Repositório RCAAP

The global demographic and epidemiological scenario is dominated by a rapid growth in the incidence of chronic diseases, both in high-income countries and those with medium / low income. The higher incidence of chronic pathologies in a context of increased average life expectancy produces a higher incidence of complex patients, who present the association of several pathologies and/or the co-presence of unfavorable social conditions (health and social vulnerability). This type of patient needs integrated interventions at different levels. The new epidemiological scenario represents a threat to Health Systems. This epidemiological context foresees an active intervention of the primary care sector in the coordination of interventions in the intermediate care sector, with a multi-service integration function between hospital and territory, and multi-sector integration between social, health, community and family resources.Keywords:  

This text aims to summarize an approach in the field of gerontechnology from the point of view of Longevity Economy. Initially, the socioeconomic context in which these new concepts emerge in the studies of population aging and gerontology is exposed. Then, it explores its intersections and needs for the adoption of public policies in the area of economics in order to meet the constitutional determination of a dignified and well-old aging. 

Alzheimer's disease (AD) is the most common dementia; a condition that is neurodegenerative, progressive, insidious and has no cure. Considering the great impact of AD on the lives of the affected and their families; some tests with specificity between 80-95% indicate promising results of the total and phosphorylated liquor biomarkers and Aβ42 peptide for diagnosing AD. This approach may change in the future not only in terms of diagnosis, but also in therapy. 

In recent years, computational technologies have been contributing to the increased research in gerontecnology, especially topics related to mHealth applications. This paper presents the results of a pilot study that assessed the user experience of an mHealth app called DeglutFono. Four users participated, using the app for a period of 12 weeks. Results show that building a positive user experience enhances users’ involvement in using the application.Keywords: Gerontecnology; mHealth; User Experience.

Brazil has experienced a pronounced aging of its population with marked gains in life expectancy among older adults. However, individuals of lower socioeconomic conditions often exhibit worse health outcomes that translate in lower life expectancy and fewer years in good health. In this presentation, I examine how education influence prevalence of chronic conditions, life expectancy and life expectancy in good health.

The objective was to investigate the influence of polypharmacy on the body balance of elderly individuals. Cross-sectional study, with application of the instruments: sociodemographic data, history of falls, medications and sensory organization test (SOT). The polypharmacy group showed greater displacements in the ML direction in conditions 4, 5 and 6 (p = 0.024; 0.022 and 0.027) than subjects without use.

This study aimed to evaluate the effect of Aquatic Physiotherapy on the pain of 15 obese and sedentary women. For the assessment of pain, the McGill-Melzack questionnaire and the Visual Analogue Scale were used. The pain index decreases after the Aquatic Physiotherapy Program (p = 0.001) when analyzing the data from the Visual Analogue Scale and the four parts of the McGill-Melzack questionnaire. It was concluded that the Aquatic Physiotherapy Program proved to be effective in the treatment of pain in obese and sedentary women, which can motivate them to effectively adhere to this Program, even in middle age, preparing their body condition for old age.

The objective of this study was to identify and understand the meaning of the experiences and the social context of elderly women who suffered sexual abuse. It consists of a qualitative study of an exploratory nature. The sample totaled four elderly women. The non-probabilistic technique called “Snowball” was used to study populations that are difficult to access. The collection took place from October to December 2019. The interviews revealed the difficulty of elderly women in understanding that they suffered sexual abuse. 

This study describes the profile of elderly residents in a long-term care facility and analyzes the evolution of their cognitive performance and health self-perception. This is a prospective study. The Mini-Mental State Examination and The Medical Outcomes Study 36-item Short-Form Health Survey were applied. The sample presented decline in the cognitive performance (p= 0.0001) and improved the health self-perception (p= 0.0431). 

This is a quasi-experimental study conducted with 10 women with a mean age of 52.40 ± 11.3 years, which aimed to evaluate the effectiveness of the use of kinesiotherapy and posterior tibial nerve electrostimulation in the treatment for urinary incontinence. After 12 visits of 30 minutes, in a clinic in the city of Canela, RS, there was a significant decrease in total daily voiding frequency and nocturia. In addition, a minor impact of incontinence on quality of life and emotional aspects was also observed. 

Introduction: This study aimed at verifying the use of the taping technique for upper limb function gain and pain reduction in elderly patients after stroke. Method: Participants received neuromuscular taping on the deltoid muscle. Results: There was no evidence of a significant improvement regarding functionality gain or pain reduction. Conclusion: the neuromuscular taping was not effective in improving the function and reducing pain in chronic pos stroke survivors after five weeks treatment.

In view of the relevance of investigating the problems inherent to depression in institutionalized elderly people and, consequently, their impact in the context of ILPI, the objective is to evaluate the prevalence of depressive symptoms in institutionalized elderly people, as well as their associated factors. This is a quantitative cross-sectional survey of 108 elderly people living in all ILPI in the city of Divinópolis, MG, from November 2017 to June 2018. Data were collected through interviews with the elderly, with identification instruments, Geriatric Depression Scale, Mini Mental State Exam and Katz Scale. Descriptive and variance analysis were used. The results showed that 46.3% of the elderly presented a prevalence of depressive symptoms, light or severe, and that this depressive condition is statistically associated with the elderly having no friends or good relationship in the ILPI, not attending the living area, not practicing leisure activities, disliking living in the ILPI, having chronic illness and making use of sleeping medication. It is concluded that emotional, social and health conditions may be related to depressive symptoms in institutionalized elderly people. 

