Prevalence of osteoporosis and its associated factors in older adult’s users of the Primary Health Care

Authors

DOI:

https://doi.org/10.12820/rbafs.23e0055

Keywords:

Aging, Health, Older adults, Osteoporosis, Motor activity, Unified Health System

Abstract

This study examine the prevalence and factors associated to osteoporosis among older adults users of the primary health care. This cross-sectional study was carried out with 654 older adults (56% women) from primary health care in Maringá, Paraná, Brazil. The instruments used were the sociodemographic questionnaire and the International Physical Activity Questionnaire (IPAQ), short version. Data analysis was conducted through Chi-square test and Binary Logistic Regression (p < 0.05). The results showed a prevalence of 15.6% of older adults who reported the presence of osteoporosis. There was a higher prevalence of women with osteoporosis (p = 0.001), and on the other hand, there was a greater proportion of married elderly individuals (p = 0.003), and elderly with income above three minimum wages (p = 0.020) with absence of osteoporosis. The results showed that women (OR = 4.45; 95%CI: 2.47-8.01) and the older adults who take more than two medications (OR = 1.67; 95%CI: 1.15-2.42) were more likely to present osteoporosis. Older adults who presented a history of falls are 47.0% more likely to present osteoporosis. It was concluded that sex, the amount of medications and the history of falls are associated with the prevalence of osteoporosis in the older adults.

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Author Biography

Daniel Vicentini de Oliveira, Universidade Estadual de Campinas, Departamento de Pós-graduação em Gerontologia, Campinas, São Paulo, Brasil.

Graduado em Educação física, Graduado em Fisioterapia, Especialista em Anatomia Funcional, Especialista em Gerontologia, Mestre em Promoção da saúde, Doutorando em Gerontologia. Possui graduação em Educação Física (2008) e Fisioterapia (2011) pelo Centro Universitário de Maringá (UNICESUMAR). Título de especialista em Gerontologia pela Sociedade Brasileira de Geriatria e Gerontologia (SBGG - 2017). Especialização em Anatomia Funcional (2010 - UNICESUMAR), em Gerontologia pela Universidade Estadual Norte do Paraná (UENP - 2012), em Saúde Pública pela Universidade Cândido Mendes (UCAM - 2017) e em Psicogerontologia pela Faculdade Unyleya (2018). Mestrado em Promoção da Saúde na linha de pesquisa Envelhecimento ativo (2014 - UNICESUMAR). Doutorado em Gerontologia pela Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP). Docente (T-40) no Centro Universitário Metropolitano de Maringá (UNIFAMMA) no Departamento de Educação física (bacharelado), Fisioterapia, Odontologia e Psicologia. Tutor e coordenador de cursos de especialização a distância da Faculdade Unyleya. Membro do Grupo de pesquisa Atividade física e envelhecimento (UNICESUMAR/CNPq), do Grupo de estudos e pesquisa sobre o envelhecimento humano e atividade física (GEPEHAF), da Universidade Estadual de Londrina (UEL) e do Grupo de Estudos em Psicologia do Esporte e do Exercício (GEPEEX/CNPq) da Universidade Federal do Vale do São Francisco (UNIVASF). Possui experiência na área de Gerontologia, Ciências morfológicas, Educação física e Fisioterapia, com ênfase em morfologia do aparelho locomotor, Educação física e fisioterapia em gerontologia, Promoção da saúde no envelhecimento, Epidemiologia e saúde coletiva, Funcionalidade no envelhecimento. Membro da Sociedade Brasileira de Geriatria e Gerontologia (SBGG), da Sociedade Brasileira de Anatomia (SBA), Associação Brasileira de Saúde Coletiva (ABRASCO) e da Associação Brasileira de Fisioterapia em Gerontologia (ABRAFIGE)

References

Zamboni M, Rossi AP, Fantin F, Zamboni G, Chirumbolo S, Zoico E, et al. Adipose tissue, diet and aging. Mech Ageing Dev. 2014;136(137):129-37.

Manini TM, Clark BC. Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci. 2012;67(1):28-40.

Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc. 2012;50(5):889-96.

Fernandez AL, Muñoz-García D, Touche RL. The level of physical activity affects the health of older adults despite being active. J Exerc Rehabil. 2016;12(3):194-201.

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-23.

Manini T. Development of physical disability in older adults. Curr Aging Sci. 2013;4(3):184-91.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr. 1975;2(3):189-98.

Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3B):777-81.

Matsudo S, Araújo T, Marsudo V, Andrade D, Andrade E, Braggion G. Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde. 2001;6(2):5-18.

Mazo, GZ, Benedeti TRB. Adaptação do questionário internacional de atividade física para idosos. Rev Bras Cineantropom Desempenho Hum. 2010;12(6):480-4.

Raichlen DA, Alexander GE. Adaptive Capacity: An Evolutionary Neuroscience Model Linking Exercise, Cognition, and Brain Health. Trends Neurosci. 2017;40(7):408-21.

Petersen RC. Mild cognitive impairment as a clinical entity and treatment target. Arch Neurol. 2004;62(7):1160-3.

Winblad B, Palmer K, Kivipelto M, Jelic V, Fratiglioni L. Mild cognitive impairment – beyond controversies, towards a consensus : report of the International Working Group on Mild Cognitive Impairment. J Intern Med. 2004;9:240-6.

Gligoroska J, Manchevska S. The Effect of Physical Activity on Cognition - Physiological Mechanisms. Mater Socio Medica. 2012;24(3):198–202.

Ribeiro AS, Avelar A, Schoenfeld BJ, Ritti Dias RM, Altimari LR, Cyrino ES. Resistance training promotes increase in intracellular hydration in men and women. Eur J Sport Sci. 2014;14(6):578-85.

Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Impact of Physical Inactivity on the World’s Major Non-Communicable Diseases. Lancet. 2012;380(9838):219-29.

Nagamatsu LS, Handy TC, Hsu CL, Voss M, Liu-Ambrose T. Resistance training promotes cognitive and functional brain plasticity in seniors with probable mild cognitive impairment. Arch Intern Med. 2012;172(8):666-8.

Nascimento CMC, Pereira JR, Pires de Andrade L, Garuffi M, Ayan C, Kerr DS, et al. Physical exercise improves peripheral BDNF levels and cognitive functions in mild cognitive impairment elderly with different bdnf Val66Met genotypes. J Alzheimers Dis. 2015;43(1):81-91.

Coelho FM, Pereira DS, Lustosa LP, Silva JP, Dias JM, Dias RC, et al. Physical therapy intervention (PTI) increases plasma brain-derived neurotrophic factor (BDNF) levels in non-frail and pre-frail elderly women. Arch Gerontol Geriatr. 2012;54(3):415-20.

Bamidis PD, Fissler P, Papageorgiou SG, Zilidou V, Konstantinidis EI, Billis AS, et al. Gains in cognition through combined cognitive and physical training: The role of training dosage and severity of neurocognitive disorder. Front Aging Neurosci. 2015;7(152):1-15.

Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58-65.

Erickson KI, Weinstein AM, Lopez OL. Physical activity, brain plasticity, and Alzheimer’s disease. Arch Med Res. 2012;43(8):615-21.

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Published

2019-06-12

How to Cite

1.
Oliveira DV de, Oliveira GV do N de, Silva DA da, Pivetta NRS, Antunes MD, Nascimento Júnior JRA do, et al. Prevalence of osteoporosis and its associated factors in older adult’s users of the Primary Health Care. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2019 Jun. 12 [cited 2024 Jul. 3];23:1-6. Available from: https://rbafs.org.br/RBAFS/article/view/13681

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Original Articles