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1.
Braz. j. biol ; 84: e257074, 2024. tab, graf
Article in English | LILACS-Express | MEDLINE, LILACSEXPRESS, LILACS, VETINDEX | ID: biblio-1360211

ABSTRACT

Abstract The study of biologically active substances-secondary metabolites of plants that exhibit geroprotective properties is an actual and popular direction in medicine to prevent early aging. This work aims to select the cultivation parameters for obtaining in vitro cell cultures of meadowsweet containing the largest amount of biologically active substances (BAS) for their further extraction as candidate substances for geroprotectors. To specify the effectiveness of the selected cell culture cultivation parameters, biomass growth for callus and root cultures, growth index, specific growth rate, and viability for suspension cultures was carried out. The study results made it possible to select the nutrient media for the cultivation of cell cultures of meadowsweet. It has been found that the greater the antioxidant activity of the extracts, the greater the antimicrobial properties it exhibits. In this study, cell cultures in vitro and alcohol extracts from the plant Filipendula ulmaria were considered as raw materials rich in candidate substances for geroprotectors. According to the data obtained, the plant is rich in hydroxybenzoic and salicylic acids, spireoside, avicularin, and hyperoside.


Resumo O estudo de substâncias biologicamente ativas - metabólitos secundários de plantas que apresentam propriedades geroprotetoras - é uma tendência atual e popular no campo da medicina para a prevenção do envelhecimento precoce. O objetivo deste trabalho foi selecionar os parâmetros de cultivo para obtenção de culturas celulares in vitro de Ulmária contendo a maior quantidade de substâncias biologicamente ativas (SBA), para sua posterior extração como substâncias candidatas a serem geroprotetoras. Para especificar a eficácia dos parâmetros selecionados de cultivo em cultura de células, foi realizada a análise de crescimento de biomassa para culturas de calos e raízes, índice de crescimento, taxa de crescimento específica e viabilidade para culturas em suspensão. Os resultados do estudo possibilitaram a seleção do meio nutriente para o cultivo de células de Ulmária. Verificou-se que, quanto maior a atividade antioxidante dos extratos, maiores eram as propriedades antimicrobianas exibidas. Neste estudo, culturas celulares in vitro e extratos alcoólicos da planta Filipendula ulmaria foram considerados matérias-primas ricas em substâncias candidatas a serem geroprotetoras. De acordo com os dados obtidos, a planta é rica em ácidos hidroxibenzoico e salicílico, espirosídeo, avicularina e hiperosídeo.

2.
Rev. enferm. UERJ ; 30: e59798, jan. -dez. 2022.
Article in English, Portuguese | LILACS-Express | LILACS | ID: biblio-1361552

ABSTRACT

Objetivo: refletir acerca das contribuições da Teoria das Representações Sociais para a compreensão dos sentidos da aposentadoria no Brasil. Conteúdo: trata-se de um estudo teórico-reflexivo elaborado com base em leitura crítica de artigos científicos, disponíveis on-line em diversas bases de dados e obras clássicas sobre a teoria das representações sociais bem como aquelas relativas ao fenômeno da aposentadoria. Estrutura-se em duas seções: i) Teoria das Representações Sociais e ii) Os sentidos da Aposentadoria no Brasil. Considerações finais: verifica-se que pesquisas utilizando a teoria das representações sociais possibilitam conhecer o modo como a aposentadoria é compreendida por diferentes grupos sociais e, assim, fornecer subsídios para melhor orientar estes grupos tanto durante o planejamento da aposentadoria quanto na decisão de aposentar-se ou não.


Objective: to reflect on the contributions of the Theory of Social Representations to understanding the meanings of retirement in Brazil. Content: this theoretical-reflective study, based on a critical reading of scientific articles available online in databases and both classic studies of social representations theory and studies of the phenomenon of retirement, is divided into two sections: i) Theory of Social Representations and ii) The meanings of retirement in Brazil. Final remarks: research using the social representations theory was found to help understand how retirement is understood by different social groups and, thus, provide input to guide these groups better, both during retirement planning and in deciding whether or not to retire.


Objetivo: reflexionar sobre los aportes de la Teoría de las Representaciones Sociales para la comprensión de los significados de la Jubilación en Brasil. Contenido: se trata de un estudio teórico-reflexivo basado en la lectura crítica de artículos científicos, disponibles en línea en varias bases de datos y obras clásicos sobre la teoría de las representaciones sociales, así como las relacionadas con el fenómeno de la jubilación. Se divide en dos apartados: i) Teoría de las Representaciones Sociales y ii) Los significados de la jubilación en Brasil. Consideraciones finales: se constata que investigaciones que utilizan la teoría de las representaciones sociales pueden ayudar a conocer la forma cómo los diferentes grupos sociales entienden la jubilación y, por lo tanto, proporcionar subsidios para orientar mejor a estos grupos, tanto durante la planificación de la jubilación, como en la decisión de jubilarse o no.

3.
Braz. j. oral sci ; 21: e226262, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1354997

ABSTRACT

Aim: To evaluate the impact of a dual-cured adhesive system on the in situ degree of conversion (DC), bond strength (BS) and failure mode (FM) of adhesive interfaces in dentin cavities restored with a bulk-fill resin composite. Methods: 4-mm-deep dentin cavities with a 3.1 C-factor were created in 68 bovine incisors (n = 17 per group). The lightcured (Scotchbond™ Universal) or the dual-cured (Adper™ Scotchbond™ Multi-purpose Plus) adhesive system was applied to the cavities, which were then restored with a bulkfill resin composite (Filtek™ Bulk Fill). In situ DC analysis was performed by means of micro Raman spectroscopy at the top and bottom interfaces. Push-out BS was measured in a universal testing machine after 24-h or 6-month water storage. FM was determined with a stereomicroscope. Data of in situ DC and BS were analyzed by two-way analysis of variance (ANOVA) and Tukey test (p<0.05), while the FM was analyzed descriptively. Results: The groups that received the dual-cured adhesive system showed statistically higher in situ DC and BS than those that received the light-cured adhesive system. Cohesive failure mode was the most frequent in all conditions. Conclusion: In situ DC and BS were influenced by the curing strategies of the adhesive systems with better performance of the dual-cured material


