.049); without partner (p=0.002); with negative self-perception of health (p<0.001); dependent for BADL (p=0.049) and IALD (p=0.027); with a lower participation in AADL (p=0.003); pre-fragile/fragile (p<0.001); and with low/poor physical performance (p<0.001). The clusters with the most frequently reported falls were in the center-west region of the city, followed by the southeast region. CONCLUSION To know the profile and the factors associated with the occurrence of falls among the elderly allows health professionals to develop actions directed to prevent, monitor and control these factors.
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Affiliation(s)
| | - Nayara C Gomes
- NG: Enfermeira. M. Sc. em Atenção à Saúde, doutorandado Programa de Pós-Graduação em Atenção à Saúde, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba. Minas Gerais, Brasil.
| | - Janaína Santos-Nascimento
- JN: Terapeuta Ocupacional. M. Sc. em atenção à saúde pela UFTM. Professora do Departamento de Terapia Ocupacional da Universidade Federal do Rio do Janeiro.
| | - Camila Cristina Neves Romanato Ribeiro
- CR: Enfermeira. M. Sc. em atenção à saúde pela UFTM. Professora do Departamento de Enfermagem em Educação e Saúde Comunitária do Curso de Graduação em Enfermagem, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba - MG - Brasil.
| | - Darlene Mara Dos Santos Tavares
- DT: Enfermeira. Doutora, Professora Associada do Departamento de Enfermagem em Educação e Saúde Comunitária do Curso de Graduação em Enfermagem, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba - MG - Brasil.
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Rodrigues IG, Fraga GP, Barros MBDA. Falls among the elderly: risk factors in a population-based study. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2016; 17:705-18. [PMID: 25272263 DOI: 10.1590/1809-4503201400030011] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Accepted: 02/18/2014] [Indexed: 11/22/2022] Open
Abstract
PURPOSE The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). METHODS A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. RESULTS Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95% CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95% CI 1.61 - 3.88), widowed (PR = 1.74; 95% CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95% CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95% CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95% CI 1.09 - 2.74), headache (PR = 1.59; 95% CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95% CI 1.12 - 2.64), dizziness (PR = 2.82; 95% CI 1.98 - 4.02), insomnia (PR = 1.75; 95% CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95% CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95% CI 1.19 - 3,93). CONCLUSION The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.
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Affiliation(s)
- Iara Guimarães Rodrigues
- School of Medical Sciences, Department of Public Health, Universidade Estadual de Campinas, Campinas, SP, Brazil
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Carneiro JA, Ramos GCF, Barbosa ATF, Vieira ÉDS, Silva JSR, Caldeira AP. Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2016. [DOI: 10.1590/1809-98232016019.150110] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.
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Abstract
RESUMO Esta pesquisa objetivou determinar a prevalência de quedas, nos últimos 12 meses, entre os idosos; comparar as variáveis sociodemográficas, clínicas, de saúde e funcionais entre os idosos que tiveram quedas e aqueles que não as tiveram; e verificar os fatores associados a quedas em idosos. Inquérito domiciliar conduzido com 729 idosos da zona urbana de Uberaba, Minas Gerais. A prevalência de quedas foi de 28,3%. A maior proporção entre os idosos que tiveram queda foi a do sexo feminino; com 80 anos ou mais; que apresentavam duas ou mais morbidades e usavam cinco ou mais medicamentos. As quedas estavam associadas ao sexo feminino; com idade de 80 anos ou mais e que apresentavam duas ou mais morbidades. O estudo reforça a necessidade de investimento na promoção da saúde e prevenção de morbidades, considerando que, dentre os preditores de quedas, somente a presença de comordidades é passível de intervenção do profissional de saúde.
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Santos RKMD, Maciel ÁCC, Britto HMJDS, Lima JCC, Souza TOD. Prevalência e fatores associados ao risco de quedas em idosos adscritos a uma Unidade Básica de Saúde do município de Natal, RN, Brasil. CIENCIA & SAUDE COLETIVA 2015; 20:3753-62. [DOI: 10.1590/1413-812320152012.00662015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Accepted: 04/21/2015] [Indexed: 11/22/2022] Open
Abstract
Resumo O objetivo deste artigo foi analisar a prevalência e os fatores associados a quedas em idosos adscritos a uma Unidade Básica de Saúde (UBS), no município de Natal/RN. Estudo transversal realizado com 280 idosos cujos dados foram coletados nas dependências da UBS. A associação entre os desfechos “queda” e “queda recorrente” e as variáveis independentes foi verificada mediante análise bivariada e regressão de Poisson, com cálculo das respectivas razões de prevalências. Prevaleceram os idosos do gênero feminino (68,2%), com média de idade de 71,6 anos (± 6,7), alfabetizados (54,6%), não aposentados (73,5%) e sedentários (87,1%). Registraram queda 53,6% dos idosos, porém 27,8% caíram duas ou mais vezes. O modelo preditivo de queda incluiu o gênero feminino (RP = 1,81), presença de doenças osteoarticulares (RP = 1,71) e comprometimento do equilíbrio (RP = 0,88), enquanto a mobilidade funcional (RP = 0,94), medo de cair (RP = 1,21) e déficit de equilíbrio (RP = 0,80) compuseram o modelo final de quedas recorrentes. Encontrou-se maior prevalência de episódio único de queda e os fatores associados incluíram variáveis sociodemográficas, de saúde e performance física. Por outro lado, associaram-se a ocorrência de duas ou mais quedas apenas as variáveis de performance física.
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