Calidad de vida, caídas y capacidad funcional de mayores portugueses, durante la pandemia de COVID 19 (Quality of life, falls and functional mobility of Portuguese older adults, during the COVID pandemic 19)

Autores/as

  • Vania Azevedo Ferreira Brandao de Loureiro Instituto Politécnico de Beja, Escola Superior de Educação, Departamento de Artes, Humanidades e Desporto, Beja, Portugal http://orcid.org/0000-0003-2458-3004
  • Estefania castillo-Viera Departamento de Didáctica Integrada, Facultad de Educación, Psicología y Ciencias del Deporte, Universidad de Huelva, España https://orcid.org/0000-0002-4009-0931
  • António Cachola Programa "Personas en Movimiento" - Oficina del Movimiento Asociativo Deporte y Juventud, Ayuntamiento de Serpa, Portugal https://orcid.org/0000-0003-1529-3478
  • Tiago Rosa Programa "Personas en Movimiento" - Oficina del Movimiento Asociativo Deporte y Juventud, Ayuntamiento de Serpa, Portugal https://orcid.org/0000-0002-7367-1871
  • Nuno Loureiro Instituto Politécnico de Beja, Escuela Superior de Educación, Departamento de Artes, Humanidades y Deporte, Beja, Portugal https://orcid.org/0000-0002-1166-3219

DOI:

https://doi.org/10.47197/retos.v52.95705

Palabras clave:

SF-36, Caídas, Movilidade, TUG, Envejecimiento Saludable

Resumen

Introducción: El confinamiento domiciliario sufrido por la pandemia COVID-19 supuso una alteración en la vida de las personas mayores, lo que pudo haber afectado a su salud y calidad de vida. Objetivo: Describir la calidad de vida en relación con la salud y verificar su relación con la prevalencia de caídas y la movilidad funcional de las personas mayores portuguesas, durante la pandemia COVID-19. Método: Estudio descriptivo observacional. Participaron 182 personas mayores de más de 65 años (85,7% mujeres; edad 72,7% ± 6,7 años), del Bajo Alentejo, Portugal. Se evaluó la calidad de vida a través del cuestionario SF-36 y se analizaron las relaciones entre sus dimensiones y prevalencia de caídas y movilidad funcional mediante el Timed Up and Go. Resultados: Se encuentran relaciones significativas entre calidad de vida y género, prevalencia de caídas y movilidad. El análisis de las dimensiones del SF-36 reveló que una percepción más positiva de la SM (73,1%) se asocia al género femenino. Una percepción de FF (73,1%), DR (53,3%), FS (74,4%), DE (45,1%) y SM (72,5%) más positiva se relaciona con la no aparición de caídas y se verifica que las percepciones más positivas de FF (82,3) y de DE (53,2%) están asociadas a una buena movilidad. Conclusión: Una buena percepción de la FF, FS, DE, SN y DC relaciona-se con la no ocurrencia de caídas. Además, una buena percepción sobre la FF y la DE se relacionan con una buena movilidad. Las conclusiones de este estudio destacan la relación positiva entre la buena percepción de calidad de vida, la ausencia de caídas y la buena movilidad en personas mayores.

Palabras clave: SF-36; caídas; movilidad, TUG, envejecimiento saludable.

Abstract. Background The confinement imposed by the COVID-19 pandemic resulted in a change in the lives of the elderly, which may have affected their quality of life and health. Objective: Describe the quality of life related to health and verify its association with the occurrence of falls and functional mobility of Portuguese elderly during the COVID-19 pandemic. Methods: Descriptive observational study. Participants were 182 older adults, aged > 65 years (85.7% female; age 72.7 ± 6.7 years), from Baixo Alentejo, Portugal. Quality of life was assessed using the SF-36 questionnaire (Portuguese version) and we explored the relationships between their eight domains and the occurrence of falls and functional mobility (TUG). Results: We found significant associations between quality of life and gender, occurrence of falls and mobility. The analysis of the dimensions SF-36 revealed that a more positive perception of SM (73.1%) is associated with the female gender. A more positive perception of FF (73.1%), DC (53.3%), FS (74.7%), DE (45.1%) and SM (72.5%) is associated with non-occurrence of falls, and it was found that a more positive perception of FF (82.3%) and DE (53.2%) is associated with good mobility. Conclusion: It was found that a better perception of FF, FS, DE, SN and DC are related to the non-occurrence of falls. Also, a good perception of FF and DE are related to good mobility. The conclusions of this study highlight the positive relationship between a good perception of quality of life, the absence of falls, and good mobility in older adults.

Keywords: SF-36; fall; mobility; TUG; healthy aging

Citas

Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2022). The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict, 20(3), 1537-1545. doi:10.1007/s11469-020-00270-8

Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., . . . On Behalf of the, E.-C. C. (2020). Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients, 12(6). doi:https://doi.org/10.3390/nu12061583

Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. Lancet Public Health, 5(5), e256. doi:10.1016/s2468-2667(20)30061-x

Arpino, B., Pasqualini, M., Bordone, V., & Solé-Auró, A. (2021). Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown. The Gerontologist, 61(2), 176–186. doi:https://doi.org/10.1093/geront/gnaa144

Bell, J. A., Sabia, S., Singh-Manoux, A., Hamer, M., & Kivimäki, M. (2017). Healthy obesity and risk of accelerated functional decline and disability. International Journal of Obesity, 41(6), 866-872. doi:10.1038/ijo.2017.51

Bischoff, H. A., Stähelin, H. B., Monsch, A. U., Iversen, M. D., Weyh, A., von Dechend, M., . . . Theiler, R. (2003). Identifying a cut-off point for normal mobility: a comparison of the timed 'up and go' test in community-dwelling and institutionalised elderly women. Age Ageing, 32(3), 315-320. doi:10.1093/ageing/32.3.315

Bohannon, R. W. (2006). Reference values for the timed up and go test: a descriptive meta-analysis. Journal of Geriatric Physical Therapy, 29(2), 64-68. doi:10.1519/00139143-200608000-00004

Chakraborty, I., & Maity, P. (2020). COVID-19 outbreak: Migration, effects on society, global environment and prevention. Science of The Total Environment, 728, 138882. doi:https://doi.org/10.1016/j.scitotenv.2020.138882

Cigiloglu, A., Ozturk, Z. A., & Efendioglu, E. M. (2021). How have older adults reacted to coronavirus disease 2019? Psychogeriatrics, 21(1), 112-117. doi:https://doi.org/10.1111/psyg.12639

Crooks, E., & Cleary, K. (2019). Using Health-Related Quality of Life (SF-36v2<sup>®</sup>) to Predict Falls in Community-Dwelling Older Adults. In (pp. 082).

Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M., & Prina, A. M. (2017). Physical activity and healthy ageing: A systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 38, 6-17. doi:https://doi.org/10.1016/j.arr.2017.06.003

Davis, J. C., Marra, C. A., & Liu-Ambrose, T. Y. (2011). Falls-related self-efficacy is independently associated with quality-adjusted life years in older women. Age Ageing, 40, 340–346. doi:10.1093/ageing/afr019

Fábrega-Cuadros, R., Hita-Contreras, F., Martínez-Amat, A., Jiménez-García, J. D., Achalandabaso-Ochoa, A., Lavilla-Lerma, L., . . . Aibar-Almazán, A. (2021). Associations between the Severity of Sarcopenia and Health-Related Quality of Life in Community-Dwelling Middle-Aged and Older Adults. International Journal of Environmental Research and Public Health, 18(15), 8026. Retrieved from https://www.mdpi.com/1660-4601/18/15/8026

Fagerstrom, C., & Borglin, G. (2010). Mobility, functional ability and health-related quality of life among people of 60 years or older. Aging Clinical and Experimental Research, 22(5-6), 387-394. doi:10.1007/BF03324941

Ferreira, P. L. (2000a). Criação da versão portuguesa do MOS SF-36. Parte I – Adaptação cultural e linguística. Acta Medica Portuguesa, 13, 55-66. Retrieved from https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1760/1337

Ferreira, P. L. (2000b). Criação da versão portuguesa do MOS SF-36. Parte II – Testes de validação. Acta Medica Portuguesa, 13(3), 119-127. Retrieved from https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1770/1347

Ferreira, P. L., & Santana, P. (2003). Percepção de estado de saúde e de qualidade de vida da população activa: contributo para a definição de normas portuguesas. Revista Portuguesa de Saúde Pública, 21, 15-30.

FITBIT. (2020). The Impact Of Coronavirus On Global Activity 2020. Retrieved from https://blog.fitbit.com/covid-19-global-activity/.

Fjeldstad, C., Fjeldstad, A. S., Acree, L. S., Nickel, K. J., & Gardner, A. W. (2008). The influence of obesity on falls and quality of life. Dyn Med, 7, 4. doi:10.1186/1476-5918-7-4

Gasmi A, S., N., Tippairote, T., Dadar, M., Menzel, A., & Bjørklund, G. I. (2020). Individual risk management strategy and potential therapeutic options for the COVID-19 pandemic. . Clin Immunol, 215:108409. doi:doi:10.1016/j.clim.2020.108409

Guedes, D. P., Hatmann, A. C., Martini, F. A., Borges, M. B., & Bernardelli, R., Jr. (2012). Quality of life and physical activity in a sample of Brazilian older adults. J Aging Health, 24(2), 212-226. doi:10.1177/0898264311410693

Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., . . . Wallace, R. B. (1994). A Short Physical Performance Battery Assessing Lower Extremity Function: Association With Self-Reported Disability and Prediction of Mortality and Nursing Home Admission. Journal of Gerontology, 49(2), M85–M94. doi:10.1093/geronj/49.2.m85. PMID: 8126356

Herrera, M. S., Elgueta, R., Fernández, M. B., Giacoman, C., Leal, D., Marshall, P., . . . Bustamante, F. (2021). A longitudinal study monitoring the quality of life in a national cohort of older adults in Chile before and during the COVID-19 outbreak. BMC Geriatrics, 21(143). doi:https://doi.org/10.1186/s12877-021-02110-3

Hirvensalo, M., Rantanen, T., & Heikkinen, E. (2000). Mobility Difficulties and Physical Activity as Predictors of Mortality and Loss of Independence in the Community-Living Older Population. Journal of the American Geriatrics Society, 48(5), 493–498. doi:10.1111/j.1532-5415.2000.tb04994.x

Jacobsen, E. L., Bye, A., Aass, N., Fosså, S. D., Grotmol, K. S., Kaasa, S., . . . Hjermstad, M. J. (2018). Norwegian reference values for the Short-Form Health Survey 36: development over time. Qual Life Res, 27(5), 1201-1212. doi:10.1007/s11136-017-1684-4

Júnior, R., Silva, S., Batista, S., & Silva, E. (2021). Benefícios da prática de exercícios resistidos na prevenção de quedas em idosos: uma revisão sistemática. Caderno de Educação Física e Esporte, 19(2), 85–91. doi:https://doi.org/10.36453/cefe.2021.n2.26964

Lampinen, P., & Heikkinen, E. (2003). Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults: An eight-year follow-up study. Aging Clinical and Experimental Research, 14(3), 205–211. doi:10.1007/BF03324501

Lima, M., Rodrigues, S. R., Bezerra, P., Rodrigues, L. P., & Cancela, J. M. (2021). Monitorization of Timed Up and Go Phases in Elderly. Physical & Occupational Therapy In Geriatrics, 39(2), 169-181. doi:10.1080/02703181.2020.1836111

Lima, M. G., Barros, M. B., César, C. L., Goldbaum, M., Carandina, L., & Ciconelli, R. M. (2009). Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study. Rev Panam Salud Publica, 25(4), 314-321. doi:10.1590/s1020-49892009000400005

Loureiro, V., Gomes, M., & Alves, A. (2021). Miedo a caer y capacidad funcional de mayores a vivir en la comunidad (Fear of falling and physical fitness in community-dwelling older adults). Retos, 43, 495-502. doi:https://doi.org/10.47197/retos.v43i0.88588

Musich, S., Wang, S. S., Hawkins, K., & Greame, C. (2017). The Frequency and Health Benefits of Physical Activity for Older Adults. Popul Health Manag, 20(3), 199-207. doi:10.1089/pop.2016.0071

Newman, A. B., Simonsick, E. M., Naydeck, B. L., Boudreau, R. M., Kritchevsky, S. B., Nevitt, M. C., . . . Harris, T. B. (2006). Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. JAMA, 295(17), 2018–2026. doi:10.1001/jama.295.17.2018

Nguyen, H. C., Nguyen, M. H., Do, B. N., Tran, C. Q., Nguyen, T. T. P., Pham, K. M., . . . Duong, T. V. (2020). People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy. J Clin Med, 9(4). doi:10.3390/jcm9040965

Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. doi:https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

Rydwik, E., Bergland, A., Forsen, L., & Frändin, K. (2011). Psychometric properties of timed up and go in elderly people: a systematic review. Physical & Occupational Therapy In Geriatrics, 29(2), 102-125. doi:10.3109/02703181.2011.564725

Sartor-Glittenberg, C., Lehmann, S., Okada, M., Rosen, D., Brewer, K., & Bay, R. (2014). Variables Explaining Health-Related Quality of Life in Community-Dwelling Older Adults. Journal of Geriatric Physical Therapy, 37(2), 83–91. doi:https://doi.org/10.1519/JPT.0b013e3182a4791b

Silva, P., Barbosa, F., André, M., & Delerue Matos, A. (2022). Home confinement and mental health problems during the Covid-19 pandemic among the population aged 50 and older: A gender perspective. SSM - Population Health, 17, 100999. doi:https://doi.org/10.1016/j.ssmph.2021.100999

Stewart, A. L., & Ware, J. E. (1992). Measuring functioning and well-being. The Medical Outcomes Study approach. London: Duke University Press.

Syddall, H. E., Martin, H. J., Harwood, R. H., Cooper, C., & Aihie Sayer, A. (2009). The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. The journal of nutrition, health & aging, 13(1), 57-62. doi:10.1007/s12603-009-0010-4

Tam-Seto, L., Weir, P., & Dogra, S. (2016). Factors Influencing Sedentary Behaviour in Older Adults: An Ecological Approach. AIMS Public Health, 3(3), 555-572. doi:10.3934/publichealth.2016.3.555

Tampubolon, G. (2015). Delineating the third age: joint models of older people's quality of life and attrition in Britain 2002-2010. Aging Ment Health, 19(7), 576-583. doi:10.1080/13607863.2014.1003279

Thiem, U., Klaaßen-Mielke, R., Trampisch, U., Moschny, A., Pientka, L., & Hinrichs, T. (2014). Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study. . Health and quality of life outcomes, 12(2). doi:https://doi.org/10.1186/1477-7525-12-2

Thrane, G., Joakimsen, R. M., & Thornquist, E. (2007). The association between timed up and go test and history of falls: the Tromsø study. BMC Geriatr, 7, 1. doi:10.1186/1471-2318-7-1

Tison, G., Avram, R., Kuhar, P., Abreau, S., Marcus, G. M., Pletcher, M. J., & Olgin, J. E. (2020). Worldwide Effect of COVID-19 on Physical Activity: A Descriptive Study. Annals of Internal Medicine, 173(9), 767-770. doi:10.7326/m20-2665 %m 32598162

Tornvall, E., Marcusson, J., & Wressle, E. (2016). Health-related quality of life in relation to mobility and fall risk in 85-year-old people: A population study in Sweden. Ageing and Society, 36(9), 1982-1997. doi:https://doi.org/10.1017/S0144686X15000896

Trombetti, A., Reid, K. F., Hars, M., Herrmann, F. R., Pasha, E., Phillips, E. M., & Fielding, R. A. (2015). Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 27(2), 463–471. doi:https://doi.org/10.1007/s00198-015-3236-5

Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., de Oliveira, V., Mazzardo, O., & de Campos, W. (2015). The Association Between Physical Activity and Quality of Life Domains Among Older Women. J Aging Phys Act, 23(4), 524-533. doi:10.1123/japa.2013-0070

Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., Oliveira, V., Mazzardo, O., & Campos, W. (2014). Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012. Braz J Psychiatry, 36(1), 76-88. doi:10.1590/1516-4446-2012-0895

Van Leeuwen, K. M., van Loon, M. S., van Nes, F. A., Bosmans, J. E., de Vet, H. C. W., Ket, J. C. F., . . . Ostelo, R. W. J. G. (2019). What does quality of life mean to older adults? A thematic synthesis. PLOS ONE, 8. doi:10.1371/journal.pone.0213263

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. . Medical care, 30(6), 473–483.

Whitehead, B. R., & Torossian, E. (2021). Older Adults' Experience of the COVID-19 Pandemic: A Mixed-Methods Analysis of Stresses and Joys. The Gerontologist, 61(1), 36–47. , 61(1), 36-47. doi:https://doi.org/10.1093/geront/gnaa126

WHO. (2007). Global Report on Falls Prevention in Older Age. Community Health, 53.

WHO. (2015). World report on ageing and health. Retrieved from Geneva, Switzerland:

WHO. (2020a). COVID-19 transmission and protective measures. Retrieved from https://www.who.int/westernpacific/emergencies/covid-19/information/transmission-protective-measures

WHO. (2020b). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization,.

WHO. (2021a). UN Decade of Healthy Ageing 2021-2030. Retrieved from https://www.who.int/initiatives/decade-of-healthy-ageing

WHO. (2021b). World Health Organisation. ‘The Structure of the WHOQOL-100’. WHOQOL: Measuring Quality of Life. Retrieved from https://www.who.int/tools/whoqol

WHO. (2016). Introducing the WHOQOL instruments’. WHOQOL: Measuring Quality of Life. Retrieved from http://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/

Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., . . . Biddle, S. J. (2012). Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia, 55(11), 2895-2905. doi:10.1007/s00125-012-2677-z

Xue, Y., Lu, J., Zheng, X., Zhang, J., Lin, H., Qin, Z., & Zhang, C. (2021). The relationship between socioeconomic status and depression among the older adults: The mediating role of health promoting lifestyle. J Affect Disord, 285, 22-28. doi:10.1016/j.jad.2021.01.085

Publicado

2024-03-01

Cómo citar

Brandao-Loureiro, V., castillo-Viera, E., Cachola, A., Rosa, T., & Loureiro, N. (2024). Calidad de vida, caídas y capacidad funcional de mayores portugueses, durante la pandemia de COVID 19 (Quality of life, falls and functional mobility of Portuguese older adults, during the COVID pandemic 19). Retos, 52, 491–498. https://doi.org/10.47197/retos.v52.95705

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Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas