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Authors
Advisor(s)
Abstract(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.
Description
Keywords
Envelhecimento Estado de saúde Idoso institucionalizado Fragilidade