cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14289950.v1
title: Potentially inappropriate medications prescribed to patients at the Reference Center in Health Care for Old People

description: Abstract Objective To analyze the pharmacotherapeutic profile of the old people assisted at a Reference Center in Health Care for Old People regarding the use of potentially inappropriate medications (PIM) using three screening criteria and to determine factors associated with the prescription of PIM. Method Cross-sectional study with data obtained by retrospective review of the medical records of the old people, attended between 2017 and 2018 by a geriatric doctor. To identify the PIM, the Beers Criteria, the Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions (STOPP) and the Brazilian Consensus on Potentially Inappropriate Medications for Old People were used. Characteristics related to the sociodemographic profile (age and sex), lifestyle (smoking and alcohol consumption), clinical (diseases) and pharmacotherapeutic (medications and Medication Regimen Complexity Index - MRCI) were evaluated. Results 406 medical records were analyzed and 3,059 prescription medications were identified, of which 32.1% are PIM according to STOPP Criteria, 14.4% by the Brazilian Consensus and 11.7% by the Beers Criteria. In total, 81.1% of the old people had at least one PIM. Poisson regression demonstrated an association between the prescription of PIM with polypharmacy, a greater number of signs and symptoms and a higher MRCI value in at least one of the criteria. The strength of agreement between the PIM criteria was moderate. Conclusions Most of the analyzed medical records had at least one prescribed PIM, and the STOPP Criteria identified a greater amount of PIM. Strategies must be implemented to improve the pharmacotherapy of old people with attention to those who have factors associated with PIM in their profile.
DOI: 10.6084/m9.figshare.14289956
title: Outdoor circuit test: construction and validation of an instrument for the prediction of cardiorespiratory capacity for older adults

description: Abstract Objective: the present study aimed to construct, validate and verify the reliability of a protocol for assessing the cardiorespiratory capacity of older adults attending the Rio ao Ar Livre (Open Air Rio, or RAL) project entitled the “Outdoor Circuit Test” (OCT). Method: validity and reliability tests were carried out to assess the accuracy of the OCT, with 50 older adults (70.6 ± 6.3 years) of both sexes who regularly attended the RAL. Validity was tested by collecting VO2max data under maximal cardiopulmonary exercise test conditions, and the OCT variables: a) Circuit Execution Time; b) Heart Rate; c) Subjective Perception of Exertion; d) Average Heart Rate (HRméd). Reliability was tested through the reproducibility of the measurements of the OCT variables, expressed by the Intraclass Correlation Coefficient (ICC). The predictive capacity of VO2max was given by multiple linear regression and the final stability of the model by the analysis of the residues and the calculation of Cook’s distances, with a value of P≤ 0.05 adopted for statistical significance. Results: the predictive model based on age, sex, waist circumference, BMI and circuit execution time explained 41% of VO2max variance, with a standard error of estimate of 18.5%. Conclusion: the OCT exhibited satisfactory reproducibility (0.62 to 0.93), and proved to be valid, reliable, and specific for predicting the cardiorespiratory fitness of older adults attending RAL, demonstrating adequate reproducibility and a positive association with the physical fitness of older adults.
DOI: 10.6084/m9.figshare.14289953
title: Use of potentially inappropriate medications by old people in a retiree’s association

