cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14289883
title: Utilitarian walking and walking as exercise among community-dwelling older adults: what factors influence it?

description: Abstract Objective : to investigate the association between utilitarian walking and walking as exercise, and socio-demographic, clinical and functional covariates related to these walking types. Methods : a cross-sectional exploratory study was conducted with 148 older adults (aged 60 and over). Walking frequency and duration was assessed using the IPEQ-W (Incidental and Planned Exercise Questionnaire - Version W). Socio-demographic, clinical conditions, level of disability and mobility were also assessed. Types of walking were compared among the variables using the Mann-Whitney test and non-parametric Spearman rho correlations were used to investigate the association between the types of walking and the variables. Results : the participants performed a mean of 1.1 (±2.1) h/week of walking as exercise and 2.2 (±2.3) h/week of utilitarian walking. Older adults who had diabetes (p=0.015) did fewer h/week of walking as exercise. Participants who were older (p=0.014), reported poor self-rated health (p&lt;0.001), poor disability levels (p&lt;0.001), hypertension (p=0.048), strokes (p&lt;0.001), heart disease (p=0.026), urinary incontinence (p&lt;0.001), dizziness (p=0.008), or sleep disorders (p=0.042) spent fewer hours performing utilitarian walking. Correlations between the covariates and types of walking varied from very weak to weak. Conclusion : chronic diseases and unfavorable health conditions decreased walking time. Utilitarian walking was the most frequent type of walking performed by the older adults. Health care professionals and public policy managers should use utilitarian walking as a way of increasing levels of physical activity and to promote healthy aging.
DOI: 10.6084/m9.figshare.14289883.v1
title: Utilitarian walking and walking as exercise among community-dwelling older adults: what factors influence it?

description: Abstract Objective : to investigate the association between utilitarian walking and walking as exercise, and socio-demographic, clinical and functional covariates related to these walking types. Methods : a cross-sectional exploratory study was conducted with 148 older adults (aged 60 and over). Walking frequency and duration was assessed using the IPEQ-W (Incidental and Planned Exercise Questionnaire - Version W). Socio-demographic, clinical conditions, level of disability and mobility were also assessed. Types of walking were compared among the variables using the Mann-Whitney test and non-parametric Spearman rho correlations were used to investigate the association between the types of walking and the variables. Results : the participants performed a mean of 1.1 (±2.1) h/week of walking as exercise and 2.2 (±2.3) h/week of utilitarian walking. Older adults who had diabetes (p=0.015) did fewer h/week of walking as exercise. Participants who were older (p=0.014), reported poor self-rated health (p&lt;0.001), poor disability levels (p&lt;0.001), hypertension (p=0.048), strokes (p&lt;0.001), heart disease (p=0.026), urinary incontinence (p&lt;0.001), dizziness (p=0.008), or sleep disorders (p=0.042) spent fewer hours performing utilitarian walking. Correlations between the covariates and types of walking varied from very weak to weak. Conclusion : chronic diseases and unfavorable health conditions decreased walking time. Utilitarian walking was the most frequent type of walking performed by the older adults. Health care professionals and public policy managers should use utilitarian walking as a way of increasing levels of physical activity and to promote healthy aging.
DOI: 10.6084/m9.figshare.14289886
title: A contemporary and innovative care model for older adults

description: Abstract The population aging that has arisen from Brazil’s new demographic and epidemiological reality, a relatively recent phenomenon, requires innovative and efficient responses. This article presents a care model for the older population with the most contemporary comprehensive care and an excellent cost-benefit ratio. The proposal is aimed at health promotion, disease prevention and the coordination of care, with an emphasis on low complexity instances of care. The integrated models seek to solve the problem of fragmented and poorly coordinated care in current health systems. For this reason, we propose a low complexity care unit, an epidemiological assessment, a social center and a team formed by a pair of medical and nursing professionals, with the support of gerontologists. There will also be medical records that cover clinical and social aspects, as well as a quality information system - all involving advanced technology, accessible by doctors and clients at any time via cloud technology and a cell phone app. The more the healthcare professional knows their patient’s history, the better the results. The concepts and structure that underlie this model, which aims to reduce waste, offering greater quality at reduced cost, are set out. It is our contribution to benefit - be it in the public or supplementary sector - health care aimed at the fastest growing age group in Brazil.
DOI: 10.6084/m9.figshare.14289889
title: Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study

