Fatores preditores de quedas em mulheres praticantes de exercício físico

Marcelo de Maio Nascimento

doi:10.5020/18061230.2017.6302

Authors

Marcelo de Maio Nascimento Universidade Federal do Vale do São Francisco http://orcid.org/0000-0002-3577-3439

DOI:

https://doi.org/10.5020/18061230.2017.6302

Keywords:

Accidental Falls, Risk Factors, Aging.

Abstract

Objective: To identify factors associated with the risk of falls in older women engaged in regular physical exercise. Methods: Observational cross-sectional study with a non-probability and intentional sample conducted between April and July 2016 in Petrolina, Pernambuco, with 109 women (60-84 years old) doing Pilates, water aerobics and swimming, with and without history of falls. A questionnaire addressing sociodemographic data, comorbidities and number of medications used was used as the instrument of data collection in addition to Body Mass Index (BMI), gait performance by the Time Up and Go (TUG) test and balance by the Berg Balance Scale (BBS). Data were analyzed using Kruskal Wallis test, Spearman’s correlation and linear regression. Results: A gait performance deficit was observed with advancing age (p<0.05). In the assessment of body balance, octogenarians showed a risk for falling (p<0.05). Logistic regression analysis indicated that the risk of falls was increased by 22% due to attention deficit and by 21% due to daily use of more than three types of medication (p<0.05). Conclusion: Cognitive deficit and the number of medications used were predictors of falls in older women doing regular physical exercise.

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Author Biography

Marcelo de Maio Nascimento, Universidade Federal do Vale do São Francisco

Possui graduação em Licenciatura em Educação Física pela Universidade Federal do Rio Grande do Sul, Mestrado em Ciências do Esporte pela Escola Superior de Educação Física de Colónia/Alemanhae doutorado em Ciências do Esporte pela Escola Superior de Educação Física de Colônia/Alemanha. Atualmente é professor Adjunto II da Universidade Federal do Vale do São Francisco (Univasf), Colegiado de Educação Física.

References

Organizaçao Mundial da Saúde. OMS-Relatório Mundial de Envelhecimento e Saúde. Relatório Mund Envelhec e Saúde. 2015;1:1–29.

Rowe JW, Kahn RL. Successful Aging 2.0: Conceptual Expansions for the 21st Century. Journals Gerontol Ser B Psychol Sci Soc Sci. 2015;70(4):593–6.

WHO-World Health Organisation-European Office. What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls? World Heal Organ. 2004;1(1):28.

Tinetti, ME. Preventing Falls in Elderly Persons. N Engl J Med. 2003;348(1):42–9.

Maia BC, Viana PS, Arantes PMM, Alencar MA. Consequências das quedas em idosos vivendo na comunidade. Rev Bras Geriatr e Gerontol. 2011;14(2):381–93.

Nascimento JS, Mara D. Prevalência e fatores associados a quedas em idosos. Texto Context em Enferm. 2016;25(2):1–9.

Kumar A, Carpenter H, Morris RM, Lifffe SKD. Which factors are associated with fear of falling in community-dwelling older people? Age Ageing. 2014;43(1):76–84.

Costa ICP, Lopes MEL, De Andrade CG, Duarte MCS, Da Costa KC et al. Fatores de Risco de Quedas em Idosos: Produção Científica em Periódicos Online no Âmbito da Saúde. Rev Bras Ciências da Saúde. 2012;16(3):445–52.

Shumway-Cook A, Woollacott M. Controle motor: teoria e aplicações praticas. 2003. 2a ed. Barueri: Manole, pp. 179-208.

Lee HC, Chang KC, Tasauo JY, Hung JW, Huang YC, Lin SI, et al. Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls. Arch Phys Med Rehabil. 2013;94(4):606–15.

Leite LEDA, Resende TDL, Nogueira GM, Da Cruz IBM, Schneider RH, Gottlieb MGV, et al. Envelhecimento, estresse oxidativo e sarcopenia: uma abordagem sistêmica. Rev Bras Geriatr e Gerontol. 2012;15(2):365–80.

Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: A systematic review. Physiother: United Kingdom. 2016;102(1):29–40.

