cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14289917.v1
title: Factors associated to the condition of bedridden in Brazilian old people, results from the National Health Survey, 2013

description: Abstract Objective to identify the factors associated to bedridden condition among Brazilian old people, analyzing socioeconomic and health conditions and the use of health services. Method cross-sectional study, with secondary data from National Health Survey (2013). It counted on the population of individuals ≥60 aged (n=11.177). The bedridden condition was considered a dependent variable and the sociodemographic characteristics, health conditions and use of medical services as independent. Crude and adjusted logistic regression analyses were performed and reported crude and Adjusted Odds Ratio (ORadjusted), with 95% confidence interval (95%CI). Results It was found that 4.9% of the old people were bedridden. This condition was shown to be associated to male gender (ORadjusted=1.45; 95%CI= 1.13-1.84), illiteracy (ORadjusted=1.37 95%CI= 1.11-1.70) and number of chronic diseases, old people who had five chronic diseases were 4.96 (95%CI=2.78-8.85) times more likely than those without disease. The diseases associated to bedridden condition were stroke episode (ORadjusted=3.03; 95%CI=1.29-8.43), diagnosis of systemic arterial hypertension (ORadjusted=1.71; 95%CI=1.31-2.24), changes in cholesterol levels (ORadjusted=2.08; CI95%= 1.37-3.17) and depression (ORadjusted=5.64; 95%CI=2.42-13.14). Still, old people who needed care related to their own health (OR=16.94; 95%CI=7.15-40.16), hospitalization (ORadjusted=8.10; 95%CI=4.20-15.54) and emergency home care in the last 12 months (ORadjusted=1.78; 95%CI=1.25-2.55) and who considered the condition of poor general health (ORadjusted=2.68; 95%CI=2.05-3.51) were more likely to be bedridden. Conclusion This study allowed the identification of important factors associated with the bedridden condition of Brazilian old people, with emphasis on gender and education, the clinical variables of chronic diseases, and the more frequent use of health services.
DOI: 10.6084/m9.figshare.14289920
title: Influence of physical rehabilitation on functional aspects in individuals submitted to total hip arthroplasty: a systematic review

description: Abstract Objective: by performing a systematic review, the present study aimed to evaluate the influence of physical rehabilitation on functionality, range of motion and musculoskeletal strength in patients submitted to total hip arthroplasty due to osteoarthritis. Methods: a systematic search for randomized and non-randomized controlled trials was conducted using the PubMed, Web of Science, PEDro, Cochrane, Clinical Trials and SciELO electronic databases, using the search strategies recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: in general, protocols supervised by physiotherapists associated with performing active exercises of the hip periarticular muscles and knee extensors have provided effective functional prognosis. High intensity resistance exercises (dynamic and isometric) are more effective in improving functionality. Dynamic exercises with three to five sets of eight to twelve low and high intensity repetitions promoted more pronounced increases in muscle strength and range of motion than other therapeutic modalities. Conclusions: the techniques and protocols used for physical therapy treatment after THA are wide-ranging and their clinical efficacy is demonstrated in literature.
DOI: 10.6084/m9.figshare.14289920.v1
title: Influence of physical rehabilitation on functional aspects in individuals submitted to total hip arthroplasty: a systematic review

description: Abstract Objective: by performing a systematic review, the present study aimed to evaluate the influence of physical rehabilitation on functionality, range of motion and musculoskeletal strength in patients submitted to total hip arthroplasty due to osteoarthritis. Methods: a systematic search for randomized and non-randomized controlled trials was conducted using the PubMed, Web of Science, PEDro, Cochrane, Clinical Trials and SciELO electronic databases, using the search strategies recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: in general, protocols supervised by physiotherapists associated with performing active exercises of the hip periarticular muscles and knee extensors have provided effective functional prognosis. High intensity resistance exercises (dynamic and isometric) are more effective in improving functionality. Dynamic exercises with three to five sets of eight to twelve low and high intensity repetitions promoted more pronounced increases in muscle strength and range of motion than other therapeutic modalities. Conclusions: the techniques and protocols used for physical therapy treatment after THA are wide-ranging and their clinical efficacy is demonstrated in literature.
DOI: 10.6084/m9.figshare.14289925
title: Chronic pain in older adults and direct and indirect associations with sociodemographic and health-related characteristics: a path analysis

