cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20016356.v1
title: Prevalence and factors associated with the functional capacity of the elderly within the Family Health Strategy in the city of Montes Claros, Minas Gerais, Brazil

description: This paper aimed to assess the functional capacity level of elderly people of the Family Health Strategy (FHS) and its associations. A cross-sectional study with 516 elderly residents living in the FHS surrounding area, in the district of Grande Santos Reis, Montes Claros city, Minas Gerais state, Brazil. Two questionnaires were applied: one of socio-demographic characteristics, living conditions and awareness of own economic situation; and the other assessed functional capacity. We performed descriptive (absolute and relative frequencies for categorical variables and mean and standard deviation) and analytical (test of association chi-square and binary logistic regression hierarchical) approaches. Of the total, 39.5% were men (70.4±7.1 years) and 60.5% women (69.1±6.9 years); 63.4% with schooling from zero to two years; 85.7% had income up two minimum wages; 73.1% lived with their families; 33.9% presented inadequate functional capacity (38.5% women and 27.0% men). The functional capacity of inadequacy was associated with women, having more than 70 years, income of up to two minimum wages and less schooling time. There is a need to direct attention to the health of the elderly, combining the promotion of research and actions planned and directed to improving the health and quality of life of this group.
DOI: 10.6084/m9.figshare.20016359
title: Review of two clinical assessment tools to predict risk of falls in elderly

description: Introduction: Fall is a common problem in the elderly and it can reduce their mobility and independence. The use of simple tools to detect risk of falls is essential to prevent and treat such events. However, there is no consensus about the most appropriate tools for each situation. Objective: To review studies about efficacy, sensitivity and specificity of Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS) in order to ascertain which is the most appropriate to predict falls in the elderly. Methods: We performed a literature review from MEDLINE, PubMed, ISI, LILACS and Portal de Periódicos CAPES databases, between 2001 and 2011. Results: We selected 17 different articles about BBS and 20 articles about TUGT. The review showed the two tools can be good predictors of falls. However, the articles differed in definition of fall and faller, type of study, quantity and characteristics of sample and assessment of falls, leading to different results as cutoff scores, sensitivity, specificity and prediction of fall. There is controversy about the ability of tools to predict falls in specific samples, such as active elderly. Conclusion: TUGT and BBS are effective to predict falls, provided they are adapted to each sample. Further studies should be performed using articles with homogeneous methods in order to support comparison of results about the effectiveness of tools.
DOI: 10.6084/m9.figshare.20016359.v1
title: Review of two clinical assessment tools to predict risk of falls in elderly

description: Introduction: Fall is a common problem in the elderly and it can reduce their mobility and independence. The use of simple tools to detect risk of falls is essential to prevent and treat such events. However, there is no consensus about the most appropriate tools for each situation. Objective: To review studies about efficacy, sensitivity and specificity of Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS) in order to ascertain which is the most appropriate to predict falls in the elderly. Methods: We performed a literature review from MEDLINE, PubMed, ISI, LILACS and Portal de Periódicos CAPES databases, between 2001 and 2011. Results: We selected 17 different articles about BBS and 20 articles about TUGT. The review showed the two tools can be good predictors of falls. However, the articles differed in definition of fall and faller, type of study, quantity and characteristics of sample and assessment of falls, leading to different results as cutoff scores, sensitivity, specificity and prediction of fall. There is controversy about the ability of tools to predict falls in specific samples, such as active elderly. Conclusion: TUGT and BBS are effective to predict falls, provided they are adapted to each sample. Further studies should be performed using articles with homogeneous methods in order to support comparison of results about the effectiveness of tools.
DOI: 10.6084/m9.figshare.20016363.v1
title: Global functionality of hospitalized elderly

