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Publication
Queda e Risco de Queda em Adultos mais velhos antes e depois de uma Intervenção Intergeracional
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Authors
Abstract(s)
Introdução e objetivos: As quedas representam um problema de saúde pública
significativo sobretudo na população geriátrica, uma vez que, por ano,
aproximadamente 28% a 35% dos indivíduos com idade superior ou igual a 65 anos
sofrem quedas, sendo importante identificar novas formas de reduzir o seu risco. O
projeto Aldeias Educadoras consistiu num programa de envelhecimento ativo e
intergeracional realizado em 5 aldeias do concelho do Fundão. Este estudo pretendeu
analisar o impacto da implementação deste projeto nas quedas e risco de quedas de
adultos mais velhos.
Metodologia: Trata-se de um estudo quase-experimental com comparação pré e pós
intervenção desenvolvido com 19 participantes do projeto, com idades entre os 67 e 83
anos (74,37 ± 4,56). Os participantes frequentaram sessões comunitárias e escolares,
desenvolvendo competências e projetos culturais locais entre idosos, crianças e
professores. Foi aplicado um questionário que avaliou o índice de massa corporal
(IMC), a prática de atividade física, tal como exercício de resistência, força ou
mobilidade, o Times up and go (TUG) e o número de fármacos utilizados diariamente.
Resultados: Após a intervenção, a mediana do resultado do TUG dos participantes foi
de 11,15 (6,60 – 20,00), que foi menor do que a apresentada no pré-teste (12; 6,24 –
17,38; p=0,021). Não houve diferenças estatisticamente significativas no valor de IMC
(Pós 30,7 vs Pré 30; p=0,185) nem na prática de atividade física (Diferença Pós-Pré
5,3%; p=0,500). O número de medicamentos diminuiu após a intervenção (4,78 ± 1,56
vs. 5,56 ± 2,18; p=0,013).
Conclusões: Este estudo sugere que a intervenção intergeracional Aldeias
Educadoras poderá ter contribuído para melhorar o TUG e, possivelmente, reduzir o
número total de fármacos utilizados pelos participantes no estudo. No entanto, o
reduzido número de participantes não permite generalizar as conclusões.
Introduction and objectives: Falls represent a significant public health problem, as approximately 28% to 35% of individuals aged 65 or over suffer falls each year, and therefore it is important to identify new ways to reduce their risk. The Aldeias Educadoras project consisted in an active and intergenerational aging program carried out in five villages in the municipality of Fundão. This study aimed to analyze the impact of implementing this project on falls and risk of falls in older adults. Methodology: This is a quasi-experimental study with pre and post intervention comparison of 19 individuals, aged between 67 and 83 years (74.37 ± 4.56). Participants enrolledin community and school sessions, developing local cultural skills and projects among elderly people, children and teachers. A questionnaire was applied that assessed body mass index (BMI), practice of physical activity, such as resistance, strength or mobility exercises, times up and go (TUG) and number of drugs used daily. Results: After the intervention, the participant’s median TUG result was 11.15 (6.60 – 20.00), which was lower than the presented in the pre-test (12; 6.24 – 17.38; p=0.021). There were no statistically significant differences in BMI value (Post 30.7 vs Pre 30; p=0.185) nor in the practice of physical activity (Post-Pre Difference 5.3%; p=0.500). The number of medications decreases after the intervention (4.78 ± 1.56 vs. 5.56 ± 2.18; p=0.013). Conclusions: This study suggests that the intergenerational Aldeias Educadoras intervention could have contributed to improving TUG and, possibly, reduce the total number of medications used by study participants. However, the small number of participants does not allow the conclusions to be generalized.
Introduction and objectives: Falls represent a significant public health problem, as approximately 28% to 35% of individuals aged 65 or over suffer falls each year, and therefore it is important to identify new ways to reduce their risk. The Aldeias Educadoras project consisted in an active and intergenerational aging program carried out in five villages in the municipality of Fundão. This study aimed to analyze the impact of implementing this project on falls and risk of falls in older adults. Methodology: This is a quasi-experimental study with pre and post intervention comparison of 19 individuals, aged between 67 and 83 years (74.37 ± 4.56). Participants enrolledin community and school sessions, developing local cultural skills and projects among elderly people, children and teachers. A questionnaire was applied that assessed body mass index (BMI), practice of physical activity, such as resistance, strength or mobility exercises, times up and go (TUG) and number of drugs used daily. Results: After the intervention, the participant’s median TUG result was 11.15 (6.60 – 20.00), which was lower than the presented in the pre-test (12; 6.24 – 17.38; p=0.021). There were no statistically significant differences in BMI value (Post 30.7 vs Pre 30; p=0.185) nor in the practice of physical activity (Post-Pre Difference 5.3%; p=0.500). The number of medications decreases after the intervention (4.78 ± 1.56 vs. 5.56 ± 2.18; p=0.013). Conclusions: This study suggests that the intergenerational Aldeias Educadoras intervention could have contributed to improving TUG and, possibly, reduce the total number of medications used by study participants. However, the small number of participants does not allow the conclusions to be generalized.
Description
Keywords
Aldeias Educadoras Comunidade Fragilidade Idosos Imobilismo Programas Intergeracionais Quedas Risco de Quedas