Projeto SC 100: qualidade de vida, atividades físicas e de lazer de idosos centenários de Santa Catarina / SC 100 project: quality of life, physical and leisure activities for centenarians in Santa Catarina

SC 100 Estudo Multidimensional dos Centenários de Santa Catarina. Objetivo: analisar as percepções de qualidade de vida de idosos centenários mediante atividades físicas e lazer. N: 124. Critérios de inclusão: cognição preservada e utilizar pedômetro por 7 dias. n:17, média de idade 101,53 (DP=2,00, (ativos ≥1000 e insuficientemente ativos ≤999, passos/semanais). Foram realizadas entrevista e análise de conteúdo sobre atividades de lazer e qualidade de vida. 10 centenários ativos e sete insuficientemente ativos. Lazer: assistir televisão (n=9), insuficientemente ativos (n=6) e ativo (n=3). Insuficientemente ativos e suas atividades de lazer: assistir televisão, escutar rádio e música, ler e jogar baralho. Ativos: visitar familiares, jardinagem, dançar, ir à igreja e cavalgar. Centenários com cognição preservada e ativos apresentam um lazer fora do ambiente domiciliar e maiores relações sociais.

SC 100 Multidimensional Study of the Centenarians of Santa Catarina. Objective: to analyze the perceptions of quality of life of centenarians through physical activities and leisure. N: 124. Inclusion criteria: cognition preserved and using a pedometer for 7 days. n:17, mean age 101.53 (SD=2.00, (active ≥1000 and insufficiently active ≤999, steps/week). Interview and content analysis were performed on leisure activities and quality of life. 10 centenarians active and seven insufficiently active Leisure: watching television (n=9), insufficiently active (n=6) and active (n=3) Insufficiently active and their leisure activities: watching television, listening to the radio and music, reading and playing playing cards Active: visiting family members, gardening, dancing, going to church and horseback riding Centenarians with preserved cognition and active have leisure outside the home environment and greater social relationships.

Comparação entre os domínios da função cognitiva e a capacidade funcional de centenários / Relationship between the domains of cognitive function and functional capacity in centenarians

Objetivo: Comparar os domínios da função cognitiva com a capacidade funcional para as atividades básicas de vida diária de centenários. Métodos: Trata-se de um estudo descritivo com 66 idosos com 100 anos ou mais de idade, 45 do sexo feminino e 21 do masculino, com média de idade 102,14 ± 2,71 anos, residentes na Grande Florianópolis/SC. Foram avaliados os domínios da função cognitiva (Mini Exame do Estado Mental- MEEM) e a capacidade funcional (escala de Katz) dos centenários. Os dados foram tratados por meio do Kruskal-Wallis e o post hoc de Bonferroni, com nível de significância de 5%. Também analisou-se com o modelo de regressão multinominal, com intervalo de confiança de 95%. Resultados: Houve diferença significativa entre os centenários MF (Mais Funcional) e Mf (Menos Funcional) em todos os domínios do MEEM: orientação temporal (p<0,001), orientação espacial (p<0,002), memória imediata (p<0,001), atenção e cálculo (p<0,013), memória e evocação (p<0,012) e linguagem (p<0,001) e, os Mf e com FI nos domínios do MEEM memória imediata (p<0,004) e linguagem (p<0,004). Conclusão: Os domínios da função cognitiva estão relacionados à capacidade funcional, ou seja, centenários que apresentam uma boa funcionalidade nas atividades da vida diária básica, possuem uma boa função cognitiva, no que diz respeito a orientação temporal e espacial, memória, cálculo, evocação e linguagem.

Objective: To verify the relationship between the domains of cognitive function and functional capacity for basic activities of daily living in centenarians. Methods: This is a descriptive study with 66 elderly aged 100 years or more, 45 females and 21 males, mean age 102.14 ± 2.71 years, residents in Greater Florianópolis/SC. The domains of cognitive function (Mini Mental State Examination - MMSE) and functional capacity (Katz scale) of the centenarians were evaluated. The data were treated by Kruskal-Wallis and Bonferroni post hoc, with a 5% significance level. Results: There was significant difference between MF and Mf centenarians in all domains of MMSE: temporal orientation (p<0.001), spatial orientation (p<0.002), immediate memory (p<0.001), attention and calculation (p<0.013), memory and recall (p<0.012) and language (p<0.001) and, Mf (More Functional) and with FI (Less Functional) in the domains of MMSE immediate memory (p<0.004) and language (p<0.004). Conclusion: the domains of cognitive function are related to functional capacity, that is, centenarians who have good functionality have good cognitive function, with respect to temporal and spatial orientation, memory, calculation, evocation and language.