description: Abstract Objective to verify the prevalence of the use of potentially inappropriate medications and polypharmacy by old people. Methods observational, cross-sectional, analytical, quantitative, population-based study in a retirees association. The data were collected from a questionnaire structured and created by the researchers and applied to the household. The association has 2,902 associates and underwent a stratified proportional sampling by gender, delimiting a sample of 203 old people, being 129 women and 76 men. Results the mean age of study participants was 73.1+8.13 years (90%CI:72.2-74.0), ranging from 60 to 95 years. The majority declared being married 110 (54.2%), with elementary education 145 (71.4%) and family income between 2 and 4 minimum wages 100 (49.3%). The most frequent comorbidities were: diabetes mellitus 33 (16.26%), systemic arterial hypertension 137 (67.49%), hypercholesterolemia 24 (11.8%), arthritis/arthrosis 62 (30.54%), osteoporosis 41 (20.2%), depression 27 (13.3%), among others with non-significant values. When analyzing the use of continuous and occasional medications, a median of 6 drugs used by participants was found, with 1 being the minimum number and 18 being the maximum number. The use of polypharmacy was identified in 131 (64.5%) old people and the use of potentially inappropriate medications in 160 (78.8%). Regarding the use of polypharmacy, a significant association was found with: female gender (p=0.004); and having low education (p=0.017), and single marital status (0.027). Conclusions in the context of pharmacoepidemiology, knowledge of the factors associated with the use of medicines may be useful to alert health professionals to the importance of identifying and monitoring the most vulnerable groups of old people in order to avoid the use of potentially inappropriate medications for the age group.
DOI: 10.6084/m9.figshare.14289953.v1
title: Use of potentially inappropriate medications by old people in a retiree’s association

description: Abstract Objective to verify the prevalence of the use of potentially inappropriate medications and polypharmacy by old people. Methods observational, cross-sectional, analytical, quantitative, population-based study in a retirees association. The data were collected from a questionnaire structured and created by the researchers and applied to the household. The association has 2,902 associates and underwent a stratified proportional sampling by gender, delimiting a sample of 203 old people, being 129 women and 76 men. Results the mean age of study participants was 73.1+8.13 years (90%CI:72.2-74.0), ranging from 60 to 95 years. The majority declared being married 110 (54.2%), with elementary education 145 (71.4%) and family income between 2 and 4 minimum wages 100 (49.3%). The most frequent comorbidities were: diabetes mellitus 33 (16.26%), systemic arterial hypertension 137 (67.49%), hypercholesterolemia 24 (11.8%), arthritis/arthrosis 62 (30.54%), osteoporosis 41 (20.2%), depression 27 (13.3%), among others with non-significant values. When analyzing the use of continuous and occasional medications, a median of 6 drugs used by participants was found, with 1 being the minimum number and 18 being the maximum number. The use of polypharmacy was identified in 131 (64.5%) old people and the use of potentially inappropriate medications in 160 (78.8%). Regarding the use of polypharmacy, a significant association was found with: female gender (p=0.004); and having low education (p=0.017), and single marital status (0.027). Conclusions in the context of pharmacoepidemiology, knowledge of the factors associated with the use of medicines may be useful to alert health professionals to the importance of identifying and monitoring the most vulnerable groups of old people in order to avoid the use of potentially inappropriate medications for the age group.
DOI: 10.6084/m9.figshare.14289956.v1
title: Outdoor circuit test: construction and validation of an instrument for the prediction of cardiorespiratory capacity for older adults

description: Abstract Objective: the present study aimed to construct, validate and verify the reliability of a protocol for assessing the cardiorespiratory capacity of older adults attending the Rio ao Ar Livre (Open Air Rio, or RAL) project entitled the “Outdoor Circuit Test” (OCT). Method: validity and reliability tests were carried out to assess the accuracy of the OCT, with 50 older adults (70.6 ± 6.3 years) of both sexes who regularly attended the RAL. Validity was tested by collecting VO2max data under maximal cardiopulmonary exercise test conditions, and the OCT variables: a) Circuit Execution Time; b) Heart Rate; c) Subjective Perception of Exertion; d) Average Heart Rate (HRméd). Reliability was tested through the reproducibility of the measurements of the OCT variables, expressed by the Intraclass Correlation Coefficient (ICC). The predictive capacity of VO2max was given by multiple linear regression and the final stability of the model by the analysis of the residues and the calculation of Cook’s distances, with a value of P≤ 0.05 adopted for statistical significance. Results: the predictive model based on age, sex, waist circumference, BMI and circuit execution time explained 41% of VO2max variance, with a standard error of estimate of 18.5%. Conclusion: the OCT exhibited satisfactory reproducibility (0.62 to 0.93), and proved to be valid, reliable, and specific for predicting the cardiorespiratory fitness of older adults attending RAL, demonstrating adequate reproducibility and a positive association with the physical fitness of older adults.
DOI: 10.6084/m9.figshare.14289955
title: Participation in community intervention programmes and quality of life: findings from a multicenter study in Portugal

