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  • 1
    Online Resource
    Online Resource
    Precisão da medida de mobilidade no espaço de vida para discriminar fragilidade e sarcopenia em idosos
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Geriatria e Gerontologia Vol. 25, No. 5 ( 2022)
    Details
    In: Revista Brasileira de Geriatria e Gerontologia, FapUNIFESP (SciELO), Vol. 25, No. 5 ( 2022)
    Abstract: Abstract Objective To identify the profile of a sample of older people recruited at home based on a measure of life-space mobility and to establish the accuracy of the cut-off points of this instrument for discriminating between levels of frailty, frailty in walking speed and risk of sarcopenia. Method An observational methodological study of 391 participants aged ≥72 (80.4±4.6) years, who answered the Life-Space Assessment (LSA) and underwent frailty and risk of sarcopenia screening using the frailty phenotype and SARC-F measures, respectively, was performed. The cut-off points for frailty and risk of sarcopenia were determined using ROC (Receiver Operating Characteristic) curves and their respective 95% confidence intervals. Results Mean total LSA score was 53.6±21.8. The cut-off points with the best diagnostic accuracy for total LSA were ≤54 points for frailty in walking speed (AUC=0.645 95%; p 〈 0.001) and ≤60 points for risk of sarcopenia (AUC=0.651 95%; p 〈 0.001). Conclusion The ability of older people to move around life-space levels, as assessed by the LSA, proved a promising tool to screen for frailty in walking speed and risk of sarcopenia, thus contributing to the prevention of adverse outcomes.
    Type of Medium: Online Resource
    ISSN: 1981-2256 , 1809-9823
    Uniform Title: Accuracy of the life-space mobility measure for discriminating frailty and sarcopenia in older people
    URL: Article
    DOI: 10.1590/1981-22562022025.210219.pt
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
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  • 2
    Online Resource
    Online Resource
    Influência de gênero, idade e renda sobre o bem-estar de idosos cuidadores e não cuidadores
    FapUNIFESP (SciELO) ; 2013
    In:  Revista Brasileira de Geriatria e Gerontologia Vol. 16, No. 4 ( 2013-12), p. 663-680
    Details
    In: Revista Brasileira de Geriatria e Gerontologia, FapUNIFESP (SciELO), Vol. 16, No. 4 ( 2013-12), p. 663-680
    Abstract: OBJECTIVES: To compare elderly caregivers with non-caregivers regarding their health psychosocial and functional status, and to investigate the influence of socioeconomic variables on these conditions in both groups. METHODS: A study involving elderly residents from three Brazilian cities - Parnaíba-PI, Campinas-SP and Ivoti-RS - from FIBRA study. The sample was composed of 676 older adults, 338 caregivers and 338 non-caregivers. Caregivers were identified through two questions of the Elders Life Stress Inventory (ELSI) regarding care provision. The instruments used were: the Brazilian versions of the Geriatric Depression Scale, the Interpersonal Support Evaluation List and the Lawton instrumental Activities of Daily Living Scale (IADL), and 13 items of advanced activities of daily living and a scale of life satisfaction. We applied self-report questions about age, gender, family income, number of diseases and fatigue. RESULTS: The elderly caregivers were about 29% of the sample. The task of caring was more frequent among women (65.7%), aged between 65 and 74 years and among those with lower income. A higher frequency of insomnia complaint was observed among caregivers compared to non-caregivers (p=0.013). For both groups, low income influenced the quality of sleep and dependence in IADL and more depressive symptoms among caregivers (p=0.24). In addition women had a greater number of diseases and men were more restricted in social participation. Older caregivers were more dependent in IADL (p=0.015). CONCLUSION: Socioeconomic status can influence negatively in physical health status and psychological well-being, particularly among elderly caregivers.