Subject(s)
Aging , Dentin-Bonding Agents , Composite Resins , Physical Properties , Polymerization
4.
Braz. j. oral sci ; 21: e225454, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1366512

ABSTRACT

Aim: Evaluating the resin-dentin bond strength of Class II conventional and bulk-fill composite restorations, using different cavity sizes before and after aging. Methods: Seventy-five human molars were distributed into groups according to the buccolingual width of the cavities, conservative (n=25) and extended (n=50). They were divided according to the restorative material: conventional (Z100/control group) or bulk-fill resin composites (Filtek Bulk Fill/FBF; Tetric N Ceram Bulk Fill/TNCBF; Filtek Bulk Fill Flow/FBFF; Surefill SDR flow/SDR). The restored teeth were sectioned on sticks (n=50 per restorative materials + width cavities group), half were stored in Water/Ethanol 75% for 30 days and the other half were submitted to the immediate microtensile bond strength (µTBS) test. Data were analyzed applying the Three-Way Analysis of Variance (ANOVA), Bonferroni test, test t, and Weibull analyses (p<0.05). Results: SDR and FBF presented lower µTBSvalues for extended preparation when compared to the conservative preparation, before aging. After aging, only for the FBFF, a decrease in the µTBSvalues was observed. Comparing the µTBSvalues, before and after aging, the SDR demonstrated lower µTBSvalues after aging when the conservative cavity was used. A decrease in the µTBSvalues was observed for the Z100, the FBF and, the FBFF, after aging, when the extended cavity was used. Conclusion: The effect of cavity preparation and aging on the resin-dentin of Class II is material dependent. Most of the bulk-fill resin composites evaluated presented a similar performance to the conventional resin composites for all the conditions of this study


Subject(s)
Humans , Tensile Strength , Aging , Composite Resins/analysis , Dental Cavity Preparation
5.
Rev. Nac. (Itauguá) ; 14(1): 58-74, Junio 2022.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1372734

ABSTRACT

RESUMEN La obesidad y el sobrepeso en adultos mayores se asocia con un mayor riesgo de enfermedades cognitivas, lo que contribuye a la disminución del rendimiento funcional. El objetivo de esta revisión es analizar el efecto del ejercicio en la memoria de adultos mayores con obesidad o sobrepeso. La metodología utiliza las palabras MESH: Población = envejecido, sobrepeso, obesidad; Intervención = ejercicio; Comparación = grupo control; Resultado = memoria; Diseño: ensayo clínico aleatorio. Buscando hasta diciembre de 2021 en: PUBMED, SCIELO, BVSALUD, LILACS, TRIP DATABASE Y MEDLINE. Se identifican 6.832 artículos. Se analizan cinco estudios, con 214 participantes. El índice de masa corporal medio es 28,6 ± 1,1 kg/m2 y el Mini mental medio inicial es 23,6 ± 2,1 puntos. La intervención con ejercicio es de doce a veintiséis semanas. En el modelo de efectos aleatorios el ejercicio mejora el Mini mental medio en MD = 2,6 puntos (1,7 a 3,4) p < 0,01. Heterogeneidad (87,7 %). El ejercicio mejora la función cognitiva (memoria) en adultos mayores con sobrepeso u obesidad.


ABSTRACT Obesity and overweight in older adults are associated with an increased risk of cognitive diseases, contributing to decreased functional performance. The objective of this review is to analyze the effect of exercise on memory in older adults with obesity or overweight. The methodology uses the words MESH: Population = aged, overweight, obesity; Intervention = exercise; Comparison = control groups; Result = Memory; Design: randomized controlled trial. Searching until December 2021 in PUBMED, SCIELO, BVSALUD, LILACS, TRIP DATABASE, and MEDLINE. Six thousand eight hundred thirty-two items are identified. We analyzed five studies with 214 participants. The mean body mass index is 28.6 ± 1.1 kg/m2, and the initial average Mini mental is 23.6 ± 2.1 points. The intervention with exercise is from twelve to twenty-six weeks. In the random-effects model, exercise improves the mean Mini Mental by MD = 2.6 points (1.7 to 3.4) p < 0.01. Heterogeneity (87.7 %). Exercise improves cognitive function (memory) in older adults who are overweight or obese.

6.
Medwave ; 22(4): e002551, 30-05-2022.
Article in English | LILACS-Express | LILACS | ID: biblio-1371689

ABSTRACT

Introduction Walking speed is related to functionality in daily activities. Preventive Medicine Examination of the Chilean older adults is a vital prevention program for Chilean community- dwelling older adults. However, this evaluation does not include speed in its battery of tests. Objective To evaluate the functional classification spaces for threshold, reference, and categorization val-ues of self- selected and maximum walking speed applied to self- sufficient older adults. Methods Seventy- two self- sufficient older adults participated in this observational, exploratory, and cross- sectional study. Each participant was asked to walk naturally and then at full speed for three minutes. Through a dispersion graph between self- selected walking speed (axis "x") and maximum walking speed (axis "y"), functional classification spaces were constructed according to documented values for i) thresholds of basic functionality, ii) referential for the instrumental spectrum and iii) functional categorization for "household walker" (< 0.4 meters per second, m/s), "limited community ambulator" (0.40 to 0.80 m/s), "community ambulator" (0.81 to 1.3 m/s), and "cross street safely" (> 1.3 m/s). The relative frequency (%) of older adults who meet each established quadrant was determined. Results The threshold was reached by 100% of the participants (basic daily activities). About 80% of the older adults have a functional classification space below the reference limit (instrumental and advanced daily activities). It was also found that 81% of women and 69% of men are "efficient in the community", and 31% of men and 14% of women reach the minimum value for "effec-tive street crossing" (advanced daily activities). Conclusions The exploration of functional classification spaces according to self- selected walking speed and maximum walking speed applied to a group of self- sufficient older adults reveals that this pop-ulation is at risk of deteriorating instrumental and advanced activities of daily living.