description: Objective: Identify the global functionality of hospitalized elderly, correlating the performance to basic (BADL) and instrumental (IADL) activities of daily life, with the main functional systems (cognition, mood, mobility and communication). Methods: Analytical, observational, cross-sectional study, with the participation of 94 elderly patients admitted to a medical clinic. The tools used in the assessments were: the Katz Scale, Lawton and Brody Scale, Mini-Mental State Examination (MMSE), Geriatric Depression Scale 15 (GDS-15), Timed Up and Go Test (TUG) and the Functional Assessment of Communication Skills from the American Speech-Language-Hearing Association (ASHA FACS). Results: 94 elderly people were evaluated, where most had some degree of dependence for BADL (61.71%) and IADL (52.13%). In functional systems, autonomy proved to be preserved with an average performance of 18.14 points on the MMSE, and 4.43 points in the GDS-15; independence was altered, for average performance of 21.82 seconds on the TUG, classifying them with regular mobility, and 5.27 points in ASHA FACS, considering them as in need of moderate assistance in this task. It was evidenced moderate and significant association between performance for IADL and BADL in nearly all functional systems. Conclusion: The study population presented changed overall functionality, due to some degree of dependence in BADL and IADL, with preserved autonomy and impaired independence. The correlations showed that with the decline of the major functional systems occurred decline in overall functionality.
DOI: 10.6084/m9.figshare.20016363
title: Global functionality of hospitalized elderly

description: Objective: Identify the global functionality of hospitalized elderly, correlating the performance to basic (BADL) and instrumental (IADL) activities of daily life, with the main functional systems (cognition, mood, mobility and communication). Methods: Analytical, observational, cross-sectional study, with the participation of 94 elderly patients admitted to a medical clinic. The tools used in the assessments were: the Katz Scale, Lawton and Brody Scale, Mini-Mental State Examination (MMSE), Geriatric Depression Scale 15 (GDS-15), Timed Up and Go Test (TUG) and the Functional Assessment of Communication Skills from the American Speech-Language-Hearing Association (ASHA FACS). Results: 94 elderly people were evaluated, where most had some degree of dependence for BADL (61.71%) and IADL (52.13%). In functional systems, autonomy proved to be preserved with an average performance of 18.14 points on the MMSE, and 4.43 points in the GDS-15; independence was altered, for average performance of 21.82 seconds on the TUG, classifying them with regular mobility, and 5.27 points in ASHA FACS, considering them as in need of moderate assistance in this task. It was evidenced moderate and significant association between performance for IADL and BADL in nearly all functional systems. Conclusion: The study population presented changed overall functionality, due to some degree of dependence in BADL and IADL, with preserved autonomy and impaired independence. The correlations showed that with the decline of the major functional systems occurred decline in overall functionality.
DOI: 10.6084/m9.figshare.20016365
title: Dual task in Parkinson's disease: a systematic review of randomized clinical trials

description: The dual or concurrent task involves performing a primary task, which is the main focus of attention, and a secondary task, performed at the same time. Parkinson's disease show deterioration in gait performance when dual tasks are required. Therefore, this research aimed to perform a systematic review of randomized clinical trials on the effect of dual task intervention on gait in Parkinson's disease. A search for randomized clinical trials was carried out in MEDLINE, LILACS, SciELO, Cochrane and PEDro. Two reviewers extracted data independently and methodological quality was assessed using the PEDro scale. Two articles were selected, covering 175 participants. It was been shown that training with external cues and music, which are ways to train the dual task during walking, improved gait performance. However, many studies of the randomized clinical trials type are still required, so as to see, especially, the effects of dual task interventions on gait in patients with Parkinson's disease.
DOI: 10.6084/m9.figshare.20016365.v1
title: Dual task in Parkinson's disease: a systematic review of randomized clinical trials

