FALLS ON ELDERLY AND ASSOCIATED RISK FACTORS
DOI:
https://doi.org/10.13037/ras.vol15n54.4804Keywords:
Aging, risk factors, elderlyAbstract
Introduction: Aging is associated with reduced muscle and bone mass and loss of balance, which may increase the risk of falls among the elderly. Objective: To evaluate the propensity for falls in the elderly, as well as some associated risk factors. Materials and methods: This is an exploratory-descriptive cross-sectional study. The sample consisted of 22 elderlies (female = 16; male = 6), aged 60 years or older, enrolled in a Basic Health Unit (Unidade Básica de Saúde - UBS) in the city of Guanambi-BA. Sociodemographic and anthropometric data, aspects of physical health, and performance in the Time Up & Go (TUG) test were recorded in an anamnesis. Descriptive statistics were used with the absolute and relative frequency distribution for categorical variables and the mean with standard deviation for the continuous variables. The chi-square test (X2) was used to observe the possible associations between the independent and dependent variables. Results: Prevalence of female sex (72.3%) was observed. The mean TUG performance was 15.32 ± 4.39 s. The risk of falls was not associated with sex, age, and physical activity (p > 0.05). Conclusion: The generalizations of this study should be made cautiously, since the inferential analysis was performed in a small sample. On the other hand, it must be confirmed that the causes of falls are also multifactorial.Downloads
References
Miranda GMD, Mendes ACG, Silva ALA. O envelhecimento populacional brasileiro: desafios e consequências sociais atuais e futuras. Rev Bras Geriatr Gerontol. 2016;19(3):507-19.
Brito F. Transição demográfica e desigualdades sociais no Brasil. Rev Bras Estud Popul. 2008;25(1):5-26.
Brasil. Ministério dos Direitos Humanos. Secretaria de Direitos Humanos. Dados sobre o envelhecimento no Brasil. 2013 [citado em 2017 jul 10]. Disponível em: https://goo.gl/y4vvuE
Brady AO, Straight CR, Evans EM. Body composition, muscle capacity, and physical function in older adults: an integrated conceptual model. J Aging Phys Act. 2014;22(3):441-52.
Gonçalves LHT, Alvarez AM, Sena ELS, Santana LWS, Vicente FR. Perfil da família cuidadora de idoso doente e ou fragilizado no contexto sociocultural de Florianópolis. Texto Contexto Enferm. 2006;15(4):570-7.
Brito MCC, Freitas CASL, Mesquita KO, Lima GK. Envelhecimento populacional e os desafios para a saúde pública: análise da produção científica. Rev Kairos. 2013;16(2):161-78.
Siqueira FV, Facchini LA, Piccini RX, Tomasi E, Thumé E, Silveira DS, et al. Prevalência de quedas em idosos e fatores associados. Rev Saude Publica. 2007;41(5):749-56.
Fabrício SCC, Rodrigues RAP, Costa Júnior ML. Causas e consequências de quedas de idosos atendidos em hospital público. Rev Saude Publica. 2004;38(1):93-9.
Menezes RL, Bachion MM. Estudo da presença de fatores de riscos intrínsecos para quedas, em idosos institucionalizados. Cien Saude Coletiva. 2008;13(4):1209-18.
Tromp AM, Pluijm SMF, Smit JH, Deeg DJH, Bouter LM, Lips P. Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol. 2001;54(8):837-44.
Kron M, Loy S, Sturm E, Nikolaus T, Becker C. Risk indicators for fall in institutionalized frail elderly. Am J Epidemiol. 2003;158(7):645-53.
Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing. 2003;32(4):407-14.
Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(12):2234-43.
Chalmers J, MacMahon S, Mancia G, Whitworth J, Beilin L, Hansson L, et al. 1999 World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. Clin Exp Hypertens. 1999;21(5-6):1009-60.
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the “get-up and go” test. Arch Phys Med Rehabil. 1986;67(6):387-9.
Brasil. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012. Aprova normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União. Brasília, DF; 2013.
Feliciano AB, Moraes SA, Freitas ICM. O papel do idoso de baixa renda no município de São Carlos, São Paulo, Brasil: um estudo epidemiológico. Cad Saude Publica. 2004;20(6):1575-85.
World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Genebra: WHO; 1995.
Soares LDA, Campos FACS, Araújo MGR, Falcão APST, Lima BRDA, Siqueira DF, et al. Análise do desempenho motor associado ao estado nutricional de idosos cadastrados no Programa Saúde da Família, no município de Vitória de Santo Antão. Cienc Saude Coletiva. 2012;17(5):1297-304.
Pinho TAM, Silva AO, Tura LFR, Moreira MASP, Gurgel SN, Smith AAF, et al. Avaliação do risco de quedas em idosos atendidos em unidades básicas de saúde. Rev Esc Enferm USP. 2012;46(2):320-7.
Maciel ACC, Guerra RO. Fatores associados à alteração da mobilidade residentes na comunidade. Rev Bras Fisioter. 2005;9(1):17-23.
Guimaraes LHCT, Galdino DCA, Martins FLM, Vitorino DFM, Pereira KL, Carvalho EM. Comparação da propensão de quedas entre idosos que praticam atividade física e idosos sedentários. Rev Neurocienc. 2004;12(2):68-72.
Silva TO, Freitas RS, Monteiro MR, Borges SM. Avaliação da capacidade física e quedas em idosos ativos e sedentários da comunidade. Rev Bras Clin Med. 2010;8(5):392-8.
Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35(Supl 2):ii37-ii41.
Mazo GZ, Liposcki DB, Ananda C, Prevê D. Condições de saúde, incidência de quedas e nível de atividade física dos idosos. Rev Bras Fisioter. 2007;11(6):437-42.
Nahas MV. Atividade física, saúde e qualidade de vida: conceitos e sugestões. Londrina: Midiograf; 2010. 318 p.
Downloads
Published
Issue
Section
License
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).