ABSTRACT OBJETIVE To investigate the relationship between the masticatory function and the frailty of older people. METHODS Exploratory cross-sectional study using secondary data from the FIBRA Project on the frailty conditions of older people living in urban areas of six Brazilian municipalities, from 2008 to 2009. The population consisted of older adults aged 65 and over with no cognitive impairment. A single session identification questionnaire and the Mini-Mental State Examination (MMSE) were applied, followed by collecting sociodemographic data and data on the participants’ self-assessment of masticatory function, general health, and oral health. RESULTS 2,341 older people (164 frail older adults), of whom 63.2% reported not having seen a dentist in the last year, and approximately 26% of them had three or more functional feeding problems. Older participants (OR = 2.88; 95%CI: 2.01–4.13), who are retired (OR = 2.31; 95%CI: 1.18–5.53), those who were depressed (OR = 2.31; 95%CI: 1.58–3.38), and those who self-assessed their general health as worse compared to others of the same age (OR = 3.91; 95%CI: 2.39–6.40) were at higher risk of frailty. Three or more problems related to the functional aspects of mastication were associated with a greater chance of frailty (OR = 2.06; 95%CI: 1.25–3.41). CONCLUSION This study found an association between masticatory function and a greater chance of frailty among the studied population.

ABSTRACT OBJETIVE To investigate the relationship between the masticatory function and the frailty of older people. METHODS Exploratory cross-sectional study using secondary data from the FIBRA Project on the frailty conditions of older people living in urban areas of six Brazilian municipalities, from 2008 to 2009. The population consisted of older adults aged 65 and over with no cognitive impairment. A single session identification questionnaire and the Mini-Mental State Examination (MMSE) were applied, followed by collecting sociodemographic data and data on the participants’ self-assessment of masticatory function, general health, and oral health. RESULTS 2,341 older people (164 frail older adults), of whom 63.2% reported not having seen a dentist in the last year, and approximately 26% of them had three or more functional feeding problems. Older participants (OR = 2.88; 95%CI: 2.01–4.13), who are retired (OR = 2.31; 95%CI: 1.18–5.53), those who were depressed (OR = 2.31; 95%CI: 1.58–3.38), and those who self-assessed their general health as worse compared to others of the same age (OR = 3.91; 95%CI: 2.39–6.40) were at higher risk of frailty. Three or more problems related to the functional aspects of mastication were associated with a greater chance of frailty (OR = 2.06; 95%CI: 1.25–3.41). CONCLUSION This study found an association between masticatory function and a greater chance of frailty among the studied population.

Resumo O objetivo deste artigo é verificar a condição bucal e a capacidade mastigatória autopercebidas em idosos longevos (≥ 80 anos). Foram utilizados dados do estudo multicêntrico FIBRA. A amostra foi composta por 2.341 indivíduos com ausência de déficit cognitivo, com idade ≥ 65 anos, no período entre 2008 e 2009, quando os idosos foram submetidos à coleta de dados. Quanto ao desfecho, a idade foi dicotomizada em 65-79 e 80 anos ou mais. A associação entre longevidade e as variáveis sociodemográficas, comportamentais, de saúde geral e bucal e a capacidade mastigatória autopercebida foram avaliadas pela regressão de Poisson. Dados completos disponíveis para 2.126 idosos. A idade média foi 70,91 (DP = ±4,11) anos entre os idosos jovens e 82,70 (DP = ±2,61) entre os longevos. A amostra de idosos com idade ≥ 80 anos foi de 11,7%. Baixa escolaridade, estado civil solteiro e ausência de trabalho estiveram associados à longevidade, assim como autorrelato de não possuir dentes naturais e dificuldade ou dor ao mastigar alimentos duros. Os resultados sugerem a associação entre longevidade com características sociodemográficas e de saúde bucal.

