0279/2021 - Walking speed and home adaptations are associated with independence after stroke: A population-based prevalence study Velocidade de marchae adaptações no domicílio estão associadas à independência pós-Acidente Vascular Cerebral: estudo de prevalência de base populacional
Objetivou-se estimar a prevalência do Acidente Vascular Cerebral (AVC) em brasileiros mais velhos, bem como identificar fatores sociodemográficos, de saúde, de serviços de saúde e ambientais associados à independência em atividades de vida diária.Trata-se de um estudo transversal de base populacional (Estudo Longitudinal da Saúde de Idosos Brasileiros2015-2016). 536 indivíduos (?50 anos) dos 9.412 participantes tiveram AVC e foram incluídos. A prevalência do AVC foi de 5,3% em indivíduos com 50 anos e mais, aumentando para8% entre indivíduos com 75 anos e mais, com padrão dissimilar entre sexo. A independência foi associada à velocidade da marcha (Razão de Prevalência (RP) 2,72, IC 95%: 1,96-3,77), atividade física (PR 1,24; 95% CI: 1,04 to 1,47) e uso de dispositivos auxiliares de marcha (PR 0,63; 95% CI: 0,41 to 0,96).Encontrou-se interação significativa para velocidade da marcha, adaptações no domicílio e a independência (3,42; IC 95%:1.04-11.29). A probabilidade de independência foi de 40% nas velocidades mais baixas (< 0,4 m/s), e, nas velocidades mais elevadas (> 0,8 m/s), 70%, aumentando para 90% quando há adaptações no domicílio. A velocidade rápida da marcha e adaptação no domicílio foi o principal fator associado à independência a longo prazo após o AVC.
Palavras-chave:
atividades de vida diária, doença cerebrovascular, marcha, prevalência, reabilitação.
Abstract:
This study aimed at estimating the prevalence of stroke in older adults in Brazil, andat identifying the sociodemographic, health-related, health service-related, and environmentalfactorsassociated with independence indaily activities.Across-sectional, population-based study(Brazilian Longitudinal Study of Aging 2015-2016) was conducted. 536 individuals (≥50 years), from 9,412 participants,have had stroke and wereincluded.Prevalence of stroke was 5.3% among individuals aged 50 years and over, increasing up to 8.0% among individuals aged 75 years and over, showing a dissimilar pattern between sex. Independence was associated with walking speed (Prevalence Ratio (PR) 2.72, 95% CI: 1.96 to 3.77), physical activity (PR 1.24; 95% CI: 1.04 to 1.47) and use of walking devices (PR 0.63; 95% CI: 0.41 to 0.96). A significant interaction was found between walking speed plus home adaptationsand performance of daily living activities (PR 3.42; 95% CI: 1.04 to 11.29). The probability of independence was 40% among slow walkers (< 0.4 m/s), increasing up to 70% among fast walkers (> 0.8 m/s), and to 90% among those who also have home adaptations. Faster walking speed combined with home adaptations was the main factor associated with long-term independence after stroke.
Keywords:
activities of daily living, cerebrovascular disease, gait, prevalence, rehabilitation.
Velocidade de marchae adaptações no domicílio estão associadas à independência pós-Acidente Vascular Cerebral: estudo de prevalência de base populacional
Resumo (abstract):
This study aimed at estimating the prevalence of stroke in older adults in Brazil, andat identifying the sociodemographic, health-related, health service-related, and environmentalfactorsassociated with independence indaily activities.Across-sectional, population-based study(Brazilian Longitudinal Study of Aging 2015-2016) was conducted. 536 individuals (≥50 years), from 9,412 participants,have had stroke and wereincluded.Prevalence of stroke was 5.3% among individuals aged 50 years and over, increasing up to 8.0% among individuals aged 75 years and over, showing a dissimilar pattern between sex. Independence was associated with walking speed (Prevalence Ratio (PR) 2.72, 95% CI: 1.96 to 3.77), physical activity (PR 1.24; 95% CI: 1.04 to 1.47) and use of walking devices (PR 0.63; 95% CI: 0.41 to 0.96). A significant interaction was found between walking speed plus home adaptationsand performance of daily living activities (PR 3.42; 95% CI: 1.04 to 11.29). The probability of independence was 40% among slow walkers (< 0.4 m/s), increasing up to 70% among fast walkers (> 0.8 m/s), and to 90% among those who also have home adaptations. Faster walking speed combined with home adaptations was the main factor associated with long-term independence after stroke.
Palavras-chave (keywords):
activities of daily living, cerebrovascular disease, gait, prevalence, rehabilitation.
Torres, J. L., Andrade, F. B., Lima-Costa, M. F., Nascimento, L. R.. Walking speed and home adaptations are associated with independence after stroke: A population-based prevalence study. Cien Saude Colet [periódico na internet] (2021/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/walking-speed-and-home-adaptations-are-associated-with-independence-after-stroke-a-populationbased-prevalence-study/18178?id=18178
