Overview of Rheumatic Diseases in the Elderly: The FIBRA Study

Autores/as

  • Sarina Francescato Torres State University of Campinas (UNICAMP) http://orcid.org/0000-0003-4603-8066
  • Anita Liberalesso Neri State University of Campinas (UNICAMP)
  • Flávia Silva Arbex Borim State University of Campinas (UNICAMP)

DOI:

https://doi.org/10.15448/2357-9641.2016.1.23765

Palabras clave:

Rheumatic diseases, Osteoarthritis, Arthritis, Elderly, Epidemiology.

Resumen

Introduction: The high prevalence of rheumatic diseases and the countless adverse effects caused in the individual make them a great challenge for
governments and healthcare systems worldwide. Objective: To assess the prevalence of rheumatic diseases in the elderly and their relationship with some
biopsychosocial variables. Method: This is a cross-sectional population-based study whose data were obtained from the FIBRA Study electronic database,
developed in the 2008-2009 period and involving 2,593 individuals older than 65 years who lived in urban areas. Results: We found that rheumatic
diseases have a prevalence of 43.5% in the elderly sample, with mean age of 72.3 years old and predominance of females. The biopsychosocial variables
more strongly associated with rheumatic diseases were: chronic diseases (52.1%); depressive symptoms (56.7%); regular (48.5%), poor or very poor (52.3%) health self-evaluation; report of one (49.7%) or more (62.7%) cases of falls; and obesity (57.0%). Conclusion: We found a high prevalence of rheumatic diseases in the elderly population and a close relationship of these with the individual’s biopsychosocial variables, and given the world population ageing, the scenario is worsened in the public healthcare and thus strategies for prevention and early treatment of these diseases should be implemented urgently.

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Sarina Francescato Torres, State University of Campinas (UNICAMP)

Faculdade de Ciências Médicas. Departamento de Gerontologia.

Anita Liberalesso Neri, State University of Campinas (UNICAMP)

Psychologist. Post-graduate co-ordinator and professor in the post-graduate program in Gerontology at the Faculty of Medical Sciences, State University of Campinas (UNICAMP), São Paulo, SP, Brazil

Flávia Silva Arbex Borim, State University of Campinas (UNICAMP)

Physiotherapist. Professor in the post-graduate program in Gerontology at the Faculty of Medical Sciences, State University of Campinas (UNICAMP), São Paulo, SP, Brazil.

Citas

Machado GP, Barreto SM, Passos VM, Lima-Costa MF. Health and aging study: prevalence of chronic joint symptoms among the elderly in Bambui. Revista da Associação Médica Brasileira. 2004;50(4):367-72.

Fejer R, Ruhe A. What is the prevalence of musculoskeletal problems in the elderly population in developed countries? A systematic critical literature review. Chiropractic & Manual Therapies. 2012;20(1):1-52.

Gibofsky A. Epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis: A synopsis. . The American Journal of Managed Care. 2014;20(7):128-35.

Gafvels C, Hagerstrom M, Nordmark B, Wandell P. What predicts negative effects of rheumatoid arthritis? A followup two years after diagnosis. SpringerPlus. 2014;3(118): 1-10.

Blay SL, Fillenbaum GG, Andreoli SB, Gastal FL. Prevalence and concomitants of arthritis in the elderly in Rio Grande do Sul, Brazil. PLoS One. 2012;7(9):1-7.

Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975;12(3):189-98

Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria. 2003;61(3-B): 777-81.

Lawton PM, Brody EM. Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.

Santos RLd, Virtuoso Júnior JS. Confiabilidade da versão brasileira da Escala de Atividades Instrumentais da Vida Diária. Revista Brasileira em Promoção da Saúde. 2008;21:290-6.

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of Illness in the aged the index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9.

Lino VTS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades da Vida Diária (Escala de Katz). Cadernos de saude publica. 2008;24:103-12.

Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Illinois: Human Kinetics Books. 1988;III.

Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist. 1986;5(1-2):165-73.

Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arquivos de Neuro-Psiquiatria. 1999;57:421-6.

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C,Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. Journal of Gerontology: Medical Sciences. 2001;56(3):146-56.

Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401.

Batistoni SST, Neri AL, Cupertino APFBC. Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros. Revista de Saúde Pública.2007;41(4):598-605.

Marucci MdFN, Barbosa AR. Estado nutricional e capacidade física. In: Lebrão ML, Duarte YAO. SABE – Saúde, Bem estar e Envelhecimento. O Projeto Sabe no município de São Paulo: uma abordagem inicial. Brasília: Organização Pan-Americana da Saúde/MS. 2003. p. 95-117.

