cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14289862
title: Functional Dependence among older adults receiving care from Family Health Strategy teams

description: Abstract Objective : To evaluate functional dependence among older adults receiving care from Family Health Strategy (FHS) teams, in Montes Claros, Minas Gerais, Brazil, identifying associated factors. Methods : A cross-sectional and analytical study with randomly selected older adults was performed. The instrument used was BOMFAQ (the Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire). Data collection was performed by trained staff in the homes of the older adults. Sociodemographic, economic data, living habits, health care, morbidities and Activities of Daily Living (ADL) were evaluated. In addition to descriptive analysis, factors associated with functional dependence were identified using the chi-square test, followed by hierarchical multiple analysis using Poisson regression with robust variance. Results : 1,750 older adults were evaluated. The group was predominantly female, with low schooling. The proportion of the sample considered dependent was 57.0%. The variables associated with functional dependence were: female gender (PR=1.19); age ≥70 years (PR=1.33); schooling ≤4 years (PR=1.19); being unemployed (PR=1.43); not performing physical activity (PR=1.19) or walking (PR=1.15); not listening to the radio as a leisure activity (PR=1.13); not having the habit of reading (PR=1.17); presenting depressive symptoms (PR=1.15); hospitalization in the last six months (PR=1.18); cognitive impairment (PR=1.16); insomnia (PR=1.13); obesity (PR=1.18); falls in the last year (PR=1.11); cataracts (PR=1.09), spinal problems (PR=1.19); urinary incontinence (PR=1.25); poor circulation (PR=1.09) and a negative self-perception of health (PR=1.22). Conclusion : Functional dependence is multifactorial, but is influenced mainly by the health conditions of older adults.
DOI: 10.6084/m9.figshare.14289860.v1
title: The effect of inspiratory muscle training on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults: a randomized controlled trial

description: Abstract Objective: To evaluate the impact of inspiratory muscle training (IMT) on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults. Method: A randomized clinical trial was conducted with 30 institutionalized older adults. They were allocated into two groups: the IMT group (n=15), which underwent IMT with PowerBreathe Classic, using a load of 60% of maximal inspiratory pressure (MIP). This was performed using a 30 repetition protocol, three times a week, for six weeks. The second group was the control group (n=15) which did not perform any type of therapeutic intervention. In both groups, MIP, lower limb strength by sit-up test, quality of life by the SF-36 questionnaire and C-reactive protein (CRP) were evaluated. Results: The results demonstrated the homogeneity between the groups regarding the demographic and clinical variables. The IMT group showed an increase in the variation of MIP (9.20±7.36 cmH2O) compared to the control (0.93±8.79 cmH2O). Improvement was also observed in the sitting and standing test (p&lt;0.05) (Tukey Test) in the difference between the values before and after the IMT. In terms of quality of life, two of the eight SF-36 domains were influenced by the IMT, namely: functional capacity and limitations due to physical factors. There were no changes in CRP in either group. Conclusion: IMT improved the inspiratory muscle strength, lower limb strength and quality of life of institutionalized older adults. These findings reinforce the contribution of this therapy to reducing the deleterious effects of aging.
DOI: 10.6084/m9.figshare.14289865
title: Evaluation of the clinical-functional vulnerability index in older adults

description: Abstract Objective: To evaluate the clinical-functional vulnerability index (CFVI) of older adults and its relationship with socioeconomic, behavioral, clinical and therapeutic indicators. Method: A cross-sectional epidemiological study with a quantitative design was performed with 318 randomly drawn older adults registered with the Family Health Strategy. Data were collected through the CFVI-20 questionnaire and analysis was supported by descriptive, bivariate and multivariate statistics, with results with p-value &lt;0.05 considered significant. Results: most older adults (59.1%) were considered frail or potentially frail. Among the groups studied, there was a statistically significant difference in the CFVI for the variables age group (p&lt;0.001), functional literacy (p=0.001), alcohol consumption (p&lt;0.001), physical exercise (p&lt;0.001), self-reported health problems (p&lt;0.001) and medication use (p&lt;0.001), as well as a positive correlation with stress (r=0.135; p=0.016). In the multiple linear regression model, the set of sociodemographic predictor variables explained the frailty of the elderly by 30.4% (R2=0.304). Conclusions: The advancement of age, as a non-controllable variable, indicates a need to encourage the maintenance of functionality in old age, based on the health care strategies that prolong longevity with safety, autonomy and vitality.
DOI: 10.6084/m9.figshare.14289862.v1
title: Functional Dependence among older adults receiving care from Family Health Strategy teams

