Eduardo Magalhães da Costa, V. Moreira, A. Neri, E. Ferriolli, Leani Souza Pereira, F. M. Drummond, Mariangela Perez, R. Lourenço
{"title":"Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study","authors":"Eduardo Magalhães da Costa, V. Moreira, A. Neri, E. Ferriolli, Leani Souza Pereira, F. M. Drummond, Mariangela Perez, R. Lourenço","doi":"10.53886/gga.e0230028","DOIUrl":"https://doi.org/10.53886/gga.e0230028","url":null,"abstract":"Objective: To assess the prevalence of fecal incontinence and its association with clinical, functional, and cognitive-behavioral variables, medication use, frailty, falls, and quality of life in community-dwelling older adults (aged 65 years or older). Methods: Cross-sectional, multicenter study carried out across 16 Brazilian cities. The question “In the last 12 months, did you experience fecal incontinence or involuntary passage of stool?” was defined as the indicator variable for fecal incontinence. Bivariate analyses were carried out to assess the prevalence of fecal incontinence and sociodemographic characteristics, comorbidities, cognition, functional capacity, depression, frailty, quality of life, and falls. Logistic regression analysis was also performed, with fecal incontinence as the dependent variable. Results: Overall, 6855 subjects were evaluated; 66.56% were female, 52.93% white, and the mean age was 73.51 years. The prevalence of fecal incontinence was 5.93%. It was associated with worse self-care (OR 1.78 [1.08–2.96]), dependence for basic activities of daily living (OR 1.29 [1.01–1.95]), and urinary incontinence (OR 4.22 [3.28–5.41]). Furthermore, the absence of polypharmacy was identified as a protective factor (OR 0.61 [0.44–0.85]). Conclusion: The overall prevalence of fecal incontinence was 5.93%. On logistic regression, one quality of life variable, dependence for basic activities of daily living, and polypharmacy were significantly associated with fecal incontinence.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sinval Adalberto Rodrigues-, Cristiano Padilha, Renan Souza, Clodoaldo Antônio de Sá
{"title":"Physical exercise interventions for people with Parkinson's disease: a bibliometric review of systematic reviews","authors":"Sinval Adalberto Rodrigues-, Cristiano Padilha, Renan Souza, Clodoaldo Antônio de Sá","doi":"10.53886/gga.e0230035","DOIUrl":"https://doi.org/10.53886/gga.e0230035","url":null,"abstract":"This bibliometric study aimed to characterize published systematic reviews assessing the effects of physical exercise on people with Parkinson’s disease. Eligible studies were searched in Web of Science, Scopus, Cochrane Library, and MEDLINE via PubMed databases. No date or language restrictions were applied. Studies were selected based on the inclusion criteria, and the results were uploaded to Bibliometrix 4.0 for R for bibliometric analysis. A total of 146 studies were included in the analysis, with the first one having been published in 2005. The annual growth rate was 14.72%, with an average publication time of 3.72 years. Themes based on indexed keywords represented elements of the PICO question, namely Parkinson’s disease, exercise, therapy, rehabilitation, and outcomes such as gait, balance, and quality of life. A considerable number of systematic reviews addressing the effects of physical exercise interventions on people with Parkinson’s disease have been published since the mid-2000s. Systematic reviews were first published by countries with long-established older populations. Exercise-based interventions and their effects on gait, balance, and quality of life in people with Parkinson’s disease have been the focus of the most recent reviews.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135801064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernanda Pretti Chalet Ferreira, Maria Aquimara Zambone Magalhães, R. Varanda, E. Y. Ishigaki, A. D. S. Passos, A. Sañudo, M. Perracini
{"title":"Dual visual impairment and contrast sensitivity among community-dwelling older adults: a cross-sectional study from the PrevQuedas Brazil trial","authors":"Fernanda Pretti Chalet Ferreira, Maria Aquimara Zambone Magalhães, R. Varanda, E. Y. Ishigaki, A. D. S. Passos, A. Sañudo, M. Perracini","doi":"10.53886/gga.e0230025","DOIUrl":"https://doi.org/10.53886/gga.e0230025","url":null,"abstract":"Objective: To investigate the importance of improving visual assessment for community-dwelling older adult fallers. Methods: This cross-sectional study included eligible community-dwelling older adults (> 60 years of age) from the PrevQuedas Brazil clinical trial who had suffered at least 1 fall in the last 12 months (n = 703). We evaluated visual acuity and contrast sensitivity using the Snellen E chart and low contrast visual acuity tests; those with both impairment types were considered to have dual