Medidas de avaliação do medo de cair e impacto destas no equilíbrio estático, dinâmico e funcional / Valuation measures of fear of falling and impact of these in the balance static dynamic functional

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

30/01/2012

RESUMO

The fear of falling among the elderly has received attention as a potential public health problem of comparable importance to a fall. The great interest in understanding this phenomenon is caused mainly by the negative consequences that may result. Fear of falling is a multifactorial condition responsible for the restricted activity and functional limitation. This study, in the health and quality of life in old age, has in its composition two articles that investigate the fear of falling into two distinct populations. The aim of this paper was to outline a model predictive of fear of falling through the related factors in the elderly community. It was a cross-sectional, epidemiological whose random sample consisted of 2209 individuals aged less than 60 years. As (39.67%) and men (69.33%) women. The results were: 72% of elderly people showed fear of falling, 68.59% of the elderly without a history of falls in the last year, showed fear of falling, 85.92% of the elderly who did not engage in vigorous physical activity (AFV) were afraid of falling. The predictive model of fear of falling was composed of variables: female sex (p <0.001, OR = 2.59 95% CI 2.07 to 3.23), depression (GDS) (p <0.001, OR = 2.12 95% CI 1.56 to 2.88), AFV (p <0.001, OR = 1.90 95% CI 1.47 to 2.46), need for hospitalization during the previous year (p = 0.006, OR = 1 , 41 95% CI 1.12 to 1.79), greater number of dependents (p = 0.008, OR = 905 95% CI 0.839 to 0.975), perceived health today - bad or very bad (p = 0.005, OR = 2.212 95% CI 1.25 to 3.59), falls in the past year (p = 0.02, OR = 1.34 95% CI 1.04 to 1.74). Article 2 The aim was to identify the influence of measurement parameters in the assessment of fear of falling and the impact of static balance, dynamic and functional. This was an observational cross-sectional study with a convenience sample composed of 147 women aged 60 and over. Data collection was done blindly, both at recruitment and during the interview. The results were: the prevalence of fear of falling ranged from 78.77 to 96.58%, the mean age was 74.93 ± 8.32 years and mean comorbidity was 3.50 ± 1.59 comorbidities. There was significant relationship to compare the fear of falling (direct question) and BBS (p = 0.025), and fear of falling Falls Eficacy Scale - Internacional - Brasil (FES-I-Brazil), TUG (p = 0.012). The correlation between fear of falling (0-10) was statistically significant with Timed Up Go (TUG) (p = 0.0175) and Berg Balance Scale (BBS) (p = 0.042) and the correlation of fear of falling (FES-I total score, Brazil) was significant for TUG ( p <0.001), BBS (p <0.001) and stabilometry (category right foot x) (p = 0.045). From the univariate model, the variable total score of the FES-I-Brazil was significantly associated with the dynamic balance (TUG) (p <0.001; OR1, 088 95% CI 1045-1118) and the functional balance (BBS) (p <0.001, OR = 1,066 95% CI 1028-1104) and varível fear of falling (0-10) was statistically associated with the dynamic balance (TUG) (p = 0.014, OR = 1.126 95% CI 1024 to 1128). The results of the multivariate analysis, the total score of the FES-I-BRAZIL has been selected as being significantly associated with worse dynamic balance (TUG) (p <0.001, OR = 1.088) and worse functional balance (BBS) (p <0.001, OR 95% CI = 1.071 from 1031 to 1113). We conclude that the aspects related to the aging process predispose the manifestation of fear of falling, and the measure chosen to evaluate the consequences that fear influences on the balance.

ASSUNTO(S)

idosos equilibrio falls elderly balance quedas

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