    Type of Medium: Online Resource
    ISSN: 1809-9823
    URL: Article
    DOI: 10.1590/S1809-98232013000400002
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2013
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  • 3
    Online Resource
    Online Resource
    Tontura em idosos da comunidade: estudo de base populacional
    FapUNIFESP (SciELO) ; 2011
    In:  Brazilian Journal of Otorhinolaryngology Vol. 77, No. 6 ( 2011-12), p. 691-699
    Details
    In: Brazilian Journal of Otorhinolaryngology, FapUNIFESP (SciELO), Vol. 77, No. 6 ( 2011-12), p. 691-699
    Type of Medium: Online Resource
    ISSN: 1808-8686
    URL: Article
    DOI: 10.1590/S1808-86942011000600003
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2011
    detail.hit.zdb_id: 2105179-3
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  • 4
    Online Resource
    Online Resource
    Relationships between gender, age, family conditions, physical and mental health, and social isolation of elderly caregivers
    Cambridge University Press (CUP) ; 2012
    In:  International Psychogeriatrics Vol. 24, No. 3 ( 2012-03), p. 472-483
    Details
    In: International Psychogeriatrics, Cambridge University Press (CUP), Vol. 24, No. 3 ( 2012-03), p. 472-483
    Abstract: Background: In an aging population an increasing number of elderly caregivers will be called upon to provide care over a long period, during which time they will be burdened both by caregiving and by the physiological effects of their own aging. Among them there will be more aged male caregivers, who will probably be less prepared than women to become caregivers. The aim of this study was to investigate the relationship between caregivers’ gender, age, family income, living arrangements and social support as independent variables, and depressive symptoms, comorbidities, level of frailty, grip strength, walking speed and social isolation, as dependent variables. Methods: 176 elderly people (123 women) were selected from a sample of a population-based study on frailty (n = 900), who had cared for a spouse (79.3%) and/or parents (31.4%) in the past five years (mean age = 71.8 ± 4.86 years; mean monthly family income in minimum wages = 4.64 ± 5.14). The study used questionnaires and self-report scales, grip strength and walking speed tests. Results: 65% of participants evaluated caregiving as being very stressful. Univariate analyses of regression showed low family income as a risk factor for depression; being female and low perceived social support as a risk for comorbidities; being 80 years of age and above for low grip strength; and being male for social isolation indicated by discontinuity of activities and social roles. In multivariate analyses of regression, poverty arose as a risk factor for depression and being female for comorbidities. Conclusions: Gender roles, age, income and social support interacted with physical and emotional health, and with the continuity of social participation of elderly caregivers. Special attention must be given to male caregivers.
    Type of Medium: Online Resource
    ISSN: 1041-6102 , 1741-203X
    URL: Article
    DOI: 10.1017/S1041610211001700
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2012
    detail.hit.zdb_id: 2147136-8
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  • 5
    Online Resource
    Online Resource
    Accuracy of the life-space mobility measure for discriminating frailty and sarcopenia in older people
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Geriatria e Gerontologia Vol. 25, No. 5 ( 2022)
    Details
    In: Revista Brasileira de Geriatria e Gerontologia, FapUNIFESP (SciELO), Vol. 25, No. 5 ( 2022)
    Abstract: Resumo Objetivo Identificar o perfil de mobilidade nos espaços de vida em idosos que vivem na comunidade e estabelecer a precisão dos pontos de corte desse instrumento para discriminar entre níveis de fragilidade, fragilidade em marcha e de risco de sarcopenia. Método Estudo observacional e metodológico com 391 participantes com 72 anos e mais (80,4±4,6), que responderam ao Life Space Assessment (LSA) e a medidas de rastreio de fragilidade e risco de sarcopenia usando respectivamente o fenótipo de fragilidade e o SARC-F. Os pontos de corte para fragilidade e risco de sarcopenia foram determinados por meio da Curva ROC (Receiver Operating Characteristic) com intervalos de confiança de 95%. Resultados A média da pontuação no LSA foi 53,6±21,8. Os pontos de corte de melhor acurácia diagnóstica foram ≤54 pontos para fragilidade em marcha (AUC= 0,645 95%; p 〈 0,001) e ≤60 pontos para risco de sarcopenia (AUC= 0,651 95%; p 〈 0,001). Conclusão A capacidade de idosos de se deslocar nos vários níveis de espaços de vida, avaliado pelo LSA demonstrou ser uma ferramenta viável que pode contribuir no rastreio de fragilidade em marcha e de risco de sarcopenia e, com isso, prevenir desfechos negativos.
