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Resumo(s)
Enquadramento: A fragilidade em idosos institucionalizados é uma temática pouco
estudada no nosso país e a sua melhor compreensão poderá ajudar nos cuidados à
pessoa idosa.
Objetivo: Avaliar a prevalência de fragilidade e os factores a ela associados
(sociodemográficos, clínicos, estado nutricional e capacidade funcional), em idosos
institucionalizados em lar.
Métodos: Estudo transversal realizado numa amostra de 40 idosos institucionalizados.
Utilizámos questionário sociodemográfico e clínico, o Índice de Barthel e a Escala de
Lawton & Brody para avaliar as atividades básicas e instrumentais de vida diária, o
Índice de Comorbilidade de Charlson (ICC) e o Mini Nutritional Assessment (MNA)
para avaliar o estado nutricional.
Resultados: A média de idade dos idosos rondou os 85 anos e a maioria (75%) eram
mulheres. A insuficiência cardíaca (27,5%), a doença vascular periférica (25,0%) e a
diabetes (15,0%) foram as comorbilidades mais prevalentes. A prevalência de
fragilidade foi de 32,5%, apresentavam pré-fragilidade 60,0% e robustez 7,5%. A
fragilidade obteve correlação com a idade, estado de saúde auto-percebido, Índice de
Massa Corporal, score do ICC, Barthel e Lawton & Brody. Os idosos frágeis eram aqueles
que apresentavam pior estado nutricional (p <0,01).
Conclusão: A detecção e o tratamento precoce da fragilidade podem prevenir a
dependência funcional e melhorar a qualidade de vida do idoso institucionalizado.
Background: The weakness in institutionalized elderly people is a theme that is not well studied in our country and his best understanding could help us to provide care to elderly people. Aim: To evaluate the prevalence of weakness and the associated factors (sociodemographic, clinical, nutritional status and the functional capacity) in institutionalized elderly people. Methods: Cross-sectional study conducted on a sample of 40 institutionalized elderly people. We used a sociodemographic and clinical questionnaire, the Barte Index and the Lawton & Brody Scale to evaluate the basic and instrumental activities of daily living, the Charlson Comorbidity Index (ICC) and the Mini Nutritional Assessment to assess nutritional status. Results: The mean age of elderly people who participated in this study was around 85 years and the majority were female (75%). Heart failure (27.5%), peripherical vascular disease (25.0%) and diabetes (15.0%) were the most prevalent comorbidities. The prevalence of frailty was 32.5%, with a pre-frailty of 60.0% and robustness of 7.5%. Frailty was correlated with age, health status self-perceived, Body Mass Index (BMI), ICC score, Barthel and Lawton&Brody. The weak elderly people were those who presented worst nutritional status (p<0. 01). Conclusion: The detection and early treatment of weakness can prevent functional dependence and improve the quality of life of the institutionalized of elderly people.
Background: The weakness in institutionalized elderly people is a theme that is not well studied in our country and his best understanding could help us to provide care to elderly people. Aim: To evaluate the prevalence of weakness and the associated factors (sociodemographic, clinical, nutritional status and the functional capacity) in institutionalized elderly people. Methods: Cross-sectional study conducted on a sample of 40 institutionalized elderly people. We used a sociodemographic and clinical questionnaire, the Barte Index and the Lawton & Brody Scale to evaluate the basic and instrumental activities of daily living, the Charlson Comorbidity Index (ICC) and the Mini Nutritional Assessment to assess nutritional status. Results: The mean age of elderly people who participated in this study was around 85 years and the majority were female (75%). Heart failure (27.5%), peripherical vascular disease (25.0%) and diabetes (15.0%) were the most prevalent comorbidities. The prevalence of frailty was 32.5%, with a pre-frailty of 60.0% and robustness of 7.5%. Frailty was correlated with age, health status self-perceived, Body Mass Index (BMI), ICC score, Barthel and Lawton&Brody. The weak elderly people were those who presented worst nutritional status (p<0. 01). Conclusion: The detection and early treatment of weakness can prevent functional dependence and improve the quality of life of the institutionalized of elderly people.
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Envelhecimento Estado de saúde Idoso institucionalizado Fragilidade