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AIMS AND OBJECTIVES To identify the frequency of falls among older people with and without cataracts and to verify the association of sociodemographic, clinical and behavioural variables with the number of falls among community-dwelling older adults according to self-reported cataracts. BACKGROUND Although the literature on the topic is vast, no studies were found that described the explanatory factors for the relationship between sociodemographic, clinical and behavioural variables with the occurrence of falls in older people, with and without cataracts, through models previously tested in mediation analysis. DESIGN AND METHOD This is a cross-sectional and quantitative study guided by the STROBE, conducted with two groups: older people with (268) and without cataracts (689). For analysing the data, the path analysis was performed. RESULTS The occurrence of falls among the older people with cataracts was higher than in the group without cataracts. In both groups, frailty and depressive symptoms were directly associated with a higher occurrence of falls. Among older people with cataracts, the lowest physical performance score and the highest sedentary behaviour were directly associated with the highest number of falls. Among the older people without cataract, the youngest age, the highest number of morbidities and functional disability for instrumental activities of daily living were directly associated with the occurrence of falls. CONCLUSION The older people with cataracts have a higher frequency of falls. The factors associated with the occurrence of falls differ between the older people with and without cataracts. RELEVANCE TO CLINICAL PRACTICE The expanded understanding of the factors associated with falls among community-dwelling older adults, differentiating those with and without cataracts, guides the health professional in the development and implementation of measures to reduce the occurrence of these events.

Objetivo: Verificar a dependência funcional para a realização das atividades básicas, instrumentais e avançadas da vida diária entre idosos e seus fatores associados. Método: Estudo transversal e analítico, com 1.611 idosos da comunidade de uma Macrorregião de Minas Gerais. Na coleta dos dados utilizaram-se: Miniexame do Estado Mental; Questionário estruturado elaborado pelo Grupo de Pesquisa em Saúde Coletiva; versão brasileira Short Physical Performance Battery; Índice de Katz; Escalas de Lawton & Brody e Atividades Avançadas da Vida Diária e fenótipo de fragilidade. Procederam-se as análises descritiva e regressão logística múltipla (p

Introduction: Physical activity and sedentary behavior are emerging issues in public health, especially in developing countries. Objective: To verify transition and factors related to physical activity combined with sedentary behavior among the elderly followed for 24 months. Materials and methods: We conducted a longitudinal observational study with people aged 60 years or over living in the urban area of Uberaba, Brazil. We collected the data from sociodemographic, health, and physical tests in 2014 and 2016 using the Mini-Mental State Examination (MMSE), the Katz Index, the Lawton and Brody Scale, the Short Physical Performance Battery (SPPB), and the International Physical Activity Questionnaire (IPAQ). For the combined evaluation we considered a cutoff point of 150 minutes of physical activity per week and the percentile 75 (420 minutes/day) for sedentary behavior constituting the groups: Unsatisfactory (insufficient sum of physical activity and sedentary behavior), intermediate (loss of only one of the two components) and satisfactory (sufficient sum of physical activity and sedentary behavior). The statistical descriptive and inferential analysis was performed using the Statistical Package for Social Sciences™, version 21.0, considering p

Resumo O objetivo do estudo foi verificar a ocorrência de mudanças na capacidade funcional e no desempenho físico de idosos comunitários e seus fatores determinantes, em um período de dois anos. Foi realizado estudo quantitativo, do tipo inquérito domiciliar, observacional e longitudinal, em 2014 e 2016, com 380 idosos residentes em Uberaba, Minas Gerais. Foram utilizados os instrumentos: Mini Exame do Estado Mental e questionários com dados sociodemográficos/econômicos, clínicos e de hábito de vida. A capacidade funcional foi avaliada por meio do Índice de Katz e da escala de Lawton e Brody. O desempenho físico foi verificado através da Short Physical Performance Battery. Procedeu-se a análise descritiva, bivariada e de regressão linear múltipla, com nível de significância de α < 0,05. Os resultados mostraram que no período de dois anos ocorreu redução da capacidade funcional para as atividades instrumentais da vida diária e do desempenho físico. Os fatores determinantes comuns aos desfechos foram: faixa etária, atividade profissional e prática de atividade física. A escolaridade foi específica somente para as atividades instrumentais da vida diária, e o sexo e o número de medicamentos para o desempenho físico.

Introduction: Quality indicators are important for service management. However, in primary care, there is a shortage of indicators specifically regarding the elderly population. Objective: To build and validate process indicators of the quality of nursing care for the elderly. Methods: This is a methodological research, and the steps are based on proposals from the National Database of Nursing Quality Indicators and the Agency for Healthcare Research and Quality. The indicators were evaluated according to the criteria of face validity, terminology, necessity, content validity, reliability, viability, utility, and usability. Nine nurses participated in the expert panel, including professionals who provided primary care assistance, researchers in the area of health care for the elderly, and members of Brazilian health-related organizations. The Adequacy Method developed by Research and Development at the University of California Los Angeles was used. Data were analyzed using the median, Content Validity Index, and Kappa. Results: Twenty-two indicators were validated. All measures were considered appropriate, with content validity, and reached an agreement on terminology and necessity. Of the 22 indicators, only four were considered unavailable and impractical to collect. Thirteen indicators were not considered useful for determining the reception of financial incentives. In the assessment of usability to compare public reports, six indicators had relatively low scores. Conclusion: Indicators can contribute to monitoring the quality of care for the elderly, identifying opportunities for improvement in actions performed by nurses in primary care.

Resumo Objetivou-se verificar a prevalência e os fatores socioeconômicos e de saúde associados a morbidades autorreferidas entre idosos da comunidade. Inquérito analítico e transversal, conduzido em 2012 com 1.691 idosos de Uberaba-MG. Utilizou-se instrumento estruturado para os dados socioeconômicos e morbidades autorreferidas; e Escalas (Depressão Geriátrica Abreviada, Katz e Lawton e Brody). Procedeu-se às análises descritivas e regressão linear (p < 0,05). Maior percentual (88,3%) de idosos referiram duas ou mais morbidades, com maior prevalência para hipertensão arterial sistêmica (61,9%) e problemas de coluna (48,6%). Foram associados ao maior número de morbidades: sexo feminino (β = 0,216; p < 0,001), incapacidade funcional para atividades básicas (β = 0,240; p < 0,001) e instrumentais (β = 0,120; p < 0,001) de vida diária e indicativo de depressão (β = 0,209; p < 0,001). A presença de duas ou mais morbidades e a associação com variáveis socioeconômicas e de saúde demonstram a necessidade de ações de monitoramento e controle desses fatores entre idosos nessa condição. Abstract This study aimed to verify the prevalence and socioeconomic and health factors associated with morbidity among community-dwelling elderly. This is an analytical and cross-sectional survey conducted in 2012 with 1,691 elderly from Uberaba-MG. A tool structured for socioeconomic data and self-reported morbidities was used along with the Abbreviated Geriatric Depression, Katz and Lawton-Brody scales. We proceeded to a descriptive analysis and linear regression (p < 0.05). A high percentage (88.3%) of elderly reported two or more morbidities, with higher prevalence for systemic arterial hypertension (61.9%) and back problems (48.6%). Female gender (β = 0.216; p< 0.001), functional disability in basic (β = 0.240; p < 0.001) and instrumental activities of daily living (β = 0.120; p < 0.001) and indicative of depression (β = 0.209; p < 0.001) were associated with the highest number of morbidities. The presence of two or more comorbidities and the association with socioeconomic and health variables show the need for monitoring and control actions of the factors that interfere in the elderly in this condition.