description: Abstract Objective: to analyze the incidence of and mortality caused by COVID-19 in the older population in Brazil and its relationship with contextual variables. Methods: the 22 Brazilian states (including the Federal District) with 50 deaths or more due to COVID-19 by May 25th, 2020 were included. The rates of accumulated incidence, accumulated mortality and accumulated lethality among older adults were considered as dependent variables. Among the contextual variables, the provision of health services and professionals, and demographic, income and development indicators were included. The variables were analyzed in a descriptive and bivariate manner using Spearman’s correlation. Results: the state of Pará had the highest incidence and mortality rate among older adults. The highest accumulated lethality rates among this population were observed in Bahia (56.46%), Rio de Janeiro (48.10%) and Pernambuco (40.76%). There was a significant negative moderate correlation between the accumulated incidence rate and the aging index (rho=-0.662; p=0.001) and the proportion of older adults (rho=-0.659; p=0.002); and between the mortality rate and the aging index (rho=-0.520; p=0.013) and the proportion of older adults (rho=-0.502; p=0.017). The accumulated incidence rate and mortality rate also revealed, respectively, a significant positive correlation with the proportion of black (Afro-Brazilian) and brown (mixed race) skinned people (rho=0.524; p=0.018 and rho=0.558; p=0.007) and with the income ratio (rho=0.665; p=0.0001 and rho=0.683; p&lt;0.001). Conclusions: the Brazilian epidemiological situation shows that the mortality of older adults due to COVID-19 in Brazil is related to demographic and income distribution aspects.
DOI: 10.6084/m9.figshare.14289889.v1
title: Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study

description: Abstract Objective: to analyze the incidence of and mortality caused by COVID-19 in the older population in Brazil and its relationship with contextual variables. Methods: the 22 Brazilian states (including the Federal District) with 50 deaths or more due to COVID-19 by May 25th, 2020 were included. The rates of accumulated incidence, accumulated mortality and accumulated lethality among older adults were considered as dependent variables. Among the contextual variables, the provision of health services and professionals, and demographic, income and development indicators were included. The variables were analyzed in a descriptive and bivariate manner using Spearman’s correlation. Results: the state of Pará had the highest incidence and mortality rate among older adults. The highest accumulated lethality rates among this population were observed in Bahia (56.46%), Rio de Janeiro (48.10%) and Pernambuco (40.76%). There was a significant negative moderate correlation between the accumulated incidence rate and the aging index (rho=-0.662; p=0.001) and the proportion of older adults (rho=-0.659; p=0.002); and between the mortality rate and the aging index (rho=-0.520; p=0.013) and the proportion of older adults (rho=-0.502; p=0.017). The accumulated incidence rate and mortality rate also revealed, respectively, a significant positive correlation with the proportion of black (Afro-Brazilian) and brown (mixed race) skinned people (rho=0.524; p=0.018 and rho=0.558; p=0.007) and with the income ratio (rho=0.665; p=0.0001 and rho=0.683; p&lt;0.001). Conclusions: the Brazilian epidemiological situation shows that the mortality of older adults due to COVID-19 in Brazil is related to demographic and income distribution aspects.
DOI: 10.6084/m9.figshare.14289893.v1
title: Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