Introducción La velocidad de marcha se relaciona con la funcionalidad en actividades cotidianas. El Examen de Medicina Preventiva del Adulto Mayor es un hito relevante en la prevención de adultos mayores chilenos de la comunidad. Sin embargo, no incorpora a la velocidad dentro de su batería de pruebas. Objetivo Evaluar una propuesta complementaria al Examen de Medicina Preventiva del Adulto Mayor según Espacios de Clasificación Funcional para valores umbrales, referenciales y de categorización de velocidad de marcha confortable y máxima aplicada a personas mayores autovalentes. Métodos Participaron en este estudio observacional, exploratorio y transversal 72 adultos mayores autovalentes. Se solicitó a cada participante caminar naturalmente y luego a máxima velocidad durante 3 minutos. A través de un gráfico de dispersión entre velocidad de mar-cha confortable (eje "x") y máxima (eje "y"), se construyeron Espacios de Clasificación Funcional según valores documentados para i) umbrales de funcionalidad básica, ii) referenciales para el espectro instrumental y iii) categorización funcional para actividades "dentro del hogar" (< 0,4 m/s), "limitadas en la comunidad" (0,40 a0,80 m/s), "eficiente en la comunidad" (0,81 a1,3 m/s) y "cruce seguro de calles" (> 1,3 m/s). Se determinó la frecuencia relativa (%) de adultos mayores que cumplen con cada cuadrante establecido. Resultados El umbral fue sobrepasado por el 100% de los participantes (actividades cotidianas básicas). Cerca del 80% de los participantes presenta un Espacio de Clasificación Funcional bajo el límite de referencia (actividades cotidianas instrumentales y avanzadas). El 81% de las mujeres y el 69% de los hombres, se encuentran dentro del Espacio de Clasificación Funcional "eficiente en la comuni-dad". El 31% de los hombres y el 14% de las mujeres alcanzan el valor mínimo para el "cruce efectivo de calles" (actividades coti-dianas avanzadas). Conclusiones La exploración de Espacios de Clasificación Funcional según de velocidad de marcha confortable y máxima aplicada a un grupo de adultos mayores clasificados como autovalentes, resulta en individuos con riesgo para desarrollar actividades instrumentales y avanzadas.

7.
Saude e pesqui. (Impr.) ; 15(2): e10416, abr./jun. 2022.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1371421

ABSTRACT

Este estudo teve o objetivo de analisar se a frequência e duração da prática de atividade física e o comportamento sedentário interferem no risco de sarcopenia em idosos frequentadores de grupos sociais. Estudo transversal, em que foram avaliados 207 idosos frequentadores de grupos sociais do município de Sarandi, estado do Paraná. Foi utilizado o Questionário Internacional de Atividade Física (IPAQ) e o SARC-F. Os dados foram analisados por meio da estatística inferencial (p<0,05). Notou-se a prevalência de idosos com nível ativo de atividade física (93,2%) e que não apresentaram risco de sarcopenia (75,8%). Os idosos com risco de sarcopenia ficam mais tempo sentados em dias de semana do que os idosos com ausência de risco de sarcopenia (p=0,043). A duração e frequência da prática de atividade física não interferem no risco de sarcopenia. No entanto, o risco de sarcopenia está associado ao comportamento sedentário do idoso.


This study aimed to analyze whether the frequency and duration of physical activity and sedentary behavior interfere with the risk of sarcopenia in elderly attending social groups. Cross-sectional study to evaluate 207 elderly people attending social groups in the municipality of Sarandi, state of Paraná. The International Physical Activity Questionnaire (IPAQ) and the SARC-F were used. Data were analyzed using inferential statistics (p<0.05). The prevalence of elderly people with active level of physical activity (93.2%) and no risk of sarcopenia (75.8%) was observed. Elderly people at risk of sarcopenia spend more time sitting on weekdays than elderly people with no risk of sarcopenia (p=0.043). Duration and frequency of physical activity do not affect the risk of sarcopenia. However, the risk of sarcopenia is associated with sedentary behavior of the elderly.

8.
Saude e pesqui. (Impr.) ; 15(1): e8927, abr./jun. 2022.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1368102

ABSTRACT

Avaliar a obesidade e os fatores de riscos associados à obesidade em idosos residentes no interior da Bahia. Trata-se de uma pesquisa do tipo exploratória, descritiva e analítica, com delineamento transversal e abordagem quantitativa. O instrumento de pesquisa foi constituído de dados sociodemográficos e condições de saúde. Constatou-se maior frequência de idosos do sexo feminino (80,0%), faixa etária de 60 a 69 anos (50,0%), viúvos (40,9%), renda de um salário mínimo (55,5%) e alfabetizados (86,4%). Em relação à capacidade funcional, a maioria dos idosos foi classificada como independente nas Atividades Básicas de Vida Diária (83,6%) e Atividades Instrumentais de Vida Diária (70,9%). No que se refere ao estado nutricional, segundo o IMC, 50,0% dos idosos apresentaram a condição de excesso de peso (>27 kg/m²). Com aplicação do teste Qui-quadrado (χ2) entre as todas categorias do IMC e as variáveis do estudo verificou-se diferença estatisticamente significante a categoria excesso de peso (>27 kg/m2) e as variáveis do estudo: HAS (p=0,043), presença de doença (p=0,019) e sexo feminino (p=0,000). Constatou-se alta frequência de sobrepeso e doenças crônicas relacionadas ao sobrepeso no grupo de idosos pesquisados, sendo a hipertensão arterial sistêmica e o diabetes as mais frequentes.


To evaluate obesity and the risk factors associated with obesity in elderly people living in the interior of Bahia. This is an exploratory, descriptive and analytical research, with a cross-sectional design and quantitative approach. The research instrument consisted of socio-demographic data and health conditions. There was a higher frequency of elderly women (80.0%), aged between 60 and 69 years (50.0%), widowed (40.9%), income of 1 minimum wage (55, 5%) and literate (86.4%). Regarding functional capacity, most elderly people were classified as independent in Basic Activities of Daily Living (83.6%) and Instrumental Activities of Daily Living (70.9%). With regard to nutritional status, according to the BMI, 50.0% of the elderly people were overweight (> 27 kg / m²). With the application of the chi-square test (χ2) between all categories of BMI and the study variables, there was a statistically significant difference between the category of overweight (> 27 kg / m2) and the study variables: SAH (p=0.043), presence of disease (p=0.019) and female gender (p=0.000). There was a high frequency of overweight and chronic diseases related to overweight in the group of elderly people surveyed, with systemic arterial hypertension and diabetes being the most frequent.