Aims and objectives To investigate the association between potentially inappropriate medication use and frailty phenotype among community-dwelling older adults and to identify factors associated with the use of these drugs according to frailty condition. Background There is insufficient evidence about the association between inappropriate medication use and the condition of frailty, particularly among community-dwelling older adults. Therefore, data obtained from population surveys should be made available in order to support the development of clinical guidelines about the prevention of frailty. Design This was a cross-sectional study conducted according to the STROBE Checklist. Methods This population-based study was conducted on 1,607 older adults. Potentially inappropriate medication use was assessed according to Beers criteria and frailty syndrome was determined according to the phenotype proposed by Fried and colleagues. Data were analysed statistically using multinomial or binary logistic regression models. Results About 13.6% of the subjects were frail, and 36.8% used at least one inappropriate medication. The adjusted model indicated that, the more potentially inappropriate medication use, the higher the prevalence of frailty, prefrailty and the walking slowness component. Female gender, one or more years of schooling, five or more reported morbidities, and instrumental dependence regarding daily life activities were factors associated with potentially inappropriate medication use in the nonfrail group. Conclusion Inappropriate medication use was prevalent among community-living older adults, and its presence was associated with the occurrence of frailty. Relevance to clinical practice Primary care nurses are the professionals with the greatest contact with the older adults in the community. Thus, the results support the inclusion of the assessment of potentially inappropriate medication use in the routine of nursing consultation. In case of a positive screening, the older person should be referred to geriatric evaluation in order to optimise drug treatment for the prevention of frailty.

The aim of this study was to verify the factors associated with the frailty phenotype components among hospitalized elderly patients. This is a crosssectional and analytical study with 255 elderly patients admitted to the Medical and Surgical Clinic units at a General Hospital of Uberaba-MG. The following instruments were used: Frailty phenotype according to Fried, Scales (Short Geriatric Depression, Katz and Lawton and Brody) and structured questionnaire with socioeconomic and health data. Descriptive, bivariate and logistic regression analyses were performed (p

Background Research on quality of life QOL is limited in Brazil and few studies have examined the association between smoking status and quality of life. This study addresses this gap and also examines the association between smoking, nicotine dependence, and duration of smoking cessation on (QOL) among older adults in an urban area in Brazil. Methods Data are from a household survey conducted in urban areas of Uberaba, Brazil, in 2012 (n = 980). Multivariable linear regressions were used to evaluate the association between smoking, nicotine dependence based on Fageström test, and smoking cessation on the World Health Organization Quality of Life WHOQOL-BREF and Quality of Life Assessment for Older Adults WHOQOL-OLD. Results The mean age of older adults in the study was 74.0 (SD = 6.9 years) and 64% of participants were women. The majority, 55% had never smoked, 12.4% were current smokers, and 32.7% were past-smokers. Current smokers had lower scores for social participation (β = − 2.6) and intimacy (β = − 3.8) than never smokers. Smokers with high or very high dependence reported higher levels of fear and concern about death and pain before death than those with low or very low dependence (β = − 10.6). However, smokers with medium levels of nicotine dependence had higher scores on social relationship. Longer cessation time was positively associated with higher scores for psychological health. Conclusions Except for the positive association between medium levels of nicotine dependence and better social relationships, smoking and higher levels of nicotine dependence were associated with worse QOL among older adults in Brazil. Nonetheless, smoking cessation had positive effects in QOL. Campaigns targeting older adults should point to the negative impact of tobacco use on QOL and the benefits of smoking cessation.

Objective: to describe the sociodemographic and health characteristics of elderly people, measure the score of total resilience and by sex and verify the association of sociodemographic and health variables with total resilience and by sex. Methods: this is a household survey with 808 elderly people, assessed by validated instruments. Student’s t test and multiple linear regression (p

Objective: To describe the sociodemographic characteristics, functional capacity and vaccination status of older adults, and to verify the factors associated with the incomplete vaccination status and the absence of the vaccination card. Method: Cross-sectional and analytical study conducted with older adults living in the city of Uberaba (MG). The following analyzes were carried out: descriptive, bivariate and multinomial logistic regression (p

Objective: to map the scientific knowledge about COVID-19 in older adults. Method: this is a scoping review literature review. A search was performed in the PubMed, CINAHL, Web of Science and LILACS databases. Original articles that answered the guiding question were included: what scientific knowledge is available in the world about COVID-19 in older adults? Results: thirty-one articles were included, most of them carried out in China (n=23) and with a retrospective design (n=13) and case studies/case series (n=13). Based on the findings, six thematic categories emerged: clinical signs and symptoms (n=12), other information (n=9), adverse outcomes/complications resulting from COVID-19 (n=8), age relationship and greater severity of COVID-19 (n=8), variables related to death by COVID-19 (n=8), and diagnostic findings (n=8). Conclusion: the findings reinforce older adults’ greater vulnerability to the worsening of COVID-19, as well as to complications resulting from the disease, including the greater occurrence of death.

BACKGROUND: The scientific literature has shown that an association between polypharmacy and frailty exists. However, few studies have also considered drug interactions and the use of potentially inappropriate medications. OBJECTIVE: To evaluate the association between the use of drugs and frailty among community-dwelling older people. DESIGN AND SETTING: Cross-sectional study carried out among 580 older people in Uberaba (MG). METHODS: Data were collected at these older people's homes using instruments validated in Brazil. Descriptive, bivariate and binary logistic regression analyses were performed (P < 0.05). RESULTS: Most of these individuals were classified as pre-frail (55.7%), while 13.1% were frail. It was found that 31.7% of them presented polypharmacy, 41.7% had drug interactions and 43.8% were using potentially inappropriate medications. In the initial model, polypharmacy (odds ratio, OR = 1.91; confidence interval, CI = 1.27-2.86) and use of potentially inappropriate medications (OR = 2.45; CI = 1.68-3.57) increased the chance that these older people would be pre-frail or frail. In the final adjusted model, use of potentially inappropriate drugs remained associated with the outcome (OR = 2.26; CI = 1.43-3.57). CONCLUSION: Use of potentially inappropriate medications was the independent variable that explained the occurrence of frailty in a representative sample of community-dwelling older adults.

Objectives: To describe the sociodemographic, clinical and pharmacotherapy characteristics of elderly persons with metabolic syndrome and to identify factors associated with drug interactions among these individuals. Method: A quantitative, analytical and transversal study was carried out among 263 elderly people with metabolic syndrome in the urban area of Uberaba, Minas Gerais, Brazil. Possible drug interactions were identified and classified according to the Micromedex® DrugReax System. The chi-squared test and the multiple logistic regression model were used for analysis (p

We sought to examine the frailty association with depression and functional disability in hospitalized older adults. In particular, we compared non-frail, pre-frail, and frail elderly hospitalized individuals. We performed a cross-sectional study with 255 hospitalized Brazilian elderly patients. We used a structured instrument to assess socio-economic data, the Fried frailty phenotype and used morbidity scales (Geriatric Depression; Katz; Lawton and Brody). The adjusted analysis revealed that frail elderly exhibit increased odds ratios (OR) for depressive symptoms (OR = 2.72, 95% CI: 1.12-6.62), disability related to basic activities (OR = 3.50, 95% CI: 1.26-9.60), and instrumental daily living (OR = 2.70, 95% CI: 1.12-6.44). Frailty in hospitalized older adults is associated with depressive symptomatology and functional disability.