description: Abstract Objective: To analyze the biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus. Methods: A cross-sectional, descriptive study with a sample selected for convenience was performed in a university hospital. The participants were individuals aged 60 years or older diagnosed with type 2 Diabetes Mellitus. Patients were assessed using a multidimensional survey, containing sociodemographic, clinical-functional, psycho-psychological and cognitive data. The Mini-Mental State Exam and the Short Geriatric Depression Scale (GDS-15) were used to screen for cognitive deficits and depressive symptoms, respectively, and the Timed Up and Go Test was used to assess mobility. Data analysis was performed using the Chi-square and Mann-Whitney tests. Results: The sample consisted of 157 older adults of whom 45.22% complained of dizziness. There was a statistically significant association between dizziness and the variables: female sex, being unmarried, a low level of education, a negative self-perception of general health and vision, complaints of pain in the lower limbs, a fear of falling, a tendency to fall, cognitive impairment and psychological symptoms. Conclusion: Knowledge of the factors associated with the complaint of dizziness in older adults with DM2 allows improved targeting of prevention, assessment and intervention actions, in order to minimize the occurrence of falls, maintain or optimize functional capacity and cognitive skills, and thus improve quality of life.
DOI: 10.6084/m9.figshare.14289896
title: Validity and accuracy of the Guedes Tool for the evaluation of informal social support for older adults

description: Abstract The objective of the present study was to confirm the validity of the Guedes Tool, an instrument for assessing informal social support (ISS) for older adults, and to estimate its accuracy. Confirmatory factor analysis (CFA) was performed with the CFI and RMSEA indexes and the chi-square relationship (X2) with degrees of freedom (gl). For the analysis of accuracy, the area under the ROC curve, sensitivity (S) and specificity (SP) values, positive predictive value (PV+), negative predictive value (PV-) and the Younder’s J Index (J) were verified to confirm the best cut-off point. Data collection was carried out with older adults from Natal and metropolitan region in 2018. The inclusion criteria were: be 60 years old or older, with preserved cognitive levels. Two hundred and six older adults participated in the CFA study and 197 participated in the accuracy analysis. The estimates of the indexes evaluated in the CFA were: X2/gl =1.33, RMSEA=0.04 (95% CI 0.025-0.054) and CFI=0.91. The ROC curve obtained an area of 0.78 (CI95: 0.72-0.85; p&lt;0.001) for the determination of older adults with low ISS. The highest value J was 0.44 for a score ≤34, with an S value of 59.76% and an SP value of 84.96%. The instrument presented a well-adjusted model with four dimensions, according to CFA criteria. It had a good area under the ROC curve and good to moderate S and SP values for the cutoff value of 34 points or less, for the diagnosis of insufficient ISS. Good PV+ and PV- indicators confirmed the desirable levels of accuracy of the tool.
DOI: 10.6084/m9.figshare.14289896.v1
title: Validity and accuracy of the Guedes Tool for the evaluation of informal social support for older adults

description: Abstract The objective of the present study was to confirm the validity of the Guedes Tool, an instrument for assessing informal social support (ISS) for older adults, and to estimate its accuracy. Confirmatory factor analysis (CFA) was performed with the CFI and RMSEA indexes and the chi-square relationship (X2) with degrees of freedom (gl). For the analysis of accuracy, the area under the ROC curve, sensitivity (S) and specificity (SP) values, positive predictive value (PV+), negative predictive value (PV-) and the Younder’s J Index (J) were verified to confirm the best cut-off point. Data collection was carried out with older adults from Natal and metropolitan region in 2018. The inclusion criteria were: be 60 years old or older, with preserved cognitive levels. Two hundred and six older adults participated in the CFA study and 197 participated in the accuracy analysis. The estimates of the indexes evaluated in the CFA were: X2/gl =1.33, RMSEA=0.04 (95% CI 0.025-0.054) and CFI=0.91. The ROC curve obtained an area of 0.78 (CI95: 0.72-0.85; p&lt;0.001) for the determination of older adults with low ISS. The highest value J was 0.44 for a score ≤34, with an S value of 59.76% and an SP value of 84.96%. The instrument presented a well-adjusted model with four dimensions, according to CFA criteria. It had a good area under the ROC curve and good to moderate S and SP values for the cutoff value of 34 points or less, for the diagnosis of insufficient ISS. Good PV+ and PV- indicators confirmed the desirable levels of accuracy of the tool.
DOI: 10.6084/m9.figshare.14289886.v1
title: A contemporary and innovative care model for older adults