9.
Säo Paulo med. j ; 140(2): 229-236, Jan.-Feb. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1366051

ABSTRACT

ABSTRACT BACKGROUND: It has been estimated that 17% of individuals aged 50 years or older suffer from addiction to legal or illegal drugs. Use of alcohol and psychoactive substances has been correlated with several diseases, e.g. psychiatric conditions and cardiovascular and sexual dysfunctions. Objective: To discuss the Brazilian profile of mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people, over the period from 2008 to 2019. DESIGN AND SETTING: Cross-sectional study conducted among Brazilians aged 50 years or older. METHODS: Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances was assessed through data obtained from the National Health System Department of Informatics (Departamento de Informática do Sistema Único de Saúde, DATASUS). RESULTS: Decreasing and steady trends of hospitalization due to mental and behavioral disorders caused by use of alcohol among both men and women at all ages were observed. Similar trends were reported for all age ranges among men and women aged 60 years and older. In contrast, a slight increase was seen among women aged 50 to 59 years. CONCLUSION: These data are crucial for qualifying mental healthcare for older adults and elderly people and for planning mental health services.

10.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 44(1): 74-80, Jan.-Feb. 2022. graf
Article in English | LILACS-Express | LILACS | ID: biblio-1360176

ABSTRACT

The notion that schizophrenia is a neuroprogressive disorder is based on clinical perception of cumulative impairments over time and is supported by neuroimaging and biomarker research. Nevertheless, increasing evidence has indicated that schizophrenia first emerges as a neurodevelopmental disorder that could follow various pathways, some of them neuroprogressive. The objective of this review is to revisit basic research on cognitive processes and neuroimaging findings in a search for candidate keys to the intricate connections between neurodevelopment and neuroprogression in schizophrenia. In the complete panorama, schizophrenia is a neurodevelopmental disorder, possibly associated with an additional burden over the course of the disease through pathologically accelerated aging, and cognitive heterogeneity may explain the different trajectories of each patient.

11.
Surg. cosmet. dermatol. (Impr.) ; 14: e20220024, jan.-dez. 2022.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1369094

ABSTRACT

Introdução: o uso da toxina botulínica tornou-se um dos procedimentos cosméticos mais importantes realizados no mundo. Objetivo: identificar padrões de contração muscular da fronte, complexo glabelar e músculo orbicular dos olhos em pacientes do sul do Brasil, estabelecendo sua epidemiologia e possíveis associações entre eles. Métodos: foram incluídos 101 pacientes que buscaram tratamento com toxina botulínica para fronte, glabela e linhas perioculares entre 2012 e 2016. Análises foram feitas por meio de fotografias digitais tiradas durante consulta médica, antes da aplicação dos produtos. Os pacientes foram tratados com diferentes marcas de toxina botulínica, de acordo com suas preferências ou com as do médico. Resultados: os padrões de contração mais comuns foram frontal completo, glabelar em setas convergentes e periocular completo. Mulheres representaram 94,1% dos pacientes. A maioria tinha idade entre 31 e 50 anos, com média de 44,57 anos. Padrões mais frequentes em cada área individual foram mais frequentemente associados. Conclusões: o estudo mostra os principais padrões de contração muscular do terço superior da face em 101 pacientes, bem como suas características clínicas, e os compara com artigos publicados anteriormente. Estudos sobre padrões de contração muscular podem auxiliar no uso mais seguro e racional dos produtos disponíveis, evitando desperdícios e complicações.


Introduction: The use of botulinum toxin has become one the essential cosmetic procedures performed in the world. Objective: To identify patterns of muscle contraction of the forehead, glabellar complex, and orbicularis oculi muscle in patients from southern Brazil, establishing their epidemiology and possible associations between them. Methods: One hundred and one patients who sought treatment with botulinum toxin for the forehead, glabella, and periocular lines between 2012 and 2016 were included. Analyzes were made using digital photographs taken during a medical consultation before applying the products., The subjects received with different brands of botulinum toxin, according to the patients' or the doctors' preference Results: The most common contraction patterns were complete frontal, glabellar in converging arrows, and complete periocular. Women represented 94.1% of patients. Most patients were between 31 and 50 years old, with an average of 44.57 years. More frequent patterns in each area were more frequently associated. Conclusions: The study shows the main muscle contraction patterns of the upper third of the face in 101 patients, as well as their clinical characteristics, comparing them with previously published articles. Studies on muscle contraction patterns can assist in the safer and more rational use of the products available, avoiding waste and complications.

12.
Rev. bras. promoç. saúde (Impr.) ; 35(1): https://periodicos.unifor.br/RBPS/article/view/11762, 20220125.
Article in English, Portuguese | LILACS | ID: biblio-1353670

ABSTRACT

Objetivo: Contextualizar as políticas públicas para o envelhecimento saudável na América Latina, a partir da análise da produção científica no tema. Métodos: Trata-se de uma revisão integrativa da literatura, realizada nos meses de dezembro de 2019 e janeiro de 2020 por meio de pesquisa nas bases de dados National Library of Medicine (Medline), Biblioteca Virtual em Saúde (BVS) e Scientific Eletronic Library Online (SciElo), adotando-se os seguintes descritores: envelhecimento saudável (Envejecimiento Saludable) e política de saúde pública (Política de Salud), concomitantemente com a aplicação do operador booleano and, nos idiomas português e espanhol. Como critérios de inclusão consideraram-se: artigos originais e de revisão (bibliográfica e documental) completos referentes a políticas públicas para o envelhecimento saudável e de acesso livre. No entanto, excluíram-se artigos que não abordassem políticas públicas em saúde para idosos, estudos em duplicidade, editoriais, teses e publicações não relacionadas à realidade latino-americana. Não se considerou o limite de tempo. Resultados: Elencaram-se 37 artigos, distribuídos em quatro categorias de análise, de acordo com o tema abordado: políticas públicas para o envelhecimento; envelhecimento (saudável?): algumas propostas; envelhecimento e doenças e; por último, saúde do idoso e dos profissionais da saúde. Conclusões: A transição demográfica vivenciada nos países deste estudo sinaliza uma preocupação diante das futuras demandas necessárias à assistência da população idosa.