Halvarsson A, Dohrn IM, Stähle A. Taking balance training for older adults one step further: the rationale for and a description of a proven balance training programme. Clin Rehabil. 2015;29(5):417–25.

Gomes GC, Teixeira-Salmela LF, De Freitas FAZ, Fonseca MLM, Pinhero MB, Moraes VADC, et al. Gait performance of the elderly under dual-task conditions: Review of instruments employed and kinematic parameters. Rev Bras Geriatr e Gerontol. 2016;19(1):165–82.

Beard JR, Officer AM, Cassels AK. The world report on ageing and health. Gerontologist. 2016:163-166.

De Oliveira LC, Gonçalves De Oliveira R, De Almeida APO. Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. J Phys Ther Sci. 2015;27:871–6.

De Souza LK, Coelho BS, Freire B, Delevatti RS, Roncada CTC, Tiggemann C, et al. Comparação dos níveis de força e equilíbrio entre idosos praticantes de musculação e de hidroginástica. Rev Bras Atividade Física e Saúde. 2014;19(5):647–55.

Bertollicci PH, Brucki S, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral. Impacto da escolaridade. Arq Neuropsiquiatr. 1994;52(1):1–7.

Brucki SM, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3–B):777–81.

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994;21(1):55–67.

Miyamoto ST, Lombardi I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Brazilian J Med Biol Res. 2004;37(9):1411–21.

Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Heal. 1992;Suppl 2(83):7–11.

Bischoff HA, Stähelin HB, Monsch AU, Iversen MD, Weyh A, Von Dechend M, Theiler R, et al. Identifying a cut-off point for normal mobility: A comparison of the timed “up and go” test in community-dwelling and institutionalised elderly women. Age Ageing. 2003;32(3):315–20.

Plummer P, Zukowski LA, Guiliani C, Hall AM, Zurakowski D. Effects of Physical Exercise Interventions on Gait-Related Dual-Task Interference in Older Adults: A Systematic Review and Meta-Analysis. Gerontology. 2015;62(1):94–117.

Giné-Garriga M, Roqué-Fíguls M, Coll-Planans L, Sitjá-Rabert M, Salvá A. Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: A systematic review and meta-analysis. Arch Phys Med Rehabil. 2014;95(4):753–69.

Orces CH. Prevalence and Determinants of Falls among Older Adults in Ecuador: An Analysis of the SABE I Survey. Curr Gerontol Geriatr Res. 2013;1(1):1–7.

Nascimento JS, Tavares, DMS. Prevalência e fatores associados a quedas em idosos. Texto & Contexto em Enfermagem. 2016;25(2):1-9.

Aecrim JDS, Castro JMDC, Neto RZ, Miranda GM, Alves RN, Borja-Cabrera GP, et al. Avaliação da farmacoterapia empregada em residentes de uma Instituição de Longa Permanência para Idosos. Rev Kaiós Gerontol. 2016;19(3):113–33.

Van Strien AM, Koek HL, Van Marum RJ, Emmelot-Vonk MH. Psychotropic medications, including acting benzodiazepines , strongly increase the frequency of falls in elderly. Maturitas. 2015;74(4):357–62.

Donoghue OA, Cronin H, Savva GM, O`Regan C, Kenny RA. Gait & Posture Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults. Gait Posture. 2013;38(1):120–4.

Diniz AB, Guerra ERFDM, Soares RDM, Mariz JVB, Cattuzzo MT. Avaliação da cognição, atividade física de idosos: Uma revisão crítica. Estudos de Psicologia. 2013;18(2):315-24.

Azadian E, Torbati HRT, Kahkihki ARS, Farahpour N. The effect of dual task and executive training on pattern of gait in older adults with balance impairment: A Randomized controlled trial. Arch Gerontol Geriatr. 2016;62:83–9.

Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: A systematic review. 2016;102(1):29-40.

Shumway-Cook A, Brauer S, Woollacott M. Predicting the Probability for Falls in Community-Dwelling Older Adults Using the Timed Up & Go Test. Phys Ther. 2000;80(9):896–8903.

Taylor ME, Ketels MM, Delbaere K, Lord SR, Mikolaizak AS, Close JCT. Gait impairment and falls in cognitively impaired older adults: An explanatory model of sensorimotor and neuropsychological mediators. Age Ageing. 2012;41(5):665–9.