visual impairment. Results: Visual acuity, low contrast sensitivity, and dual visual impairment were associated with recurrent falls (OR 1.85); visual impairment was more prevalent among the oldest old. Approximately 90.00% of the participants reported using glasses, and 63.80% used multifocal lenses. Dual impairment was identified in 143 (20.30%) participants. In multivariate logistic regression, the predictive variables for recurrent falls were low contrast sensitivity (95%CI 1.15–2.47), dual visual impairment (95%CI 1.16–2.83), and self-perceived fall risk (95%CI 1.16–2.46) which was measured using the Falls Efficacy Scale-International. Conclusion: Older adults with dual visual impairment are more likely to suffer recurrent falls. Low contrast sensitivity is crucial for fall risk assessment. Trial registration: ClinicalTrials.gov (NCT01698580).","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. León, K. Gambetta-Tessini, Mariana Pinto, Francisca Salvo, Javiera Herrera, N. Kassebaum, F. Hugo
{"title":"Oral disorders among older Chileans: prevalence, incidence, and years lived with disability","authors":"S. León, K. Gambetta-Tessini, Mariana Pinto, Francisca Salvo, Javiera Herrera, N. Kassebaum, F. Hugo","doi":"10.53886/gga.e0230001","DOIUrl":"https://doi.org/10.53886/gga.e0230001","url":null,"abstract":"Objective: Prior epidemiological surveys revealed that Chile experiences a high burden of oral diseases. However, no prior study has reported estimates of untreated dental caries, periodontitis, and edentulism over a three-decade period for the country. Using estimates of the Global Burden of Diseases Study (GBD) 2019, the objective of this study is to report the trends of prevalence, incidence, and years-lived with disability (YLDs) due to untreated dental caries, periodontitis, and edentulism in Chilean older adults between 1990 and 2019. Methods: Estimates of prevalence, incidence, and YLDs due to dental caries, periodontitis, and edentulism were produced for Chile, by age and sex, between 1990 and 2019, using Dismod-MR 2.1. Trends of oral disorders were analyzed using generalized linear regression models applying the Prais-Winsten method. Results: Untreated dental caries and periodontal disease showed an increase in prevalence and YLDs, whereas edentulism prevalence, incidence, and YLDs decreased in all older adults age groups. The incidence of dental caries decreased in the younger groups and increased in the older age groups; while the incidence of periodontal disease increased in the younger and decreased in the older age groups. Conclusions: Overall, the burden of oral diseases in older Chileans increased between 1990 and 2019. This was particularly relevant for untreated caries and periodontal disease. Future estimates of oral diseases burden in Chile require concerted efforts to produce national health surveys that incorporate oral diseases metrics. These estimates are essential to inform policy formulation, implementation and evaluation.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thaynara de Oliveira, Bubacar Embaló, A. L. S. F. Mello
{"title":"Oral health care of homebound older adults: multidimensional theoretical model","authors":"Thaynara de Oliveira, Bubacar Embaló, A. L. S. F. Mello","doi":"10.53886/gga.e0230008","DOIUrl":"https://doi.org/10.53886/gga.e0230008","url":null,"abstract":"Abstract Objectives: To understand the dimensions of oral health care of homebound older adults and to develop a preliminary theoretical model that explains how these dimensions are interrelated in the provision of care. Methods: Cross-sectional, qualitative study, based on Grounded Theory. Participants were 37 intentionally selected older adults registered at a Primary Health Care center, Florianópolis (SC), Brazil. Data collection was conducted at home, following an interview script. The interviews were audio-recorded, transcribed, and analyzed by constant comparison. Formulation of the model followed the Glaserian approach. Results: The theoretical model presents the dimensions of oral health care of homebound older adults - who, why, when, how, and where oral health care is provided. Frailties were identified in all dimensions of oral health care, with emphasis on those related to older adults’ living, health, and oral health conditions, compromising dental care provided at home, access to dental services, and presence of the dentist. In combination, these frailties constitute a rupture in the possibilities for oral health care. Conclusions: Strategies for provision of oral health care to homebound older adults should be implemented in each of the dimensions to overcome the frailties identified and promote better oral health conditions and access to dental services.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. G. Cardozo, K. G. Lopes, D. Bottino, M. G. Souza, E. Bouskela, Paulo Farinatti, R. Oliveira