Objective: To contextualize public policies for healthy aging in Latin America, based on the analysis of scientific production on the subject. Methods: This is an integrative literature review, carried out in December 2019 and January 2020 through a search in the National Library of Medicine (Medline), Virtual Health Library (VHL), and Scientific Electronic Library Databases Online (SciElo), adopting the following descriptors: healthy aging (Envejecimiento Saludable) and public health policy (Politica de Salud), concurrently with the application of the Boolean operator and, in Portuguese and Spanish. As inclusion criteria, the following were considered: complete original and review articles (bibliographic and documentary) referring to public policies for healthy aging and open access. However, the papers that did not address public health policies for the elderly, duplicate studies, editorials, theses, and publications unrelated to the Latin American reality were excluded. The time limit was not considered. Results: 37 articles were listed, distributed into four categories of analysis, according to the topic addressed: public policies for aging; aging (healthy?): some proposals, aging and disease, and finally, the health of the elderly and health professionals. Conclusion: The demographic transition experienced in the countries of this study signals a concern regarding the future demands necessary for the care of the elderly population


Objetivo: Contextualizar las políticas públicas para el envejecimiento saludable en la América Latina a partir del análisis de la producción científica en el tema. Métodos: Se trata de una revisión integrativa de la literatura realizada entre diciembre de 2019 y enero de 2020 a través de una investigación en las bases de datos National Library of Medicine (Medline), Biblioteca Virtual en Salud (BVS) y Scientific Eletronic Library Online (SciElo) utilizándose de los descriptores a seguir: envelhecimento saudável(Envejecimiento Saludable) y política de saúde pública (Política de Salud) con la aplicación del operador booleano and para los idiomas portugués y español. Se consideraron los criterios de inclusión a seguir: artículos originales y de revisión (bibliográfica y documental) completos referentes a las políticas públicas para el envejecimiento saludable y de acceso libre. Sin embargo, se há excluido los artículos que no tenían el tema de las políticas públicas de salud para mayores, los estudios duplicados, los editoriales,las tesis y las publicaciones que no tenían relación con la realidad latino-americana. No se ha considerado el límite de tiempo. Resultados: Se ha elegido 37 artículos que han sido organizados en cuatro categorías de análisis según el tema abordado: políticas públicas para el envejecimiento; envejecimiento (¿saludable?): algunas propuestas; envejecimiento y enfermedades y enfermedades y; por fin, salud del mayor y de los profesionales sanitarios. Conclusión: La transición demográfica vivida en los países del estudio señala una preocupación delante las futuras demandas necesarias para la asistencia de la población mayor.


Subject(s)
Health of the Elderly , Healthy Aging , Health Policy
13.
Rev. bras. enferm ; 75(1): e20201099, 2022. tab
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1288463

ABSTRACT

ABSTRACT Objectives: to assess quality of life (QoL) and satisfaction with life (SWL) indices and verify whether the frequency of religious and spiritual experiences is associated with QoL and SWL in hospitalized octogenarians. Method: this is a cross-sectional study, with 128 octogenarians. World Health Organization QoL instruments and Scales applied: Daily Spiritual Experience (DSES) and Satisfaction With Life (SWLS). Results: more committed domains related to QoL and SWL: autonomy and physical capacity. The higher the score in DSES, the higher the scores in the psychological domains and past, present, and future QoL activities. The higher the score in DSES, the higher the score in the social involvement aspect. Conclusion: the results of this study showed that the higher frequency of religious and spiritual experiences of hospitalized elderly people was associated with better QoL and SWL. It is emphasized that religious and spiritual experiences should be explored in the hospital therapeutic context.


RESUMEN Objetivos: evaluar índices de calidad de vida (CV) y satisfacción con la vida (SV) y verificar si la frecuencia de experiencias religiosas y espirituales está asociada a CV y ​​SV en octogenarios hospitalizados. Método: transversal, 128 octogenarios. Instrumentos y escalas de calidad de vida de la Organización Mundial de la Salud aplicados: Experiencia Espiritual Diaria (EDEE) y Satisfacción con la Vida (ESV). Resultados: dominios más comprometidos relacionados con CV y ​​VS: autonomía y capacidad física. Cuanto mayor sea la puntuación EDEE, mayores serán las puntuaciones en los dominios psicológico y pasado, presente y futuro de calidad de vida. Cuanto mayor sea la puntuación en la EDEE, mayor será la puntuación en el aspecto de implicación social de la ESV. Conclusión: los resultados de este estudio mostraron que la mayor frecuencia de experiencias religiosas y espirituales de los ancianos hospitalizados se asoció con una mejor CV y SS. Se enfatiza que las experiencias religiosas y espirituales deben ser exploradas en el contexto terapéutico hospitalario.


RESUMO Objetivos: avaliar índices de qualidade de vida (QV) e de satisfação com a vida (SV) e verificar se a frequência de experiências religiosas e espirituais se associa à QV e à SV em octogenários hospitalizados. Método: transversal, 128 octogenários. Aplicados instrumentos de QV da Organização Mundial da Saúde e Escalas: Diária de Experiência Espiritual (EDEE) e de Satisfação com a Vida (ESV). Resultados: domínios mais comprometidos relacionados à QV e à SV: autonomia e capacidade física. Quanto maior a pontuação na EDEE, maiores os escores nos domínios psicológico e atividades passadas, presentes e futuras de QV. Quanto maior a pontuação na EDEE, maior o escore no aspecto envolvimento social da ESV. Conclusão: os resultados deste estudo mostraram que a maior frequência de experiências religiosas e espirituais dos idosos hospitalizados associou-se com a melhor QV e SV. Ressalta-se que as experiências religiosas e espirituais devem ser exploradas no contexto terapêutico hospitalar.

