Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/article/doi/10.17784/mtprehabjournal.2017.15.479
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

PHYSICAL ACTIVITY LEVEL, FUNCTIONAL MOBILITY AND FALL RISK IN THE ELDERLY

Silva, Raesa Andrade da; Brandão, Glaudson Sá; Silva, Anderson Soares; Urbano, Jessica Julioti; Oliveira, Ezequiel Fernandes; Oliveira, Luis Vicente Franco; Camelier, Aquiles Assunção; Brandão, Glauber Sá

Downloads: 7
Views: 1193

Abstract

Introduction: Low levels of physical activity and functional mobility lead to greater difficulty in performing activities of daily living and are directly proportional to mortality in the elderly. Thus, there are the need to create mechanisms linked to the maintenance of the functional capacity, which assure the elderly autonomy and self-confidence. Objective: To verify the level of physical activity and functional mobility in the elderly and if this functional mobility suffers interference of the age group and physical activity. Methods: The study involved the elderly aged 60 and over, living in Senhor do Bonfim (BA), in the northeastern region of Brazil, from February to July 2015. The evaluation of the subjects occurred in a single session, with physical and general clinical evaluation, as well as the collection of sociodemographic, anthropometric and self-reported morbidities through the application of questionnaires. It was also carried out the Timed Up and Go test (TUG) to verify the levels of functional mobility and level of physical activity with application of the International Questionnaire of Physical Activity (IPAQ) adapted for the elderly. Results: In this study, 127 patients were studied, predominantly female (87%) and mean age of 68 ± 7 years, and the majority of the elderly corresponded to the age group of 60 to 69 years. The elderly belonging to the group considered inactive (IPAQ up to 150 min/weekly) presented the execution time of TUG higher than the elderly in the group considered active (IPAQ > 150 min/weekly), with averaging time for carrying out the test of 10.5±2 minutes and 8.9±2 minutes respectively, with a statistically significant difference of p<0.01. And the execution time of TUG increased proportionally to the increase of the age group. Conclusion: Elderly with lower level of physical activity and belonging to the higher age groups present a higher risk of falls. Strategies should be developed to stimulate increased physical activity level and functional mobility of this population, especially among the older ones, reducing the incidence of falls and providing greater autonomy.

Keywords

motor activity, accidental falls, aged.

References

1. IBGE. Instituto Brasileiro de Geografia e Estatística - IBGE. Dados do Censo 2010. Diário Oficial da República Federativa do Brasil, Brasília, DF. 2010.

2. Valduga R, Lopes BS, Farias DL, Nascimento DC, Valduga LV, Prestes J, et al. Risco de quedas e sua relação com a funcionalidade e medo de cair em idosas. Rev Bras Ciência e Mov. 2016;24(1):153–66.

3. Santos RKM, Maciel ÁCC, Britto HMJS, Lima JCC, Souza TO. Prevalência e fatores associados ao risco de quedas em idosos adscritos a uma Unidade Básica de Saúde do município de Natal, RN, Brasil. Cien Saude Colet. 2015;20(12):3753–62.

4. Sociedade Brasileira de Geriatria e Gerontologia. Quedas em Idosos: Prevenção. Assoc Médica Bras e Cons Fed Med Quedas. 2008;1–10.

5. Reyes-Ortiz CA, Al Snih S, Markides KS. Falls among elderly persons in Latin America and the Caribbean and among elderly Mexican-Americans. Pan Am J public Heal. 2005;17(5–6):362–9.

6. Podsiadlo D, Richardson S. The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons. J Am Geriatr Soc. 1991;39(2):142–8.

7. Shumway-Cook A, Brauer S, Woollacott M. Research Report Predicting the Probability for Falls in Community-Dwelling Older Adults Using the Timed Up & Go Test. J Am Phys Ther Assoc. 2000;80:896–903.

8. Souza C, Valmorbida L, Oliveira J, Bosatto A, Lorenzini M, Knorst M, et al. Mobilidade funcional em idosos institucionalizados e não institucionalizados. Rev Bras Geriatr e Gerontol. 2013;16(2):285–93.

9. Almeida ST, Soldera CLC, Carli GA, Gomes I, Resende TL. Análise de fatores extrínsecos e intrínsecos que predispõem a quedas em idosos. Rev Assoc Med Bras. 2012;58(4):427–33.

10. Morie M, Reid KF, Miciek R, Lajevardi N, Choong K, Krasnoff JB, et al. Habitual Physical Activity Levels are Associated with Performance in Measures of Physical Function and Mobility in Older Men. J Am Geriatr Soc. 2011;58(9):1727–33.