description: Abstract Objective Identify the prevalence of chronic pain in individuals older than 70 years of age and identify relations between chronic pain and both sociodemographic and health-related characteristics to determine the role of chronic pain as a mediator between these variables in relation to self-rated health. Methods A cross-sectional study was conducted with 419 individuals aged 72 years and older, between the years of 2016 and 2017. The participants were from the follow-up of the FIBRA Study, which included non-institutionalized older adults living in urban areas of the cities of Campinas and Ermelino Matarazzo in the state of São Paulo, Brazil. The mediating variable was chronic pain, which was assessed by the self-report of the presence of pain in the previous six months. The independent variables were sociodemographic characteristics, health-related behaviors, multimorbidity, depressive symptoms, insomnia and self-rated health. Direct and indirect relations were tested using path analysis. Results A total of 57.0% of the sample reported chronic pain. The female gender, a high body mass index (BMI), multimorbidity, insomnia, and depressive symptoms were directly associated with chronic pain. Chronic pain figured as a mediator variable in the associations between self-rated health and gender, BMI, multimorbidity, and symptoms of insomnia. Conclusion Data demonstrate a complex network of interactions between chronic pain and both sociodemographic and health-related characteristics. Such knowledge can benefit the management and care of the older adults affected with chronic pain.
DOI: 10.6084/m9.figshare.14289926
title: Comparison between two therapeutic modalities on postural balance and fear of falling in postmenopausal women: a randomized and controlled clinical trial

description: Abstract To compare the effects of Pilates vs. whole body vibration (WBV) and no treatment controls on postural balance and fear of falling in postmenopausal women. Method: Single-blind randomized clinical trial, with 51 participants randomized into three groups (Pilates, WBV, or control). Evaluations were performed of static postural balance on a force platform, dynamic postural balance by the Timed Up & Go test, and fear of falling by the Falls Efficacy Scale-International (FES-I). Pilates and WBV were performed three times a week for six months. Results: After the intervention, no difference (p&gt;0.05) was observed for static postural balance, however, for the majority of variables, Pilates and WBV demonstrated a large effect size (d&gt;0.80) when compared to control. For dynamic postural balance and risk of falls, Pilates and WBV showed a significant (p=0.032) improvement compared to the control. Fear of falling did not change (p=0.055) between groups over time. Conclusion: In view of the clinical representativeness evidenced by the effect sizes, Pilates and WBV can be recommended to improve postural balance in postmenopausal women. However, in relation to fear of falling, these therapeutic modalities require further investigation.
DOI: 10.6084/m9.figshare.14289925.v1
title: Chronic pain in older adults and direct and indirect associations with sociodemographic and health-related characteristics: a path analysis

description: Abstract Objective Identify the prevalence of chronic pain in individuals older than 70 years of age and identify relations between chronic pain and both sociodemographic and health-related characteristics to determine the role of chronic pain as a mediator between these variables in relation to self-rated health. Methods A cross-sectional study was conducted with 419 individuals aged 72 years and older, between the years of 2016 and 2017. The participants were from the follow-up of the FIBRA Study, which included non-institutionalized older adults living in urban areas of the cities of Campinas and Ermelino Matarazzo in the state of São Paulo, Brazil. The mediating variable was chronic pain, which was assessed by the self-report of the presence of pain in the previous six months. The independent variables were sociodemographic characteristics, health-related behaviors, multimorbidity, depressive symptoms, insomnia and self-rated health. Direct and indirect relations were tested using path analysis. Results A total of 57.0% of the sample reported chronic pain. The female gender, a high body mass index (BMI), multimorbidity, insomnia, and depressive symptoms were directly associated with chronic pain. Chronic pain figured as a mediator variable in the associations between self-rated health and gender, BMI, multimorbidity, and symptoms of insomnia. Conclusion Data demonstrate a complex network of interactions between chronic pain and both sociodemographic and health-related characteristics. Such knowledge can benefit the management and care of the older adults affected with chronic pain.
DOI: 10.6084/m9.figshare.14289928
title: Inadequate knowledge of prescription drugs and their predictors in very old patients and their caregivers