description: Abstract Objective : To evaluate functional dependence among older adults receiving care from Family Health Strategy (FHS) teams, in Montes Claros, Minas Gerais, Brazil, identifying associated factors. Methods : A cross-sectional and analytical study with randomly selected older adults was performed. The instrument used was BOMFAQ (the Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire). Data collection was performed by trained staff in the homes of the older adults. Sociodemographic, economic data, living habits, health care, morbidities and Activities of Daily Living (ADL) were evaluated. In addition to descriptive analysis, factors associated with functional dependence were identified using the chi-square test, followed by hierarchical multiple analysis using Poisson regression with robust variance. Results : 1,750 older adults were evaluated. The group was predominantly female, with low schooling. The proportion of the sample considered dependent was 57.0%. The variables associated with functional dependence were: female gender (PR=1.19); age ≥70 years (PR=1.33); schooling ≤4 years (PR=1.19); being unemployed (PR=1.43); not performing physical activity (PR=1.19) or walking (PR=1.15); not listening to the radio as a leisure activity (PR=1.13); not having the habit of reading (PR=1.17); presenting depressive symptoms (PR=1.15); hospitalization in the last six months (PR=1.18); cognitive impairment (PR=1.16); insomnia (PR=1.13); obesity (PR=1.18); falls in the last year (PR=1.11); cataracts (PR=1.09), spinal problems (PR=1.19); urinary incontinence (PR=1.25); poor circulation (PR=1.09) and a negative self-perception of health (PR=1.22). Conclusion : Functional dependence is multifactorial, but is influenced mainly by the health conditions of older adults.
DOI: 10.6084/m9.figshare.14289866
title: Body image, nutritional status and quality of life in long-lived older adults

description: Abstract Objective: To evaluate the body image and nutritional status (NS) of older adults aged 80 and over and its relation with quality of life (QoL). Method: A cross-sectional, quantitative study, with no intervention, using non-probabilistic sampling, was conducted from October 2016 to September 2017 with 103 older individuals aged ≥80 years old from the state of São Paulo. NS was evaluated according to OPAS/SABE; body image was evaluated by the Kakeshita fifteen silhouette scale, and the WHOQoL-bref and WHOQoL-old were used to measure QoL. The Chi-square test was used to verify the association between the studied variables and sex. To compare QoL with nutritional status and body image, the ANOVA Factor test was used. The level of significance was 5% (p&lt;0.05). Results: The majority of the interviewees were female (69.2%) and the average age was 82.75 (±2.98). When comparing the perception of QoL with NS, there was a significant difference (p=0.027) in the self-evaluation of QoL of obese older adults only. The QoL related to body image of both sexes presented a significant difference (p=0.020) in the environmental domain of the WHOQoL-bref in the evaluation of body satisfaction. Conclusion: The body image distortion identified by these older adults did not interfere with their perception of QoL. However, when NS was considered, overweight older adults had a higher perception of QoL.
DOI: 10.6084/m9.figshare.14289866.v1
title: Body image, nutritional status and quality of life in long-lived older adults

description: Abstract Objective: To evaluate the body image and nutritional status (NS) of older adults aged 80 and over and its relation with quality of life (QoL). Method: A cross-sectional, quantitative study, with no intervention, using non-probabilistic sampling, was conducted from October 2016 to September 2017 with 103 older individuals aged ≥80 years old from the state of São Paulo. NS was evaluated according to OPAS/SABE; body image was evaluated by the Kakeshita fifteen silhouette scale, and the WHOQoL-bref and WHOQoL-old were used to measure QoL. The Chi-square test was used to verify the association between the studied variables and sex. To compare QoL with nutritional status and body image, the ANOVA Factor test was used. The level of significance was 5% (p&lt;0.05). Results: The majority of the interviewees were female (69.2%) and the average age was 82.75 (±2.98). When comparing the perception of QoL with NS, there was a significant difference (p=0.027) in the self-evaluation of QoL of obese older adults only. The QoL related to body image of both sexes presented a significant difference (p=0.020) in the environmental domain of the WHOQoL-bref in the evaluation of body satisfaction. Conclusion: The body image distortion identified by these older adults did not interfere with their perception of QoL. However, when NS was considered, overweight older adults had a higher perception of QoL.
DOI: 10.6084/m9.figshare.14289865.v1
title: Evaluation of the clinical-functional vulnerability index in older adults