    Type of Medium: Online Resource
    ISSN: 1981-2256 , 1809-9823
    Uniform Title: Precisão da medida de mobilidade no espaço de vida para discriminar fragilidade e sarcopenia em idosos
    URL: Article
    DOI: 10.1590/1981-22562022025.210219.en
    Language: English , Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    Fatores associados à satisfação com a vida em idosos cuidadores e não cuidadores
    FapUNIFESP (SciELO) ; 2014
    In:  Ciência & Saúde Coletiva Vol. 19, No. 8 ( 2014-08), p. 3429-3440
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 19, No. 8 ( 2014-08), p. 3429-3440
    Abstract: This article seeks to investigate associations between satisfaction with life and sociodemographic variables, health conditions, functionality, social involvement and social support among elderly caregivers and non-caregivers, as well as between satisfaction and the intensity of stress in the caregiver group. A sample of 338 caregivers was selected according to two items of the Brazilian version of the Elders Life Stress Inventory. A comparison-group of elderly non-caregivers was selected at random, with a similar gender, age and income profile. Data were derived from self-reported questionnaires and scales. Elderly caregivers with low levels of satisfaction and high levels of stress revealed more symptoms of insomnia, fatigue, diseases and worse IADL performance. Those with greater satisfaction and less stress revealed a good level of social support. Insomnia, depression and fatigue were associated with low satisfaction among caregivers, and with fatigue, depression and low social support among non-caregivers. It was considered relevant that instrumental, psychological and informative support can improve the quality of life and the quality of care provided by elderly caregivers, especially if they are affected by unfavorable health and psychosocial conditions and low satisfaction with life.
    Type of Medium: Online Resource
    ISSN: 1413-8123
    URL: Article
    DOI: 10.1590/1413-81232014198.13952013
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2014
    detail.hit.zdb_id: 2078799-6
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  • 7
    Online Resource
    Online Resource
    Physical activity in older people – Case studies of how to make change happen
    Elsevier BV ; 2017
    In:  Best Practice & Research Clinical Rheumatology Vol. 31, No. 2 ( 2017-04), p. 260-274
    Details
    In: Best Practice & Research Clinical Rheumatology, Elsevier BV, Vol. 31, No. 2 ( 2017-04), p. 260-274
    Type of Medium: Online Resource
    ISSN: 1521-6942
    URL: Article
    DOI: 10.1016/j.berh.2017.08.007
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 2028861-X
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  • 8
    Online Resource
    Online Resource
    Functional Outcomes Associated With Independence in Walking Among People With Hereditary Ataxias: An Exploratory Cross-sectional Study
    Oxford University Press (OUP) ; 2022
    In:  Physical Therapy Vol. 102, No. 4 ( 2022-04-01)
    Details
    In: Physical Therapy, Oxford University Press (OUP), Vol. 102, No. 4 ( 2022-04-01)
    Abstract: This study aimed to identify functional outcomes related to independence in walking among people affected by hereditary ataxias. Methods Sixty participants were selected by convenience in a list provided by an organization of people with ataxia. Sociodemographic and clinical data were collected using a semistructured questionnaire. The Assessment and Rating of Ataxia was used to assess and rate cerebellar ataxia. Changes in body structure and function, limitation in activities, and restriction in participation were evaluated with specific outcome measures. Participants were classified as independent in walking if they were able to walk without walking aids or human assistance and as dependent in walking if they have been using walking aids (sticks, crutches, or walkers) for more than 6 months, using a wheelchair for locomotion most of the day, or both. Multivariate logistic regression analyses were conducted hierarchically and in blocks considering upper limbs function, balance systems, sensory functions, postural control, walking, independence, cognition, and perception as independent variables. The prevalence ratio for walking independence was determined. Results The final regression model pointed out that gait capacity assessed by the 6-Minute Walk Test and dexterity assessed by the Box and Blocks test were the main markers related to walking independence in individuals with hereditary ataxias. Conclusion The distance covered in 6 minutes of walking (walking endurance) and upper extremity dexterity can be used to better assess the progression of cerebellar disease related to walking independence in individuals with hereditary ataxias. Impact This study supports early detection of individuals who are at risk of loss of walking independence and an optimized rehabilitation plan.
