Fatores Biopsicossociais e quedas em idosos durante a pandemia de covid-19: um estudo longitudinal
DOI:
https://doi.org/10.12820/rbafs.29e0361Palavras-chave:
Quedas acidentais, Envelhecimento, Idosos, BiopsicossocialResumo
As restrições impostas pela pandemia de covid-19 impactaram a vida da população idosa. Sendo assim, o presente estudo teve como objetivo investigar a diferença entre mudanças ao longo do tempo (avaliação inicial vs. final) dos fatores biopsicossociais e prevalência de quedas durante a pandemia; as diferenças entre idosos infectados e não infectados considerando a abordagem biopsicossocial; e descrever as características das quedas pós-covid. O estudo teve como objetivo investigar os fatores biopsicossociais e a prevalência de quedas durante a pandemia de covid-19. Trinta e um idosos da comunidade (70,9 ± 5,6 anos, ♀20) foram avaliados duas vezes em um ano. As variáveis testadas foram baseadas na abordagem biopsicossocial: doenças e covid-19 (Condições de Saúde), índice de massa corporal, cognição e depressão (Funções e Estruturas do Corpo), atividade física, comportamento sedentário (CS) e capacidade funcional (Atividade), qualidade de vida relacionada à saúde (QVRS, Participação), medicamentos (Ambiente), histórico e medo de cair (Pessoais). O tamanho de efeito de Cohen (d) foi usado na análise dos dados. Comparando os momentos de avaliação (Inicial vs. Final) os fatores biopsicossociais foram piores em Atividades (CS, d = 0,70) e Fatores Pessoais (Medo de cair, d = 4,06). Os idosos infectados apresentaram escores piores em Funções e Estruturas do Corpo (Cognição, d = 0,77), Atividades (CS, d = 0,55), Participação (domínios da QVRS, d = de 0,31 a 0,78) e Fatores Pessoais (Medo de cair, d = 0,54). A prevalência de quedas aumentou entre as avaliações (12,9%) e foi maior entre os idosos infectados (63,6% vs. 25%). Os idosos apresentaram mudanças negativas durante a pandemia na maioria dos domínios biopsicossociais, especialmente nos idosos com histórico de covid-19 e nos aspectos relacionados a quedas, CS e QVRS, em comparação com seus pares sem infecção por COVID.
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Copyright (c) 2024 Renata Zacharias Grando, Letícia Pophal Cutisque, Alyssa Cristine de Oliveira Elias2, André Luiz Felix Rodacki, Natália Boneti Moreira
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