Palavras-chave
exercicio fisico
envelhecimento
fragilidade e prevenção
Como Citar
Resumo
Objetivo: Identificar e perceber, quais os fatores de risco que contribuem para a queda do idoso frágil, e quais as estratégias adequadas para a sua prevenção. Metodologia: pesquisa exploratória descritiva com base em publicações científicas encontradas em bases como a PubMed, Researchgate, Scholar Google, Scielo, e como caracter de inclusão temos artigos que encontram entre datas de 1989 e 2024. Resultados: O processo de envelhecimento é inevitável e multifatorial, conduzindo à degradação de todos os sistemas do corpo humano. A inatividade física nos idosos, é mais um fator que vem agravar a fragilidade e potenciar as quedas nestas idades. É importante saber avaliar e prevenir estas consequências. Conclusão: O exercicio físico é um fator importante para a prevenção das quedas no idoso frágil, e pode mesmo ajudar algumas consequências do processo de envelhecimento, como sejam a fragilidade.
Referências
ACSM. (2021). ACSM’S Guidelines for Exercise Testing and Prescription. (11a edition).
Alves, R. A., Lombardi Júnior, I., & Agner, V. F. C. (2018a). Nível de atividade física e risco de quedas em idosos institucionalizados. Revista Pesquisa Em Fisioterapia, 8(4), 518–527. https://doi.org/10.17267/2238-2704rpf.v8i4.2168
Alves, R. A., Lombardi Júnior, I., & Agner, V. F. C. (2018b). Nível de atividade física e risco de quedas em idosos institucionalizados. Revista Pesquisa Em Fisioterapia, 8(4), 518–527. https://doi.org/10.17267/2238-2704rpf.v8i4.2168
Alves, T., Silva, S., Braz, P., Aniceto, C., Mexia, R., & Dias, C. M. (2024). Quedas em pessoas idosas em Portugal: uma abordagem epidemiológica a partir dos dados de 2023 do sistema EVITA. Boletim Epidemiológico Observações, 13(35), 91–97.
Alves, T., Silva, S., Rodrigues, E., Braz, P., Mexia, R., Neto, M., Matias Dias, C., & Ricardo Jorge, D. (2024). EVITA Epidemiologia e Vigilância dos Traumatismos e Acidentes.
Baixinho, C. L., Bernardes, R. A., & Henriques, M. A. (2020). How to evaluate the risk of falls in institutionalized elderly people? Revista Baiana de Enfermagem, 34(April). https://doi.org/10.18471/rbe.v34.34861
Bento, J. R., & Sousa, N. D. (2018). Exercício físico na prevenção de quedas do idoso da comunidade: revisão baseada na evidência. Revista Brasileira de Medicina de Família e Comunidade, 12(39), 1–11. https://doi.org/10.5712/rbmfc12(39)1658
Bonora, A. C., Teixeira, M. L. V., & Nogueira, R. L. (2021). Síndrome da fragilidade, um olhar diferenciado para o idoso: relato de experiência. Revista Eletrônica Acervo Saúde, 13(8), e8474. https://doi.org/10.25248/reas.e8474.2021
Bourke, R., Doody, P., Pérez, S., Moloney, D., Lipsitz, L. A., & Kenny, R. A. (2023a). Cardiovascular Disorders and Falls Among Older Adults: A Systematic Review and Meta-Analysis. The Journals of Gerontology: Series A, 79(September 2023), 1–15. https://doi.org/10.1093/gerona/glad221
Bourke, R., Doody, P., Pérez, S., Moloney, D., Lipsitz, L. A., & Kenny, R. A. (2023b). Cardiovascular Disorders and Falls Among Older Adults: A Systematic Review and Meta-Analysis. The Journals of Gerontology: Series A, 79(September 2023), 1–15. https://doi.org/10.1093/gerona/glad221
Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., Salem, G. J., & Skinner, J. S. (2009). Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 41(7), 1510–1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013a). Frailty in elderly people. The Lancet, 381(9868), 752–762. https://doi.org/10.1016/S0140-6736(12)62167-9
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013b). Frailty in elderly people. The Lancet, 381(9868), 752–762. https://doi.org/10.1016/S0140-6736(12)62167-9
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013c). Frailty in elderly people. The Lancet, 381(9868), 752–762. https://doi.org/10.1016/S0140-6736(12)62167-9
