Frailty among the elderly assisted by primary health care teams

被引:14
作者
Maia, Luciana Colares [1 ]
de Moraes, Edgar Nunes [2 ]
Costa, Simone de Melo [3 ]
Caldeira, Antonio Prates [4 ]
机构
[1] Univ Estadual Montes Claros Unimontes, Dept Clin Med, Ctr Ciencias Biol & Saude, Hosp Univ Clemente de Faria,Ctr Mais Vida Eny Far, Av Dr Ruy Braga S-N, BR-39401089 Montes Claros, MG, Brazil
[2] Univ Fed Minas Gerais, Fac Med, Dept Clin Med, Nucleo Geriatria & Gerontol, Belo Horizonte, MG, Brazil
[3] Univ Estadual Montes Claros, Dept Odontol, Ctr Ciencias Biol & Saude, Montes Claros, MG, Brazil
[4] Univ Estadual Montes Claros, Dept Saude Mulher & Crianca, Ctr Ciencias Biol & Saude, Montes Claros, MG, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2020年 / 25卷 / 12期
关键词
Elderly; Frailty; Primary Health Care; OLDER-ADULTS; PREVALENCE; BRAZIL; FITNESS; STATE;
D O I
10.1590/1413-812320202512.04962019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The scope of this study was to assess the prevalence and factors associated with frailty among the elderly in Primary Health Care. It is a cross-sectional study carried out with 1750 elderly people in the Southeast of Brazil. The Brazilian Older American Resources and Services Multidimensional Functional Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index (CFVI) were used for data collection. Descriptive and bivariate analyzes were performed, followed by Poisson regression analysis, with robust variance, to obtain adjusted prevalence ratios (PR). The CFVI identified 357 frail elderly people (20.1%). The variables that remained statistically associated with frailty after multiple analysis were: single/widowed (PR = 1.05; 95%CI = 1.02-1.07); four years of schooling (PR = 1.05; 95%CI = 1.03-1.08); polypathology (PR = 1.05; 95%CI = 1.01-1.09); polypharmacy (PR = 1.21; 95%CI = 1.17-1.26); mental disorder (PR = 1.16; 95%CI = 1.12-1.21); cognitive impairment (PR = 1.71; 95%CI = 1.57-1.86); Daily Living Activity impairment (PR = 1.12; 95%CI = 1.09-1.14); falls (PR = 1.06; 95%CI = 1.031.10); hospitalization (PR = 1.39; 95%CI = 1.27-1.52); urinary incontinence and self-perception of health. The conclusion that a significant prevalence of frailty in the study reaffirms the need for a multidimensional approach to the elderly.
引用
收藏
页码:5041 / 5050
页数:10
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