    Type of Medium: Online Resource
    ISSN: 0031-9023 , 1538-6724
    URL: Article
    DOI: 10.1093/ptj/pzac006
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2008745-7
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  • 9
    Online Resource
    Online Resource
    Prevalence and correlates of dizziness in community-dwelling older people: a cross sectional population based study
    Springer Science and Business Media LLC ; 2013
    In:  BMC Geriatrics Vol. 13, No. 1 ( 2013-12)
    Details
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2013-12)
    Abstract: Dizziness is a common complaint among older adults and has been linked to a wide range of health conditions, psychological and social characteristics in this population. However a profile of dizziness is still uncertain which hampers clinical decision-making. We therefore sought to explore the relationship between dizziness and a comprehensive range of demographic data, diseases, health and geriatric conditions, and geriatric syndromes in a representative sample of community-dwelling older people. Methods This is a cross-sectional, population-based study derived from FIBRA (Network for the Study of Frailty in Brazilian Elderly Adults), with 391 elderly adults, both men and women, aged 65 years and older. Elderly participants living at home in an urban area were enrolled through a process of random cluster sampling of census regions. The outcome variable was the self-report of dizziness in the last year. Several feelings of dizziness were investigated including vertigo, spinning, light or heavy headedness, floating, fuzziness, giddiness and instability. A multivariate logistic regression analysis was conducted to estimate the adjusted odds ratios and build the probability model for dizziness. Results The complaint of dizziness was reported by 45% of elderly adults, from which 71.6% were women ( p =0.004). The multivariate regression analysis revealed that dizziness is associated with depressive symptoms (OR = 2.08; 95% CI 1.29–3.35), perceived fatigue (OR = 1.93; 95% CI 1.21-3.10), recurring falls (OR = 2.01; 95% CI 1.11-3.62) and excessive drowsiness (OR = 1.91; 95% CI 1.11–3.29). The discrimination of the final model was AUC = 0.673 (95% CI 0.619-0.727) (p 〈 0.001). Conclusions The prevalence of dizziness in community-dwelling elderly adults is substantial. It is associated with other common geriatric conditions usually neglected in elderly adults, such as fatigue and drowsiness, supporting its possible multifactorial manifestation. Our findings demonstrate the need to expand the design in future studies, aiming to estimate risk and identify possible causal relations.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/1471-2318-13-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 2059865-8
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  • 10
    Online Resource
    Online Resource
    Concern About Falling, Confidence in Balance, Quality of Life, and Depression Symptoms in Community-Dwelling Older Adults After a 24-week Dual-Task Training With Variable and Fixed Priority: A Randomized Controlled Trial
    SAGE Publications ; 2022
    In:  Research on Aging Vol. 44, No. 9-10 ( 2022-10), p. 658-668
    Details
    In: Research on Aging, SAGE Publications, Vol. 44, No. 9-10 ( 2022-10), p. 658-668
    Abstract: To evaluate the effect of a 24-week dual-task training with progression from variable to fixed priority on the concern about falling, confidence in balance, quality of life, and depression symptoms in community-dwelling older adults. Methods A total of 60 participants (60–80 y.o.) were randomly allocated into a dual-task training group with progression from variable to fixed priority (experimental group) or into a dual-task training group with variable priority (control group). Results No between-group difference was observed after the intervention. A significant time effect showed a reduction in concern about falling [mean difference (MD) = -2.91)] and depression symptoms (MD = −1.66), an increase in the physical function (MD = 7.86), overall mental health (MD = 5.82), perception of vitality, energy, and less fatigue (MD = 10.45), general perception of overall health (MD = 6.81), and their health compared to the last year (MD = 11.89). Conclusion The experimental protocol was not superior to the control one. However, both protocols improved these outcomes.
    Type of Medium: Online Resource
    ISSN: 0164-0275 , 1552-7573
    URL: Article
    DOI: 10.1177/01640275221073993
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2030098-0
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