description: Abstract The population aging that has arisen from Brazil’s new demographic and epidemiological reality, a relatively recent phenomenon, requires innovative and efficient responses. This article presents a care model for the older population with the most contemporary comprehensive care and an excellent cost-benefit ratio. The proposal is aimed at health promotion, disease prevention and the coordination of care, with an emphasis on low complexity instances of care. The integrated models seek to solve the problem of fragmented and poorly coordinated care in current health systems. For this reason, we propose a low complexity care unit, an epidemiological assessment, a social center and a team formed by a pair of medical and nursing professionals, with the support of gerontologists. There will also be medical records that cover clinical and social aspects, as well as a quality information system - all involving advanced technology, accessible by doctors and clients at any time via cloud technology and a cell phone app. The more the healthcare professional knows their patient’s history, the better the results. The concepts and structure that underlie this model, which aims to reduce waste, offering greater quality at reduced cost, are set out. It is our contribution to benefit - be it in the public or supplementary sector - health care aimed at the fastest growing age group in Brazil.
DOI: 10.6084/m9.figshare.14289893
title: Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

description: Abstract Objective: To analyze the biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus. Methods: A cross-sectional, descriptive study with a sample selected for convenience was performed in a university hospital. The participants were individuals aged 60 years or older diagnosed with type 2 Diabetes Mellitus. Patients were assessed using a multidimensional survey, containing sociodemographic, clinical-functional, psycho-psychological and cognitive data. The Mini-Mental State Exam and the Short Geriatric Depression Scale (GDS-15) were used to screen for cognitive deficits and depressive symptoms, respectively, and the Timed Up and Go Test was used to assess mobility. Data analysis was performed using the Chi-square and Mann-Whitney tests. Results: The sample consisted of 157 older adults of whom 45.22% complained of dizziness. There was a statistically significant association between dizziness and the variables: female sex, being unmarried, a low level of education, a negative self-perception of general health and vision, complaints of pain in the lower limbs, a fear of falling, a tendency to fall, cognitive impairment and psychological symptoms. Conclusion: Knowledge of the factors associated with the complaint of dizziness in older adults with DM2 allows improved targeting of prevention, assessment and intervention actions, in order to minimize the occurrence of falls, maintain or optimize functional capacity and cognitive skills, and thus improve quality of life.
DOI: 10.6084/m9.figshare.14289899.v1
title: The Brazilian version of the Home Falls and Accidents Screening Tool (HOME FAST): translation, cross-cultural adaptation, validation and reliability

description: Abstract Objective: to translate and cross-culturally adapt the Home Falls and Accidents Screening Tool - HOME FAST into Brazilian Portuguese and to evaluate its construct validity and intra-and inter-rater reliability. Method: a cross-sectional study was carried out that included older people aged 60 years or older. Translation and cross-cultural adaptation were carried out in the following stages: 1. Translation, 2. Synthesis, 3. Back translation, 4. Expert panel (review and pre-final version), 5. Pre-testing, 6. Analysis by the expert panel and the final version of the instrument. The Berg Balance Scale - BBS was used to test construct validity (Spearman correlation coefficient). Additionally, intra-and inter-rater reliability analysis was conducted using the Intraclass Correlation Coefficient (ICC) and the Bland-Altman plot. Results were considered significant at p&lt;0.05. Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male. The translation and cross-cultural adaptation process resulted in similar versions among translations. The correlation of the total score of HOME FAST-Brazil with the BBS was ρ=-0.241, p=0.041. The reliability rate was ICC=0.99 and 0.92 (intra-and inter-rater, respectively). Conclusion: The HOME FAST-Brazil, translated and cross-culturally adapted to Brazilian Portuguese, was shown to have construct validity and excellent intra-and inter-rater reliability.
DOI: 10.6084/m9.figshare.14289902
title: Oral health and access to dental services in old quilombolas: a population-based study