Costa-Dias, M., & Ferreira, P. (2014). Escalas de avaliação de risco de quedas. Revista de Enfermagem Referência, IV Série(No 2), 153–161. https://doi.org/10.12707/riii12145
Cruz-Jentoft, A. J., Baeyens, J. P., Bauer, J. M., Boirie, Y., Cederholm, T., Landi, F., Martin, F. C., Michel, J. P., Rolland, Y., Schneider, S. M., Topinková, E., Vandewoude, M., & Zamboni, M. (2010a). Sarcopenia: European consensus on definition and diagnosis. Age and Ageing, 39(4), 412–423. https://doi.org/10.1093/ageing/afq034
Cruz-Jentoft, A. J., Baeyens, J. P., Bauer, J. M., Boirie, Y., Cederholm, T., Landi, F., Martin, F. C., Michel, J. P., Rolland, Y., Schneider, S. M., Topinková, E., Vandewoude, M., & Zamboni, M. (2010b). Sarcopenia: European consensus on definition and diagnosis. Age and Ageing, 39(4), 412–423. https://doi.org/10.1093/ageing/afq034
Cunningham, C., O’ Sullivan, R., Caserotti, P., & Tully, M. A. (2020a). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine and Science in Sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616
Cunningham, C., O’ Sullivan, R., Caserotti, P., & Tully, M. A. (2020b). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine and Science in Sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616
Dantas, E. H. M., & Santos, C. A. de S. (2017a). Aspectos biopsicossociais do envelhecimento e a prevenção de quedas na terceira idade. In Joaçaba, Unoesc.
Dantas, E. H. M., & Santos, C. A. de S. (2017b). Aspectos biopsicossociais do envelhecimento e a prevenção de quedas na terceira idade. In Joaçaba, Unoesc.
De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millán-Calenti, J. C. (2015a). Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials Physical functioning, physical health and activity. BMC Geriatrics, 15(1). https://doi.org/10.1186/s12877-015-0155-4
De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millán-Calenti, J. C. (2015b). Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials Physical functioning, physical health and activity. BMC Geriatrics, 15(1). https://doi.org/10.1186/s12877-015-0155-4
De Lepeleire, J., Iliffe, S., Mann, E., & Degryse, J. M. (2009). Frailty: An emerging concept for general practice. British Journal of General Practice, 59(562), 364–369. https://doi.org/10.3399/bjgp09X420653
Denfeld, Q. E., Turrise, S., MacLaughlin, E. J., Chang, P. S., Clair, W. K., Lewis, E. F., Forman, D. E., & Goodlin, S. J. (2022a). Preventing and Managing Falls in Adults With Cardiovascular Disease: A Scientific Statement From the American Heart Association. In Circulation: Cardiovascular Quality and Outcomes (Vol. 15, Issue 6, p. E000108). https://doi.org/10.1161/HCQ.0000000000000108
Denfeld, Q. E., Turrise, S., MacLaughlin, E. J., Chang, P. S., Clair, W. K., Lewis, E. F., Forman, D. E., & Goodlin, S. J. (2022b). Preventing and Managing Falls in Adults With Cardiovascular Disease: A Scientific Statement From the American Heart Association. In Circulation: Cardiovascular Quality and Outcomes (Vol. 15, Issue 6, p. E000108). https://doi.org/10.1161/HCQ.0000000000000108
Dent, E., Daly, R. M., Hoogendijk, E. O., & Scott, D. (2023). Exercise to Prevent and Manage Frailty and Fragility Fractures. Current Osteoporosis Reports, 21(2), 205–215. https://doi.org/10.1007/s11914-023-00777-8
Dolenc, E., & Rotar-Pavlič, D. (2019). Frailty assessment scales for the elderly and their application in primary care: A systematic literature review. Zdravstveno Varstvo, 58(2), 91–100. https://doi.org/10.2478/sjph-2019-0012
Dyer, S. M., Suen, J., Kwok, A. S., Dawson, R., Mclennan, C., Ian, D., Colina, K. D., & Sherrington, C. (2023). Exercício para prevenção de quedas em idosos : revisão sistemática e meta-análises de desfechos experimentais. 1–13.