Resumo O objetivo deste estudo é verificar a associação do excesso de peso com a incapacidade funcional, morbidades autorreferidas e qualidade de vida (QV) de idosos residentes em área rural. Trata-se de um inquérito domiciliar e transversal realizado na área rural de um município do Sudoeste do Brasil. Foram avaliados 370 idosos sem excesso de peso e 192 com, por meio dos instrumentos: semiestruturado, escalas Katz e Lawton e, World Health Organization Quality of Life – BREF e World Health Organization Quality of Life Assessment for Older Adults. O excesso de peso associou às morbidades: artrite/artrose, hipertensão arterial sistêmica (p < 0,001), varizes (p = 0,009), problemas cardíacos (p = 0,028), diabetes mellitus (p = 0,001), acidente vascular encefálico (p = 0,044) e incontinência urinária (p = 0,032). Não identificou associação entre a incapacidade funcional e o excesso de peso (p = 0,729). Os idosos com excesso de peso apresentaram menores escores no domínio físico (p = 0,005) e maiores nas relações sociais (p = 0,033) comparados aos sem essa condição. Os resultados remetem à necessidade do acompanhamento do estado nutricional de idosos rurais na prevenção de comorbidades e na melhoria da qualidade de vida. Abstract This study aimed to verify the association of overweight with functional disability, self-reported morbidities and quality of life (QoL) among rural elderly dwellers. This is a domestic and cross-sectional survey conducted in the rural region of a municipality of Southeast Brazil. Three hundred seventy non-overweight elderly people and 192 overweight elderly people were evaluated with the following tools: semi-structured; Katz and Lawton and scales; World Health Organization Quality of Life – BREF and World Health Organization Quality of Life Assessment for Older Adults. Overweight was associated with morbidities arthritis/osteoarthritis (p = 0.002), systemic arterial hypertension (p < 0.001), varicose veins (p = 0.009), heart problems (p = 0.028), diabetes mellitus (p = 0.001), cerebrovascular accident (p = 0.044) and urinary incontinence (p = 0.032). Overweight elderly had lower scores in the physical realm (p = 0.005) and higher scores in social relationships (p = 0.033) compared to those without this condition. Results point to the importance of monitoring the nutritional status of rural elderly to prevent comorbidities and improve the quality of life.

To investigate the association of frailty syndrome with socioeconomic and health variables among older adults.This is a cross-sectional, observational and analytical household research conducted with a sample of 1,609 urban elderly. We used: semi-structured questionnaire, scales (Katz, Lawton and shortened version of Geriatric Depression Scale) and Fragility Phenotype proposed by Fried. Descriptive analysis was performed along with a bivariate and multinomial logistic regression model (The prevalence of pre-frailty condition was 52.0% and the fragility corresponded to 13.6%. Pre-frailty and frailty associated factors were, respectively: age range between 70-79 years and ≥80 years; one to four morbidities and five or more morbidities categories; functional disability for basic and instrumental activities of daily life and depression indicative; whilst lack of a companion or income and female gender were only associated to pre-frailty.The conditions of pre-frailty and frailty levels were elevated with negative effects on the health of the elderly.Investigar la asociación del síndrome de fragilidad con variables socioeconómicas y de salud de los adultos mayores.encuesta domiciliaria transversal, observacional y analítico realizado con una muestra de 1,609 personas mayores urbano. Fueron utilizados: cuestionario semi-estructurado, escalas (Katz, Lawton y depresión geriátrica acortado) y Fragilidad Fried fenotipo. Se realizaron los siguientes análisis: descriptivo, bivariado y modelo de regresión logística multinomial (La prevalencia de la condición pre-fragilidad fue del 52.0% y la fragilidad correspondió a 13.6%. Los factores asociados a la prefragilidad y fragilidad fueron, respectivamente: a los intervalos de edad de 70-79 años y ≥80 años; una a cuatro morbilidades y cinco o más categorías de morbilidad; incapacidad funcional para actividades básicas e instrumentales de la vida diaria y indicativo de depresión; en cuanto que la ausencia de compañero y ingreso y el género femenino se asociaron a la prefragilidad.Las condiciones de los niveles previos a la fragilidad y la fragilidad fueron elevados con efectos negativos sobre la salud de los ancianos.

A reduction in social activities can result in incapacities and worsening of quality of life. The present study aimed to characterize elderly subjects, describe their level of advanced activities of daily living and identify the change between activity levels (improvement, stability, worsening) and the predictors of change in advanced activities of daily living levels. This is a longitudinal study carried out with 353 elderly subjects. The following were used: Mini Exam of Mental State; socioeconomic and morbidity data; frailty phenotype and questions on advanced activities of daily living. Descriptive analysis was carried out with a multinomial regression model (p

Resumo Objetivou-se estimar a incidência de quedas entre os idosos e determinar os fatores preditivos de quedas e quedas recorrentes. Estudo longitudinal (2014-2016) conduzido com 345 idosos da área urbana em Uberaba-MG. Utilizou-se: instrumento estruturado referente aos dados socioeconômicos e à ocorrência de quedas; Escalas de Katz e Lawton e Brody; Short Physical Performance Battery (SPPB) e Falls Efficacy Scale-International (FES-I) Brasil. Procedeu-se à análise de regressão logística multinomial (p < 0,05). A incidência de quedas no período de acompanhamento representou 37,1%, sendo 20% recorrentes e 17,1% em um único evento. O modelo final indicou que o aumento em uma unidade do SPPB diminuiu em aproximadamente 15% e 17%, respectivamente, a chance de quedas e quedas recorrentes. O maior escore da FES-I Brasil associou-se à maior ocorrência de quedas recorrentes. Os resultados encontrados sobre a ocorrência de quedas e quedas recorrentes e sua associação com pior desempenho físico e ao medo de cair fornecem subsídios para ações direcionadas ao monitoramento e controle dos fatores interferentes. Abstract This study aimed to estimate the incidence of falls among the elderly and to determine the predictive factors of falls and recurrent falls. This is a longitudinal study (2014-2016) conducted with 345 elderly in the urban area of Uberaba-MG. A structured tool related to socioeconomic data and occurrence of falls, Katz and Lawton-Brody Scales, the Short Physical Performance Battery (SPPB) and Falls Efficacy Scale-International (FES-I) Brazil were used. The multinomial logistic regression analysis was performed (p < 0.05). The incidence of falls in the follow-up period was 37.1%, with 20% recurrent falls and 17.1% single-event falls. The final model showed that the increase in one SPPB unit decreased by approximately 15% and 17%, respectively, the probability of falls and recurrent falls. The highest FES-I Brazil score was associated with a higher occurrence of recurrent falls. The results found on the occurrence of falls and recurrent falls and their association with worse physical performance and fear of falling provide subsidies for actions directed to the monitoring and control of the interfering factors.

BACKGROUND: Frailty among elderly people is associated with negative health outcomes. Through gaining better understanding of this syndrome over different time periods, healthcare actions that take predictive factors into consideration may be facilitated. OBJECTIVE: To identify factors associated with frailty syndrome among community-dwelling elderly people over a two-year follow-up. DESIGN AND SETTING: Longitudinal study on elderly people living in Uberaba (MG), Brazil. Methods: Elderly individuals were selected through multiple-stage conglomerate sampling from a national database. Participants were interviewed and evaluated in 2014 and again in 2016. Predictors were considered at the baseline, and frailty categories (frail, pre-frail or non-frail) at the follow-up. Frailty was identified based on the Fried criteria. Associations with socioeconomic factors, health status and physical performance were investigated using multinomial logistic regression. RESULTS: 353 individuals participated in both assessments. The final model showed that age over 80 years was predictive of both pre-frailty and frailty (odds ratio, OR 4.92; 95% confidence interval, CI: 1.57-15.38; OR 8.64; 95% CI: 2.05-36.35, respectively), while dependency regarding basic activities of daily living (OR 3.66; 95% CI: 1.22-11.02) and poor lower-limb physical performance (OR 7.87; 95% CI: 1.97-31.39) predicted frailty. A one-unit increased score for advanced activities of daily living decreased the frailty rate by 15% (OR 0.85; 95% CI: 0.74-0.99). CONCLUSION: Age over 80 years was predictive of pre-frailty and frailty, while dependency in basic activities of daily living and poor physical performance predicted frailty. A one-unit increased score for advanced activities of daily living decreased the frailty rate by 15%.

