Frailty syndrome among oldest old individuals in a health macro-region of Minas Gerais

Ana Lúcia de Medeiros Santos, Nayara Gomes Nunes Oliveira, Gianna Fiori Marchiori, D. M. Tavares
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Abstract

Abstract Objective to identify frailty conditions and their associated factors among oldest old individuals living in the urban area of a health macro-region of Minas Gerais state. Methods a cross-sectional study of 314 oldest old from a health macro-region in Minas Gerais state, Brazil, was conducted. Data were collected from households by applying instruments validated for use in Brazil. Descriptive and multinomial logistic regression analyses (p<0.05) were carried out. Results In the sample assessed, 44.3% of the oldest old were frail, 44.3% pre-frail and 11.4% non-frail. The pre-frail condition was associated with living alone (p=0.047) and very poor/poor physical performance (p=0.026), while frailty was associated with very poor/poor physical performance (p<0.001), the presence of depressive symptomatology (p=0.029) and of ≥5 morbidities (p=0.003). Conclusion pre-frail and frail conditions predominated among the oldest old assessed. Maintaining physical performance is an aspect that can be targeted by health professionals in oldest old to delay pre-frailty and frailty.
米纳斯吉拉斯州健康宏观区域中最年长老年人的虚弱综合症
【摘要】目的了解米纳斯吉拉斯州某卫生宏观区域城区最高龄老年人的脆弱状况及其相关因素。方法对巴西米纳斯吉拉斯州某卫生大区域314名老年人进行横断面研究。数据是通过在巴西使用经过验证的仪器从家庭中收集的。描述性和多项逻辑回归分析(p<0.05)。结果老年人体弱多病占44.3%,体弱多病占44.3%,非体弱多病占11.4%。体弱多病前期与独居(p=0.047)和非常差/差的身体表现(p=0.026)相关,而体弱多病与非常差/差的身体表现(p<0.001)、抑郁症状(p=0.029)和≥5的发病率(p=0.003)相关。结论评价对象中老年人以体弱和体弱为主。保持身体机能是老年人保健专业人员可以针对的一个方面,以延缓前期虚弱和虚弱。
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