Ferraz, S. P., & Batista, M. S. S. (2021). A relevância de programas de exercícios resistidos no tratamento e prevenção da sarcopenia em idosos: uma revisão integrativa. Research, Society and Development, 10(15), e328101523362. https://doi.org/10.33448/rsd-v10i15.23362
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., Seeman, T., Tracy, R., Kop, W. J., Burke, G., & Mcburnie, M. A. (2001). Frailty in Older Adults: Evidence for a Phenotype. In Journal of Gerontology: MEDICAL SCIENCES Copyright (Vol. 56, Issue 3). https://academic.oup.com/biomedgerontology/article-abstract/56/3/M146/545770
Jansen, S., Bhangu, J., de Rooij, S., Daams, J., Kenny, R. A., & van der Velde, N. (2016). The Association of Cardiovascular Disorders and Falls: A Systematic Review. Journal of the American Medical Directors Association, 17(3), 193–199. https://doi.org/10.1016/j.jamda.2015.08.022
Jung, Y., Lee, K., Shin, S., & Lee, W. (2015). Effects of a multifactorial fall prevention program on balance, gait, and fear of falling in post-stroke inpatients. Journal of Physical Therapy Science, 27(6), 1865–1868. https://doi.org/10.1589/jpts.27.1865
Lamb, S. E., Jørstad-Stein, E. C., Hauer, K., & Becker, C. (2005). Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society, 53(9), 1618–1622. https://doi.org/10.1111/j.1532-5415.2005.53455.x
Liguori, G., Island, R., Feito, Y., Fountaine, C., & Roy, B. A. (2021). ACSM’S Guidelines for Exercise Testing and Prescription. Eleventh edition. Philadelphia: Wolters Kluwer.
Linda P. Fried, et al. (2001). Frailty in Older Adults | The Journals of Gerontology: Series A | Oxford Academic. The Journals of Gerontology: Series A, Volume 56, Issue 3, 1 March 2001, Pages M146–M157, Https://Doi.Org/10.1093/Gerona/56.3.M146. https://academic.oup.com/biomedgerontology/article/56/3/M146/545770
Lusardi, M. M., Fritz, S., Middleton, A., Allison, L., Wingood, M., Phillips, E., Criss, M., Verma, S., Osborne, J., & Chui, K. K. (2017). Determining Risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. In Journal of Geriatric Physical Therapy (Vol. 40, Issue 1). https://doi.org/10.1519/JPT.0000000000000099
M. Izquierdo. (2021a). Physical activity and exercise for health promotion, disease prevention and treatment in older adults. J Nutr Health Aging, 25(7), 824–853.
M. Izquierdo. (2021b). Physical activity and exercise for health promotion, disease prevention and treatment in older adults. J Nutr Health Aging, 25(7), 824–853.
Maneeprom, N., Taneepanichskul, S., & Panza, A. (2018). Falls among physically active elderly in senior housings, Bangkok, Thailand: Situations and perceptions. Clinical Interventions in Aging, 13, 2149–2159. https://doi.org/10.2147/CIA.S175896
Marconcin, P., Ihle, A., Ferrari, G., Gouveia, É. R., Peralta, M., Santos, T., & Marques, A. (2023). The effect of changes in physical activity behaviour on depressive symptoms among European older adults. Human Movement, 24, 93–99. https://doi.org/10.5114/hm.2023.115037
Mirmoezzi, M., Namazizadeh, M., Sadeghi, H., & Mohammadi, F. (2019). Effect of Different Cognitive Loads on Gait Stability in Younger and Older Adults. Physical Treatments: Specific Physical Therapy Journal, 69–76. https://doi.org/10.32598/ptj.9.2.69
OMS. (2020a). Diretrizes Da Oms Para Atividade Física E Comportamento Sedentário. Group Psychotherapy for Students and Teachers (RLE: Group Therapy), 45–45.
OMS. (2020b). Diretrizes Da Oms Para Atividade Física E Comportamento Sedentário. Group Psychotherapy for Students and Teachers (RLE: Group Therapy), 45–45.
OMS. (2020c). Diretrizes Da Oms Para Atividade Física E Comportamento Sedentário. Group Psychotherapy for Students and Teachers (RLE: Group Therapy), 45–45.
Park, S. H. (2018). Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 30(1), 1–16. https://doi.org/10.1007/s40520-017-0749-0
Prevention, A. (2016). Prevenção Das Quedas Nos. Revista Portuguesa de Medicina Geral e Familiar, 32(2), 96–100.
Rockwood, K., & Mitnitski, A. (2011). Frailty Defined by Deficit Accumulation and Geriatric Medicine Defined by Frailty. In Clinics in Geriatric Medicine (Vol. 27, Issue 1, pp. 17–26). https://doi.org/10.1016/j.cger.2010.08.008
Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., & Mitnitski, A. (2005). A global clinical measure of fitness and frailty in elderly people. CMAJ. Canadian Medical Association Journal, 173(5), 489–495. https://doi.org/10.1503/cmaj.050051
Santos Ana, Braz Veronica, & Folha Teresa. (2014). Envelhecimento e saúde.
Sherrington, C. et al. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2019(1). https://doi.org/10.1002/14651858.CD012424.pub2
Sherrington, C. et al. (2020). Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review. British Journal of Sports Medicine, 54(15), 885–891. https://doi.org/10.1136/bjsports-2019-101512
Sherrington, C., & et al. (2020a). Acesso livre Evidências sobre atividade física e prevenção de quedas em pessoas com mais de 65 anos : revisão sistemática para informar as diretrizes da OMS sobre atividade física e comportamento sedentário. 1–9.
Sherrington, C., & et al. (2020b). Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1–9. https://doi.org/10.1186/s12966-020-01041-3
Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S., & Lamb, S. E. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2019(1). https://doi.org/10.1002/14651858.CD012424.pub2
Sherrington, C., Fairhall, N., Kwok, W., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Ng, C. A. C. M., & Bauman, A. (2020). Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1–9. https://doi.org/10.1186/s12966-020-01041-3
Sherrington, C., Fairhall, N., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S., & Lamb, S. (2020). Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review. British Journal of Sports Medicine, 54(15), 885–891. https://doi.org/10.1136/bjsports-2019-101512
Valenzuela, P. L., Castillo-García, A., Morales, J. S., Izquierdo, M., Serra-Rexach, J. A., Santos-Lozano, A., & Lucia, A. (2019a). Physical exercise in the oldest old. Comprehensive Physiology, 9(4), 1281–1304. https://doi.org/10.1002/cphy.c190002
Valenzuela, P. L., Castillo-García, A., Morales, J. S., Izquierdo, M., Serra-Rexach, J. A., Santos-Lozano, A., & Lucia, A. (2019b). Physical exercise in the oldest old. Comprehensive Physiology, 9(4), 1281–1304. https://doi.org/10.1002/cphy.c190002
Verlaan, S., Ligthart-Melis, G. C., Wijers, S. L. J., Cederholm, T., Maier, A. B., & de van der Schueren, M. A. E. (2017). High Prevalence of Physical Frailty Among Community-Dwelling Malnourished Older Adults–A Systematic Review and Meta-Analysis. In Journal of the American Medical Directors Association (Vol. 18, Issue 5, pp. 374–382). Elsevier Inc. https://doi.org/10.1016/j.jamda.2016.12.074
WHO. (2007). WHo Global report on falls Prevention in older Age.
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