RESUMO Objetivos Calcular a prevalência de quedas, nos últimos 12 meses, entre idosos da comunidade; verificar a ocorrência de quedas em idosos da comunidade, segundo características sociodemográficas e de saúde e identificar clusters de quedas, entre idosos no município de Uberaba. Métodos Estudo transversal conduzido com 612 idosos residentes na zona urbana de Uberaba. Procederam-se às análises descritiva e bivariada com o teste qui-quadrado (p

Objective: verify the prevalence of abuse and probable alcohol dependence in the elderly; describe sociodemographic and clinical characteristics of the elderly; and verify the factors associated with alcohol abuse and probable dependence in the elderly. Method: cross-sectional study, observational, domiciliary survey type, conducted with 614 elderly people living in the urban area of the city of Uberaba, Brazil. The Mini Mental State Examination, sociodemographic instrument, Older Americans Resources and Services Questionnaire, Geriatric Depression Scale and Michigan Alcoholism Screening Test - Geriatric Version were used. Statistical analysis was performed in the Statiscal Package for Social Sciences. Results: the prevalence of abuse and probable alcohol dependence was 26.5%. Among the elderly with abuse and probable dependence on alcohol, there was predominance of males, 60 |- 70 years old, who lived with a spouse or partner, had 1 |- 5 years of schooling, individual monthly income from 1 -| 3 minimum wages, five or more morbidities and no indication of depressive symptoms. Abuse and probable alcohol dependence were associated with males and the presence of depressive symptoms. Conclusion: the study reinforces the need to identify early abuse and probable alcohol dependence in the elderly and to invest in health action strategies for the purpose of health promotion, disease prevention and rehabilitation of the elderly. RESUMEN Objetivo: comprobar la prevalencia del exceso y probable dependencia de alcohol en ancianos; describir las características sociodemográficas y clínicas de los ancianos, y verificar los factores asociados al exceso y probable dependencia de alcohol en ancianos. Método: estudio transversal, observacional, tipo encuesta domiciliaria, realizado con 614 ancianos residentes en la zona urbana del municipio de Uberaba, Brasil. Se utilizaron el Mini Examen de Estado Mental, el instrumento sociodemográfico, la encuesta Older Americans Resources and Services, la Escala Abreviada de Depresión Geriátrica y el Michigan Alcoholism Screening Test - Geriatric Version. El análisis estadístico se llevó a cabo en el Statiscal Package for Social Sciences. Resultados: la prevalencia del exceso y probable dependencia del alcohol fue de 26,5%. Entre los ancianos con exceso y probable dependencia de alcohol se pudo comprobar un predominio del sexo masculino, entre 60 |- 70 años, vivían con su esposo(a) o compañero(a), tenían de 1 |- 5 años de estudios, ingreso mensual individual de 1 -| 3 salarios mínimos, cinco o más morbilidades y ausencia de síntomas indicadores depresivos. El exceso y probable dependencia de alcohol se asoció al sexo masculino y a la presencia de síntomas indicadores de depresión. Conclusión: el estudio refuerza la necesidad de identificar precozmente el exceso y probable dependencia de alcohol en ancianos, e invertir en estrategias de acciones de salud con la finalidad de promover salud, prevenir enfermedades y rehabilitar al anciano. RESUMO Objetivo: verificar a prevalência do abuso e provável dependência do álcool em idosos; descrever as características sociodemográficas e clínicas e dos idosos; e verificar os fatores associados ao abuso e provável dependência do álcool em idosos. Método: estudo transversal, observacional, tipo inquérito domiciliar, realizado com 614 idosos residentes na zona urbana do município de Uberaba, Brasil. Foram utilizados o Mini Exame de Estado Mental, instrumento sociodemográfico, Questionário Older Americans Resources and Services, Escala de Depressão Geriátrica Abreviada e Michigan Alcoholism Screening Test - Geriatric Version. Realizou-se análise estatística no Statiscal Package for Social Sciences. Resultados: a prevalência do abuso e provável dependência do álcool foi de 26,5%. Entre os idosos com abuso e provável dependência do álcool, verificou-se predomínio do sexo masculino, 60 |- 70 anos, moravam com esposo(a) ou companheiro(a), tinham 1 |- 5 anos de escolaridade, renda mensal individual de 1 -| 3 salários mínimos, cinco ou mais morbidades e ausência de indicativo de sintomas depressivos. O abuso e provável dependência do álcool foram associados ao sexo masculino e a presença de indicativo de sintomas depressivos. Conclusão: o estudo reforça a necessidade de identificar precocemente o abuso e provável dependência do álcool em idosos e investir em estratégias de ações de saúde com a finalidade de promoção a saúde, a prevenção de doença e reabilitação do idoso.

BACKGROUND: The physical, emotional and cognitive limitations that may be present in the aging process, coupled with family unpreparedness, may lead to greater dependence among the elderly. This favors development of frailty syndrome and greater levels of violence against the elderly. The objective here was to analyze the association between violence against the elderly and frailty; and the geographic distribution of violence against the elderly according to the presence of frailty syndrome. DESIGN AND SETTING: Cross-sectional study on 705 community-dwelling elderly people in Uberaba (MG), Brazil. METHODS: The Fried frailty phenotype and conflict tactics scale were used. Data were analyzed using descriptive statistics, the chi-square test and a logistic regression model. The intensity of the events and the relationship between clusters of violence and frailty status were assessed by means of kernel estimation. RESULTS: The adjusted analysis indicated that pre-frailty and frailty were associated with physical and verbal aggression (odds ratio, OR = 1.51; 95% confidence interval, CI: 1.04-2.19; OR = 2.12; 95% CI: 1.29-3.47), frailty was associated with physical aggression (OR = 2.48; 95% CI: 1.25-4.94) and pre-frailty and frailty were associated with verbal aggression (OR = 1.48; 95% CI: 1.03-2.15; OR = 2.15; 95% CI: 1.31-3.52), respectively. Regardless of frailty status and its relationship with violence, clusters of occurrences were larger in similar regions in the southeastern part of the municipality; but superimposition of overlays relating to aggression showed that for frail individuals the clusters were smaller than for non-frail and pre-frail individuals. CONCLUSIONS: The condition of frailty was associated with greater chances of violence against the elderly.

The acceptance of the disease is essential to health self-care, elder’s awareness regarding obesity is suggested to influence their search for health services, and consequently, in obesity’s treatment. This study aimed to verify obesity awareness of elders living in rural areas and associated socioeconomic and demographic factors. We conducted a cross-sectional household survey with 562 individuals, who were older than 60 years and were rural residents from a Brazil southeast city. The identification of obesity awareness was consisted in the agreement between the self-referred obesity and the diagnosis criteria using the body-mass index >27Kg/m². The associated socioeconomic and demographic factors were: gender, age range, marital status, education and income. Descriptive statistical analysis, Kappa index and logistic regression (p 27 kg/m2. Os fatores socioeconômicos e demográficos associados ao autorreconhecimento foram: sexo, faixa etária, estado conjugal, escolaridade e renda. Foram realizadas análises descritivas, coeficiente de Kappa e regressão logística (p < 0,05). O maior percentual de idosos foi de homens (53,6%), com 60–70 anos (62,6%), casados (67,8%), 4-8 anos (40,0%) de estudo e renda mensal individual de um salário mínimo (45,7%). A prevalência de obesidade de acordo com o índice de massa corporal correspondeu a 34,7% e a autorreferida 15,1%, sendo caracterizada concordância regular de acordo com o coeficiente de Kappa (k = 0,232; p < 0,001). A maioria dos idosos com obesidade não se reconheceu nesta condição (64,6%), com maiores razões de chances entre o sexo masculino em relação ao feminino (OR = 2,34; IC = 1,29-4,77). Constatou-se alta prevalência de obesidade nos idosos da zona rural, sendo que a maioria não se reconheceu nessa condição. Também foi evidenciado que particularmente os homens idosos apresentaram menor autorreconhecimento quando comparados às mulheres.