Frailty and physical activity in centenarians: a systematic review

There is a lack of studies evaluating frailty and physical activity in people aged 100 years or older. This review aimed to synthesize the evidence on frailty and physical activity in centenarians. A systematic review was conducted according to the PRISMA guidelines. We searched the PubMed, CINAHL, SCOPUS, Web of Science, and Lilacs databases for articles published until 18 June 2020. This review was registered with PROSPERO (CRD42020162913). Five studies were included in this review according to the eligibility and exclusion criteria. In summary, the reviewed studies show that centenarians are fragile and that frailty increases with age; however, women are frailer than men. The most common frailty criteria were low physical activity level (78% to 72.5%), muscle weakness (84.2% to 66%), and slow walking speed (77.6% to 48.4%). Most centenarians perform less exercise than younger older adults, have a low physical activity level, live in nursing homes, and exhibit functional disability. Regarding the methodological quality of the studies, one article was classified as regular and the other four as poor. Frailty and a low physical activity level are common in centenarians. Experimental studies with better methodological quality are necessary to better understand the causal relationship between variables.

Sintomas depressivos e perspectivas de vida, mediante o nível de atividade física de centenários / Depressive symptoms and perspectives of life, according to the level of physical activity of centennials

Este estudo tem como objetivo descrever as características dos centenários quanto aos sintomas depressivos e as perspectivas futuras de vida, mediante ao nível de atividade física. É de cunho descritivo qualitativo, constituído por 20 centenários com cognição preservada, residentes em Santa Catarina. Foi aplicado aos idosos a Escala de Depressão Geriátrica (GDS-15) para verificar os sintomas depressivos, com perguntas abertas quanto as perspectivas futuras de vida e o pedômetro para verificar o nível de AF. Os dados foram analisados por meio de estatística descritiva. Percebe-se que a heterogeneidade no número de passos e média geral de sintomas depressivos é baixa (4,3 ± 3,02). A maioria atribuiu sua perspectiva de quantos anos quer viver a Deus, alguns querem viver somente com saúde e outros não querem mais viver. Conclui-se que a AF não influencia os idosos na percepção de quantos anos querem viver, porém faz diferença na suspeita de depressão.

This study aims to describe the characteristics of centenarians in terms of depressive symptoms and future life prospects, according to the level of physical activity. It is of a qualitative descriptive nature, consisting of 20 centenarians with preserved cognition, residing in Santa Catarina. The Geriatric Depression Scale (GDS-15) was applied to the elderly to check depressive symptoms, with open questions about future life prospects and the pedometer to check the level of PA. The data were analyzed using descriptive statistics. It is noticed that the heterogeneity in the number of steps and the general average of depressive symptoms is low (4.3 ± 3.02). Most attributed their perspective of how old they want to live to God, some want to live only in health and others do not want to live anymore. It is concluded that PA does not influence the elderly in the perception of how many years they want to live, but it does make a difference in the suspicion of depression.

Centenarian caregivers: perception of burden, sociodemographic data and physical activity

This study aimed to understand centenarian caregivers' perception of care burden according to sociodemographic characteristics and physical activity level. This is a descriptive study that used a mixed data (quantitative and qualitative) approach. Sixty-seven caregivers of centenarians from municipalities in Santa Catarina participated in this study. Interviews were held for application of questions about sociodemographic data, transport-related and leisure-time physical activity, caregiver burden, and suggestions for improving care. The data were collected in the centenarian's home where the caregiver worked. Quantitative data were analyzed using descriptive and inferential statistics and qualitative data by content analysis. The results showed that 58.2% of the caregivers were overburdened. Of these, 92.3% were females, 56.4% were 60-75 years old, 48.7% had 7 to 11 years of schooling, 53.8% were married, 66.7% were children of centenarians, the caregiving duration ranged from 1 to 5 years in 35.9%, and 69.2% cared for the older adult 24 hours/day. There was a statistically significant difference (p = 0.01) between the level of leisure-time physical activity and caregiving burden, with 64.9% of insufficiently active caregivers tending to be overburdened with the care demand. The suggestions of caregivers for improving centenarian care included having help from health professionals and relatives for care, infrastructure, and financial resources. Most burdened caregivers are insufficiently active and need assistance in taking care of their own health.

Hábitos de lazer e atividade física durante o curso de vida em idosos praticantes de dança / Previous habits physical activity and recreation dance practitioners in the elderly

A dança tem sido uma forte aliada à promoção de saúde, ao propiciar aprendizagem de ritmos variados, o que instiga a participação do público idoso. O objetivo deste estudo foi analisar os hábitos pregressos e atuais de atividade física e de lazer em idosos praticantes de dança de um programa de extensão universitária. Por meio de ficha diagnóstica, entrevista semiestruturada e diário de campo, observou-se que a dança fez parte do curso de vida da maioria dos participantes, apresentando benefícios biopsicossociais nas diferentes fases. Entende-se que a dança pode ser uma atividade física que, praticada ao longo da vida, poderá contribuir para um envelhecimento ativo.

The dance have been considered a strong ally to health promotion, the dance provide learning with varied rhythms and instigate the participation of the elderly public. The aim of this study was to analyze the previous history and current habits of physical activity and leisure in elderly practitioners dance of a university outreach program. For data collection was used diagnosis record, semi-structured interviews and field diary. It was observed that the dance was present in the life course of most participants, with benefits biopsychosocial at different stages. It is understood that the dance, when practiced throughout life, can contribute to active aging.