14.
Rev. bras. enferm ; 75(1): e20200373, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1341053

ABSTRACT

ABSTRACT Objectives: to model the process of promoting healthy aging from the conceptual analysis proposed by Walker and Avant and Nola Pender's Health Promotion Model. Methods: this is a descriptive and theoretical study, with a qualitative approach. Elements resulting from conceptual analysis were used to model a healthy aging promotion process based on Nola Pender's Health Promotion Model. Results: in conceptual analysis, seven antecedents, seven attributes and three consequences of the concept of healthy aging were identified. Final Considerations: the proposed Health Promotion Model represents a structure that in an instrumental way can guide the nursing process application in gerontological clinical practice. This can guide nurses in identifying diagnoses, establishing outcomes and implementing interventions aimed at promoting the elderly's health.


RESUMEN Objetivos: modelar el proceso de promoción del envejecimiento saludable a partir del análisis conceptual propuesto por Walker y Avant y la referenciación del Modelo de Promoción de la Salud por Nola Pender. Métodos: estudio descriptivo y teórico, con enfoque cualitativo. Los elementos resultantes del análisis conceptual se utilizaron para modelar un proceso de promoción del envejecimiento saludable a partir del Modelo de Promoción de la Salud de Nola Pender. Resultados: en el análisis conceptual se identificaron siete antecedentes, siete atributos y tres consecuencias del concepto de envejecimiento saludable. Consideraciones Finales: el Modelo de Promoción de la Salud propuesto representa una estructura que, de manera instrumental, puede orientar la aplicación del proceso de enfermería en la práctica clínica gerontológica. Esto puede orientar al enfermero en la identificación de diagnósticos, el establecimiento de resultados y la implementación de intervenciones dirigidas a promover la salud de los ancianos.


RESUMO Objetivos: modelar o processo de promoção de envelhecimento saudável a partir da análise conceitual proposta por Walker e Avant e do referenciamento do Modelo de Promoção da Saúde de Nola Pender. Métodos: estudo descritivo e teórico, com abordagem qualitativa. Utilizaram-se elementos resultantes da análise conceitual para modelar um processo de promoção de envelhecimento saudável a partir do Modelo de Promoção da Saúde de Nola Pender. Resultados: na análise conceitual, foram identificados sete antecedentes, sete atributos e três consequências do conceito de envelhecimento saudável. Considerações Finais: o Modelo de Promoção da Saúde proposto representa uma estrutura que, de forma instrumental, pode orientar a aplicação do processo de enfermagem na prática clínica gerontológica. Este poderá direcionar o enfermeiro na identificação de diagnósticos, estabelecimento de resultados e implementação de intervenções voltadas à promoção da saúde do idoso.

15.
Rev. bras. enferm ; 75(2): e20200973, 2022. tab
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1341078

ABSTRACT

ABSTRACT Objectives: to evaluate two instruments for screening frailty in the elderly in Primary Health Care. Methods: this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman's correlation. Results: the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments. Conclusions: when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.


RESUMEN Objetivos: evaluar dos instrumentos de rastreo de fragilidad en el anciano en la Atención Primaria de Salud. Métodos: se trata de un estudio observacional, del tipo transversal, con abordaje cuantitativo, con 396 ancianos. Los análisis estadísticos fueron realizados con auxilio del software SPSS. Fueron usados el coeficiente kappa y la correlación de Spearman. Resultados: el coeficiente kappa entre el Índice de Vulnerabilidad Clínico Funcional 20 y la Escala de Fragilidad de Edmonton fue de 0,496, considerado moderado. Hubo correlación positiva y significante (r = 0,77; p < 0,001) entre las condiciones de fragilidad y la puntuación total de los dos instrumentos. Conclusiones: al evaluar la fragilidad, ambos los instrumentos presentaron correlación positiva y concordancia cuando verificados por el coeficiente kappa. Entretanto, la identificación de la fragilidad fue superior cuando utilizada la Escala de Fragilidad de Edmonton.


RESUMO Objetivos: avaliar dois instrumentos de rastreio de fragilidade no idoso na Atenção Primária à Saúde. Métodos: trata-se de um estudo observacional, do tipo transversal, com abordagem quantitativa, com 396 idosos. As análises estatísticas foram realizadas com auxílio do software SPSS. Foram usados o coeficiente kappa e a correlação de Spearman. Resultados: o coeficiente kappa entre o Índice de Vulnerabilidade Clínico Funcional 20 e a Escala de Fragilidade de Edmonton foi de 0,496, considerado moderado. Houve correlação positiva e significante (r = 0,77; p < 0,001) entre as condições de fragilidade e a pontuação total dos dois instrumentos. Conclusões: ao avaliar a fragilidade, ambos os instrumentos apresentaram correlação positiva e concordância quando verificados pelo coeficiente kappa. Entretanto, a identificação da fragilidade foi superior quando utilizada a Escala de Fragilidade de Edmonton.

