Prevalence of osteoporosis and its associated factors in older adult’s users of the Primary Health Care
DOI:
https://doi.org/10.12820/rbafs.23e0055Palabras clave:
Aging, Health, Older adults, Osteoporosis, Motor activity, Unified Health SystemResumen
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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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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Derechos de autor 2018 Daniel Vicentini de Oliveira, Gustavo Vinicius do Nascimento de Oliveira, Diogo Alves da Silva, Naelly Renata Saraiva Pivetta, Mateus Dias Antunes, José Roberto Andrade do Nascimento Júnior, Cláudia Regina Cavaglieri
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
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