description: Abstract Objective Identify predictors of inadequate knowledge about the medication prescribed to very old outpatients and their caregivers. Method The knowledge on the medication prescribed for 80 patients aged 80 years and over was assessed using a validated questionnaire to interview patients or their caregivers (when patients had communication difficulties, dementia, or any need for care to help them take the medication). Two hierarchical logistic regression models assessed the association between inadequate knowledge of the medication and sociodemographic and drug variables. Results Thirty-nine (48.8%) respondents were caregivers. Inadequate knowledge was found in 81.5% (404/496) of medication prescribed. Route of Administration, Dose, Frequency, and Duration of Treatment were the aspects of greatest knowledge, whereas Adverse Effects, Precautions, Interactions, and Contraindications were the least known ones. In the first model, inadequate knowledge was associated to the level of education from complete elementary school to incomplete high school (Odds Ratio (OR): 0.12; p=0.018), from high school to incomplete higher education (OR: 0.12; p&lt;0.001), complete higher education (OR: 0.13; p&lt;0.001), agents acting on the renin-angiotensin system (RAS) (OR: 0.30; p=0.001), diuretics (OR: 0.31; p=0.013) and antithrombotic (OR: 12.59; p=0.027). In the second model, the predictors were caregivers (OR: 0.17; p&lt;0.001), agents working in the RAS (OR: 0.33; p=0.002), diuretics (OR: 0.35; p=0.024) and antithrombotic (OR: 12.57; p=0.026). Conclusion Most of the medication prescribed for very old people is not very well known. Also, advice on drug information should be more intensive to patients than to their caregivers, with a focus on safety information and targeted at antithrombotics.
DOI: 10.6084/m9.figshare.14289928.v1
title: Inadequate knowledge of prescription drugs and their predictors in very old patients and their caregivers

description: Abstract Objective Identify predictors of inadequate knowledge about the medication prescribed to very old outpatients and their caregivers. Method The knowledge on the medication prescribed for 80 patients aged 80 years and over was assessed using a validated questionnaire to interview patients or their caregivers (when patients had communication difficulties, dementia, or any need for care to help them take the medication). Two hierarchical logistic regression models assessed the association between inadequate knowledge of the medication and sociodemographic and drug variables. Results Thirty-nine (48.8%) respondents were caregivers. Inadequate knowledge was found in 81.5% (404/496) of medication prescribed. Route of Administration, Dose, Frequency, and Duration of Treatment were the aspects of greatest knowledge, whereas Adverse Effects, Precautions, Interactions, and Contraindications were the least known ones. In the first model, inadequate knowledge was associated to the level of education from complete elementary school to incomplete high school (Odds Ratio (OR): 0.12; p=0.018), from high school to incomplete higher education (OR: 0.12; p&lt;0.001), complete higher education (OR: 0.13; p&lt;0.001), agents acting on the renin-angiotensin system (RAS) (OR: 0.30; p=0.001), diuretics (OR: 0.31; p=0.013) and antithrombotic (OR: 12.59; p=0.027). In the second model, the predictors were caregivers (OR: 0.17; p&lt;0.001), agents working in the RAS (OR: 0.33; p=0.002), diuretics (OR: 0.35; p=0.024) and antithrombotic (OR: 12.57; p=0.026). Conclusion Most of the medication prescribed for very old people is not very well known. Also, advice on drug information should be more intensive to patients than to their caregivers, with a focus on safety information and targeted at antithrombotics.
DOI: 10.6084/m9.figshare.14289922.v1
title: Influence of obesity on criteria for classification of sarcopenia in old people