16.
Article in Chinese | WPRIM | ID: wpr-920382

ABSTRACT

Objective To investigate the incidence and influencing factors of geriatric syndrome (GS) in Beijing area, and to analyze the relationship between GS and Barthel Index (Barthel ADL) score and quality of life. Methods From June 2018 to December 2018, a community-based or door-to-door survey of elderly people >65 years old in some communities in Beijing was conducted. The incidence of GS and its gender distribution, age distribution, and type distribution were investigated. At the same time, GS patients were selected as the observation group, and among people without GS in physical examination, a random sampling method was used to select the control group. The general data, Barthel ADL score, and World Health Organization Quality of Life (WHOQOL-BREF) score were compared between the two groups. The relevant influencing factors of GS and its correlation with the Barthel ADL score and WHOQOL-BREF scores were analyzed. Results Among 500 elderly people in the community investigated in the present study, 97.00% of patients had ≥1 types of GS, 84.80% of patients had ≥2 types, and 70.20% of patients had ≥3 types of GS. High education level (OR=0.329, 95%CI: 0.259-0.418) and retirement pension (OR=0.727, 95%CI: 0.576-0.918) were the protective factors for the occurrence of GS. Hyperlipidemia (OR=3.176, 95%CI: 2.518-4.007), diabetes (OR=2.473, 95%CI: 1.718-3.559), coronary heart disease (OR=2.658, 95%CI:1.649-4.286), hypertension (OR=3.230, 95%CI:2.008-5.197), osteoarthropathy (OR=4.166, 95%CI: 3.008-5.769), cancer (OR=3.008, 95%CI: 1.894-4.778), acute cerebral infarction (OR=3.420, 95%CI: 2.335-5.009), and acute myocardial infarction (OR=2.112, 95%CI: 1.169-3.814) were the risk factors for GS (P<0.05). The Barthel ADL score and WHOQOL-BREF score of the observation group were lower than those of the control group (P<0.05). GS was negatively correlated with Barthel ADL and WHOQOL-BREF scores (P<0.05). Conclusion GS was common in the elderly in Beijing, and its occurrence was related to factors such as education level, retirement pension, hyperlipidemia, diabetes, coronary heart disease, hypertension, osteoarthropathy, cancer, acute cerebral infarction, and acute myocardial infarction. Strengthening the early assessment and management of GS will help improve the daily life and quality of life of the elderly.

17.
Article in Chinese | WPRIM | ID: wpr-923036

ABSTRACT

Objective To explore the needs of community pharmacy services in elderly hypertensive patients in the community, especially empty-nest elderly patients. Methods Elderly hypertensive patients living in Ouyang street were randomly selected and divided into empty-nest and non-empty-nest groups by cluster random sampling method. The basic information of the respondents, the frequency of hypertension monitoring, the taking of hypertensive drugs, and the taking of other drugs were compared and analyzed. Results In term of “blood pressure monitoring frequency”, the daily pressure measurement of the empty-nest group and the non-empty-nest group accounted for 33.6% and 19.3%, respectively. There was significant difference between the two groups (P<0.05).In term of “the varieties of hypertension drugs” and taking 3 kinds of hypertension drugs at the same times, the empty-nest group accounted for 28.8% and the non-empty-nest group accounted for 16.7%, and the difference between the two groups was significant (P<0.05);In term of “the varieties of drugs” and taking 1-2 kinds of Chinese patent drugs at the same time, the empty-nest group accounted for 39.6% and the non-empty-nest group accounted for 26.0% , and the difference between the two groups was significant (P<0.05)。Conclusion Community elderly patients with hypertension, especially empty-nest elderly patients have an urgent need for community pharmacy services,Community pharmacy services personnel should provide personalized and targeted medication education and guidance to elderly patients, especially empty-nest elderly patients, to promote the rational drug use in elderly patients.

18.
Fisioter. Mov. (Online) ; 35: e35201, 2022. tab, graf
Article in English | LILACS | ID: biblio-1364859

ABSTRACT

Abstract Introduction: Studies have shown the importance of healthy habits in older adults, emphasizing physical activity or mobility for a better quality of life and to delay physical degeneration in this population. Yoga is one of several exercises recommended for therapeutic purposes to reduce the risk of falls, a common occurrence in this age group. Objective: To synthesize the existing evidence regarding the effects of yoga on quality of life and physical-functional capacity and its contribution to fall prevention in older people. Methods: This systematic review was conducted in August 2020 on the Medline/Pubmed, LILACS, SCOPUS, Web of Science and PEDro databases, with no restrictions for language or year of publication. In line with the eligibility criteria, randomized or quasi-randomized clinical trials were included. Results: A total of 1,190 articles were found, 18 of which were included for data collection. The average sample size was between 16 and 120 participants, consisting of older individuals of both sexes ranging in age from 62 to 85 years. Conclusion: Regular yoga practice has a beneficial effect on the quality of life and physical-functional capacity of older adults, thereby contributing to fall prevention. However, evidence is still limited and further studies are suggested to better elucidate the scope of the effects of yoga as a therapeutic resource.


Resumo Introdução: Estudos têm demonstrado a importância dos hábitos saudáveis em idosos, enfatizando a atividade física ou mobilidade como categoria para uma melhor qualidade de vida nas condições orgânicas e retardo da degeneração física nesse grupo populacional. Dentre diversas atividades físicas, o yoga é conhecido como um dos exercícios indicados e utilizados de forma terapêutica, que pode reduzir o risco de quedas, sendo este um evento prevalente nessa faixa etária. Objetivo: Sintetizar as evidências existentes quanto aos efeitos da prática de yoga na qualidade de vida e capacidade físico-funcional que possam contribuir para a prevenção de quedas em idosos. Métodos: Trata-se de uma revisão sistemática, cujas buscas foram realizadas em agosto de 2020 nas bases de dados Medline/Pubmed, LILACS, SCOPUS, Web of Science e PEDro, sem restrições linguísticas ou de ano de publicação. Seguindo os critérios de elegibilidade, foram incluídos estudos do tipo ensaio clínico randomizado ou quase randomizado. Resultados: Foram encontrados 1190 artigos, sendo incluídos 18 para a coleta dos dados, os quais tinham como amostra uma média de 16 a 120 participantes, sendo esses idosos de 62 a 85 anos e de ambos os sexos. Conclusão: A prática regular de yoga promove benefícios sobre a qualidade de vida e capacidade físico-funcional de idosos que contribuem para a prevenção de quedas. No entanto as evidências ainda são limitadas e sugerem-se novos estudos para melhor elucidação da abrangência dos efeitos do yoga como recurso terapêutico.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Yoga , Accidental Falls , Healthy Aging , Quality of Life , Exercise
19.
Motriz (Online) ; 28: e10220009721, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1365157

