Occurrence of falls and offer of physical activity in long-term care for the elderly in the Federal District, Brazil

Authors

DOI:

https://doi.org/10.33233/fb.v22i5.4759

Keywords:

aging; aged; accidental falls; homes for the aged; health of institutionalized elderly

Abstract

Introduction: The aging is a natural process that causes declines in health. Residents in long-term care facilities for the elderly (LTC) have higher rates of falls than the elderly in the community, requiring greater attention. Objective: To describe the occurrence of falls in institutionalized elderly and the offer of physical activity available within the LTC in the Federal District, Brazil. Methods: Cross-sectional, descriptive, exploratory study, with a quantitative approach, using the Federal District's LTC as a scenario. Descriptive variables were organized in an Excel® spreadsheet, the data analysis was done through absolute and relative frequency. Results: Ten LTC participated in the study, these being private, philanthropic and mixed, and may have their own or rented property. Most residents are female, and the age group was 60 to 104 years old among the elderly. All LTC offered physical activity and the incidence of falls was between 0% and 27.27% in 2017 in the institutions surveyed. Conclusion: In all institutions, the physiotherapist was a professional responsible for offering physical activities, considering that this professional is trained to prescribe activities aimed at functional physical rehabilitation. Further studies need to be conducted on this topic in order to carry out future interventions with this audience.

Author Biographies

Érica Merces Macêdo de Santana, UnB

Curso de pós-graduação em Educação Física, Universidade de Brasília (UnB), Brasília, DF, Brasil

Marisete Peralta Safons, UnB

Docente do curso de Educação Física da UnB, Brasília, DF, Brasil

References

Tortora G J, Derrickson B. Princípios de anatomia e fisiologia. Rio de Janeiro: Guanabara Koogan, 2014;12(10):323.

Hunter GR, Plaisanc EP, Carter SJ, Fisher G. Why intensity is not a bad word: Optimizing health status at any age. Clin Nutr 2018;37(1):56-60. doi: 10.1016/j.clnu.2017.02.004

IBGE. Pesquisa Nacional por Amostra de Domicílios: Síntese de indicadores 2015. Coordenação de Trabalho e Rendimento [Internet]. Rio de Janeiro: IBGE; 2016. [cited 2021 Oct 8]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv98887.pdf

IBGE. Instituto Brasileiro de Geografia e Estatística. Tábua completa de mortalidade para o Brasil, 2015 [Internet]. Rio de Janeiro: IBGE; 2016. [cited 2021 Oct 8]. Available from:http://ftp.ibge.gov.br/Tabuas_Completas_de_Mortalidade/Tabuas_Completas_de_Mortalidade_2015/tabua_de_mortalidade_analise.pdf

IPEA. Instituto de Pesquisa Econômica Aplicada. Infraestrutura Social e Urbana no Brasil subsídios para uma agenda de pesquisa e formulação de políticas públicas. Condições de funcionamento e infraestrutura das instituições de longa permanência para idosos no Brasil. Comunicados do Ipea [Internet]. Série Eixos do Desenvolvimento Brasileiro 2011;(93). [cited 2021 Oct 11]. Available from: http://www.ipea.gov.br/portal/index.php?option=com_content&view=article&id=647

Szurlej AW, Ćwirlej-Sozańska A, Wilmowska-Pietruszyńska A, Milewska N, Sozański B. The influence of 3 months of physical exercises and verbal stimulation on functional efficiency and use of free time in an older population under institutional care: study protocol for a randomized controlled trial. Trials 2017;18:376. doi: 10.1186/s13063-017-2114-1

Resnick B, Galik E. Impact of care settings on residents’ functional and psychosocial status, physical activity and adverse events. Int J Older People Nurs 2015;10(4):273-83. doi: 10.1111/opn.12086

González Ramírez A, Calvo Aguirre JJ, Lekuona Ancizar P, González Oliveras JL, Marcellán Benavente T, Ruiz de Gordoa Armendia A, et al. Falls in nursing homes and institutions: update by the osteoporosis, falls and fractures Working Group of the Spanish Society of Geriatrics and Gerontology (GCOFSEGG). Rev Esp Geriatr Gerontol 2013;48(1):30-8. doi: 10.1016/j.regg.2011.09.007

Araújo Neto AH, Patrício ACFA, Ferreira MAM, Rodrigues BFL, Santos TD, Rodrigues TDB, et al. Falls in institutionalized older adults: risks, consequences and antecedents. Rev Bras Enferm 2017;70(4):752-8. doi: 10.1590/0034-7167-2017-0107

Deandra S, Bravi F, Turati F, Lucenteforte E, La Vecchia C, Negri E. Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Arch Gerontol Geriatr 2013;56(3):407-15. doi: 10.1016/j.archger.2012.12.006

Pickering C, Kiely J. ACTN3, Morbidity, and Healthy Aging. Front Genet 2018;9(15). doi: 10.3389/fgene.2018.00015

Forster A, Forster A, Airlie J, Birch K, Cicero R, Cundill B, et al. Research Exploring Physical Activity in Care Homes (REACH): study protocol for a randomised controlled trial. Trials 2017;18(182). doi: 10.1186/s13063-017-1921-8.

