Indicador de saúde entre idosos ativos e insuficientemente ativos residentes em ¨¢reas rurais / Health indicators among elderly active and insufficiently active residents in rural areas

Modelo do estudo: Estudo transversal. Objetivo do estudo: Analisar a associação entre indicadores de sa¨²de em idosos ativos e insuficientemente ativos. Metodologia: Estudo realizado em indiv¨ªduos com 60 anos ou mais, residentes na ¨¢rea rural de Jequi¨¦ ¨C BA, Brasil, cadastrados no programa Estrat¨¦gia Sa¨²de da Fam¨ªlia do distrito de Itajur¨². Foram analisadas as caracter¨ªsticas sociodemogr¨¢ficas, comportamentais, estado de sa¨²de, hist¨®rico de quedas, estado cognitivo e Índice de Massa Corporal (IMC).Para an¨¢lise dos dados, utilizaram-se procedimentos da estat¨ªstica descritiva, testes Qui-quadrado, teste¡°t¡± para amostras independentes e U de Mann-Whitney (n¨ªvel de significância utilizado pd¡±0,05). Resultados: Foram entrevistados 95 idosos, sendo 55 mulheres e 40 homens com idade entre 60 e 96 anos(73,5 ¡À 9,4). A preval¨ºncia de inatividade f¨ªsica foi de 40%, mostrando-se superior entre os idosos que relataram viver sozinho, que apresentaram d¨¦ficit cognitivo, que não sabiam ler e escrever, e com hist¨®rico de quedas no ¨²ltimo ano. Os idosos mais jovens e com menor IMC eram mais ativos, quando comparados com seus pares. Conclusão: Os idosos que não alcançaram as recomendações de n¨ªveis adequados de atividade f¨ªsica apresentaram condições de sa¨²de mais desfavor¨¢veis. Recomenda-se a implementação de pol¨ªticas p¨²blicas para promoção da atividade f¨ªsica no intuito de melhorar as condições de sa¨²de, em especial os idosos residentes de ¨¢reas rurais...

Study design: cross-sectional study. Study objective: To examine the association between health indicators in active and insufficiently active older adults. Methodology: The study included individuals 60 years or older residing in rural Jequie - BA who were registered in the Family Health Strategy program in the district Itajur¨². Sociodemographic data, behavioral characteristics, health status, history of falls, cognitive status and body mass index (BMI) were analyzed. For data analysis, we used the procedures of descriptive statistics, chi-square tests, ¡°t¡± test for independent samples and the Mann-Whitney test (significance level p ¡Ü0.05). Results: Ninety-five individuals were interviewed, including 55 women and 40 men between the ages of 60 and 96 years (73.5 ¡À 9.4). The prevalence of physical inactivity was 40%, being higher among the elderly who live alone reported that patients with cognitive impairment, who could not read and write with a history of falls in the last year. The older people with lower BMI were more active compared to their peers. Conclusion: The elderly who not reached the recommended adequate levels of physical activity had health conditions more unfavorable. We recommend the implementation of public policies to promote physical activity in order to improve health conditions, especially the elderly residents of rural areas...

Depressive symptoms and motor performance in the elderly: a population based study / Sintomas depressivos e desempenho motor em idosos: estudo de base populacional

BACKGROUND: There is a growing incidence of depression in the elderly, and this impairment interferes directly in the reduction of motor skills. OBJECTVE: This study aims to examine the association between depressive symptoms and motor performance in community-dwelling elderly. METHOD: This is a cross-sectional study that analyzed data from 316 elders of a home and population-based epidemiological survey. The information used was: socio-demographic characteristics; motor performance tests; physical activity; and Geriatric Depression Scale. The data were analyzed using the Statistical Package for Social Sciences. Mann-Whitney U test, chi-square, Spearman correlation and Poisson regression, with a confidence interval of 95%, were calculated. RESULTS: For all motor tests, motor performance was negatively associated with depressive symptoms, regardless of gender, age, literacy and illiteracy, per capita income and physical activity. Elderly people with depressive symptoms have between 58% and 82% more functional limitation, depending on the motor performance test compared to those who were not depressed. CONCLUSIONS: There is an inverse relationship between depressive symptoms and motor performance in the elderly.

CONTEXTUALIZAÇÃO: É crescente a ocorrência de depressão em idosos, e esse acometimento interfere diretamente na redução da capacidade motora. OBJETIVO: Analisar a associação entre sintomas depressivos e desempenho motor em idosos residentes na comunidade. MÉTODO: Trata-se de um estudo transversal que analisou dados de 316 idosos de uma pesquisa epidemiológica de base domiciliar e populacional. As informações usadas foram: características sociodemográficas; testes de desempenho motor; atividade física e Escala de Depressão Geriátrica. Os dados foram analisados no The Statistical Package for Social Sciences, sendo realizados testes U de Mann-Whitney, qui-quadrado, Correlação de Spearman e regressão de Poisson, com intervalo de confiança de 95%. RESULTADOS: Para todos os testes motores, o desempenho motor foi negativamente associado à sintomatologia depressiva, independentemente do sexo, idade, saber ler e escrever, renda familiar per capita e atividade física. Idosos com sintomas depressivos possuem entre 58% e 82% mais limitação funcional, a depender do teste de desempenho motor. CONCLUSÕES: Conclui-se que existe uma relação inversa entre sintomas depressivos e desempenho motor em idosos.

Depressive symptoms and motor performance in the elderly: a population based study.

BACKGROUND: There is a growing incidence of depression in the elderly, and this impairment interferes directly in the reduction of motor skills. OBJECTIVE: This study aims to examine the association between depressive symptoms and motor performance in community-dwelling elderly. METHOD: This is a cross-sectional study that analyzed data from 316 elders of a home and population-based epidemiological survey. The information used was: socio-demographic characteristics; motor performance tests; physical activity; and Geriatric Depression Scale. The data were analyzed using the Statistical Package for Social Sciences. Mann-Whitney U test, chi-square, Spearman correlation and Poisson regression, with a confidence interval of 95%, were calculated. RESULTS: For all motor tests, motor performance was negatively associated with depressive symptoms, regardless of gender, age, literacy and illiteracy, per capita income and physical activity. Elderly people with depressive symptoms have between 58% and 82% more functional limitation, depending on the motor performance test compared to those who were not depressed. CONCLUSIONS: There is an inverse relationship between depressive symptoms and motor performance in the elderly.