Quality of Life and Gait in Elderly Group

Abstract

Introduction The process of aging could lead to seniors being more prone to falls, which affects their quality of life.

Objective The objective of this study is to investigate the relationship between quality of life and gait in the elderly.

Methods We used World Health Organization Quality of Life-Brief (WHOQOL-Brief) Brazilian version and the Dynamic Gait Index to assess fifty-six volunteers from the northeast of Brazil. Ages ranged from 60 to 85 years.

Results The Dynamic Gait Index, which indicates the probability of falls, resulted in 36.3% of the sample presenting abnormal results. There was correlation between domain 2 (psychological) and domain 4 (environment) with domain 1(Physical) and domain 3 (Social); a negative correlation between age and Domain 2; correlation between Question 1 (How would you rate your quality of life?) and domains 1, 2, and 4 and no correlation between questions 1 and 2 (How satisfied are you with your health?). Question 2 was correlated with all of the domains. There was negative association between question 1 and falls, and a slight correlation between the Dynamic Gait Index scores and Question 1.

Conclusion The self-perception of the study group about their quality of life was either good or very good, even though a considerable percentage of individuals had suffered falls or reported gait disturbances.

Keywords

aged - gait - postural balance - accidental falls

• References

• 1 Sousa RF, Gazzola JM, Ganança MM, Paulino CA. Correlação entre equilíbrio corporal e capacidade funcional de idosos com disfunções vestibulares crônicas. Braz J Otorhinolaryngol 2011; 77 (6) : 10.1590/S1808-86942011000600017
• 2 Hanmer J. Increasing number of unintentional falls indicates urgent need for fall prevention programs. J Am Geriatr Soc 2010; 58 (3) 603-604
• 3 Ganança MM. Vestibular disorders in the elderly. Braz J Otorhinolaryngol 2015; 81 (1) 4-5
• 4 Chang NT, Chi LY, Yang NP, Chou P. The impact of falls and fear of falling on health-related quality of life in Taiwanese elderly. J Community Health Nurs 2010; 27 (2) 84-95
• 5 Horton K, Dickinson A. The role of culture and diversity in the prevention of falls among older Chinese people. Can J Aging 2011; 30 (1) 57-66
• 6 Batra A, Melchior M, Seff L, Frederick N, Palmer RC. Evaluation of a community-based falls prevention program in South Florida, 2008-2009. Prev Chronic Dis 2012; 9: E13 10.5888/pcd9.110057
• 7 Hartholt KA, van Beeck EF, Polinder S , et al. Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. J Trauma 2011; 71 (3) 748-753
• 8 Almeida OP. [Mini mental state examination and the diagnosis of dementia in Brazil]. Arq Neuropsiquiatr 1998; 56 (3B): 605-612
• 9 Herrera Junior And Caramelli P. R. Nitrini Epidemiological study of dementia in the city of Catanduva - State of São Paulo - Brazil. J Psiq Clin 1998; 25: 70-73
• 10 Fleck MP, Louzada S, Xavier M , et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saude Publica 2000; 34 (2) 178-183
• 11 Shumway-cook A, Woolacott MH. Control of posture and balance. In: Shumway-Cook A, Woolacott MH. Motor Control Theory and Practical Applications. Maryland: Williams & Wilkins; 1995: 120
• 12 Castro SMD, Perracini MR, Gananca FF. Versão Brasileira do Dynamic Gait Index. Braz J Otorhinolaringol 2006; 72 (6) 817-825
• 13 Dawalibi NW, Monteiro RM, Goulart RC, Witter C, Ameida M, Buriti LC. Índice de desenvolvimento humano e qualidade de vida de idosos frequentadores de universidades abertas para a terceira idade. Psicol Soc 2014; 26 (2) 496-505