description: Abstract Objective:: to investigate the oral health conditions, access to dental services and sociodemographic factors associated with this acessibility in rural quilombolas elderly in the north of the state of Minas Gerais, Brazil. Method: this is an analytical and cross-sectional population-based study, in which cluster sampling was used with probability proportional to size (n=406). Data collection involved structured interviews and clinical dental examinations. Result: it was found that the majority of the elderly had low income and low level education. It was observed that a significant portion of individuals reported access to a dental surgeon (97.5%) and that they had had their last dental appointment three years or more ago (60.4%). It was also found that the majority of the elderly were edentulous (52.0%) and that the majority of respondents needen prostheses (88%). A high DMFT index was found in the individuals studied (mean value of 27.25). Advanced age, absence of partner e retirement were associated with irregular access to dental services. Conclusion: the local quilombolas elderly had poor oral health and restricted access to dental services. Age, marital status and employment status demonstrated association with low accessibility to oral health services in the elderly investigated.
DOI: 10.6084/m9.figshare.14289899
title: The Brazilian version of the Home Falls and Accidents Screening Tool (HOME FAST): translation, cross-cultural adaptation, validation and reliability

description: Abstract Objective: to translate and cross-culturally adapt the Home Falls and Accidents Screening Tool - HOME FAST into Brazilian Portuguese and to evaluate its construct validity and intra-and inter-rater reliability. Method: a cross-sectional study was carried out that included older people aged 60 years or older. Translation and cross-cultural adaptation were carried out in the following stages: 1. Translation, 2. Synthesis, 3. Back translation, 4. Expert panel (review and pre-final version), 5. Pre-testing, 6. Analysis by the expert panel and the final version of the instrument. The Berg Balance Scale - BBS was used to test construct validity (Spearman correlation coefficient). Additionally, intra-and inter-rater reliability analysis was conducted using the Intraclass Correlation Coefficient (ICC) and the Bland-Altman plot. Results were considered significant at p&lt;0.05. Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male. The translation and cross-cultural adaptation process resulted in similar versions among translations. The correlation of the total score of HOME FAST-Brazil with the BBS was ρ=-0.241, p=0.041. The reliability rate was ICC=0.99 and 0.92 (intra-and inter-rater, respectively). Conclusion: The HOME FAST-Brazil, translated and cross-culturally adapted to Brazilian Portuguese, was shown to have construct validity and excellent intra-and inter-rater reliability.
DOI: 10.6084/m9.figshare.14289901
title: Prevalence and associated factors to the cognitive deficit in community-dwelling elderly

description: Abstract Objective To estimate the prevalence of cognitive deficit and verify associations with sociodemographic and individual health variables in senior patients from units in the primary health system. Method Prevalence and association study about the elderly population. The instruments used were the Mini-Mental State Examination (cognitive function), Shorten Geriatric Depression Scale (depression symptoms), Lawton Scale (functional capacity), Mini-Nutritional Assessment (nutritional state), and Timed Up and Go Test (fall risk). The association between cognitive deficit and independent variables was verified by the Chi-square test. Multivariate analysis was performed using a logistic regression model with the prevalence ratio (PR) and 95% confidence interval (95%CI). Results The data were collected from 818 old-aged patients. The cognitive deficit had a prevalence of 65.9% (95%CI= 62.50-69.10). In the multivariate analysis model, it was verified a larger occurrence of cognitive deficit individuals, with risks of malnutrition (PR=2.09; CI95%=1.47-2.96), illiteracy (PR=1.66; 95%CI=1.15-2.40), dependents (PR=3.27; 95%CI=2.01-5.10), and with more than 70 years old (PR=1.48; 95%CI=1.07-2.05). Conclusion The present study showed a high prevalence of cognitive deficit and was associated with age, education, functional capacity, and nutritional status. It is possible to question if it is caused by the big amount of people with mild cognitive impairment without dementia with posterior remission of the symptoms, or by the occurrence of early start dementia.