Calcagno L. Levantamento aponta carência de instituições para permanência de idosos [Internet]. 2016. Correio Braziliense – Cidades. [citado 2021 Oct 11]. Available from: https://www.correiobraziliense.com.br/app/noticia/cidades/2016/07/10/interna_cidadesdf,539684/levantamento-aponta-carencia-de-instituicoes-para-permanencia-de-idoso.shtml

Lacerda TTB, Horta NC, Souza MCMR, Oliveira TRPR, Marcelino KGS, Ferreira QN, et al. Caracterização das Instituições de longa permanência para idosos da região metropolitana de Belo Horizonte. Rev Bras Geriatr Gerontol 2017;20(6):743-54. doi: 10.1590/1981-22562017020.170014

Governo do Distrito Federal. Sobre Brasília, 2018 [Internet]. [cited 2021 Oct 11]. Available from: http://www.df.gov.br/category/sobre-brasilia/

Codeplan-Companhia de Planejamento do Distrito Federal. Miragaya J, Peixoto I, Ferreira M, Corrêa G. Perfil dos Idosos no Distrito Federal, Segundo as Regiões Administrativas, 2013. [Internet]. [cited 2021 Oct 11]. Available from: http://www.codeplan.df.gov.br/wp-content/uploads/2018/02/Perfil_dos_Idosos_no-Distrito_Federal-Segundo-as-Regioes_Administrativas.pdf

FONIF. Fórum Nacional das Instituições Filantrópicas, 2015. O que é Filantropia? [Internet] [cited 2021 Oct 11]. Available from: http://Fonif.Org.Br/O-Que-E-Filantropia/

Camarano AA, Giacomin KC. Instituições de longa permanência para idosos no Brasil: Do que se está falando? In: Alcântara AO.; Camarano AA.; Giacomin KC. Política nacional do idoso: velhas e novas questões. Rio de Janeiro: IPEA, 2016. p.479-514 [Internet]. [cited 2021 Oct 11]. Available from: http://repositorio.ipea.gov.br/bitstream/11058/9146/1/Institui%C3%A7%C3%B5es%20de%20longa%20perman%C3%AAncia.pdf

Ferreira LMBM, Ribeiro KMOBF, Jerez-Roig J, Araújo JRT, Lima KC. Quedas recorrentes e fatores de risco em idosos institucionalizados. Ciênc Saúde Coletiva 2019;24(1):67-75. doi: 10.1590/1413-81232018241.35472016

Camarano AA. Características das instituições de longa permanência para idosos – região Centro-Oeste/ Brasília: IPEA; Presidência da República, 2008. [Internet]. [cited 2021 Oct 11]. Available from: http://repositorio.ipea.gov.br/bitstream/11058/3258/1/Livro__CaractdasInstituicoesRegiao_CentroOeste.pdf

Alencar MA, Bruck NNS, Pereira BC, Câmara TMM.; Almeida RD. Perfil dos idosos residentes em uma instituição de longa permanência. Rev Bras Geriatr Gerontol 2012;15(4). doi: 10.1590/S1809-98232012000400017

Ferreira LMBM, Jerez-Roig J, Andrade FLJP, Oliveira NPD, Araújo JRT, Lima KC. Prevalence of falls and evaluation of mobility among institutionalized elderly persons. Rev Bras Geriatr Gerontol 2016;19(6):995-1003. doi: 10.1590/1981-22562016019.160034

Shakeel S, Newhouse I, Malik A, Heckman G. Identifying feasible physical activity programs for long-term care homes in the Ontario Context. Can Geriatr J 2015;18(2):73-104. doi: 10.5770/cgj.18.158

Ferreira CB, Teixeira PS, Santos GA, Maya ATD, Brasil PA, Souza VC, et al. Effects of a 12-week exercise training program on physical function in institutionalized frail elderly. J Aging Res 2018. doi: 10.1155/2018/7218102

Roquete FF, Batista CCRF, Arantes RC. Care and management demands of long-term care facilities for the elderly in Brazil: an integrative review (2004-2014). Rev Bras Geriatr Gerontol 2017;20(2):288-301. doi: 10.1590/1981-22562017020.160053

Moyer HS, Gale J, Severe S, Braden HJ, Hasson S. Outcome measures correlated with falls in nursing home residents - A pilot study. Physiother Theory Pract 2017;33(9):725-32. doi: 10.1080/09593985.2017.1345027

Published

2021-11-11