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Postural instability and the condition of physical frailty in the elderly
OBJECTIVE: to analyze the relationship between postural instability and the condition and markers of physical frailty of the elderly people in outpatient geriatric and gerontology care. METHOD: a cross-sectional study with a sample of 381 elderly subjects. Physical frailty was evaluated by the frail...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528635/ https://www.ncbi.nlm.nih.gov/pubmed/31038639 http://dx.doi.org/10.1590/1518-8345.2655-3146 |
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author | Moraes, Dayana Cristina Lenardt, Maria Helena Seima, Marcia Daniele de Mello, Bruno Henrique Setoguchi, Larissa Sayuri Setlik, Clarice Maria |
author_facet | Moraes, Dayana Cristina Lenardt, Maria Helena Seima, Marcia Daniele de Mello, Bruno Henrique Setoguchi, Larissa Sayuri Setlik, Clarice Maria |
author_sort | Moraes, Dayana Cristina |
collection | PubMed |
description | OBJECTIVE: to analyze the relationship between postural instability and the condition and markers of physical frailty of the elderly people in outpatient geriatric and gerontology care. METHOD: a cross-sectional study with a sample of 381 elderly subjects. Physical frailty was evaluated by the frailty phenotype and postural instability through the Berg Balance Scale. Univariate analyses consisted in Chi-square tests, and multivariate analyses used the Forward Stepwise method, which resulted in a model of physical frailty associated with postural instability. RESULTS: among the participants, 56 (14.7%) were frail, 217 (57%) pre-frail, and 68 (28.3%) non-frail. Pre-frailty (p < 0.001), frailty (p = 0.000), and the markers hand grip strength (p = 0.0008), unintentional weight loss (p = 0.0094), level of physical activity (p = 0.0001), fatigue/exhaustion (p = 0.0001), and gait speed (p = 0.0001) were associated with postural instability. CONCLUSION: the presence of postural instability determines a greater chance of the elderly being frail or pre-frail. This result favors the planning of gerontological nursing care and strengthens the treatment plan under a specific approach. |
format | Online Article Text |
id | pubmed-6528635 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-65286352019-05-31 Postural instability and the condition of physical frailty in the elderly Moraes, Dayana Cristina Lenardt, Maria Helena Seima, Marcia Daniele de Mello, Bruno Henrique Setoguchi, Larissa Sayuri Setlik, Clarice Maria Rev Lat Am Enfermagem Artigo Original OBJECTIVE: to analyze the relationship between postural instability and the condition and markers of physical frailty of the elderly people in outpatient geriatric and gerontology care. METHOD: a cross-sectional study with a sample of 381 elderly subjects. Physical frailty was evaluated by the frailty phenotype and postural instability through the Berg Balance Scale. Univariate analyses consisted in Chi-square tests, and multivariate analyses used the Forward Stepwise method, which resulted in a model of physical frailty associated with postural instability. RESULTS: among the participants, 56 (14.7%) were frail, 217 (57%) pre-frail, and 68 (28.3%) non-frail. Pre-frailty (p < 0.001), frailty (p = 0.000), and the markers hand grip strength (p = 0.0008), unintentional weight loss (p = 0.0094), level of physical activity (p = 0.0001), fatigue/exhaustion (p = 0.0001), and gait speed (p = 0.0001) were associated with postural instability. CONCLUSION: the presence of postural instability determines a greater chance of the elderly being frail or pre-frail. This result favors the planning of gerontological nursing care and strengthens the treatment plan under a specific approach. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2019-04-29 /pmc/articles/PMC6528635/ /pubmed/31038639 http://dx.doi.org/10.1590/1518-8345.2655-3146 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Artigo Original Moraes, Dayana Cristina Lenardt, Maria Helena Seima, Marcia Daniele de Mello, Bruno Henrique Setoguchi, Larissa Sayuri Setlik, Clarice Maria Postural instability and the condition of physical frailty in the elderly |
title | Postural instability and the condition of physical frailty in the
elderly
|
title_full | Postural instability and the condition of physical frailty in the
elderly
|
title_fullStr | Postural instability and the condition of physical frailty in the
elderly
|
title_full_unstemmed | Postural instability and the condition of physical frailty in the
elderly
|
title_short | Postural instability and the condition of physical frailty in the
elderly
|
title_sort | postural instability and the condition of physical frailty in the
elderly |
topic | Artigo Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528635/ https://www.ncbi.nlm.nih.gov/pubmed/31038639 http://dx.doi.org/10.1590/1518-8345.2655-3146 |
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