description: Abstract Objective to identify the prevalence of sarcopenic obesity in old residents in the community and to analyze the relation between obesity and the sarcopenia classification criteria. Method This is an analytical cross-sectional study linked to the project “Comprehensive Health Care for the Old People”. The assessment of sarcopenia was carried out using the criteria of the European Sarcopenia Consensus. For the classification of the old people as sarcopenic obese, we considered as likely sarcopenic, sarcopenic, or severe sarcopenic associated with a fat percentage &gt;27% for men and &gt;38% for women. The data were analyzed using bivariate statistics and a linear regression model. Results from a sample of 209 community-dwelling old people, a prevalence of 23,9% of sarcopenia, 28,2% of obesity and 4,3% of sarcopenic obesity was found. Still, it can be observed that men had a higher prevalence of sarcopenia (p=0,006) and obesity (p=0,005) than women; the obese had a lower prevalence of muscle mass loss than the non-obese old people (p&lt;0,001); and the obese showed an increase in muscle strength (p=0,003) and muscle mass (p&lt;0,001) in relation to the non-obese, even when adjusted for gender, age group, multicomorbidities, and functional capacity. Conclusion taking into account the prevalence of sarcopenic obesity in the population studied and the positive influence of obesity in the prediction of strength and muscle mass, the importance of multidimensional assessment of the old people is highlighted, in order to ascertain the real need for interventions for weight loss, with the aim of preventing strength and muscle mass loss.
DOI: 10.6084/m9.figshare.14289926.v1
title: Comparison between two therapeutic modalities on postural balance and fear of falling in postmenopausal women: a randomized and controlled clinical trial

description: Abstract To compare the effects of Pilates vs. whole body vibration (WBV) and no treatment controls on postural balance and fear of falling in postmenopausal women. Method: Single-blind randomized clinical trial, with 51 participants randomized into three groups (Pilates, WBV, or control). Evaluations were performed of static postural balance on a force platform, dynamic postural balance by the Timed Up & Go test, and fear of falling by the Falls Efficacy Scale-International (FES-I). Pilates and WBV were performed three times a week for six months. Results: After the intervention, no difference (p&gt;0.05) was observed for static postural balance, however, for the majority of variables, Pilates and WBV demonstrated a large effect size (d&gt;0.80) when compared to control. For dynamic postural balance and risk of falls, Pilates and WBV showed a significant (p=0.032) improvement compared to the control. Fear of falling did not change (p=0.055) between groups over time. Conclusion: In view of the clinical representativeness evidenced by the effect sizes, Pilates and WBV can be recommended to improve postural balance in postmenopausal women. However, in relation to fear of falling, these therapeutic modalities require further investigation.
DOI: 10.6084/m9.figshare.14289932
title: Uncontrolled blood pressure among hypertensive old people assisted in Primary Health Care

description: Abstract Objective To investigate the prevalence of uncontrolled blood pressure (BP) and associated factors in hypertensive old people assisted by the Family Health Strategy in a municipality in Piauí, Brazil. Method Cross-sectional study conducted with 384 hypertensive old people, selected by random sampling. A questionnaire included questions about sociodemographic aspects, health behaviors, the presence of comorbidities and treatment for hypertension. BP was measured using digital devices. To test the association between the independent variables (gender, age, education, alcohol consumption, smoking, presence of other diseases, adherence to drug treatment, and others factors) and uncontrolled BP, Poisson regressions with robust variance were performed in order to estimate the prevalence ratio (PR) and 95% confidence intervals (CI). Results The prevalence of uncontrolled BP was 61.7% and 51.8% had low adherence to antihypertensive medication. The prevalence of uncontrolled BP was higher among participants with low medication adherence (PR=2.41; 95% CI: 1.96-2.97) when compared to those with high adherence. Statistically significant associations were not maintained for the other variables. Conclusion The findings highlight the high prevalence of uncontrolled BP among hypertensive old people and the strong association between uncontrolled BP and low adherence to treatment. Efficient interventions for better control of hypertension continue to be necessary, as well as strategies for the adequate management of the disease in the scope of primary care, from prevention actions to appropriate treatment plans for each individual.
DOI: 10.6084/m9.figshare.14289931
title: Immediate effect of rhythmic auditory stimulation on the spatio-temporal parameters of gait in old people: a pilot study