description: Abstract Objective: The present study aimed to analyze quality of life (QoL) in participants of community intervention programs (CIP) focused on healthy aging. Method : A multicenter cross-sectional study was carried out with 304 community-dwelling participants, aged 55 years old or more and living in three locations in Portugal. Half of these individuals (n=152) were involved in a CIP (intervention group). The intervention group was paired according to sex and age group with an equivalent number of participants (n=152) that did not take part in a CIP (comparison group). Activities implemented in the CIP were grouped according to their nature: socio-recreational, educational/lifelong learning and physical activity. Data collection involved a Social Participation Questionnaire, the WHOQOL-Bref and the Satisfaction With Life Scale. Results: The CIP participants (n=152) had a mean age of 71.4 years (±5.4), were predominantly women (75.0%), married (65.4%), with fewer than five years of education (71.7%) and a monthly family income of up to 750 euros (47.4%). The intervention group had a significantly higher QoL in the physical domain than the comparison group (p&lt;0.03). Physical activity was the most frequently attended session in the CIP (n=119, 78.3%), in comparison with educational/lifelong learning (n=46, 30.3%) and socio-recreational (n=25, 16.4%) activities. People practicing physical activity in the CIP had a significantly higher QoL in the psychological, social relationships and environment domains (p&lt;0.05). Conclusion: Participation in the CIP was associated with QoL. Therefore, in line with the active aging framework, CIPs must be a part of public policy measures aimed at the QoL of the population.
DOI: 10.6084/m9.figshare.14289958
title: The Rio Health Gym Program: Daily life, leisure and health of older adults

description: Abstract Objective: to identify the activities performed by older adults as part of the Rio Health Gym Program in their daily lives, and analyze the contributions of these practices to their health and quality of life. Method: a qualitative, exploratory and descriptive study was conducted using interviews with 30 older adults who attended a health center in the city of Rio de Janeiro (RJ). Lexicographic analysis was performed using the Alceste software program. Results: five lexical classes were generated. Physical and leisure activities comprised classes 2 and 3. The statements that made up the lexical classes showed that older adults carried out their daily activities with autonomy and independence. According to their assessment, the activities promote the integration of participants, increase social participation and benefit health and quality of life. They attribute their proactivity to participation in the social group. Conclusion: the activities bring diversity to daily living, increase socialization and leisure opportunities, and consequently improve the health of older people by facilitating social relationships.
DOI: 10.6084/m9.figshare.14289961
title: Contributions of art therapy to promoting the health and quality of life of older adults

description: Abstract Objective to analyze the contributions of art therapy in promoting the health and quality of life of older adults. Method an integrative review was carried out using the health descriptors: “health promotion”, “art therapy”, “quality of life” and “aged”. Complete original articles were selected, in Portuguese, English and Spanish, and the period of publication of the articles was not defined to obtain a greater number of articles published. The search and selection of the articles included were carried out by two reviewers from November 2019 to April 2020. Results of the four articles selected to compose the sample, two were written in English and two in Portuguese. The articles included were published between 2007 and 2014, with two indexed in Scopus, one in the Scopus / PubMed / BVS databases and one in the CINAHL database. The expressive resources used in the art therapy process were varied: painting, drawing, modeling, body expression, among others. Conclusion the use of art therapy for health promotion in older adults demonstrated benefits in reducing negative factors of an affective, emotional and social nature. The articles analyzed suggest the positive effect of art therapy on quality of life in older adults.
DOI: 10.6084/m9.figshare.14289958.v1
title: The Rio Health Gym Program: Daily life, leisure and health of older adults