{"title":"Acute effects of exercise with blood flow restriction on endothelial function in healthy young and older populations: a systematic review","authors":"G. G. Cardozo, K. G. Lopes, D. Bottino, M. G. Souza, E. Bouskela, Paulo Farinatti, R. Oliveira","doi":"10.53886/gga.e0230006","DOIUrl":"https://doi.org/10.53886/gga.e0230006","url":null,"abstract":"The objective of this review is to identify the acute effects of blood flow restriction (BFR) with vs without exercise on endothelial function in healthy individuals and the changes in endothelial function in young and older adults following different levels of exclusive BFR vs free flow. Systematic searches were performed in the following databases: PubMed, Web of Science, Scopus, and Cochrane Library, from inception to July 17, 2021. The studies included healthy individuals who underwent assessments of endothelial function before and after experimental protocols through endothelium-dependent flow-mediated dilatation. In total, 4890 studies were screened, and 6 studies of moderate-to-high methodological quality (Physiotherapy Evidence Database scores 6 – 10) including 82 subjects (aged 24 – 68 years) were eligible. Overall, flow-mediated dilatation increased in the non-cuffed arm immediately and 15 minutes after exercise, with no change in the cuffed arm (BFR of 60 – 80 mmHg). In protocols without exercise, cuff pressures of 25 – 30 mmHg applied for 30 minutes did not promote changes in the endothelial function, while those > 50 mmHg induced a dosedependent attenuation of flow-mediated dilatation only in young individuals. A moderate level of BFR appears to have no effect on endothelial function after acute exercise. In non-exercise conditions, reductions in flow-mediated dilatation seem to result from increased retrograde shear provoked by cuff pressures ≥ 50 mmHg in young but not in older adults. An exerciserelated increase in antegrade shear rate leads to a greater nitric oxide-mediated vasodilator response. However, BFR appears to attenuate this effect in young but not in older individuals.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. A. S. G. Monteiro, Gabriela Mesquita Pontes, Gilsiane de Sousa Sampaio, Maria Eugênia Ribeiro Carvalho de Oliveira, Paulo M. A. Lima
{"title":"Safety assessment of medicines available in the ‘Brazilian list of essential medicines’ in the older persons according to the Beers Criteria","authors":"F. A. S. G. Monteiro, Gabriela Mesquita Pontes, Gilsiane de Sousa Sampaio, Maria Eugênia Ribeiro Carvalho de Oliveira, Paulo M. A. Lima","doi":"10.53886/gga.e0230015","DOIUrl":"https://doi.org/10.53886/gga.e0230015","url":null,"abstract":"Objective: To describe the safety of medicines available in the “Brazilian List of Essential Medicines” (RENAME/2022) for the main comorbidities that affect older persons according to the Beers criteria 2019. Methods: Medicines listed in RENAME and recommended by the respective Brazilian medical guidelines for the treatment of hypertension, heart failure, diabetes, and neurological/ psychiatric diseases were evaluated for their safety profiles according to the Beers criteria 2019. Results: Fifty-eight out of 529 medicines in RENAME were evaluated. Of these, 29 were included in any of the Beers criteria: 20 were classified as potentially inappropriate, 17 should be avoided due to disease exacerbation, and 14 needed to be used with caution. Considering drugs used to treat cardiovascular, diabetes, and neurological/psychiatric disorders, 40.00, 37.50 and 60.00% respectively, had some criterion for their appropriate use in older persons. Conclusion: RENAME presents alternatives for the safe treatment of older patients. In the treatment of cardiovascular diseases, diabetes, and neurodegenerative diseases, the firstchoice recommendations are available in RENAME. Regarding psychiatric disorders, safe pharmacological alternatives are still scarce and need to be better discussed.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. A. Silva, Diógenes Cândido Mendes Maranhão, Roberto Afonso da Silva, Gleyce Kelly Batista de Souza, Júlia Carolina Lopes Silva, A. Costa, A. L. Pirauá
