Incidence and predictive factors of falls in community-dwelling elderly: a longitudinal study. / Incidência e fatores preditivos de quedas em idosos na comunidade: um estudo longitudinal.

This study aimed to estimate the incidence of falls among the elderly and to determine the predictive factors of falls and recurrent falls. This is a longitudinal study (2014-2016) conducted with 345 elderly in the urban area of Uberaba-MG. A structured tool related to socioeconomic data and occurrence of falls, Katz and Lawton-Brody Scales, the Short Physical Performance Battery (SPPB) and Falls Efficacy Scale-International (FES-I) Brazil were used. The multinomial logistic regression analysis was performed (p < 0.05). The incidence of falls in the follow-up period was 37.1%, with 20% recurrent falls and 17.1% single-event falls. The final model showed that the increase in one SPPB unit decreased by approximately 15% and 17%, respectively, the probability of falls and recurrent falls. The highest FES-I Brazil score was associated with a higher occurrence of recurrent falls. The results found on the occurrence of falls and recurrent falls and their association with worse physical performance and fear of falling provide subsidies for actions directed to the monitoring and control of the interfering factors.

Objetivou-se estimar a incidência de quedas entre os idosos e determinar os fatores preditivos de quedas e quedas recorrentes. Estudo longitudinal (2014-2016) conduzido com 345 idosos da área urbana em Uberaba-MG. Utilizou-se: instrumento estruturado referente aos dados socioeconômicos e à ocorrência de quedas; Escalas de Katz e Lawton e Brody; Short Physical Performance Battery (SPPB) e Falls Efficacy Scale-International (FES-I) Brasil. Procedeu-se à análise de regressão logística multinomial (p < 0,05). A incidência de quedas no período de acompanhamento representou 37,1%, sendo 20% recorrentes e 17,1% em um único evento. O modelo final indicou que o aumento em uma unidade do SPPB diminuiu em aproximadamente 15% e 17%, respectivamente, a chance de quedas e quedas recorrentes. O maior escore da FES-I Brasil associou-se à maior ocorrência de quedas recorrentes. Os resultados encontrados sobre a ocorrência de quedas e quedas recorrentes e sua associação com pior desempenho físico e ao medo de cair fornecem subsídios para ações direcionadas ao monitoramento e controle dos fatores interferentes.

Incidência e fatores preditivos de quedas em idosos na comunidade: um estudo longitudinal / Incidence and predictive factors of falls in community-dwelling elderly: a longitudinal study

Resumo Objetivou-se estimar a incidência de quedas entre os idosos e determinar os fatores preditivos de quedas e quedas recorrentes. Estudo longitudinal (2014-2016) conduzido com 345 idosos da área urbana em Uberaba-MG. Utilizou-se: instrumento estruturado referente aos dados socioeconômicos e à ocorrência de quedas; Escalas de Katz e Lawton e Brody; Short Physical Performance Battery (SPPB) e Falls Efficacy Scale-International (FES-I) Brasil. Procedeu-se à análise de regressão logística multinomial (p < 0,05). A incidência de quedas no período de acompanhamento representou 37,1%, sendo 20% recorrentes e 17,1% em um único evento. O modelo final indicou que o aumento em uma unidade do SPPB diminuiu em aproximadamente 15% e 17%, respectivamente, a chance de quedas e quedas recorrentes. O maior escore da FES-I Brasil associou-se à maior ocorrência de quedas recorrentes. Os resultados encontrados sobre a ocorrência de quedas e quedas recorrentes e sua associação com pior desempenho físico e ao medo de cair fornecem subsídios para ações direcionadas ao monitoramento e controle dos fatores interferentes.

Abstract This study aimed to estimate the incidence of falls among the elderly and to determine the predictive factors of falls and recurrent falls. This is a longitudinal study (2014-2016) conducted with 345 elderly in the urban area of Uberaba-MG. A structured tool related to socioeconomic data and occurrence of falls, Katz and Lawton-Brody Scales, the Short Physical Performance Battery (SPPB) and Falls Efficacy Scale-International (FES-I) Brazil were used. The multinomial logistic regression analysis was performed (p < 0.05). The incidence of falls in the follow-up period was 37.1%, with 20% recurrent falls and 17.1% single-event falls. The final model showed that the increase in one SPPB unit decreased by approximately 15% and 17%, respectively, the probability of falls and recurrent falls. The highest FES-I Brazil score was associated with a higher occurrence of recurrent falls. The results found on the occurrence of falls and recurrent falls and their association with worse physical performance and fear of falling provide subsidies for actions directed to the monitoring and control of the interfering factors.

Factors associated with quality of life among the elderly in the community of the southern triangle macro-region, Minas Gerais, Brazil. / Fatores associados à qualidade de vida de idosos comunitários da macrorregião do Triângulo do Sul, Minas Gerais, Brasil.

