Faculdade Estácio de Alagoas, Departamento de Enfermagem, Maceió, AL, Brazil.
Universidade Federal de Alagoas, Faculdade de Nutrição, Maceió, AL, Brazil.
Rev Esc Enferm USP. 2023 Dec 22;57:e20230128. doi: 10.1590/1980-220X-REEUSP-2023-0128en. eCollection 2023.
To assess the effect of SARS-CoV-2 infection on the health conditions and functional capacity of older adults living in long-term care units in Maceió City - Alagoas State.
A prospective cohort was conducted with institutionalized older adults of both sexes. Older adults were assessed for clinical conditions (diagnosis of chronic diseases and biochemical tests), functional capacity, and nutritional status. All assessments were repeated on two occasions, maintaining a 6-month interval between them.
The sample was composed of 289 older adults. Of the total, 98 (33.9%) were positive for COVID-19 and eight died (2.8%). Men were more likely to have COVID-19 (OR = 3.50; p < 0.01). It was observed that the disease contributed to increasing the frequency of dependent older adults after six months (OR = 1.38; p-interaction < 0.01). It was also observed that after six months of positive diagnosis for COVID-19, there was greater weight loss (p < 0.01), reduced BMI (p < 0.01), increased mean SBP (p = 0.04), and DBP (p = 0.03).
Effects of COVID-19 in institutionalized older adults go beyond acute complications and compromise blood pressure control, functional capacity, and favor weight loss.
评估 SARS-CoV-2 感染对阿拉戈斯州马塞约市长期护理机构中老年人的健康状况和功能能力的影响。
对机构内的男女老年人进行了前瞻性队列研究。对老年人进行了临床状况评估（慢性病诊断和生化检查）、功能能力和营养状况评估。所有评估均在两次进行，两次之间间隔 6 个月。
该样本由 289 名老年人组成。其中，98 人（33.9%）COVID-19 检测呈阳性，8 人死亡（2.8%）。男性更有可能感染 COVID-19（OR = 3.50；p < 0.01）。观察到该疾病导致 6 个月后依赖老年人的频率增加（OR = 1.38；p-交互 < 0.01）。还观察到 COVID-19 阳性诊断后 6 个月，体重减轻更多（p < 0.01），BMI 降低（p < 0.01），平均 SBP（p = 0.04）和 DBP（p = 0.03）升高。
COVID-19 对机构内老年人的影响不仅限于急性并发症，还会损害血压控制、功能能力，并导致体重减轻。
Zotero 插件