Banca de QUALIFICAÇÃO: CRISTIANO DOS SANTOS GOMES

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
DISCENTE : CRISTIANO DOS SANTOS GOMES
DATA : 06/10/2017
HORA: 09:00
LOCAL: Auditório do Departamento de Fisioterapia
TÍTULO:

FRAILTY PREVALENCE  IN ELDERLY AND ASSOCIATED FACTORS UNDER THE LIFECOURSE  PERSPECTIVE: INTERNATIONAL MOBILITY IN AGING STUDY ANALYSIS

PALAVRAS-CHAVES:

Epidemiology, Aging, Frailty, Childhood physical abuse, Domestic Violence,  Early maternal age, Parity.

PÁGINAS: 94
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

The growth of the elderly population is a global reality that brings direct repercussions to society. Although the aging process is not necessarily related to diseases and disabilities, many pathological processes also occur as part of it. Frailty syndrome, a state of vulnerability and deficient homeostatic responses after a stressful event that occurs as a consequence of the cumulative decline of multiple physiological systems throughout life, is one of the most problematic expressions of population aging. This syndrome is an important topic from a social perspective because it identifies groups of people in need of additional medical attention and at high risk of becoming dependent. In this context, life-course epidemiology studies the long-term health effects of biological, behavioral, and psychosocial experiences throughout life. The International Mobility In Aging Study (IMIAS) draws on the lifelong approach to contribute to knowledge about health outcomes in the elderly in four countries with different epidemiological profiles. Objectives: To estimate the prevalence of frailty in the elderly participants of the study; To analyze the relationship between adversities throughout the life course and the fragility syndrome in old age. Methods: These are cross-sectional studies associated with a larger cohort study (IMIAS) in which the elderly (65%) aged 65-74 years in the community participated in the first evaluation (n = 2002) in 5 different locations (Kingston and Saint-Hyancinthe, Canada, Tirana, Albania, Manizales, Colombia and Natal, Brazil). Information was collected on sociodemographic, economic and health variables experienced during the lifecourse. The frailty syndrome was operationalized according to the criteria proposed by Linda Fried for the physical phenotype of frailty. Dispersion and central tendency measures were used to characterize the sample, bivariate, multivariate and mediation analyzes were used when appropriate in order to achieve the proposed objectives. Results: The prevalence of frailty varied according to the study sites being lower in Canada and higher in Brazil. In Tirana and Natal women were more frail than men. After multivariate analysis adjusted by covariables, the elderly who reported having suffered childhood physical abuse had a higher prevalence of frailty in old age (OR = 1.68, 95% CI: 1.01, 2.78) and the same was observed among those exposed to psychological violence perpetrated by intimate partner (OR = 2.07, 95% CI: 1.37, 3.12). The effects of childhood physical abuse were fully mediated by the presence of chronic conditions and depressive symptomatology, while the effects of psychological intimate partner violence were partially mediated by these same variables. Among women, give birth before 20 years old was associated with higher prevalence of frailty (OR 2.15, 95% CI: 1.24-3.72), those with 1-2 children had lower pre-frailty status (OR 0.54, 95 (CI 0.36-0.82) and frailty (OR 0.43 95% CI 0.22-0.86) and having performed hysterectomy was considered a factor contributing independently to higher prevalence of frailty in all models. Conclusions: Childhood physical abuse and experiences of psychological violence in adult life leave marks on the path of life leading to adverse health outcomes in old age. Age at first birth, parity and hysterectomy are factors that should be considered as indicators of women's health and seem to contribute to the greater prevalence of frailty in women when compared to men.

MEMBROS DA BANCA:
Externo à Instituição - ALINE DO NASCIMENTO FALCAO FREIRE MONTE - Estácio
Externo ao Programa - 1195933 - ANA CAROLINA PATRICIO DE ALBUQUERQUE SOUSA
Presidente - 350637 - RICARDO OLIVEIRA GUERRA