Análise de fatores extrínsecos e intrínsecos que predispõem a quedas em idosos

OBJECTIVE: In a sample of elderly individuals from Porto Alegre - RS, Brazil, to analyze the intrinsic and extrinsic factors that predispose them to the risk of falls and fractures. METHODS: The study included a random sample of 267 elderly individuals, to whom two balance tests were applied: the Functional Reach Test (FRT) and the Timed Up and Go Test (TUG). The elderly also answered a questionnaire (13 questions divided into four categories) on sociodemographic and health factors. RESULTS: Elderly individuals from both genders (76.8% women), aged between 60 and 90 years (mean = 70.22 years, SD = ± 7.30 years) participated in the study. A statistically significant association (p < 0.05) was found between age, self-perception of eyesight, type of dwelling, last monthly income, and the FRT; the same was found between age range, self-rated health (p < 0.001) and the TUG. CONCLUSION: It was identified that, in the sample of elderly individuals living in Porto Alegre - RS, Brazil, the intrinsic factors that predispose to the risk of falls and fractures are older age, poor self-perception of eyesight, and poor selfrated health; the extrinsic factors are type of dwelling (living in a house) and a monthly income < one minimum wage.

[1]  R. Cumming,et al.  Fall Frequency and Characteristics and the Risk of Hip Fractures , 1994, Journal of the American Geriatrics Society.

[2]  S. Studenski,et al.  Functional reach: a new clinical measure of balance. , 1990, Journal of gerontology.

[3]  M. Woollacott,et al.  Attention and the control of posture and gait: a review of an emerging area of research. , 2002, Gait & posture.

[4]  L. Ramos,et al.  [Fall-related factors in a cohort of elderly community residents]. , 2002, Revista de saude publica.

[5]  Fatores associados a quedas em mulheres idosas residentes na comunidade , 2010 .

[6]  R J Dennis,et al.  Functional reach improvement in normal older women after Alexander Technique instruction. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[7]  Maria Cristina Werlang,et al.  Adesão à prescrição médica em idosos de Porto Alegre, RS , 2008 .

[8]  R. Silva,et al.  [Falls by elderly people living in long-term care institutions in Pelotas, Rio Grande do Sul State, Brazil]. , 2010, Cadernos de saude publica.

[9]  Ricardo Oliveira Guerra,et al.  Prevalência e fatores associados aodefícit de equilibrio em idosos , 2008 .

[10]  E. Moriguchi,et al.  Elderly people's definition of quality of life. , 2003, Revista brasileira de psiquiatria.

[11]  H. Menz,et al.  Visual contribution to postural stability in older adults , 2000 .

[12]  C. Cárdenas,et al.  PTOFOBIA O Medo de Cair em Pessoas Idosas , 2009 .

[13]  S. Lord,et al.  Visual risk factors for falls in older people. , 2006, Journal of the American Geriatrics Society.

[14]  Joanna Miguez Nery Guimarães,et al.  Análisis descritivo de variábles teoricamente asociadas al riesgo de caidas en mujeres añosas , 2005 .

[15]  Marion Creutzberg,et al.  Terapia anti-hipertensiva utilizada por pacientes idosos de Porto Alegre/RS, Brasil , 2007 .

[16]  F. Morrone,et al.  Potential interactions of central nervous system drugs used in the elderly population , 2009 .

[17]  T. Masud,et al.  Epidemiology of falls. , 2001, Age and ageing.

[18]  Avaliação do desempenho dos testes functional reach e lateral reach em amostra populacional brasileira , 2006 .

[19]  Lucilla Monteleone,et al.  Decline of physical and cognitive conditions in the elderly measured through the functional reach test and the mini-mental state examination. , 2010, Archives of gerontology and geriatrics.

[20]  Liang‐Kung Chen,et al.  Risk Factors for Falls Among Elderly Men in a Veterans Home , 2008, Journal of the Chinese Medical Association : JCMA.

[21]  Orthopaedic Surgeons Panel On Falls Prevention.  Guideline for the Prevention of Falls in Older Persons , 2001 .

[22]  F. Morrone,et al.  Gender differences, polypharmacy, and potential pharmacological interactions in the elderly , 2011, Clinics.

[23]  J. Cavanaugh,et al.  Kinematic characterization of standing reach: comparison of younger vs. older subjects. , 1999, Clinical biomechanics.

[24]  L. Nyberg,et al.  Predisposing and precipitating factors for falls among older people in residential care. , 2002, Public health.

[25]  R. McClure,et al.  Healthy Aging as an Intervention to Minimize Injury from Falls among Older People , 2007, Annals of the New York Academy of Sciences.

[26]  Fabrícia Azevêdo da Costa,et al.  Análise da função cognitiva e capacidade funcional em idosos hipertensos , 2011 .

[27]  Mark Speechley,et al.  Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. , 2010, Journal of clinical epidemiology.

[28]  T. Ruiz,et al.  Condições associadas ao grau de satisfação com a vida entre a população de idosos , 2007 .

[29]  P. Hallal,et al.  Prevalência de quedas em idosos e fatores associados , 2007 .

[30]  Fernanda Bueno Morrone,et al.  Profile of drug utilization in the elderly living in Porto Alegre, Brazil , 2007, Pharmacy practice.

[31]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[32]  S. Studenski,et al.  Functional reach: predictive validity in a sample of elderly male veterans. , 1992, Journal of gerontology.

[33]  P. Shekelle,et al.  Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials , 2004, BMJ : British Medical Journal.

[34]  L. Torres,et al.  Caídas en ancianos de la comunidad: prevalencia, consecuencias y factores asociados , 2006 .

[35]  F. Blyth,et al.  Pain and falls in older people , 2007, European Journal of Pain.

[36]  Acoplamento Sensório-Motor no Controle Postural de Indivíduos Idosos Fisicamente Ativos e Sedentários , 2001 .

[37]  W. Tsang,et al.  The effects of Tai Chi on the balance control of elderly persons with visual impairment: a randomised clinical trial. , 2012, Age and ageing.

[38]  R. Cumming,et al.  Quality of life related to fear of falling and hip fracture in older women: a time trade off study. , 2000, BMJ.

[39]  Sonia Maria Dozzi Brucki,et al.  DADOS NORMATIVOS PARA O TESTE DE FLUENCIA VERBAL CATEGORIA ANIMAIS EM NOSSO MEIO , 1997 .

[40]  C. Liao,et al.  Age-related changes in the performance of forward reach. , 2011, Gait & posture.

[41]  F. Horak.  Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? , 2006, Age and ageing.

[42]  C. Powers,et al.  Quality Indicators for the Management and Prevention of Falls and Mobility Problems in Vulnerable Elders , 2001, Annals of Internal Medicine.

[43]  Eling D de Bruin,et al.  Falls prediction in elderly people: a 1-year prospective study. , 2010, Gait & posture.

[44]  G. Pera,et al.  Incidence and consequences of falls among elderly people living in the community. , 2004, Medicina clinica.