• 14 Almeida Moreira P, Roriz AKC, Mello AL, Ramos LB. Quality of Life of Institutionalized Elderly in Brazil. Soc Indic Res 2015; xx: 1-11 10.1007/s1125015-0888-7
• 15 Vitorino LM, Paskulin LG, Vianna LAC. Quality of life among older adults resident in long-stay care facilities. . Rev Latino-Am Enfermagem 2012; 20 (6) 1186-1195
• 16 Sasaki AC, Pinto EB, Mendel T, Sá KN, Oliveira-Filho J, D'Oliveira Jr A. Association between dual-task performance and balance during gait in community-dwelling elderly people after stroke. Healthy Aging Res 2015; 4: 29 10.12715/har
• 17 Baetens T, De Kegel A, Calders P, Vanderstraeten G, Cambier D. Prediction of falling among stroke patients in rehabilitation. J Rehabil Med 2011; 43 (10) 876-883
• 18 Grzanka-Tykwińska A, Małgorzata C, Kornelia K. Evaluating the quality of life of elderly people who attend classes at the University of the Third Age. Med Biol Sci 2015; 28 (4) 19-24
• 19 Ostrzyżek A. Ocena jakości życia osób w podeszłym wieku, rehabilitowanych w oddziale opieki długoterminowej. Probl Hig Epidemiol 2010; 91: 659-666
• 20 Alves LV, Gois IO, Taguchi CK, Oliveira IL, Sousa MGC. Evaluation the tendency to falls in elderly Sergipe. Rev CEFAC 2014; 16 (5) 1389-1396
• 21 Cho SI, An DH. Effects of a Fall Prevention Exercise Program on Muscle Strength and Balance of the Old-old Elderly. J Phys Ther Sci 2014; 26 (11) 1771-1774
• 22 Close JC, Lord SR, Antonova EJ , et al. Older people presenting to the emergency department after a fall: a population with substantial recurrent healthcare use. Emerg Med J 2012; 29 (9) 742-747
• 23 Prata HL, Junior EDDA, Louro JQ, De Lima PF, Santos JJN, Ferreira SM. Reports of falls extrinsic in elderly participants of a falls prevention project. J Research 2014; 6 (2) 685-694
• 24 Park NS, Jang Y, Lee BS, Chiriboga DA. Relationship between perceived neighborhood environment and depressive symptoms in older Korean Americans: Do chronic disease and functional disability modify it?. Asian Am J Psychol 2015; 6 (2) 174-180
• 25 Ahmed A, Chaudhry AG, Afzal MI, Farooq H. Loneliness and diseases prevalence; a gerontological perspective of elder's disease status. Prof Med J 2015; 22 (3) 343-348
• 26 Biolchi CS, Portella MR, Colussi EL. Vida e velhice aos 100 anos de idade: percepções na fala dos idosos. Estudos Interdisciplinares sobre o Envelhecimento. . Estud Interdiscipl Envelhec 2014; 19 (2) 583-598
• 27 Batistoni SST, Prestes SM, Cachioni M , et al. Categorização e Identificação Etária em uma Amostra de Idosos Brasileiros Residentes na Comunidade. Psicol Reflex Crit 2015; 28 (3) 511-521
• 28 Dickens AP, Richards SH, Hawton A , et al. An evaluation of the effectiveness of a community mentoring service for socially isolated older people: a controlled trial. BMC Public Health 2011; 11: 218
• 29 Silva FCM, Silva HRO. Bem estar subjetivo, funcionalidade e apoio social em idosos da comunidade. Estud Interdiscipl Envelhec 2014; 19 (3) 775-791
• 30 Karinkanta S, Piirtola M, Sievänen H, Uusi-Rasi K, Kannus P. Physical therapy approaches to reduce fall and fracture risk among older adults. Nat Rev Endocrinol 2010; 6 (7) 396-407
• 31 Jahn K. [Gait disorders in the elderly: prospects for a symptomatic therapy]. Fortschr Neurol Psychiatr 2012; 80 (5) 260-266
• 32 Lahmann C, Henningsen P, Brandt T , et al. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness. J Neurol Neurosurg Psychiatry 2015; 86 (3) 302-308