The aim of this study was to verify the Physical Activity (PA) levels of 92 elderly people from Irati city, PR, 2016, from groups: Home for the Aged (n=35); Senior Center (n=37); Open University of the Elderly (n=20). Coexistence groups sufficiently active prevalence, while contextual factors can influence the daily PA practice in home for the aged. No associations were found, possibly influenced by the size population of the groups. 

The objective of the study was to explore the intergenerational contact found in the film “UP”, using Content Analysis to classify the themes addressed in the story, which embased the discussion. It is concluded that the intergenerational relationship promotes benefits in the process of building positive stereotypes, in valuing the elderly and can positively assist in the process of coping with retirement and widowhood.

Alzheimer's disease (AD) affects millions of people worldwide and results from two major pathological hallmarks, neurofibrillary tangles and senile plaques. The latter are derived from the cleavage of the amyloid precursor protein (APP) by the amyloidogenic pathway, which is avoided by the  a-secretase ADAM10. This study aimed to evaluate ADAM10 levels and activity in different biological media of individuals with AD, comparing these findings with those obtained in subjects without cognitive impairment, in order to contribute to the diagnostic reinforcement of the disease. 

Play at 60, have leisure, and play using technology? Those over 60 and using digital and non-digital games have certainly overcome, and still overcome, many prejudices, and are open to countless realities, possibilities and playful learning. This study aims to understand the meanings and the importance of playfulness in, and for, old age, especially playful leisure. For this, the main topics covered and their references are: aging (Beauvoir); leisure (Cabeza), the various types of leisure and in particular valuable leisure, as a complement to active aging that can make it satisfactory; the games (Gallo); the sense of playfulness for the elderly, providing subsidies for the understanding of playfulness and its benefits, from the point of view of the elderly (Matos, 2006). In a participant observation by the author herself, the research has as reference the activities with digital and non-digital games, 2015-2019, 1104 hours, 2 hours a week, to 65 elderly people, attended in three day centers for the elderly in Sao Paulo, SP, in the Bom Retiro, Saúde and Guaianases neighborhoods. Activities with games in day centers, which are stated as opportunities to discover a playful and very valuable leisure for the elderly. 

El objetivo de este estudio fue investigar el reconocimiento del síndrome locomotor (SLo), sus implicaciones y las estrategias de prevención adoptadas por los ancianos de larga vida. Se trata de un estudio transversal con 56 ancianos ≥ 80 años, atendidos en un servicio público de salud de São Paulo. Los ancianos diagnosticados de SLo fueron seleccionados mediante el cuestionario de la Escala Geriátrica de Función Locomotora (GLFS-25) de 25 ítems. Luego se recolectaron datos sociodemográficos y se evaluaron las actividades básicas e instrumentales de la vida diaria mediante el Índice de Independencia en las Actividades de la Vida Diária de Sydney Katz y Escala de Lawton, respectivamente. La segunda etapa consistió en investigar el reconocimiento, implicaciones y prevención de SLo, a través de un cuestionario. Se encontró que la mayoría de los ancianos longevos no reconocen esta condición (74,23%), pero comprenden las consecuencias adversas de los problemas en el órgano locomotor (69,6%). Sin embargo, la mayoría tenía barreras para practicar actividades físicas y prevenir SLo.

The longevity risk is conceptualized as the probability that the resources destined for retirement payments will end before the end of a person´s life. This paper presents a systematic literature review on the main mechanisms for hedge of longevity risk in Pension Funds. The results indicate that the main strategies are in the annuity and insurance market. It is suggested to deepen the studies on the double benefit of investments in longevity business, such as hedging strategy and generation of health, well-being and longevity. 

 Cognitive and functional impairment, among others, are factors that contribute to the institutionalization of the elderly. The objective was to compare samples of elderly aged 60 years and over, resident in long-term care institutions, regarding gender, age, income, physical health conditions, frailty, depressive symptoms, cognition and to identify relationships between these variables. Cross-sectional study with 479 elderly. Most are long-lived women with cognitive decline, dependence on basic activities of daily living, high prevalence of sarcopenia and frailty syndrome. 

This is a descriptive study, conducted with elderly individuals monitored in primary health care individuals followed up in Primary Health Care, within Rio Branco, capital of the state of Acre, northern region of Brazil, with the objective of identifying the sociodemographic profile, lifestyle and health situation of these elderly people. The research data can support policies, actions and programs for the prevention and care of the elderly in the region, in addition to guiding the need for services and the implementation of specific programs, such as the attention to women's health in the climacteric / menopause and the performance of the Health Centers. Support to Family Health.