{"title":"Effects of home-based physical exercise programs on cognition in older adults: an integrative review","authors":"J. A. Silva, Diógenes Cândido Mendes Maranhão, Roberto Afonso da Silva, Gleyce Kelly Batista de Souza, Júlia Carolina Lopes Silva, A. Costa, A. L. Pirauá","doi":"10.53886/gga.e0230013","DOIUrl":"https://doi.org/10.53886/gga.e0230013","url":null,"abstract":"This study sought to review randomized clinical trials of home-based physical exercises and their effects on cognition in older adults. An integrative review was carried out after searching the PubMed, Google Scholar, MEDLINE, LILACS, SciELO, and PEDro databases. The risk of bias of the included randomized controlled trials was assessed using the PEDro Scale. Fourteen studies were included, with an average PEDro score of 6.1±1.7 (range, 3 to 9) points. Overall, the studies found that interventions consisting of home-based physical exercise programs, whether strength training alone or combined with aerobic and balance exercises, performed three times a week in 60-minute sessions for a minimum duration of 8 weeks, contribute to cognitive performance in older adults, with particular impact on executive function. We conclude that home-based physical exercises constitute a strategy to minimize the negative implications associated with cognitive impairment in older adults.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Laura Costa Menezes, Henrique Pott, Ariene Angelini dos Santos-Orlandi, Grace Angélica de Oliveira Gomes, Letícia Pimenta Costa-Guarisco, Sofia Cristina Iost Pavarini, Ana Carolina Ottaviani, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi
{"title":"Change in the pattern of frailty among socially vulnerable older adults over a 36-month period and associated factors: a follow-up study","authors":"Ana Laura Costa Menezes, Henrique Pott, Ariene Angelini dos Santos-Orlandi, Grace Angélica de Oliveira Gomes, Letícia Pimenta Costa-Guarisco, Sofia Cristina Iost Pavarini, Ana Carolina Ottaviani, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi","doi":"10.53886/gga.e0230034","DOIUrl":"https://doi.org/10.53886/gga.e0230034","url":null,"abstract":"Objective: To investigate changes in the frailty levels of older adults in a context of high social vulnerability. Methods: We conducted a prospective cohort study. Data were collected from 2 surveys conducted in 2015 and 2018. The frailty phenotype and sociodemographic and health characterization instruments were used. Descriptive statistical analysis was performed, including non-parametric tests, test for equality of proportions, and multivariate multinomial logistic regression. The use of the database was authorized, and the research was approved by the Ethics Committee. Results: In 2015, 346 community-dwelling older adults participated in the study. After 36 months, a final sample of 223 participants was obtained. In 2015, the prevalence of non-frail, pre-frail, and frail older adults was 13.0%, 56.5%, and 30.5%, respectively. In 2018, 22.9% were non-frail, 56.0% were pre-frail, and 21.1% were frail. Higher education and better quality of life reduced the likelihood of becoming pre-frail and frail, respectively. Conclusion: There was a change in the pattern of frailty among socially vulnerable older adults over a 36-month period.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135496149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meire Cachioni, G. Cipolli, V. Alonso, R. Melo, P. Wachholz, C. Paúl
{"title":"Relationship between self-reported health and neuroticism in older adults: a scoping review","authors":"Meire Cachioni, G. Cipolli, V. Alonso, R. Melo, P. Wachholz, C. Paúl","doi":"10.53886/gga.e0230026","DOIUrl":"https://doi.org/10.53886/gga.e0230026","url":null,"abstract":"This scoping review aims to identify and map the existing literature regarding the relationship between neuroticism and self-reported health in community-dwelling older adults. We adopted the Joanna Briggs Institute Manual for Evidence Synthesis recommendations and followed the PRISMA-SCr when reporting it. The search was performed on ten different databases, including: Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, PsycArticles, PsycInfo, United States National Library of Medicine, Scopus, Web of Science, Ageline and Biblioteca Virtual em Saúde/Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde databases until February 2021. Data screening and extraction were performed by two independent reviewers. We included primary studies with older adults (≥60 years) [participants] that adopted validated instruments to assess neuroticism and selfreported health [concept] in the community [context], published in Portuguese, English, or Spanish. We identified 3453 articles and included 15 studies in this review. We extracted the main categories of included studies, characteristics of the participants, methodological issues, and biopsychosocial factors. Outcomes were reported in three sections: Focus of studies; Definitions and measures of neuroticism and self-reported health; Associations with biopsychosocial factors. We found an association between high neuroticism and poor selfreported health. Some biopsychosocial factors may influence this relationship, such as chronic diseases, depression, social support, and a sense of control, which must be considered in future studies to shed light on this topic.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}