Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca
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Browsing Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca by Subject "Adulto Mayor"
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Item Nivel de actividad física medida a través del cuestionario internacional de actividad física, en adultos mayores de las parroquias urbanas de Cuenca-Ecuador, 2015(Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-09) Chimbo Yunga, Jenny Maritza; Chuchuca Cajamarca, Angela Jimena; Encalada Torres, Lorena Esperanza; Wong, SaraINTRODUCTION: Globally there is a demographic transition and the elderly population by 2050 will increase from 10% to 22%, in Ecuador in 2010 elderly people represented 7% and by 2050 will increase to 18%. Population aging leads to increased rates of chronic degenerative disease primarily associated with an insufficient level of physical activity increase the risk of death of 20% to 30%. There is evidence that moderate-vigorous physical activity levels reported health benefits. OBJECTIVE: To determine the level of physical activity through the IPAQ (short version) in adults older from urban parishes in Cuenca, 2015. METHODOLOGY: It is a descriptive study of 387 older adults in whom the International Physical Activity Questionnaire (IPAQ) in its short version was applied by interview, after fulfilling the inclusion criteria: men and women with 65 years old and older who wish to participate and sign the informed consent. The data were analyzed and processed in SPSS version 15, using frequency distribution, measures of central tendency (mean) and dispersion (standard deviation). RESULTS: A total of 387 older adults were studied, the 64.6% were between 65-74 years, the average age stood at 72.77 years with a standard deviation of ± 7.47 years, were the 63.6% were female, the 55.8% were married , the 53.4% finished primary school, and the 70.5% was not active in work. The 45% of older adults had a high level of physical activity, 37% moderate and 18% low. Physical activity levels varied with age, marital status, education level and occupation. CONCLUSIONS: The older adults in Cuenca have a high level of physical activity, which may vary by certain socio- demographic characteristicsItem Prevalencia de caídas en adultos mayores y factores asociados en la parroquia Sidcay, Cuenca, 2013(Universidad de Cuenca. Facultad de Ciencias Médicas, 2017-04) Astudillo, Christian; Alvarado, Lucía; Sánchez, Janneth; Encalada Torres, Lorena EsperanzaINTRODUCTION: Health problems derived from the changes in seniors are falls, the prevalence of falls in healthy seniors oscillate from 15-30%. The etiology is multifactorial; there have been identified conditions and precipitating factors. OBJECTIVE : To determine the prevalence of falls in seniors and associated factors intrinsic: chronic diseases, mental status, ambulation; extrinsic: drugs, alcohol, shoes, daily activities, location, condition of the floor , day interval, and not classifiable: previous falls, fear of falling , types of falls, in the Parish Sidcay, Canton Cuenca. METHODOLOGY: This was a cross-sectional study, the population was established in the seniors of the Parish Sidcay. We worked with 489 seniors. For the recollection of data we used a questionnaire based on the WHO and the “Risk Scale Dowton Falls”, the data were tabulated and analyzed using SPSS 15.0, for demographic variables we used the percentage, frequency, and measures of central tendency, to find association prevalence ratio with confidence interval of 95% and for statistical significance with the chi-square p value. RESULTS: The prevalence of falls was 33.9%. Had a higher prevalence of falls patients > 74 years (43.1 %), female (40.9%), without partner (45.1 %) and the patients with nutritional disorders (64.8%). The risk of falling according to the Dawton scale was: high risk 32.1% and low risk 67.9%. It was associated with:> 74 years RP1.84 (1.4 to 2.42), female RP1.65 (1.25 to 2.17), living without partner RP1.73 (1.35 to 2.22) , chronic diseases RP1.62 (1.23 to 2.13), confused mental state RP2.10 (1.37 to 3.22), unsafe ambulation with or without help RP2.31 (1.8-2.9), drug consumption RP 1.29 (1.01 to 2.15), walking barefoot RP3 (2.5-3.5) and previous falls in all cases p <0.05. CONCLUSIONS: As reviewed there is a population of older adults at risk either high or low falls, this implies the need to integrate the care of this population safe environment like homes, to suit the user’s needs in the physical and thus contribute to reduce falls.Item Prevalencia y factores asociados a malnutrición en adultos mayores ingresados en el Hospital Vicente Corral Moscoso, Cuenca – Ecuador, 2013(Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-09) Espinosa Espinosa, Hermel MedardoOBJECTIVE: To determine the prevalence and factors associated with malnutrition in older adults who were hospitalized in the Clinic Department of the Vicente Corral Moscoso Hospital in 2013. METHODOLOGY: A cross-sectional study of 446 hospitalized elderly was performed randomly, their nutritional status was assessed using the Mini Nutritional Assessment (MNA). Data were tabulated in the SPSS version 20.0 and presented in graphs and tables. For the analysis, the descriptive statistics and measures of central tendency were used, the statistical association was measured with the OR, the confidence interval was 95%, and it was considered statistically significant at p <0.05. RESULTS: The prevalence of malnutrition was 32.06% (CI 28-36), increasing by over 75 years of age with an OR 1.86 (CI: 1.24 - 2.81 p value <0.003), observed as a risk factor not using prosthesis dental OR 1.86 (CI: 1.12 - 2.51 p value <0.012) and difficulty feeding OR 3.44 (CI: 2.19 - 5.42 p value <0.000). CONCLUSIONS: The prevalence of malnutrition in older adults was 32.06% and it is associated with the not using of dental prosthesis and feeding difficulty as a risk factor. It was observed that the older, there is a greater tendency to malnutrition. KEYWORDS: Aged, malnutrition, risk factors, prevalence, Hospital Vicente Corral Moscoso