this study aimed to describe the characteristics related to access to and use of health services, and verify factors associated with the use of services among the elderly. This is a cross-sectional analytical study conducted with 705 urban elderly in Uberaba/Minas Gerais. Were used: structured instrument related to socioeconomic data, Katz, Lawton and Brody scales and Fried Fragility Phenotype; and questionnaire from the National Survey by Domicile Sample for access and use of health services. The procedure was the descriptive and logistic regression analysis (p

Objectives. To investigate the association of functional incapacity and the number of morbidities with sociodemographic, economic and health variables. Methods. This is a household survey, quantitative and transversal approach, conducted with 1,693 elderly in Uberaba-MG in 2012. We used the Mini-Mental State Examination, Katz Scale, Lawton and Brody Scale; Geriatric Depression Scale abbreviated and semi-structured instrument for evaluation of demographic data, economic and morbidities. Results. Functional incapacity in basic activities of daily living was associated with older age, a greater number of morbidities and presence of indicative of depression. Regarding the instrumental activities of daily living, functional incapacity was related to age, lower education and income, the greater number of morbidities and have indicative of depression. The largest number of comorbidities was associated with female sex, older age, lower income and indicative of depression. Conclusion. This study highlights the need for health actions directed to the oldest old, with less education and income, and indicative of depression to minimize the dependency on the performance of functional capacity and impact on morbidities. How to cite this article: Agreli BF, Dias FA, Ferreira PCS, Gomes NC, Tavares DMS. Disability and morbidity among the elderly, according to sociodemographic conditions and indicative of depression. Invest. Educ. Enferm. 2017; 35(1)

This was an analytical, cross-sectional household survey study aimed at describing the sociodemographic characteristics, health and quality of life of elderly men, and to verify the socioeconomic and health factors related to quality of life. Participants in this study included 804 elderly men. Data were collected using the following instruments: Older Americans Resources and Services scale (OARS), the World Health Organization Quality of Life-BREF (WHOQOL-BREF), and the World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). Descriptive analysis, student's t-test, Pearson correlation and multiple linear regression (p

This study aimed to describe the sociodemographic variables and to compare the morbidities and the quality of life (QoL) of elderly individuals with diabetes mellitus (DM) residing in urban and rural areas. The sample consisted of 271 elderly individuals from urban areas and 104 from rural areas with self-reported DM. A descriptive analysis was used, and in the location comparison, an age adjustment was employed through linear and logistic multiple regression models (p

The objective was to compare the sociodemographic variables and lifestyles of aged individuals with or without signs of depression. This descriptive, cross-sectional and observational home survey, counted with the participation of 850 elderly residents of the rural area of a city in the state of Minas Gerais. Structured instruments and the Abbreviated Geriatric Depression Scale were used, followed by descriptive analysis and chi-square test ( p

The aim of this study was to compare the quality of life of hospitalized elderly patients according to the frailty status. An observational, analytical, cross-sectional study was conducted with 255 elderly patients in a city in the state of Minas Gerais. Fried frailty phenotype, WHOQOL-BREF, WHOQOL-OLD, and a structured instrument were used for socioeconomic and clinical data. Descriptive analysis and ANOVA-F test ( p

CONTEXT AND OBJECTIVE: Identification of frailty syndrome and its relationship with cardiovascular risk factors among hospitalized elderly people is important, since this may contribute towards broadening of knowledge regarding this association within tertiary-level services. This study aimed to evaluate the cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people. DESIGN AND SETTING: Observational cross-sectional study in a public teaching hospital. METHODS: The participants were elderly patients admitted to clinical and surgical wards. The cardiovascular risk factors assessed were: body mass index (BMI), waist circumference, systemic arterial hypertension (SAH), blood glucose, total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL) and triglycerides. To identify frailty syndrome, the method proposed by Fried was used. The data were analyzed through descriptive statistics, chi-square test (P < 0.10) and multinomial logistic regression (P < 0.05). RESULTS: A total of 205 individuals were evaluated. It was found that 26.3% (n = 54) of the elderly people were frail, 51.7% (n = 106) were pre-frail and 22% (n = 45) were non-frail. The preliminary bivariate analysis (P < 0.10) for the regression model showed that frailty was associated with BMI (P = 0.016), LDL cholesterol (P = 0.028) and triglycerides (P = 0.093). However, in the final multivariate model, only overweight remained associated with the pre-frail condition (odds ratio, OR = 0.44; 95% confidence interval, CI = 0.20-0.98; P = 0.045). CONCLUSION: States of frailty were highly present in the hospital environment. The pre-frail condition was inversely associated with overweight. RESUMO CONTEXTO E OBJETIVO: A identificação da síndrome de fragilidade em idosos hospitalizados em interface com fatores de risco cardiovascular é relevante, pois pode contribuir para a ampliação do conhecimento sobre essa relação no nível de serviço terciário. Este estudo objetivou avaliar os fatores de risco cardiovascular associados à síndrome de fragilidade em idosos hospitalizados. TIPO DE ESTUDO E LOCAL: Estudo observacional transversal em hospital público de ensino. MÉTODOS: Participaram idosos internados nas clínicas médica e cirúrgica. Os fatores de risco cardiovascular avaliados foram: índice de massa corporal (IMC), circunferência abdominal, hipertensão arterial sistêmica (HAS), glicemia, colesterol total, lipoproteínas de alta densidade (HDL), lipoproteínas de baixa densidade (LDL) e triglicérides. Para identificar a síndrome de fragilidade, utilizou-se o método proposto por Fried. Os dados foram analisados por estatística descritiva, teste qui-quadrado (P < 0,10) e regressão logística multinomial (P < 0,05). RESULTADOS: Foram incluídos 205 indivíduos. Constatou-se que 26,3% (n = 54) dos idosos eram frágeis, 51,7% (n = 106) pré-frágeis e 22% (n = 45) não frágeis. A análise bivariada preliminar (P < 0,10) para o modelo de regressão indicou associações da fragilidade com as variáveis IMC (P = 0,016), colesterol LDL (P = 0,028) e triglicérides (P = 0,093). Entretanto, no modelo multivariado final, apenas a variável excesso de peso permaneceu associada à condição de pré-fragilidade (odds ratio, OR = 0,44; intervalo de confiança, IC 95% = 0,20-0,98; P = 0,045). CONCLUSÃO: Os estados de fragilidade apresentaram-se elevados em ambiente hospitalar. A condição de pré-fragilidade foi inversamente associada ao excesso de peso.

O aumento da expectativa de vida populacional no Brasil evidencia também o número de pessoas que envelhecem apresentando perda da capacidade funcional e aumento da dependência nas atividades do dia a dia. A tecnologia assistiva (TA) se constitui como suporte para que os idosos mantenham a independência e funcionalidade. Os objetivos deste estudo foram: (i) elencar os recursos de tecnologia assistiva utilizados por idosos assistidos em uma unidade matricial de saúde (UMS) no município de Uberaba/MG; (ii) descrever as características sócio-econômicas e as doenças crônicas por eles relatadas e (iii) estudar a área de ocupação – atividades de vida diária e a categoria dos recursos da tecnologia assistiva usados. Participaram do estudo 144 idosos com 60 anos ou mais. Para a coleta dos dados foram aplicados dois instrumentos estruturados idealizados pelos autores. Os resultados evidenciaram utilização de tecnologia assistiva aquém das necessidades para manutenção do desempenho funcional dos idosos, com exceção do uso de óculos. A idade média dos participantes foi de 72,4 anos (±7,8) e houve predomínio de idosos do gênero feminino. Os diagnósticos clínicos relatados foram na maioria casos de hipertensão arterial. Dos participantes, 140 (97,2%) relataram utilizar um tipo de recurso de TA como auxílio em alguma atividade de vida diária. The increase in life expectancy of the Brazilian population shows the number of people that age with functional capacity loss and increased dependency to perform daily activities. Assistive technology (AT) is a support for older adults to maintain their independence and functionality. The objectives of this study were: (i) to list assistive technology resources used by older adults assisted in a Centralized Health Unit (CHU) in the city of Uberaba, Minas Gerais, Brazil; (ii) to describe the socioeconomic characteristics and chronic diseases reported by them, and (iii) to study the area of occupation – daily life activities and the category of resources used. One hundred and forty-four older adults aged 60 years or more participated in the study. For the data collection, two structured instruments devised by the authors were applied. The results showed that the use of assistive technology was beneath the expected for maintenance of the functional performance of older adults, except for the use of glasses. The average age of participants was 72.4 years (±7.8) and there was a predominance of women. Reported diagnoses were, in most cases, hypertension. Of the participants, 140 (97.2%) reported using a type of AT resource as an aid in some daily activity.