description: Abstract Objective: To evaluate the clinical-functional vulnerability index (CFVI) of older adults and its relationship with socioeconomic, behavioral, clinical and therapeutic indicators. Method: A cross-sectional epidemiological study with a quantitative design was performed with 318 randomly drawn older adults registered with the Family Health Strategy. Data were collected through the CFVI-20 questionnaire and analysis was supported by descriptive, bivariate and multivariate statistics, with results with p-value &lt;0.05 considered significant. Results: most older adults (59.1%) were considered frail or potentially frail. Among the groups studied, there was a statistically significant difference in the CFVI for the variables age group (p&lt;0.001), functional literacy (p=0.001), alcohol consumption (p&lt;0.001), physical exercise (p&lt;0.001), self-reported health problems (p&lt;0.001) and medication use (p&lt;0.001), as well as a positive correlation with stress (r=0.135; p=0.016). In the multiple linear regression model, the set of sociodemographic predictor variables explained the frailty of the elderly by 30.4% (R2=0.304). Conclusions: The advancement of age, as a non-controllable variable, indicates a need to encourage the maintenance of functionality in old age, based on the health care strategies that prolong longevity with safety, autonomy and vitality.
DOI: 10.6084/m9.figshare.14289872
title: Loneliness in senescence and its relationship with depressive symptoms: an integrative review

description: Abstract The increase in life expectancy and the percentage increase in the older population are related to the reduction in quality of life and social life due to the biopsychosocial changes inherent to the aging process. The present study aimed to verify scientific evidence on the relationship between loneliness and depressive symptoms among older adults. An integrative review was carried out using the following databases: SCOPUS, PubMed, Medline, Web of Science, CINAHL and PyscINFO, applying the descriptors indexed in the Mesh Terms and DeCS “aged”, “loneliness”, “depression”. The PICOS strategy was used to prepare the title and guiding question and the PRISMA methodological guidelines were used to write the report of this review. A total of 827 articles were identified, of which 23 were selected, 16 from the database and seven through a reverse search. Loneliness and depression have some characteristics in common, so that when one of these conditions develops in older adults, another is stimulated. Thus, loneliness is a major risk factor for the development of depression, just as depression is an aggravating factor for loneliness in older adults.
DOI: 10.6084/m9.figshare.14289871
title: Double incontinence: associated factors and impact on the quality of life of women attended at a health referral service

description: Abstract Objective: To evaluate the prevalence, associated factors, and impact on quality of life of double incontinence in a group of women with urinary incontinence. Method: A cross-sectional study was performed, including female patients with urinary or double incontinence (urinary and fecal incontinence) treated at a tertiary hospital from the public healthcare system. Information about sociodemographic and clinical characteristics was collected, and quality of life was assessed using validated questionnaires. The Mann-Whitney, Chi-square, and Fisher tests were used to evaluate the association between the variables and the types of dysfunction (urinary or double incontinence) and a worse general health perception. Results: Of 227 incontinent women included in the study, 120 (52,9%) were older individuals. The prevalence of double incontinence was 14.1% (32 patients). Double incontinence was associated with a higher number of comorbidities (p-value=0.04), polypharmacy (p-value=0.04), and rectocele (p-valor=0.02). Higher BMI (p-value=0.02) and number of comorbidities (p-value=0.05), but not double incontinence (p-value=0.36), were associated with low general health perception scores. Conclusion: the prevalence of double incontinence was different from other studies conducted in similar scenarios. The group of women included in the study presented low general health perception scores, but this was not associated with the presence of double incontinence. A higher number of comorbidities was associated with both double incontinence and a lower general health perception.
DOI: 10.6084/m9.figshare.14289872.v1
title: Loneliness in senescence and its relationship with depressive symptoms: an integrative review

description: Abstract The increase in life expectancy and the percentage increase in the older population are related to the reduction in quality of life and social life due to the biopsychosocial changes inherent to the aging process. The present study aimed to verify scientific evidence on the relationship between loneliness and depressive symptoms among older adults. An integrative review was carried out using the following databases: SCOPUS, PubMed, Medline, Web of Science, CINAHL and PyscINFO, applying the descriptors indexed in the Mesh Terms and DeCS “aged”, “loneliness”, “depression”. The PICOS strategy was used to prepare the title and guiding question and the PRISMA methodological guidelines were used to write the report of this review. A total of 827 articles were identified, of which 23 were selected, 16 from the database and seven through a reverse search. Loneliness and depression have some characteristics in common, so that when one of these conditions develops in older adults, another is stimulated. Thus, loneliness is a major risk factor for the development of depression, just as depression is an aggravating factor for loneliness in older adults.
DOI: 10.6084/m9.figshare.14289874
title: Situational diagnosis of older adults with diabetes mellitus in a city in the state of Ceará, Brazil