Lustosa LP, Pereira DS, Dias RC, Britto RR, Parentoni AN, Pereira LSM. Translation and cultural adaptation of the Minnesota Leisure Time Activities Questionnaire in community-dwelling older people. Geriatria & Gerontologia.2011;5(2):57-65.

Wibelinger LM, Tombini DK. Perfil epidemiológico dos pacientes atendidos no serviço de fisioterapia reumatológica da universidade de passo fundo. Revista Brasileira de Ciências do Envelhecimento Humano. 2010;7(2): 189-97.

Peeters GM, Alshurafa M, Schaap L, de Vet HC. Diagnostic accuracy of self-reported arthritis in the general adult population is acceptable. Journal of Clinical Epidemiology. 2015;68(4):452-9.

Costa JO, Almeida AM, Guerra Junior AA, Cherchiglia ML, Andrade EIG, Acurcio FdA. Treatment of rheumatoid arthritis in the Brazilian Unified National Health System: expenditures on infliximab compared to synthetic diseasemodifying anti-rheumatic drugs, 2003-2006. Caderno de Saúde Pública. 2014;30(2):283-95.

Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatrics. 2014;14(22):1-11.

Miguel RdCC, Dias RC, Dias JMD, Silva SLAd, Menicucci Filho PR, Ribeiro TMS. Síndrome da fragilidade no idoso comunitário com osteoartrite. Revista Brasileira de Reumatologia. 2012;52(3):331-47.

Ferreira AH, Godoy PBG, Oliveira NRCd, Diniz RAS, Diniz REAS, Padovani RdC, et al. Investigação da ansiedade depressão e qualidade de vida em pacientes portadores de osteoartrite no joelho: um estudo comparativo. Revista Brasileira de Reumatologia. 2015;55(5):434-8.

Mella LFB, Bértolo MB, Dalgalarrondo P. Depressive symptoms in rheumatoid arthritis patients. Revista Brasileira de Psiquiatria. 2010;32(3):257-63.

Santos RR, Bicalho MAC, Mota P, Oliveira DR, Moraes EN. Obesity in the elderly. Revista Médica de Minas Gerais. 2013;23(1):64-73.

Berenbaum F. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage. 2013;21(1):16-21.

Pisters MF, Veenhof C, Van Dijk GM, Heymans MW, Twisk JW, Dekker J. The course of limitations in activities over 5 years in patients with knee and hip osteoarthritis with moderate functional limitations: risk factors for future functional decline. Osteoarthritis and cartilage/OARS. 2012;20(5):503-10.

Brenton-Rule A, Dalbeth N, Bassett S, Menz HB, Rome K. The incidence and risk factors for falls in adults with heumatoid arthritis: a systematic review. Seminars in arthritis and rheumatism. 2015;44(4):389-98.

Pereira LV, Vasconcelos PP, Souza LAF, Pereira GdA, Nakatani AYK, Bachion MM. Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study. Revista Latino-Americana de Enfermagem. 2014;22(4):662-9.

Bombardier C, Barbieri M, Parthan A, Zack DJ, Walker V, Macarios D, et al. The relationship between joint damage and functional disability in rheumatoid arthritis: a systematic review. Annals of the Rheumatic Diseases. 2012;71(6): 836-44.

Meesters J, Verhoef J, Tijhuis G, Vlieland TV. Functional disability in patients with rheumatoid arthritis admitted for multidisciplinary rehabilitation from 1992 to 2009. Rheumatology. 2013;52:1879-83.

Selmi C, Generali E, Massarotti M, Bianchi G, Sciré CA. New treatments for inflammatory rheumatic disease. Immunologic Research. 2014;60(2):277-88.

Smolen JS, Braun J, Dougados M, Emery P, FitzGerald O, Helliwell P, et al. Treating spondyloarthritis, including ankylosing spondylitis and psoriatic arthritis, to target: recommendations of an international task force. Annals of the Rheumatic Diseases. 2014;73:6-16.

Castell MV, Van der Pas S, Otero A, Siviero P, Dennison E, Denkinger M, et al. Osteoarthritis and frailty in elderly individuals across six European countries: results from the European Project on OSteoArthritis (EPOSA). BMC musculoskeletal disorders. 2015;16(359):1-8.

Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, et al. Frailty Assessment in the Cardiovascular Care of Older Adults. Journal of the American College of Cardiology. 2014;63(8):747-62.

Descargas

Publicado

2016-08-22

Cómo citar

Torres, S. F., Neri, A. L., & Borim, F. S. A. (2016). Overview of Rheumatic Diseases in the Elderly: The FIBRA Study. PAJAR - Pan-American Journal of Aging Research, 4(1), 21–30. https://doi.org/10.15448/2357-9641.2016.1.23765

Número

Sección

Artículo original