RESUMO Objetivo: comparar as variáveis obtidas em situação de adesão e não adesão ao tratamento farmacológico para hipertensão arterial sistêmica, segundo condições socioeconômicas, tempo de diagnóstico, morbidades autorreferidas, indicativo de depressão e qualidade de vida. Método: estudo transversal realizado com 524 idosos aderentes e 505 não. Realizou-se análise descritiva, testes Qui-quadrado e t-Student (p

RESUMO Esta pesquisa objetivou determinar a prevalência de quedas, nos últimos 12 meses, entre os idosos; comparar as variáveis sociodemográficas, clínicas, de saúde e funcionais entre os idosos que tiveram quedas e aqueles que não as tiveram; e verificar os fatores associados a quedas em idosos. Inquérito domiciliar conduzido com 729 idosos da zona urbana de Uberaba, Minas Gerais. A prevalência de quedas foi de 28,3%. A maior proporção entre os idosos que tiveram queda foi a do sexo feminino; com 80 anos ou mais; que apresentavam duas ou mais morbidades e usavam cinco ou mais medicamentos. As quedas estavam associadas ao sexo feminino; com idade de 80 anos ou mais e que apresentavam duas ou mais morbidades. O estudo reforça a necessidade de investimento na promoção da saúde e prevenção de morbidades, considerando que, dentre os preditores de quedas, somente a presença de comordidades é passível de intervenção do profissional de saúde. RESUMEN Esta investigación tuvo como objetivo determinar la prevalencia de caídas, en los últimos 12 meses, entre los ancianos; comparar las variables sociodemográficas, clínicas, de salud y funcional entre los ancianos que tuvieran caídas y aquellos que no las tuvieran; y verificar los factores asociados con caídas en los ancianos. Encuesta de hogares de 729 ancianos del área urbana de Uberaba-MG. Prevalencia de caídas fue del 28,3 %. La mayor proporción de los ancianos que tuvieron caídas eran mujeres; con 80 años o más; presencia de dos o más morbilidades y utilizado cinco o más medicamentos. Las caídas se asociaron con sexo femenino; con 80 años o más y presencia de dos y más morbilidades. El estudio refuerza la necesidad de inversión en promoción de la salud y prevención de enfermedades, teniendo en cuenta que intervención profesional de la salud. ABSTRACT This research aimed to determine the prevalence of falls in the last 12 months among the elderly; compare sociodemographic, clinical, and functional health variables between the elderly victims and non-victims of falls and verify the factors associated with falls in the elderly. This is a domestic survey conducted with 729 elderly people living in the urban area of the city of Uberaba-MG. The prevalence of falls was 28.3%. Most of the elderly fall victims were female; aged 80 years or older; presence of two or more conditions and used five or more medications. The falls were associated with females; aged 80 years or older and presence of two or more conditions. The study reinforces the need for investment in health promotion and prevention of morbidities, considering that, among the predictors of falls, health professionals can only intervene in the presence of comorbidities.

Este estudo objetivou descrever as características sociodemográficas e a qualidade de vida dos cuidadores de idosos com histórico de acidente vascular cerebral e correlacionar o número de morbidades com os escores de qualidade de vida do cuidador. Inquérito domiciliar transversal que entrevistou cuidadores de idosos utilizando-se de instrumentos: semi-estruturado; World Health Organization Quality of Life-abreviado e Brazilian Multidimensional Functional Assessment Questionnaire. Foi realizada análise descritiva e correlação de Pearson (p

O estudo objetivou descrever e comparar os escores de qualidade de vida (QV) de idosos com e sem hipertensão arterial (HA) segundo os domínios dos instrumentos WHOQOL-BREF e facetas do WHOQOL-OLD. Foram constituídos dois grupos: idosos que referiram HA (689) e idosos sem HA (689). A coleta ocorreu entre agosto e novembro/2008. Utilizaram-se análise descritiva e teste t-Student (p < 0,05). Predominou o sexo feminino, 60|-70 anos, casados, renda de um salário mínimo e 4?7 comorbidades. Observou-se maior escore de QV nas relações sociais e funcionamento dos sentidos; e menores no físico e autonomia. O grupo de idosos sem HA apresentou maiores escores de QV para o meio ambiente, atividades passadas, presentes e futuras e participação social, comparados ao grupo com HA. Faz-se necessário adotar ações interligadas entre a equipe de saúde e a comunidade visando ações promocionais e educativas em saúde, que resultem em menor impacto na QV dos idosos.Descritores: Qualidade de vida; Saúde do idoso; Hipertensão; Enfermagem em saúde comunitária.

OBJETIVO: Descrever as características sociodemográficas, funcionais e clínicas dos idosos com e sem declínio cognitivo residentes na zona urbana de Uberaba-MG. MÉTODOS: Estudo tipo inquérito domiciliar realizado com 2.898 idosos. Foram constituídos dois grupos: grupo 1, idosos com pontuação menor que 13 no Miniexame do Estado Mental e grupo 2 com 13 pontos ou mais nesse exame. Os dados coletados, por meio de instrumento semiestruturado, foram submetidos à análise descritiva e ao teste Qui-quadrado (p

doi: 10.5216/ree.v12i4.7628 O processo de envelhecimento humano é multifatorial e, para que ocorra com qualidade, vários fatores devem ser considerados, como: sexo, arranjo familiar, educação, renda, doenças crônicas e capacidade funcional. Visando aprofundar estes aspectos essa pesquisa objetivou comparar o número de morbidades dos idosos, com sexo, escolaridade, renda, uso de serviços de saúde e número de incapacidades funcionais. Participaram 2.912 idosos entrevistados no domicílio, selecionados através da técnica de amostragem estratificada proporcional com seleção sistemática, considerando os bairros como estratos. Os dados foram digitados em dupla entrada, no EpiInfo3.2. Realizou-se análise descritiva e o teste qui-quadrado (p

Com o avanço da idade aumenta a ocorrência do diabetes mellitus. Os serviços de saúde necessitam readequar para atender as especificidades desta demanda populacional; para tanto deverá proceder o diagnóstico de saúde da população adstrita. Objetivos: descrever as características de um grupo de idosos portadores e não portadores de diabetes mellitus, segundo as variáveis sóciodemográficas e de saúde, bem como identificar as principais diferenças entre eles. Participaram do estudo 151 sujeitos, com idades acima de 60 anos, com diabetes mellitus (Grupo 1) e 151 sem a referida doença (Grupo 2), emparelhados segundo sexo e faixa etária. Os dados foram coletados através de instrumento estruturado, no domicílio do idoso, processados no programa EPIINFO vs 6. Foi realizada análise descritiva e teste χ2 (p < 0,05). Verificou-se maior percentual para o sexo feminino (73,5%), com 1° grau incompleto (70%), renda de 1 a 2 salários mínimo. Variáveis que apresentaram diferença significativa entre os dois grupos foram: razão de aposentadoria, uso regular de medicamentos, problemas de saúde, procura por serviços públicos de saúde, atendimento e internação. O atendimento ao idoso se torna um desafio, por sua demanda crescente nos serviços de saúde frente às doenças crônicas, dentre elas, o diabetes mellitus.

