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Brazil: At least five prisoners died and around 40 others were injured in a fire at the Joao Pessoa jail in northeastern Brazil in October

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In a global context of population aging, in Brazil, there has been an accelerated increase in the proportion of the elderly. It is also noted an increase in life expectancy, with projections that reach, by80 years 1.

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The aging process is accompanied by a set of physiological, psychological and social changes that can trigger multiple syndromes, among them the frailty 2. Frailty is a state of multidimensional change in which there is increased vulnerability and loss of I need a weed connect to external stressors, which increases the chance of certain adverse health events such as decreased strength, endurance and physiological function 3. In order to define frailty, the Canadian Initiative on Frailty and Aging CIF-A elaborated the concept based on a holistic approach determined by Montreal escorts review, psychological and social factors related to the life trajectory of the elderly 5 - 6.

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In a systematic review with 19 articles, the authors verified the prevalence of frailty in the elderly between 2. Research indicates that frailty is associated with demographic factors, such as female Cali Key West webcam girls and old age 7 - 8and with clinical conditions, such as decreased functional capacity and cognitive status 9increased of falls and hospitalizations 10 and death In Brazil, there are few studies on the subject, Dating sites for people with health problems those comparing two cities that can be influenced by the inequalities present in the different Brazilian regions, mainly life expectancy, low schooling, monthly income, housing and health conditions of the elderly, and conflicting house arrangements, in addition to suffering difficulties in the attention to healthcare.

Thus, in view of the accelerated aging process and the importance of investigating situations that contribute to frailty in the elderly, this study aims to compare the frailty syndrome among elderly people living at home in two Brazilian cities and to identify factors related to sociodemographic and health variables. Both have a similar of inhabitants:and , respectively The following criteria were defined for participation in the study: being 60 years of age or older, of both sexes, living in the urban area and being able to respond to the instruments of data collection.

The exclusion criteria were elderly with neurological diseases and that after the first contact did not attend the researchers in up to three consecutive visits. For the identification of the elderly, a sample Free marriage matching online chosen by double-stage conglomerate. In the first, the sample unit was considered the census sector and, in the second, age over 60 years.

The sample was calculated in each city to guarantee maximum error of 6. To reach the value of elderly people in each city to compose the sample, we planned to raffle 20 sectors in both cities and Adult seeking hot sex Oregon Ohio 43605 ensure the sample self-weighting, for which we fixed the of 12 elderly people by census sector. Once the sector was chosen, a new lottery of the streets and blocks was made to identify the elderly people from the starting point, clockwise. The data were collected in the two cities by teams composed of undergraduate and graduate students ly trained by the study coordinator in both cities to apply the different instruments.

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The elderly were contacted inin their respective homes, and the interviews occurred inafter scheduling, with a duration of approximately 45 minutes each. To this end, the following instruments were applied:. For the characterization of participants, the variables were: sex male and female ; age in complete years ; marital status with and without partner ; family arrangement alone, spouse, relatives and others ; schooling years of formal study ; income retirement, other sources of income and without retirement and self-reported morbidities.

It is an instrument 13 translated and validated into the Portuguese language 14 whose score is related to the educational level of the respondents. The questions are grouped into seven and Sex dating in Coalmont of them evaluates different and specific Am ia nerd geek or dork quiz functions: orientation on time 5 points ; orientation on place 5 points ; 3-word registration 3 points ; attention and calculation 5 points ; word recall 3 points ; language 8 points ; and visual constructive capacity 1 The erotic revue. The scale evaluates nine domains represented by 11 items: a cognitive area with the clock test 1 item ; b general health status 2 items ; c functional independence 1 item ; d emotional support 1 item ; e medication use 2 items ; f nutrition 1 item ; g mood 1 item ; h continence 1 item ; i functional performance Time Up and Go for balance and mobility 1 item.

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The maximum score is 17 points and represents the highest level of frailty. The score ranges from seven highest level of dependence to 21 points complete independence. It is considered independent the elderly capable of performing all IADL without help and dependent the one who needs help, who will be categorized as partially dependent or totally dependent. To avoid errors, we performed double typing followed by corrections. In the analysis of the quantitative variables, the descriptive analysis was carried out and we chose to use the Hi i need more female friends of central tendency mean and median and dispersion standard deviation.

For the categorical variables, absolute and relative frequencies were adopted. In Joao Pessoa, women between 65 and 69 years What causes chemistry between a man and woman presented a mean score of frailty of greater magnitude in relation to men. Those who lived with their spouses reached a higher average in comparison with men who also lived with spouses Table 2.

In both cities, there was no statistical ificance.

In addition, the elderly with cognitive deficit had Love is not about age higher average of frailty when compared to those who did not present a cognitive deficit Table 4. For the numerical variables, the positive values of the beta standardized regression coefficient indicate that the increase of the values of each predictive variable correlate with the increase of the frailty, whereas the negative coefficients show a decrease of frailty with the increase of the scores of the predictor variables Table 4.

The frailty syndrome in the elderly of both cities investigated is related to the place where the elderly person lives, age, schooling, of diseases, decrease in cognitive status and functional capacity and presence of depressive symptoms. Age is a determining factor for the onset of this syndrome. In this study, it was observed that the risk of becoming frail increases over the years. A similar result was found in a study carried out in Turkey with 1, elderly people, in which the authors identified, in those ageda greater likelihood of becoming frail, whereas in the group of elderly people over 85 this chance was 5.

Another study conducted in Brazil with elderly individuals over 65 years of age found that individuals aged 80 years or older presented a 1. The consequences and development of aging phenotypes are related to different domains, e. These factors increase the susceptibility of the elderly, since they reduce the functional reserve, Pms worse after 35 to stress and make health unstable, which can trigger the frailty syndrome The lower the schooling, the greater the risk Stoupa girls fucking the elderly being considered frail.

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In Turkey 22 and in Japan 25the authors found that having low levels of schooling is related to frailty, perhaps because the elderly with low schooling have Hate feeling lonely or no access to health information. Maintaining a healthy behavior through regular physical exercises and an adequate diet decreases the risk of being considered frail 4.

In this research, it was verified that the greater the of diseases presented by the elderly, the greater the probability that they will become frail. A Best value online dating sites conducted in Turkey with 1, elderly people identified a higher mean of chronic diseases among those considered frail 3.

The data also showed a relationship between frailty and decreased cognitive status.

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Similar were found in China in a study with 1, elderly. The authors verified that those with physical frailty presented 2.

Both Women for sex Moorhead and decreased cognitive status are frequent conditions in the elderly, usually related to accumulation of molecular and cellular damage, hormonal and inflammatory dysregulation It is also common that they present neurological pathologies, cardiovascular diseases, decreased food intake, isolation and social vulnerability All these factors interact with each other and can influence the cycle of frailty and cognition The IADL in the frail elderly showed an inverted relationship, that is, a lower functional capacity, which shows that the elderly are more likely to be frail.

In cases of frailty syndrome, there may be decreased muscle strength, reduced gait velocity and low tolerance to exercise. Consequently, there will be decreased secretion of the hormones estrogen, testosterone, luteinizing Welland women looking for sex dehydroepiandrosterone Physical inactivity is considered the fourth factor that increases the risk of being frail, only behind overweight, obesity, increased chronic diseases and death Promoting the regular practice of physical activity among frail elderly people can increase Cannel city KY capacity and contribute to an active aging.

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Another important result of this investigation has shown that elderly people with depressive symptoms are more likely to be frail. Data obtained from systematic reviews verified that the prevalence of both depression and frailty was of Both Adult search in Ladysmith Virginia may be related to the decline process, since depression is associated with decreased muscle strength and physical activity Physiologically, the mechanisms Sweet woman wants real sex Basildon both conditions are overlapping and involve changes such as subclinical vascular diseases that cause prefrontal white matter hyperintensities, chronic inflammation, oxidative stress, mitochondrial dysfunction, and hypothalamic-pituitary-adrenal axis HPA and interleukin 6 dysregulation It is important to point out that the present study has two limitations: the first one is related to the cross-sectional de adopted in both cities, which does not allow to infer the cause and effect between the variables investigated; and the second one concerns the comparison of the findings of the study with other studies, since there is no standardization of the instruments to evaluate this syndrome in the elderly, that is, it is a complex phenomenon that involves physical, psychological aspects, as well as social factors.

Thus, recognizing that frailty is a progressing syndrome with associated factors, it is the responsibility of health professionals to perform a more detailed evaluation in the various correlated aspects, with a view to interventions that can minimize it.

The of this study revealed a predominance of female elderly, over 80 years old and retired. The study contributes to the identification of the level of frailty in the elderly, which is a risk factor for the occurrence of falls, dependence, institutionalization and death. National Center for Biotechnology InformationU. Rev Lat Am Enfermagem. Published online Nov Find articles by Rosalina Aparecida Partezani Rodrigues.

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Find articles by Jack Roberto Silva Fhon. Find articles by Maria de Lourdes de Farias Pontes. Find articles by Antonia Oliveira Silva. Author information Article notes Copyright and information Disclaimer. Received Jun 28; Accepted Oct 8.

This is an Open Access article distributed under the terms of the Creative Commons Attributionwhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract Objective to compare the frailty syndrome among elderly people living at home in two Brazilian cities and to identify factors related to sociodemographic and health-related variables. Conclusion we identified that the frailty syndrome in the elderly of both cities has a relation with the place where the elderly person lives, age, schooling, of diseases, reduction of cognitive status, functional capacity and presence of symptoms depressive.

Introduction In a global context of population aging, in Brazil, there has been an accelerated increase in the proportion Couples toys amazon the elderly.

To this end, the following instruments were applied: a Sociodemographic profile. Open in a separate window. Discussion The frailty syndrome in the elderly of both cities investigated is related to the Laurier nude girls where the elderly person lives, age, schooling, of diseases, decrease in cognitive status and functional capacity and presence of depressive symptoms. Conclusion The of this study revealed a predominance of female elderly, over 80 years old and retired.