description: The dual or concurrent task involves performing a primary task, which is the main focus of attention, and a secondary task, performed at the same time. Parkinson's disease show deterioration in gait performance when dual tasks are required. Therefore, this research aimed to perform a systematic review of randomized clinical trials on the effect of dual task intervention on gait in Parkinson's disease. A search for randomized clinical trials was carried out in MEDLINE, LILACS, SciELO, Cochrane and PEDro. Two reviewers extracted data independently and methodological quality was assessed using the PEDro scale. Two articles were selected, covering 175 participants. It was been shown that training with external cues and music, which are ways to train the dual task during walking, improved gait performance. However, many studies of the randomized clinical trials type are still required, so as to see, especially, the effects of dual task interventions on gait in patients with Parkinson's disease.
DOI: 10.6084/m9.figshare.20016368.v1
title: Decline in instrumental activities of daily living associated with loss of hand grip strength in elderly patients hospitalized in geriatric ward

description: OBJECTIVE: To verify the association between the ability to perform instrumental activities of daily living (IADL) and handgrip strength in hospitalized geriatric patients without cognitive impairment. METHODS: Cross-sectional study. Elderly patients aged over 60 years of both genders admitted to geriatric patients ward were included. On the other hand, elderly with neurological, musculoskeletal and respiratory acute exacerbated diseases; individuals with medical indication of rest or use of clinical apparatus, cognitive impairment and/or delirium were excluded. Data were collected from medical records. The ability to perform IADL was assessed by Lawton Scale and the handgrip strength was measured using handheld dynamometry on the dominant upper limb. A descriptive analysis with mean and standard deviation was carried out. The Pearson correlation test was applied to verify association between the total score of Lawton Scale and handgrip strength. RESULTS: The study included 12 patients (75% women) whose mean age were 80.67±6.35 years. The mean of handgrip strength and total Lawton Scale score were 11.96±6.71 Kgf and 22.58±1.67 points, respectively. A moderate positive association between handgrip strength and Lawton Scale score (r=0.640; p=0.025) was found. CONCLUSION: The handgrip strength and IADLs were associated in this study population.
DOI: 10.6084/m9.figshare.20016369
title: Characterization of feet problems in community elderly in a city of São Paulo state, Brazil

description: Problems with the feet of the elderly, though frequent, are poorly recognized and valued as a condition that requires proper care. This study aimed to determine the characteristics of the problems with the feet of community elderly. This is a descriptive study on 50 elderly belonging to the catchment area of a Family Health Unit. An instrument that assesses general health and specific conditions related to foot was applied. It was found that most were female and belonged to socioeconomic classes considered poor and very poor. The most frequent health problems were decreased visual acuity, hypertension and pain in different body regions. In the evaluation of the feet, they find themselves with alterations in the wrists; long, thick and deformed nails; dry skin and hyperkeratosis; reduced pain and vibratory sensitivity. Furthermore, 70% of seniors reported that foot pain limited daily activities. It appeared that such situations, even if it is a specific condition, reveal the intensity of the problems involving this population and the importance of further attention, which requires investment in training of health professionals and the development of interdisciplinary actions with new perspectives and assumptions of care, focusing on health promotion.
DOI: 10.6084/m9.figshare.20016368
title: Decline in instrumental activities of daily living associated with loss of hand grip strength in elderly patients hospitalized in geriatric ward

description: OBJECTIVE: To verify the association between the ability to perform instrumental activities of daily living (IADL) and handgrip strength in hospitalized geriatric patients without cognitive impairment. METHODS: Cross-sectional study. Elderly patients aged over 60 years of both genders admitted to geriatric patients ward were included. On the other hand, elderly with neurological, musculoskeletal and respiratory acute exacerbated diseases; individuals with medical indication of rest or use of clinical apparatus, cognitive impairment and/or delirium were excluded. Data were collected from medical records. The ability to perform IADL was assessed by Lawton Scale and the handgrip strength was measured using handheld dynamometry on the dominant upper limb. A descriptive analysis with mean and standard deviation was carried out. The Pearson correlation test was applied to verify association between the total score of Lawton Scale and handgrip strength. RESULTS: The study included 12 patients (75% women) whose mean age were 80.67±6.35 years. The mean of handgrip strength and total Lawton Scale score were 11.96±6.71 Kgf and 22.58±1.67 points, respectively. A moderate positive association between handgrip strength and Lawton Scale score (r=0.640; p=0.025) was found. CONCLUSION: The handgrip strength and IADLs were associated in this study population.
DOI: 10.6084/m9.figshare.20016369.v1
title: Characterization of feet problems in community elderly in a city of São Paulo state, Brazil

description: Problems with the feet of the elderly, though frequent, are poorly recognized and valued as a condition that requires proper care. This study aimed to determine the characteristics of the problems with the feet of community elderly. This is a descriptive study on 50 elderly belonging to the catchment area of a Family Health Unit. An instrument that assesses general health and specific conditions related to foot was applied. It was found that most were female and belonged to socioeconomic classes considered poor and very poor. The most frequent health problems were decreased visual acuity, hypertension and pain in different body regions. In the evaluation of the feet, they find themselves with alterations in the wrists; long, thick and deformed nails; dry skin and hyperkeratosis; reduced pain and vibratory sensitivity. Furthermore, 70% of seniors reported that foot pain limited daily activities. It appeared that such situations, even if it is a specific condition, reveal the intensity of the problems involving this population and the importance of further attention, which requires investment in training of health professionals and the development of interdisciplinary actions with new perspectives and assumptions of care, focusing on health promotion.
DOI: 10.6084/m9.figshare.20016371
title: Motivation of elderly people to engage in physical exercising: a comparative study between two university-based programs - Brazil and Portugal

description: OBJECTIVE: The study aimed to identify what makes elderly people engage in physical exercising (PE) programs in two fellow universities, in Brazil and Portugal. METHODS: The study has a descriptive design and the sample is composed of 263 subjects of both genders with a mean age of 69.8±6.44 years old. Of those, 213 participate in the "Núcleo de Atividades para a Terceira Idade" (NATI), School of Physical Education, Federal University of Pelotas, state of Rio Grande do Sul, Brazil; and 50 subjects take part in the "Projeto Exercício e Saúde: Envelhecimento Ativo" (PESEA), Faculty of Sport, University of Porto, Portugal. Data was gathered through a questionnaire specifying socio-demographic characteristics and determinants for PE. For the statistical analysis we used the t Test for independent samples and the confidence value of p&lt;0.05 to calculate the mean difference between groups. RESULTS: Regarding the reasons for adhesion, significant differences were found for "medical prescription" (p&lt;0.001), "injury recovery" (p=0.003), "way of pastime" (p&lt;0.001), and "aesthetic reasons" (p=0.001). As for the importance regarded to PE, a difference for "injury recovery" (p=0.002) and "aesthetic reasons" (p&lt;0.001) was detected. Significant differences related to socio-demographic variables and to determinants for PE were found among the groups. CONCLUSIONS: Even living in different social contexts, the elderly demonstrated to share the same objectives and reasons for engaging in PE programs, perceiving health as a common concern.
DOI: 10.6084/m9.figshare.20016371.v1
title: Motivation of elderly people to engage in physical exercising: a comparative study between two university-based programs - Brazil and Portugal

description: OBJECTIVE: The study aimed to identify what makes elderly people engage in physical exercising (PE) programs in two fellow universities, in Brazil and Portugal. METHODS: The study has a descriptive design and the sample is composed of 263 subjects of both genders with a mean age of 69.8±6.44 years old. Of those, 213 participate in the "Núcleo de Atividades para a Terceira Idade" (NATI), School of Physical Education, Federal University of Pelotas, state of Rio Grande do Sul, Brazil; and 50 subjects take part in the "Projeto Exercício e Saúde: Envelhecimento Ativo" (PESEA), Faculty of Sport, University of Porto, Portugal. Data was gathered through a questionnaire specifying socio-demographic characteristics and determinants for PE. For the statistical analysis we used the t Test for independent samples and the confidence value of p&lt;0.05 to calculate the mean difference between groups. RESULTS: Regarding the reasons for adhesion, significant differences were found for "medical prescription" (p&lt;0.001), "injury recovery" (p=0.003), "way of pastime" (p&lt;0.001), and "aesthetic reasons" (p=0.001). As for the importance regarded to PE, a difference for "injury recovery" (p=0.002) and "aesthetic reasons" (p&lt;0.001) was detected. Significant differences related to socio-demographic variables and to determinants for PE were found among the groups. CONCLUSIONS: Even living in different social contexts, the elderly demonstrated to share the same objectives and reasons for engaging in PE programs, perceiving health as a common concern.
DOI: 10.6084/m9.figshare.20016372
title: Nutritional risk and associated factors in elderly patients with congestive heart failure in a Brazilian cardiology hospital

description: OBJECTIVE: To identify the nutritional risk and associated factors in elderly individuals with congestive heart failure admitted to a cardiology hospital. METHODOLOGY: A cross-sectional study collecting primary data was carried out in the Heart Institute of University of São Paulo. Nutritional risk was assessed using the Mini Nutritional Assessment (MNA). Data regarding sample (gender, age group, functional class of heart failure) was collected from medical records prior to application of the instrument. To test the association between nutritional status evaluated by MNA and independent variables, chi-square test and logistic regression were performed. RESULTS: The study included 70 elderly individuals, 57% males and 50% between 60-69 years. Almost half of the group (43%) was classified as "at risk of malnutrition." Among these, 60% were 70 years or older (p = 0.005), categorized in functional classes III and IV (48%, p = 0.025). Almost all of the "malnourished" or "at risk of malnutrition" elderly (96%) reported at least 3 kg weight loss in the last 3 months (p=0.003), and 81% of the elderly who considered have health status worse than other elderly was malnourished (p&lt;0.001). Positive association was found between "risk of malnutrition" or be "malnourished" and functional class III and IV of the heart failure (OR 4.76; CI 1.46-15.51; p=0.010), and at least 1 kg weight loss in the last 3 months (OR 6.17; CI 1.80-21.09; p=0.004). CONCLUSION: Most of elderly were at malnourished or at risk of malnutrition. The factors associated with nutritional risk in elderly patients with congestive heart failure (age, functional class of heart failure, recent weight loss and self-assessment of health status) should be observed during routine clinical practice.
DOI: 10.6084/m9.figshare.20016372.v1
title: Nutritional risk and associated factors in elderly patients with congestive heart failure in a Brazilian cardiology hospital

description: OBJECTIVE: To identify the nutritional risk and associated factors in elderly individuals with congestive heart failure admitted to a cardiology hospital. METHODOLOGY: A cross-sectional study collecting primary data was carried out in the Heart Institute of University of São Paulo. Nutritional risk was assessed using the Mini Nutritional Assessment (MNA). Data regarding sample (gender, age group, functional class of heart failure) was collected from medical records prior to application of the instrument. To test the association between nutritional status evaluated by MNA and independent variables, chi-square test and logistic regression were performed. RESULTS: The study included 70 elderly individuals, 57% males and 50% between 60-69 years. Almost half of the group (43%) was classified as "at risk of malnutrition." Among these, 60% were 70 years or older (p = 0.005), categorized in functional classes III and IV (48%, p = 0.025). Almost all of the "malnourished" or "at risk of malnutrition" elderly (96%) reported at least 3 kg weight loss in the last 3 months (p=0.003), and 81% of the elderly who considered have health status worse than other elderly was malnourished (p&lt;0.001). Positive association was found between "risk of malnutrition" or be "malnourished" and functional class III and IV of the heart failure (OR 4.76; CI 1.46-15.51; p=0.010), and at least 1 kg weight loss in the last 3 months (OR 6.17; CI 1.80-21.09; p=0.004). CONCLUSION: Most of elderly were at malnourished or at risk of malnutrition. The factors associated with nutritional risk in elderly patients with congestive heart failure (age, functional class of heart failure, recent weight loss and self-assessment of health status) should be observed during routine clinical practice.