ABSTRACT

Abstract Aim: This quasi-experimental study, analyzes if periodized combined training's influence on plasma cytokine levels, muscle strength, and cardiorespiratory fitness in physically active women with overweight and/or obesity over 50 years. Methods: The sample was composed of 33 physically active women who were randomly allocated to three groups: Non-Periodized (NP) (n = 11); Undulating Periodization (UP) (n = 9); and Flexible Undulating Periodization (FUP) (n = 13). This study was conducted for 17 weeks, which included adaptation (weeks 1-3), baseline testing (week 4), training program (weeks 5-16), and post-evaluation (week 17). The training frequency comprised of three weekly sessions, with 30 min of aerobic exercise and 45 min of strength exercises. The data were analyzed using descriptive statistics and analysis of variance. The level of significance was p ≤ 0.05. Results: No differences were observed in weight parameters, plasma levels of cytokines, and biochemical parameters in any group, before and after the completion of the training period. Participants demonstrated increase in strength of the upper limbs in the UP (p = 0.032) and FUP (p = 0.021) groups, an increase in aerobic fitness in the NP (p = 0.041) and UP (p = 0.005) groups, and an increase in the amount of time of vigorous activity per week in the NP group (p = 0.019). Conclusion: This study shows that periodized combined training in physically active women with overweight and/or obesity over 50 years proved to be beneficial for all groups; although, the UP group exhibited better performance.

20.
Psicol. ciênc. prof ; 42: e234922, 2022. tab
Article in Portuguese | LILACS-Express | LILACS, INDEXPSI | ID: biblio-1360634

ABSTRACT

Resumo A compreensão sobre suporte e qualidade ambiental torna-se de fundamental importância para intervenções e melhoria das condições e qualidade de vida da população idosa. Este estudo objetivou identificar a percepção do suporte ambiental e suas implicações na elaboração de projetos pessoais na velhice. A pesquisa se caracterizou como exploratória, descritiva e de abordagem quantiqualitativa. Participaram 76 idosos residentes em três condomínios do Programa Cidade Madura do estado da Paraíba. Para a coleta de dados foram utilizados os questionários sociodemográfico e o de projetos pessoais. As análises foram realizadas por meio da análise de conteúdo pela perspectiva de Bardin. A média de idade encontrada no estudo foi de 71,01 anos, com predomínio: de mulheres (56,6%); de estado civil casado (31,6%); de baixa escolaridade; de renda de até um salário mínimo mensal (76,3%); e de aposentados (73,7%). A análise dos Projetos Pessoais resultou em 8 categorias de atividades: Vínculos afetivos, Atividades domésticas, Lazer, Atividades de compromisso, Religião, Saúde, Jardinagem, Informação/distração. O ambiente (físico e contextual) é um importante aliado na concretização dessas atividades, que refletem em um bem-estar global. O estudo concluiu que potencialidades do ambiente como segurança, tranquilidade, socialização e acessibilidade, dão suporte favorável à realização de atividades cotidianas, o que, consequentemente, reflete em um bem-estar geral e melhor qualidade de vida. Algumas fragilidades do ambiente, como falta de acessibilidade urbana, ineficiência e insuficiência de serviços de saúde e transporte público, também foram citadas pelos idosos como limitações na realização de seus projetos pessoais.(AU)


Abstract The understanding about support and environmental quality becomes of fundamental importance for interventions and improvement of conditions and quality of life of the older population. This study aimed to identify the perception of environmental support and its implications in the development of personal projects in old age. This is an exploratory, descriptive, and quantitative qualitative study. A total of 76 older adults residents in three condominiums of the Cidade Madura Program of the state of Paraíba participated in the study. Sociodemographic and personal projects questionnaires were used for data collection. The analyzes were performed by content analysis from Bardin's perspective. The average age found in the study was 71.01 years, with a predominance of women (56.6%), of marital status married (31.6%), low educational level, up to a minimum monthly wage of earnings (76.3%), and retirees (73.7%). The analysis of Personal Projects resulted in 08 activity categories: Affective bonding, Domestic activities, Leisure, Commitment Activities, Religion, Health, Gardening, Information/distraction. The environment (physical and contextual) is an important ally in the accomplishment of these activities, which reflect on a global well-being. The study concluded that potentialities of the environment such as safety, tranquility, socialization, and accessibility provide favorable support in the performance of daily activities, which, consequently, reflects in a general well-being and better quality of life. Some environmental weaknesses, such as lack of urban accessibility, inefficiency and insufficiency of health services and public transportation were also cited by the older adults as limitations in carrying out their personal projects.(AU)


Resumen La comprensión sobre el soporte y calidad ambiental es clave para las intervenciones y mejoría de las condiciones y calidad de vida de la población anciana. Este estudio tiene como objetivo identificar la percepción del soporte ambiental y sus implicaciones en la elaboración de proyectos personales en la vejez. Se trata de una investigación exploratoria, descriptiva y de abordaje cualicuantitativo. Participaron 76 ancianos que viven en tres habitaciones del Programa Ciudad Madura del Estado de Paraíba (Brasil). Para la recolección de datos se utilizaron los cuestionarios sociodemográficos y de proyectos personales. Se aplicó el análisis de contenido de Bardin. La edad media en el estudio fue de 71,01 años, con predominancia de mujeres (56,6%); estado civil casado (31,6%); bajo nivel educativo; renta de hasta un salario mínimo mensual (76,3%) y de jubilados (73,7%). El análisis de los proyectos personales dio como resultado 8 categorías de actividades: Vinculación afectiva, Actividades del hogar, Ocio, Actividades de compromiso, Religión, Salud, Jardinería, Información/distracción. El ambiente (físico y contextual) fue un importante aliado en la concretización de esas actividades, que conducen a un estado de bienestar general. Se concluyó que potencialidades del ambiente como seguridad, tranquilidad, socialización y accesibilidad dan soporte favorable en la realización de actividades diarias que, consecuentemente, reflejan en un bienestar general y mejor calidad de vida. Algunas fragilidades del ambiente como falta de accesibilidad urbana, ineficiencia e ineficacia de servicios de salud y transporte público también fueron citados por los ancianos como limitaciones en la realización de sus proyectos personales.(AU)


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Social Environment , Aged , Aging , Environment , Projects , Public Housing , Socialization , Activities of Daily Living , Health , Data Collection , Planning , Leisure Activities
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