Com o aumento da expectativa de vida surgem novas demandas sociais e de saúde para o atendimento à população idosa. A enfermagem deve somar esforços com a equipe multiprofissional visando contribuir com a manutenção da independência e autonomia do idoso, nos espaços sociais de promoção da saúde. Neste estudo objetivou-se descrever as características sócio-demográficas dos idosos freqüentadores da Unidade de Atenção ao Idoso (UAI), localizada no município de Uberaba-MG, bem como as atividades realizadas pelos idosos no local, identificando as mudanças ocorridas em seu cotidiano após freqüentar a UAI e sugestões de atividades. Os dados foram coletados, no período de julho e agosto do ano de 2007, junto a 39 idosos e, após, submetidos à distribuição de freqüência e análise temática segundo Bardin. A maioria dos entrevistados era do sexo feminino (87,1%); com 4 a 8 anos de estudo (66,7%), aposentados (84,7%) e renda mensal individual de 1 salário mínimo (59%). As atividades realizadas são: hidroginástica (28%); dança (15,8%), ginástica (14%) e alongamento (13,1%). A análise temática evidenciou as categorias: Mudanças no posicionamento social (32,1%); Melhoria nas condições de saúde (27%) e Atividades na UAI (40,9%). A participação dos idosos nas atividades da UAI acarretou mudanças positivas na vida dos usuários, propiciando melhorias na sua qualidade de vida.

In Brazil, the older adult population and life expectancy has been increasing rapidly when compared to countries such as France and Sweden. If on the one hand this fact represents an achievement for Brazilian society, on the other, it brings with it new social demands (1) . Such demands express the need to care for the specificities of this population, always aiming at maintaining autonomy, independence and quality of life. In this light, the WHO (1) presented proposals for how to approach healthy and active aging, such as fostering health-promoting behaviors in all ages in order to prevent or delay the development of chronic diseases; reducing the consequences of chronic diseases by early detection and quality of care; creating physical and social environments that promote health and the participation of older adults (this incudes accessibility, transportation, inter-generational relationships, social attitudes and health care service organization) and a change of attitude to incentivize the participation of older adults in society. In the attempt to respond to these social demands, the Brazilian Ministry of Health has presided over the elaboration of the National Agenda of Priorities in Health Research so that knowledge production and material and procedural goods generated in priority areas could aid in the development of social policies (2) . Part of the 24 priority sub-agendas, Health of Older Adults includes themes such as: the magnitude, dynamics and understanding of older adult health issues, the understanding of mechanisms of age-related diseases and evaluating policies, programs, services and technologies (2) . In consonance with international trends and with the national scenario, Nursing has also collectively discussed its priorities for developing research in the field (3) . A study presented at the 17th National Seminar for Nursing Research displayed that such priorities were based on 11 priorities which characterize this profession’s field of knowledge. An in-depth reflection of these priorities as pertains to the specificities of the nursing field focused on care, population groups, national health risks, professional competencies and issues prioritized by health care (4) . Thus, this study (4) defined five cross-sectional axes (Health, Environment and Biosecurity in Nursing; Evaluation of Nursing Technologies and Health Economics; Clinical Investigation in Nursing; Work Management and Health Education and Health Systems and Policies) and six vertical axes, further subdivided in three thematic axes of vertical action (Mental Health Nursing; Nursing Care of Communicable Diseases; Nursing care of Non-Communicable Diseases) and in three thematic axes per population groups (Nursing Care of Older Adults; Women’s Health Nursing; Child and Adolescent Health Nursing) (4) . Considering that nursing care of older adults is one of the priorities of the Science of nursing, we conducted a review which guided us in some of the reflections contained in this editorial. The review was based on published articles contained in the Nursing database (BDEnf) over the last 10 years (2004 to 2013), using the words “older adult” and “nursing” present in the title, abstract and/or descriptors. Although the BDEnf is a somewhat restricted database, it gathers indexed Brazilian nursing journals, and our interest at the time was to understand the behavior of scientific production in the area relating to the health of older adults in broader terms. The result of this exercise provided us with a total of 593 articles. We read the abstracts of each one to identify which articles expressed the topic of interest. After this initial reading we excluded 20 (3.3%), which were duplicates and 223 (37.3%), which included younger adults and/or was not directed related to older adults, thus leaving us with 350 (59.1%) articles. Among these analyzed articles, the most common themes were: nursing care of older adults 30 (8.5%); older adult caretakers 29 (8.2%); nursing diagnosis for this population 25 (7.1%); institutionalized older adults 25 (7.1%); studies related to the perception of nursing professionals of training and qualification of nurses for older adult care 23 (6.5%); hospitalized older adults 18 (5.1%); older adult functional capacity 13 (3.7%); the older adult in the family context 13 (3.7%), quality of life in older adults 12 (3.4%) and educational activities/groups for the older adult population 10 (2,8%). As limitations of our analysis, we mention the timeframe chosen for the database search and also the fact that there was only one database consulted. However, the intention of this editorial is that of calling attention to some gaps which exist in the field of nursing related to older adult health. Such gaps can mobilize the efforts of researchers, especially those who are part of graduate programs, from where most of the research in the field in Brazil originates. Reflecting on the considerations presented above, we conclude that nursing researchers have developed their studies in adherence to the expressed priorities. Nonetheless, there is still a vast field of investigation left which considers the specificities of older adult health. For example, we observe that there is a lack of studies regarding the reorganization of nursing care in the older adult health network, proposing health care models; the development and/or establishment of nursing care technology that can contribute to maintaining autonomy, independence and quality of life in the older adult and their family, as well as to long-term nursing care; the professional qualification of nursing and caretakers and proposing nursing quality indicators. The articles contained in this edition on older adult health approach relevant aspects of the health risks which most affect this population and contribute to the reflection on nursing care technologies that can be potentially incorporated into professional practice. REFERENCES 1. World Health Organization. Good health adds life to years. Global brief for World Health Day 2012 [Internet]. Geneva: World Health Organization; 2012 [acesso em: 30 jun 2014]. Disponivel em: http://whqlibdoc.who.int/hq/2012/WHO_DCO_WHD_2012.2_eng.pdf . 2. Ministerio da Saude. Agenda nacional de prioridades de pesquisa em saude [Internet]. 2a ed. Brasilia: Ministerio da Saude; 2008 [acesso em: 30 jun 2014]. Disponivel em: http://bvsms.saude.gov.br/bvs/publicacoes/AGENDA_PORTUGUES_MONTADO.pdf . 3. Oliveira DC. Prioridades de pesquisa em saude e as areas de conhecimento em enfermagem. Rev. enferm. UERJ [Internet]. 2013 [acesso em: 30 jun 2014];21(esp. 1):567-8. Disponivel em: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/10062/7848 . 4. Oliveira DC. Prioridades de pesquisa em saude e em enfermagem. In: Anais do 17o Seminario Nacional de Pesquisa em Enfermagem, 2013 jun 3?5, Natal, Brasil [Internet]. Natal: Associacao Brasileira de Enfermagem -Secao Rio Grande do Norte; 2013 [acesso em: 30 jun 2014]. Disponivel em: http://www.abeneventos.com.br/anais_senpe/17senpe/pdf/9018me.pdf . doi: 10.5216/ree.v16i2.28772.

