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ESSa - Artigos em Revistas Indexados à WoS/Scopus

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  • Epidemiological impact of neurodegenerative diseases in the rural Spanish-Portuguese cross-border region
    Publication . Alonso-Sardón, Montserrat; Paulino, Manuel; Fernandes, Adília; Martín-Delgado, María Antonia; Pérez-Martín, Raixa Noemí; Magalhães, Carlos Pires; Pimentel, Maria Helena; Mata, Maria Augusta; Silvano, Maria; Corte, Agostinha
    Epidemiological data indicate that neurodegenerative diseases show a high prevalence with a progressive increasing trend, especially in aging populations, as is the case in rural areas. The objective of this study was to assess the quantitative impact of neurodegenerative diseases in rural areas of the Spanish-Portuguese border region and to describe the epidemiological profile of the most prevalent disorders in one of the most depopulated and aged regions of Europe. Methods: A cross-sectional descriptive study was designed to estimate the prevalence of subjects diagnosed with the most common neurodegenerative disorders: dementia (Alzheimer’s disease and other dementias), Parkinson’s disease and Parkinsonism, and multiple sclerosis in the Spanish-Portuguese cross-border border region in 2020. It includes Bragança and Guarda Districts (Portugal) and Salamanca (Castilla y León, Spain). Results: Neurodegenerative diseases accounted for 1.85% in the Spanish-Portuguese cross-border region in 2020; a total of 5,819 records were reported: 987 (prevalence, 2.51%) in Salamanca (Spain); 2,332 (prevalence, 1.87%) in Bragança; and 2,500 (prevalence, 1.66%) in Guarda. Female population suffered from them in higher proportion (2.35 vs. 1.32%). Dementia represented 1.19% (3,744), Parkinson’s disease and Parkinsonism 0.58% (1,823), and multiple sclerosis 0.08% (252). These disorders impacted older age groups. In the rural
    2023Artigo científico Acesso aberto Ver mais
  • Fear of falling in older adults: the role of fear of dependency and tiredness as key determinants
    Publication . Pires, Patrícia Maria; Carvalho, Joana; Pires, Telma; Pires, Carlos; Ribeiro, Oscar
    Fear of falling (FoF) is a multifactorial condition with adverse health outcomes. Objective This study explored factors associated with FoF in community-dwelling older adults, with a particular focus on the role of fear of dependency and tiredness as potential determinants, building on the Multifactorial Causation Model of Falls and Fear of Falling proposed by Hadjistavropoulos et al. Methods A cross-sectional study of 509 adults aged ≥65 evaluated sociodemographic, clinical, and psychological factors. Simple and multiple linear regressions were used to identify FoF-related factors. Results FoF was significantly higher in women and increased with age. Other significant predictors included greater fear of dependency, poorer visual acuity, lower levels of physical activity, greater number of falls in the previous year, higher anxiety, tiredness, and lower mobility/balance (TUG) – which showed the strongest association with FoF (p < 0.05). The multiple regression model explained 47.3% of the variance in FoF. Conclusion Fear of dependency and tiredness were significant predictors of FoF and may represent additional determinants of FoF in community-dwelling older adults.
    2026Artigo científico Acesso aberto Ver mais