description: Abstract Objectives Evaluate the immediate effect of rhythmic auditory stimulation (RAS) with music on the spatio-temporal parameters of gait in sedentary old people and analyze possible interactions with episodes of falls. Methods Pilot intervention study with sedentary old people (n= 15), age ≥60 years, both sexes, independent in gait. Additionally, participants were divided into two groups, fallers (n= 5) and non-fallers (n= 10), based on the history of falls in the last year. The evaluation of the spatio-temporal parameters of the gait was performed using the 10-meter walk test performed with free walking (T0), repeated with RAS with music (T1), and without RAS again (T2). For data analysis, repeated measures ANOVA and two-way ANOVA were used for comparison between groups, with Tukey’s post hoc. The effect size of the intervention was also calculated. Results There was a significant reduction in time and number of steps and an increase in walking speed (p&lt;0.0001; with great effect) between moments T0-T1 and T0-T2. Both the faller and non-fallers groups showed a significant reduction in time and number of steps (p&lt;0.0001) and an increase in speed (p&lt;0.0001), but only in the cadence variable was there an effect of the group and of time and group interaction. Conclusion There was an immediate positive effect of the use of RAS on the space-time parameters of gait in sedentary old people, with a greater effect on the cadence of non-falling old people.
DOI: 10.6084/m9.figshare.14289929
title: Temporal trend of mortality in old people in cities in the state of Acre

description: Abstract Objective To analyze the temporal trend of mortality in the old people population in selected municipalities in the five regional development areas in the state of Acre, Brazil. Method Descriptive, ecological study of time series, which used data from the Mortality Information System (SIM), in which the universe of deaths occurred in old people, recorded in the cities of Acre from 1996 to 2015 was selected. Crude and age-adjusted mortality rates were calculated using the direct method and the world population as a reference. For the analysis of trends, the annual percentage change in mortality was estimated with a 95% confidence level using the Joinpoint Regression Program software. Results The general mortality trend was decreasing in Rio Branco and with fluctuations in the other municipalities investigated. The main causes of death were diseases of the circulatory, respiratory and neoplasms. In Rio Branco, mortality rates standardized by age in diseases of the circulatory system decreased by 2.26% (p&lt;0.001) per year and neoplasms showed an increasing and constant trend with an annual variation of 1.02% (p=0.010). Conclusion The study showed evidence of epidemiological, geographical and social polarization in the behavior of mortality trends. Rio Branco, the state capital, presented similar patterns to those of the developed Brazilian regions. On the other hand, the other municipalities showed considerable fluctuations in trends that may be related to the high proportion of ill-defined causes. These findings can assist in the planning of strategic actions and hypothesis suggestions for further studies.
DOI: 10.6084/m9.figshare.14289929.v1
title: Temporal trend of mortality in old people in cities in the state of Acre

description: Abstract Objective To analyze the temporal trend of mortality in the old people population in selected municipalities in the five regional development areas in the state of Acre, Brazil. Method Descriptive, ecological study of time series, which used data from the Mortality Information System (SIM), in which the universe of deaths occurred in old people, recorded in the cities of Acre from 1996 to 2015 was selected. Crude and age-adjusted mortality rates were calculated using the direct method and the world population as a reference. For the analysis of trends, the annual percentage change in mortality was estimated with a 95% confidence level using the Joinpoint Regression Program software. Results The general mortality trend was decreasing in Rio Branco and with fluctuations in the other municipalities investigated. The main causes of death were diseases of the circulatory, respiratory and neoplasms. In Rio Branco, mortality rates standardized by age in diseases of the circulatory system decreased by 2.26% (p&lt;0.001) per year and neoplasms showed an increasing and constant trend with an annual variation of 1.02% (p=0.010). Conclusion The study showed evidence of epidemiological, geographical and social polarization in the behavior of mortality trends. Rio Branco, the state capital, presented similar patterns to those of the developed Brazilian regions. On the other hand, the other municipalities showed considerable fluctuations in trends that may be related to the high proportion of ill-defined causes. These findings can assist in the planning of strategic actions and hypothesis suggestions for further studies.