description: Abstract Objective: To describe the situational diagnosis of older adults with diabetes mellitus (DM) registered at a Basic Family Health Unit, using sociodemographic profile, health conditions and lifestyle. Method: A descriptive, cross-sectional study was carried out with 70 older adults in the city of Jijoca de Jericoacoara, Ceará, Brazil. Data were gathered from questionnaires on sociodemographic conditions, health and individual lifestyle profile, and were submitted to descriptive statistics techniques, and the results presented in tables. Results: The predominance of women was three times greater than men (52=74%); the mean age was 71.19 years (±7.12); the number of married people was higher than the other categories (44=62.8%); the vast majority of the sample received a pension equivalent to the minimum wage as a rural worker (64=91%); and just over half declared themselves to be literate (36=51.4%). In terms of health conditions, the majority (56=80%) had had DM for more than 10 years, although they considered their health status to be satisfactory (40=57.14%). Among the main complications were hypertension (n=53; 75.71%), muscle and joint pain (n=43; 61.43%) and hearing loss (48=68.57%). Conclusion: The present study provided indicators for the planning and execution of educational actions, based on interprofessional collaboration aimed at the promotion of health.
DOI: 10.6084/m9.figshare.14289874.v1
title: Situational diagnosis of older adults with diabetes mellitus in a city in the state of Ceará, Brazil

description: Abstract Objective: To describe the situational diagnosis of older adults with diabetes mellitus (DM) registered at a Basic Family Health Unit, using sociodemographic profile, health conditions and lifestyle. Method: A descriptive, cross-sectional study was carried out with 70 older adults in the city of Jijoca de Jericoacoara, Ceará, Brazil. Data were gathered from questionnaires on sociodemographic conditions, health and individual lifestyle profile, and were submitted to descriptive statistics techniques, and the results presented in tables. Results: The predominance of women was three times greater than men (52=74%); the mean age was 71.19 years (±7.12); the number of married people was higher than the other categories (44=62.8%); the vast majority of the sample received a pension equivalent to the minimum wage as a rural worker (64=91%); and just over half declared themselves to be literate (36=51.4%). In terms of health conditions, the majority (56=80%) had had DM for more than 10 years, although they considered their health status to be satisfactory (40=57.14%). Among the main complications were hypertension (n=53; 75.71%), muscle and joint pain (n=43; 61.43%) and hearing loss (48=68.57%). Conclusion: The present study provided indicators for the planning and execution of educational actions, based on interprofessional collaboration aimed at the promotion of health.
DOI: 10.6084/m9.figshare.14289871.v1
title: Double incontinence: associated factors and impact on the quality of life of women attended at a health referral service

description: Abstract Objective: To evaluate the prevalence, associated factors, and impact on quality of life of double incontinence in a group of women with urinary incontinence. Method: A cross-sectional study was performed, including female patients with urinary or double incontinence (urinary and fecal incontinence) treated at a tertiary hospital from the public healthcare system. Information about sociodemographic and clinical characteristics was collected, and quality of life was assessed using validated questionnaires. The Mann-Whitney, Chi-square, and Fisher tests were used to evaluate the association between the variables and the types of dysfunction (urinary or double incontinence) and a worse general health perception. Results: Of 227 incontinent women included in the study, 120 (52,9%) were older individuals. The prevalence of double incontinence was 14.1% (32 patients). Double incontinence was associated with a higher number of comorbidities (p-value=0.04), polypharmacy (p-value=0.04), and rectocele (p-valor=0.02). Higher BMI (p-value=0.02) and number of comorbidities (p-value=0.05), but not double incontinence (p-value=0.36), were associated with low general health perception scores. Conclusion: the prevalence of double incontinence was different from other studies conducted in similar scenarios. The group of women included in the study presented low general health perception scores, but this was not associated with the presence of double incontinence. A higher number of comorbidities was associated with both double incontinence and a lower general health perception.
DOI: 10.6084/m9.figshare.14289875
title: Mobile Care System for Older Adults: perceptions about its use in caring for people with dementia

description: Abstract Objective: To analyze the perceptions of caregivers and health professionals about a mobile application used for the caring and social support of people with dementia. Method: A qualitative study was performed on the experience of implementing a Mobile Care System for Older Adults (Sistema Móvel de Assistência ao Idoso, SMAI) in the routine of caregivers of people with dementia, treated at an outpatient clinic for cognitive disorders. Data were obtained through the application of questionnaires about the characteristics of caregivers and the Zarit scale to assess the level of burden. An Activities of Daily Living Questionnaire (ADLQ) was applied for functional evaluation. The perception of caregivers and professionals were collected through the audio recording of focus groups and analyzed according to the thematic-categorical analysis technique. Results: Twenty caregivers and five health professionals participated in the focus groups. Categories that emerged from the study revealed themes related to users’ experiences, communication, medication management, feelings of caregivers, patient management strategies, impact of dementia on caregivers’ lives, illness of caregivers and application evaluation. Conclusion: Interventions using mobile applications can help improve communication and social support in the care of dementia. The experience with the SMAI and its applications represented an innovative opportunity for both family caregivers and healthcare professionals.