11. Paterson D, Warburton D. Physical activity and functional limitations in older adults: a systematic review related to Canada’s Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7(1):38.

12. Brucki SMD, Nitrin R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3 B):777–81.

13. Mazo GZ, Benedetti TB. Adaptation of the international physical activity questionarie for the elderly. Rev Bras Cineantropometria e Desempenho Hum. 2010;12(6):480–4.

14. Siggeirsdóttir K, Jónsson BY, Jónsson H Jr, Iwarsson S. The timed “Up & Go” is dependent on chair type. Clin Rehabil. 2002;16(6):609–16.

15. Austad SN, Bartke A. Sex Differences in Longevity and in Responses to Anti-Aging Interventions: A Mini-Review. Gerontology. 2015;62(1):40–6.

16. Fernandez-Martinez B, Prieto-Flores ME, Forjaz MJ, Fernández-Mayoralas G, Rojo-Pérez F, Martínez-Martín P. Self-perceived health status in older adults : regional and sociodemographic inequalities in Spain Estado de saúde percebido em idosos: desigualdades regionais e sociodemográficas na Espanha. Rev Saúde Pública. 2012;46(2):310–9.

17. Regina M, Alvarenga M, Accioly M, Domingues R, Amendola F, Faccenda O. Rede de suporte social do idoso atendido por equipes de Saúde da Família Social support networks for elderly patients attended by Family Health teams. Cien Saude Colet. 2011;16(5):2603–11.

18. Roberto J, Fhon S, Diniz MA, Leonardo KC, Haas VJ, Aparecida R, et al. Síndrome de fragilidade relacionada à incapacidade funcional no idoso * (MIF) e Escala de Lawton e Brody . A MIF foi validada. Acta Paul Enferm. 2012;0(0):3–8.

19. Paskulin LMG, Vianna LAC. Perfil sociodemográfico e condições de saúde auto- referidas de idosos de Porto Alegre Sociodemographic profi le and self- referred health conditions of the elderly in a city of Southern Brazil ABSTRACT. Rev Saúde Pública. 2007;41(5):757–68.

20. Junior RT, Machado MS, Carvalho F. Perfil demográfico e condições sanitárias dos idosos em área urbana do Sudeste do Brasil. Rev Saúde Pública. 1996;30(5):485–98.

21. Louvison MCP, Lebrão ML, Duarte YAO, Laurenti R. Desigualdades nas condições de saúde e no uso de serviços entre as pessoas idosas do município de São Paulo: uma análise de gênero e renda. Saúde Coletiva. 2008;5(24):189–94.

22. Silva IT, Junior EPP, Vilela ABA. Autopercepção de saúde de idosos que vivem em estado de corresidência. Rev Bras Geriatr e Gerontol. 2010;17(2):275–87.

23. Wilker J, Clares B, Galiza FT, Queiroz TA, Centers H, Data D, et al. Perfil de idosos cadastrados numa unidade básica de saúde da família de FortalezaCE. Rev RENE. 2011;12:988–94.

24. Silva HO, Carvalho MJAD, Lima FEL, Rodrigues LV. Perfil epidemiológico de idosos frequentadores de grupos de convivência no município de Iguatu, Ceará. Rev Bras Geriatr e Gerontol. 2011;14(1):123–33.

25. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica Diretrizes brasileiras de obesidade 2009/2010 / ABESO. 3.ed., Itapevi, SP: AC Farmacêutica, 2009, p. 11-83.

26. Cercato C, Mancini MC, Maria A, Arguello C, Passos Q, Mara S, et al. Systemic hypertension, diabetes mellitus, and dyslipidemia in relation to body mass index: evaluation of a brazilian population. Rev Hosp Clin Fac Med S Paulo. 2004;59(3):113–8.

27. Peeters A, Barendregt JJ, Willekens F, Mackenbach JPA, Mamun ABL. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Interm Med. 2003;138(1):24–32.

28. Cristina I, Freitas M. O perfil do idoso de baixa renda no Município de São Carlos, São Paulo, Brasil : um estudo epidemiológico. Cad Saúde Pública. 2004;20(6):1575–85.

29. Ensrud KE, Ewing SK, Cawthon PM, Fink HA, Taylor BC, Cauley JA, et al. A Comparison of Frailty Indexes for the Prediction of Falls, Disability, Fractures and Mortality in Older Men. J Am Geriatr Soc. 2010;57(3):492–8.

5aa01d110e88254f3f77d858 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections