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Advisor(s)
Abstract(s)
A questão das quedas em idosos constitui um problema de saúde pública. Objetivo: Verificar
se a prática de atividade física, em comparação com a não prática de atividade física, fornece melhor
evidência para prevenir quedas em idosos que estão institucionalizados. Metodologia: Realizou-se uma
revisão sistemática da literatura de acordo com a metodologia Problema, Intervenção, Comparação e
Outcomes. Selecionaram-se 44 artigos na plataforma Web of Science dos quais resultaram, para análise
final 9, segundo os critérios de inclusão definidos. Para atestar da qualidade dos estudos e classificação
dos níveis de evidência aplicou-se a escala Oxford Centre for Evidence-Based Medicine. A seleção dos
estudos e a extração dos dados foi realizada por dois revisores. Resultados: A evidência científica
encontrada foi de alta qualidade resultando em estudos maioritariamente de nível I e II. Dos 9 artigos,
55% evidenciam que a atividade física diminuiu a prevalência de quedas em idosos institucionalizados,
quando comparada com a não atividade física. Há evidência de que os programas de exercícios para
prevenir as quedas em idosos reduzem a prevalência e evitam lesões decorrentes das mesmas. Assim,
muitos dos fatores de risco para quedas são passíveis de serem corrigidos através de bons programas de
exercícios. Conclusões: Os estudos revelam que praticar exercício físico contribui para melhorar a
capacidade funcional dos idosos e resulta em protecção relativamente às quedas. Assim, sugere-se que
existam equipas multidisciplinares que incentivem a atividade física quer nas instituições quer na
comunidade. Um protocolo, simples e de baixo custo poderá ser aplicado em instituições.
The issue of falls in the elderly is a public health problem. Objective: To verify whether the practice of physical activity, in comparison with non-practice of physical activity, provides better scientific evidence in the prevention of falls in institutionalized elderly. Methodology: A systematic literature review was conducted according to the methodology, Problem, Intervention, Comparison and Outcomes. 44 articles were selected on the Web of Science platform, of which 9 were selected for final analysis according to the defined inclusion criteria. The Oxford Centre for Evidence-Based Medicine scale was applied to attest to the quality of studies and classification of levels of evidence. Two reviewers carried the selection of studies and the extraction of data. Results: The scientific evidence found was of high quality resulting in mostly level I and II studies. Of the 9 articles, 55% show that physical activity reduces the prevalence of falls in institutionalized elderly, when compared with non-physical activity. There is evidence that exercise programmes to prevent falls in the elderly reduce the prevalence and prevent injuries from falls. Thus, many of the risk factors for falls are correctable through good exercise programmes. Conclusions: Studies show that physical exercise contributes to improve the functional capacity of the elderly and results in protection against falls. Thus, it suggests that there are multidisciplinary teams that encourage physical activity both in institutions and in the community. A simple and low-cost protocol can be applied in institutions.
The issue of falls in the elderly is a public health problem. Objective: To verify whether the practice of physical activity, in comparison with non-practice of physical activity, provides better scientific evidence in the prevention of falls in institutionalized elderly. Methodology: A systematic literature review was conducted according to the methodology, Problem, Intervention, Comparison and Outcomes. 44 articles were selected on the Web of Science platform, of which 9 were selected for final analysis according to the defined inclusion criteria. The Oxford Centre for Evidence-Based Medicine scale was applied to attest to the quality of studies and classification of levels of evidence. Two reviewers carried the selection of studies and the extraction of data. Results: The scientific evidence found was of high quality resulting in mostly level I and II studies. Of the 9 articles, 55% show that physical activity reduces the prevalence of falls in institutionalized elderly, when compared with non-physical activity. There is evidence that exercise programmes to prevent falls in the elderly reduce the prevalence and prevent injuries from falls. Thus, many of the risk factors for falls are correctable through good exercise programmes. Conclusions: Studies show that physical exercise contributes to improve the functional capacity of the elderly and results in protection against falls. Thus, it suggests that there are multidisciplinary teams that encourage physical activity both in institutions and in the community. A simple and low-cost protocol can be applied in institutions.
Description
Keywords
Atividade física Prevenção Quedas Idosos Instituições para idosos Physical activity Prevention Falls Elderly Institutions for the elderly . Faculdade de Artes e Humanidades
Citation
Ana M. P. Ferreira, Eduarda C. M. Silva, Sérgio M. F. Gomes, Vanda da S. Fonseca & Teresa I. G. Correia (2021). Melhor evidência científica na prevenção das quedas em idosos institucionalizados. In Joaquim Pinheiro (coord.), Olhares sobre o envelhecimento. Estudos interdisciplinares, vol. I, pp. 103-117. DOI: 10.34640/universidademadeira2021ferreirasilvagomes ISBN: 978-989-8805-63-8
Publisher
Centro de Desenvolvimento Académico, Universidade da Madeira