Carneiro Jair Almeida, Lima Cássio de Almeida, Costa Fernanda Marques da, Caldeira Antônio Prates
Universidade Estadual de Montes Claros. Centro de Ciências Biológicas e da Saúde. Departamento de Saúde Mental e Saúde Coletiva. Montes Claros, MG, Brasil.
Centro Universitário FIPMoc de Montes Claros. Montes Claros, MG, Brasil.
Rev Saude Publica. 2019 Apr 1;53:32. doi: 10.11606/S1518-8787.2019053000829.
To identify the factors associated with the worsening of frailty in older adults resident in the community.
This is a prospective, longitudinal, and analytical study. The data collection in the baseline occurred in the participants' homes from a random sampling by conglomerates. Demographic and socioeconomic variables, morbidities, and use of health services were analyzed. Frailty was measured by the Edmonton Frail Scale. The second data collection was performed after an average period of 42 months. The adjusted prevalence ratios were obtained by multiple Poisson regression analysis with robust variance.
A total of 394 older adults participated in both phases of the study, with 21.8% of them presenting worsening of the frailty condition. The variables that remained statistically associated with the transition to a worse state of frailty were: polypharmacy, negative self-perception of health, weight loss, and hospitalization over the past 12 months.
The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.
确定社区老年居民衰弱状况恶化的相关因素。
这是一项前瞻性、纵向分析研究。基线数据收集通过整群随机抽样在参与者家中进行。分析了人口统计学和社会经济变量、发病率及卫生服务利用情况。衰弱程度采用埃德蒙顿衰弱量表进行测量。第二次数据收集在平均42个月后进行。通过具有稳健方差的多重泊松回归分析获得调整后的患病率比。
共有394名老年人参与了研究的两个阶段，其中21.8%的人衰弱状况恶化。与衰弱状况转变至更差状态仍存在统计学关联的变量有：多重用药、对健康的负面自我认知、体重减轻以及过去12个月内住院治疗。
社区老年人在研究期间衰弱状况恶化的相关因素与医疗保健有关。卫生专业人员在照料衰弱和脆弱的老年人时必须考虑这一结果。