description: Abstract Objective: to identify the activities performed by older adults as part of the Rio Health Gym Program in their daily lives, and analyze the contributions of these practices to their health and quality of life. Method: a qualitative, exploratory and descriptive study was conducted using interviews with 30 older adults who attended a health center in the city of Rio de Janeiro (RJ). Lexicographic analysis was performed using the Alceste software program. Results: five lexical classes were generated. Physical and leisure activities comprised classes 2 and 3. The statements that made up the lexical classes showed that older adults carried out their daily activities with autonomy and independence. According to their assessment, the activities promote the integration of participants, increase social participation and benefit health and quality of life. They attribute their proactivity to participation in the social group. Conclusion: the activities bring diversity to daily living, increase socialization and leisure opportunities, and consequently improve the health of older people by facilitating social relationships.
DOI: 10.6084/m9.figshare.14289962
title: Dietary pattern of non-frail very old people and relationship with underweight, muscle mass and strength and gait speed test

description: Abstract Objectives To identify the dietary pattern of non-frail very old people and to evaluate the association of this pattern with body composition, strength, and gait speed. Methods Cross-sectional study with a sample of 96 old people aged 80 or over, non-frail. Food consumption was analyzed using three non-consecutive food records. Muscle mass was assessed using arm muscular area. Muscle strength was measured by grip strength. Cluster analysis was used to distinguish dietary patterns. Bivariate analysis and multivariate Poisson Regression were performed, exploring the relationship between dietary patterns and specific independent variables. Results Two dietary patterns were identified, labeled healthy and traditional. The prevalence of underweight among the old people of the traditional pattern was 10% (95%CI 1.01-1.20) higher than among the old people of the healthy pattern and this prevalence was practically maintained (PR 1.09; 95%CI 1.00-1.18) in the model adjusted by functionality. Regarding the classification of the arm muscular area, the old people of the traditional pattern presented 15% (95%CI 1.00-1.32) more prevalence of low muscle mass, when compared with the old people of the healthy pattern. This prevalence in the functionality-adjusted model was no longer statistically significant. No association was found between dietary pattern and strength and gait speed. Conclusions The findings showed that old people who adhere to healthy dietary patterns have a lower risk of underweight and that low muscle mass is probably more associated with functionality than with dietary patterns.
DOI: 10.6084/m9.figshare.14289962.v1
title: Dietary pattern of non-frail very old people and relationship with underweight, muscle mass and strength and gait speed test

description: Abstract Objectives To identify the dietary pattern of non-frail very old people and to evaluate the association of this pattern with body composition, strength, and gait speed. Methods Cross-sectional study with a sample of 96 old people aged 80 or over, non-frail. Food consumption was analyzed using three non-consecutive food records. Muscle mass was assessed using arm muscular area. Muscle strength was measured by grip strength. Cluster analysis was used to distinguish dietary patterns. Bivariate analysis and multivariate Poisson Regression were performed, exploring the relationship between dietary patterns and specific independent variables. Results Two dietary patterns were identified, labeled healthy and traditional. The prevalence of underweight among the old people of the traditional pattern was 10% (95%CI 1.01-1.20) higher than among the old people of the healthy pattern and this prevalence was practically maintained (PR 1.09; 95%CI 1.00-1.18) in the model adjusted by functionality. Regarding the classification of the arm muscular area, the old people of the traditional pattern presented 15% (95%CI 1.00-1.32) more prevalence of low muscle mass, when compared with the old people of the healthy pattern. This prevalence in the functionality-adjusted model was no longer statistically significant. No association was found between dietary pattern and strength and gait speed. Conclusions The findings showed that old people who adhere to healthy dietary patterns have a lower risk of underweight and that low muscle mass is probably more associated with functionality than with dietary patterns.
DOI: 10.6084/m9.figshare.14289955.v1
title: Participation in community intervention programmes and quality of life: findings from a multicenter study in Portugal