The objective of this study was to identify the prevalence of intestinal constipation in the rural area elderly and verify the factors associated. This is a home survey performed with 850 elderly residents of the rural area of Uberaba, Minas Gerais state. A structured instrument was used; information regarding their eating habits was obtained using an adapted questionnaire for food consumption frequency, and intestinal constipation was self-reported. Descriptive analysis, chi-square test and multiple logistic regression ( p

Este estudio tuvo como objetivo describir las características sociodemográficas de los adultos mayores en una ciudad pequeña, identificar la prevalencia de factores de riesgo cardiovascular y compararlos entre el sexo y edad. Fue un estudio de prevalencia, transversal, que consta de 134 adultos mayores. La recolección de datos se llevó a cabo entre abril y junio/2009 a través de entrevistas y de prospección de los datos antropométricos. Para el análisis se utilizaron frecuencias simples y la prueba de chi-cuadrado (p

Estudo que objetivou caracterizar os idosos e a sua participação em atividades educativas grupais, verificar os fatores sociodemográficos e de saúde associados à não participação. O inquérito transversal foi realizado com 2.142 idosos. Utilizou-se análise descritiva, teste t-Student e regressão logística (p < 0,05). A maioria, em ambos os grupos, era do sexo feminino, 60├70 anos, casados e com renda de um salário mínimo. Os idosos participativos apresentaram, predominantemente, 1├4 anos de estudo e os não participativos, 4├8. As morbidades mais referidas pelos idosos que participavam de atividades educativas foram hipertensão arterial e problemas de visão. Entre os não participativos, prevaleceram os problemas de visão e problemas de coluna. Em ambos os grupos, o maior percentual foi para 1├3 incapacidades. A faixa etária de 80 anos e mais esteve associada à maior chance de não participação nas atividades. Faz-se necessário planejar ações que favoreçam a participação, contribuindo para o acompanhamento das suas condições de saúde. This study sought to characterize the elderly and their participation in group educational activities, and to verify the socio-demographic and health factors associated with non-participation. It was a cross-sectional survey carried out with 2,142 elderly individuals, using descriptive analysis, Student's t-test and logistical regression (p

Household Survey, a cross-sectional study aimed to describe the quality of life and functional capacity of elderly people with a history of stroke and compare the scores of quality of life with the number of functional disability. Data were collected at home, with the semi-structured instruments, WHOQOL-BREF and WHOQOL-OLD. Descriptive analysis was performed, as well as ANOVA and Tukey-F test (p < 0.05). Most individuals are males (53.3%), aged 70 ├ 80 years old (45.6%), married (57.8%), 4 ├ 8 years of study (36.7%) and income of a minimum wage (66.7%). The activities of daily living most affected were: cutting toenails and walk up and down stairs. The highest scores of quality of life were: the social relationships and the facet death and dying. The lowest scores were related to the physical domain and autonomy. The highest number of functional disability was associated with lower scores for physical and psychological domains and on the facets of autonomy and social participation. The elderly people with stroke have their functional status impaired, which affects their quality of life in aspects related to mobility, body image, decision-making capacity and living in the community.

Eating preferences play a relevant role throughout life, and they may influence disease based on inappropriate choices. This study aimed at determining the prevalence of compliance with the guide 10 Steps to Healthy Eating in Older Adults, in addition to characterizing the sociodemographic, economic and anthropometric profile of 850 older adults from the rural zone of Uberaba-MG. The study consists of a home survey with cross-sectional and observational components. The prevalence of following the steps was determined through a questionnaire of eating frequencies. Data analysis consisted of the distribution of simple frequencies. Most participants were men, up to 70 years of age, married and living with their spouse, with a low level of education, an income of one minimum wage and well-nourished. None of the subjects followed all ten steps outlined in the guide. Step 8, which refers to the ingestion of salt, showed the greatest compliance. On the other hand, step 5, referring to the ingestion of lean meat and milk, presented the lowest compliance. Knowing the population and their habits is important for the implementation of strategies to improve quality of life. Preferências alimentares desempenham papel relevante ao longo da vida. Se pautadas em escolhas inadequadas, podem desencadear doenças. Este estudo objetivou determinar a prevalência da adequação ao Guia "10 passos para uma alimentação saudável para a pessoa idosa", além de caracterizar o perfil sociodemográfico, econômico e antropométrico de 850 idosos da zona rural de Uberaba-MG. Inquérito domiciliar, transversal e observacional. A prevalência dos passos foi coletada com questionário de frequência e consumo alimentar. A análise dos dados consistiu de distribuição de frequência simples. A maioria era do sexo masculino, até 70 anos, casada, morava com o cônjuge, baixa escolaridade, renda de um salário mínimo e eutróficos. Nenhum idoso seguia todos os passos. O passo 8, ingestão de sal, mostrou o maior seguimento. O passo 5, consumo de carnes magras e leite, apresentou o menor. Conhecer a população e seus hábitos é importante na implementação de estratégias que melhorem a qualidade de vida. Las preferencias alimentarias desempeñan un papel importante a lo largo de la vida y en caso sean basadas en elecciones inadecuadas pueden desencadenar enfermedades. Este estudio ha objetivado determinar la prevalencia de la adecuación a la Guía "10 pasos para una alimentación saludable para la persona anciana", además de caracterizar el perfil sociodemográfico económico y antropométrico de 850 ancianos de una zona rural de Uberaba-MG. Inquérito domiciliar, transversal y observacional. La prevalencia de los pasos ha sido colectada con cuestionario de frecuencia y consumo alimentario. El análisis de datos consistió en la distribución de frecuencia simple. La mayoría era del sexo masculino, hasta 70 años, casada, vivía con el cónyuge, baja escolaridad, renta de un sueldo mínimo y eutróficos. Ningún anciano seguía todos los pasos. El paso 8, ingestión de sal, se mostró como el más seguido, por el contrario, el paso 5, consumo de carnes magras y leche, presentó la menor adhesión. Conocer la población y sus hábitos es importante en la implementación de estrategias que mejoren la calidad de vida.

Objective: to describe the socioeconomic characteristics of the elderly according to cognitive status, and, to associate the cognitive decline with functional disability and depression indicative among the elderly. Methods: this is a quantitative, retrospective and observational study with 92 elderly. The used instruments were: Mini Examination of Mental State; Katz Index; Lawton and Brody Scale and Abbreviated Geriatric Depression Scale. Statistical analysis and chi-square test (p

The study aimed to characterize the elderly residents in long-stay nursing homes (HHs) according to gender, age, education, cause of admission and length of stay; and to describe their health conditions according to the theory of Basic Human Needs. This was an analytical, observational and cross-sectional study with a quantitative approach, conducted with 86 seniors from eight NHs in a city of Triângulo Mineiro, state of Minas Gerais. For data analysis, it was used the descriptive statistics, simple and average frequency and standard deviation. The elderly were predominantly female (70.9 %), 80 years or older (44.2 %) and illiterate (48.8 %). The physiological needs affected were: high blood pressure (30.2 %); cognitive decline (58.7 %) and urinary incontinence (50 %). As psychosocial needs, everyone was dependent to perform the instrumental activities of daily living and 52.3 % have indicative of depression. As for the psicoespiritual needs, 70.9 % did not practice any religion. The basic human needs identified as affected were contributing to a decreased on the quality of life of seniors.

Pesquisa que objetivou descrever o perfil sociodemográfico, capacidade funcional e morbidades de idosos, e verificar a associação da qualidade de vida com o número de incapacidade funcional e de morbidades. Estudo analítico e transversal realizado com 2.142 idosos. Os dados foram coletados no domicílio com instrumento estruturado. A análise foi por meio da distribuição de frequência, teste ANOVA-F e Bonferroni (p

Diabetes mellitus can interfere with quality of life of individuals . Thus, this study aimed to compare the scores of quality of life of elderly patients with diabetes mellitus and individual income, educational level and number of functional disability. It is a household survey in which 358 elderly were interviewed using structured instruments, WHOQOL-BREF and WHOQOL-OLD. Absolute frequencies and percentages and ANOVA and Tukey-F ( p