Fatores associados à agilidade e equilíbrio dinâmico e a fragilidade em idosos residentes em instituições de longa permanência do município de Uberaba, MG

Abstract

Technological development has provided a longer life expectancy for people. However, this aging is accompanied by losses in the functional capacity of the individual. These losses lead to the functional limitations, which affect above all the elderly institutionalized due to his experience characterized by inactivity. In this thesis, the objectives of the articles that compose it were: Article 1) to analyze the association between functional mobility with quality of life in elderly residents of ILPS; Article 2) examine the association between frailty syndrome with sociodemographic variables, health and anthropometric elderly residents of ILPS. The designs of the studies were cross-sectional. Were invited to participate in the study 242 subjects aged ≥ 60 years residing in seven of the ILPS Uberaba-MG. Of these, 164 were excluded elderly according to the established criteria (wheelchair, bedridden, impaired eyesight and hearing in severe, difficulty of understanding to answer the questionnaire, use some support that prevented them from performing the anthropometric and functional) , plus eight losses accounted for refusals, death, hospitalization or leaving the institution, evaluated 70 elderly. We analyzed the following variables: sociodemographic, health, anthropometric, quality of life, functional mobility and frailty syndrome. For descriptive analysis were applied Chi-square and t Student. To identify factors associated with mobility as well as the weakness was held the crude and multivariable analyzes with estimates of prevalence ratios by Poisson regression. Of the 70 patients included 54,3% were men and 45,7% women. A high percentage of the elderly, both in functional mobility limitation as to the frailty syndrome. The first was associated with component functional capacity of quality of life (RP=0,984 [CI95%=0,977-0,991]), while the second was associated with the fall in the last twelve months (RP=1,961 [IC95%=1,136-3,386]) and muscle weakness (RP=2,286 [CI95%=1,485-3,521]). These results confirm the need for deployment of incentive policies aimed at full health the elderly, since these elderly suffer the consequences of institutionalization, which compromise their autonomy and independence daily.