description: Abstract Objective: The present study aimed to analyze quality of life (QoL) in participants of community intervention programs (CIP) focused on healthy aging. Method : A multicenter cross-sectional study was carried out with 304 community-dwelling participants, aged 55 years old or more and living in three locations in Portugal. Half of these individuals (n=152) were involved in a CIP (intervention group). The intervention group was paired according to sex and age group with an equivalent number of participants (n=152) that did not take part in a CIP (comparison group). Activities implemented in the CIP were grouped according to their nature: socio-recreational, educational/lifelong learning and physical activity. Data collection involved a Social Participation Questionnaire, the WHOQOL-Bref and the Satisfaction With Life Scale. Results: The CIP participants (n=152) had a mean age of 71.4 years (±5.4), were predominantly women (75.0%), married (65.4%), with fewer than five years of education (71.7%) and a monthly family income of up to 750 euros (47.4%). The intervention group had a significantly higher QoL in the physical domain than the comparison group (p&lt;0.03). Physical activity was the most frequently attended session in the CIP (n=119, 78.3%), in comparison with educational/lifelong learning (n=46, 30.3%) and socio-recreational (n=25, 16.4%) activities. People practicing physical activity in the CIP had a significantly higher QoL in the psychological, social relationships and environment domains (p&lt;0.05). Conclusion: Participation in the CIP was associated with QoL. Therefore, in line with the active aging framework, CIPs must be a part of public policy measures aimed at the QoL of the population.
DOI: 10.6084/m9.figshare.14289961.v1
title: Contributions of art therapy to promoting the health and quality of life of older adults

description: Abstract Objective to analyze the contributions of art therapy in promoting the health and quality of life of older adults. Method an integrative review was carried out using the health descriptors: “health promotion”, “art therapy”, “quality of life” and “aged”. Complete original articles were selected, in Portuguese, English and Spanish, and the period of publication of the articles was not defined to obtain a greater number of articles published. The search and selection of the articles included were carried out by two reviewers from November 2019 to April 2020. Results of the four articles selected to compose the sample, two were written in English and two in Portuguese. The articles included were published between 2007 and 2014, with two indexed in Scopus, one in the Scopus / PubMed / BVS databases and one in the CINAHL database. The expressive resources used in the art therapy process were varied: painting, drawing, modeling, body expression, among others. Conclusion the use of art therapy for health promotion in older adults demonstrated benefits in reducing negative factors of an affective, emotional and social nature. The articles analyzed suggest the positive effect of art therapy on quality of life in older adults.
DOI: 10.6084/m9.figshare.14289965
title: Older adults undergoing home enteral nutrition therapy: integration of national public policy and municipal programs

description: Abstract Objective: to verify if national public policies and municipal programs contain elements that contribute to ensure the Human Right to Adequate Food (HRAF) of older adults undergoing home enteral nutrition therapy (HENT) and to propose the integration of these elements. Method: a qualitative study was carried out based on the content analysis of the documents of the National Policy for Older Adults (or PNI), the National Policy for the Health of Older Adults (or PNSPI) and the National Food and Nutrition Policy (or PNAN). Analysis of the relationships (co-occurrences) in programs of the 29 cities of the 2nd regional health region of Paraná to provide care for people with special dietary needs (SDN), such as older adults undergoing HENT, was also carried out. For the analysis of the relationships, the keywords older adult and right were used. Furthermore, the integration of national public policies and municipal programs was proposed. Results: the PNI, PNSPI and PNAN contain converging principles, guidelines and actions, but they are not fully integrated into the programs. Only seven cities with programs that aimed to organize care involving SDN were identified, documented in five protocols and two decrees. A co-occurrence was verified in three of the analyzed documents, but a relationship between the keywords older adult and right was not verified in the protocols and decrees. In the integration proposal, a network was described, based around the goal of reaching the center, which represents the HRAF for older adults undergoing HENT. Conclusion: national public policies contain elements to ensure the HRAF of older adults undergoing HENT, but the municipal programs do not include all these elements. A proposal to integrate the elements was created.