This study sought to establish the socioeconomic and health factors associated with quality of life among the elderly in the community. An analytical study with a cross-sectional and quantitative approach was conducted in 2012 and 2013 with 3430 senior citizens in 24 municipalities in the Southern Triangle Macro-region of the State of Minas Gerais in Brazil. A structured questionnaire was used for socioeconomic and health variables, as well as the Katz scale, the World Health Organization Quality of Life-Bref (WHOQOL-BREF) and the World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). Descriptive, bivariate statistical analysis was performed and a multiple linear regression model (p < 0.05) was created. Lower quality of life (QoL) scores were found in the environment and autonomy domains associated with advanced age, lack of schooling and income, a negative perception of health and functional disability. The salient key factor was negative health perception. The conclusion drawn was that socioeconomic and health factors were associated with the quality of life of the elderly, highlighting the lowest scores in the environmental domain and from the aspect of autonomy, a key influencing factor being negative health perception.

Quality of life and self-esteem among the elderly in the community. / Qualidade de vida e autoestima de idosos na comunidade.

This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.

Fatores associados à qualidade de vida de idosos comunitários da macrorregião do Triângulo do Sul, Minas Gerais, Brasil / Factors associated with quality of life among the elderly in the community of the southern triangle macro-region, Minas Gerais, Brazil

Resumo Objetivou-se verificar os fatores socioeconômicos e de saúde associados à qualidade de vida de idosos comunitários. Estudo analítico de corte transversal e quantitativo conduzido entre os anos de 2012 e 2013 com amostra de 3430 idosos residentes em 24 municípios da Macrorregião do Triângulo Sul, MG. Foi utilizado questionário estruturado para variáveis socioeconômicas e de saúde, Escala de Katz e os instrumentos World Health Organization Quality of Life-Bref (WHOQOL-BREF), World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). Procederam-se às análises estatísticas descritiva, bivariada e modelo de regressão linear múltipla (p < 0,05). Constatou-se menores escores de qualidade de vida no domínio meio ambiente associados à ausência de escolaridade e renda, percepção de saúde negativa e incapacidade funcional; e na faceta autonomia à maior idade, ausência de escolaridade, percepção de saúde negativa e incapacidade funcional. O preditor que exerceu maior influência foi a percepção de saúde negativa. Conclui-se que os fatores socioeconômicos e de saúde foram associados à qualidade de vida de idosos, com destaque para os menores escores no domínio meio ambiente e na faceta autonomia e maior influência do preditor percepção de saúde negativa.

Abstract This study sought to establish the socioeconomic and health factors associated with quality of life among the elderly in the community. An analytical study with a cross-sectional and quantitative approach was conducted in 2012 and 2013 with 3430 senior citizens in 24 municipalities in the Southern Triangle Macro-region of the State of Minas Gerais in Brazil. A structured questionnaire was used for socioeconomic and health variables, as well as the Katz scale, the World Health Organization Quality of Life-Bref (WHOQOL-BREF) and the World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). Descriptive, bivariate statistical analysis was performed and a multiple linear regression model (p < 0.05) was created. Lower quality of life (QoL) scores were found in the environment and autonomy domains associated with advanced age, lack of schooling and income, a negative perception of health and functional disability. The salient key factor was negative health perception. The conclusion drawn was that socioeconomic and health factors were associated with the quality of life of the elderly, highlighting the lowest scores in the environmental domain and from the aspect of autonomy, a key influencing factor being negative health perception.

Qualidade de vida e autoestima de idosos na comunidade / Quality of life and self-esteem among the elderly in the community

Resumo Objetivou-se verificar a associação entre os escores de qualidade de vida e autoestima em idosos na comunidade. Inquérito domiciliar, transversal, observacional e analítico, conduzido com 1.691 idosos residentes em área urbana de um município no interior de Minas Gerais. Foram utilizados os instrumentos World Health Organization Quality of Life Bref (Whoqol-Bref), World Health Organization Quality of Life Old (Whoqol-Old) e a Escala de Autoestima de Rosenberg. Procedeu-se à análise estatística descritiva e modelo de regressão linear (p < 0,05). Constatou-se que o domínio relações sociais (71,19) e a faceta morte e morrer (74,30) apresentaram os maiores escores médios entre os idosos; enquanto os menores foram observados no domínio meio ambiente (60,39) e na faceta participação social (63,06). Os escores de autoestima apresentaram média de 9,36 ± 4,09. Os menores escores de qualidade de vida em todos os domínios do Whoqol-Bref e das facetas do Whoqol-Old (exceto morte e morrer) associaram-se com os piores níveis de autoestima (p < 0,001). Os resultados encontrados fornecem informações para a elaboração de ações em saúde a partir da compreensão dos aspectos que influenciam na QV de idosos devido à redução da autoestima.

Abstract This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.