Abstract The scope of this article is to assess the oral health conditions and self-perceived chewing ability among the elderly seniors (≥ 80 years). Data from the FIBRA multicentric study were used. The sample consisted of 2,341 individuals with no cognitive impairment, aged ≥ 65 years, between 2008 and 2009, where the elderly were subjected to data collection. Regarding the outcome, age was dichotomized into 65-79 and 80 and over. The association between longevity and the socio-demographic and behavioral variables, general and oral health and self-perceived chewing ability was assessed by Poisson regression. Complete data are now available for 2,126 seniors. The mean age was 70.91 (SD =± 4.11) years among the young elderly and 82.70 (SD =± 2.61) among the elderly seniors. The sample of individuals aged ≥ 80 years was 11.7%. Low education, single marital status and lack of work were associated with longevity, as well as self-reporting of having no natural teeth and difficulty or pain when chewing hard foods. The results suggest an association between longevity with sociodemographic characteristics and oral health.

Resumo O objetivo deste artigo é verificar a condição bucal e a capacidade mastigatória autopercebidas em idosos longevos (≥ 80 anos). Foram utilizados dados do estudo multicêntrico FIBRA. A amostra foi composta por 2.341 indivíduos com ausência de déficit cognitivo, com idade ≥ 65 anos, no período entre 2008 e 2009, quando os idosos foram submetidos à coleta de dados. Quanto ao desfecho, a idade foi dicotomizada em 65-79 e 80 anos ou mais. A associação entre longevidade e as variáveis sociodemográficas, comportamentais, de saúde geral e bucal e a capacidade mastigatória autopercebida foram avaliadas pela regressão de Poisson. Dados completos disponíveis para 2.126 idosos. A idade média foi 70,91 (DP = ±4,11) anos entre os idosos jovens e 82,70 (DP = ±2,61) entre os longevos. A amostra de idosos com idade ≥ 80 anos foi de 11,7%. Baixa escolaridade, estado civil solteiro e ausência de trabalho estiveram associados à longevidade, assim como autorrelato de não possuir dentes naturais e dificuldade ou dor ao mastigar alimentos duros. Os resultados sugerem a associação entre longevidade com características sociodemográficas e de saúde bucal.

Abstract The scope of this article is to assess the oral health conditions and self-perceived chewing ability among the elderly seniors (≥ 80 years). Data from the FIBRA multicentric study were used. The sample consisted of 2,341 individuals with no cognitive impairment, aged ≥ 65 years, between 2008 and 2009, where the elderly were subjected to data collection. Regarding the outcome, age was dichotomized into 65-79 and 80 and over. The association between longevity and the socio-demographic and behavioral variables, general and oral health and self-perceived chewing ability was assessed by Poisson regression. Complete data are now available for 2,126 seniors. The mean age was 70.91 (SD =± 4.11) years among the young elderly and 82.70 (SD =± 2.61) among the elderly seniors. The sample of individuals aged ≥ 80 years was 11.7%. Low education, single marital status and lack of work were associated with longevity, as well as self-reporting of having no natural teeth and difficulty or pain when chewing hard foods. The results suggest an association between longevity with sociodemographic characteristics and oral health.

Resumo A anemia é o problema hematológico mais comum encontrado na população idosa. Com objetivo de avaliar a prevalência e os fatores associados à anemia em idosos no município de Viçosa (MG), foi realizado um estudo transversal, de base populacional. Os dados foram coletados de junho a dezembro de 2009, mediante inquérito domiciliar e realização de exames bioquímicos em 349 idosos. A prevalência de anemia foi de 11,7% (IC95% 8,3%-15,1%) e mostrou-se mais elevada entre os homens (15,4%), entre idosos com 80 anos e mais (30,0%) e naqueles que praticavam polifarmácia (16,8%). Os resultados evidenciaram determinantes de anemia semelhantes ao observado em países desenvolvidos. A real necessidade da polifarmácia deve ser avaliada na atenção à saúde dos idosos, com vistas a prevenir iatrogenias, dentre as quais a anemia está incluída.

Abstract Anemia is the most common hematological problem encountered in the elderly population. A cross-sectional, population-based survey was conducted to evaluate the prevalence and factors associated with anemia in the elderly in Viçosa (State of Minas Gerais). Data were collected by means of a household survey and conducting biochemical tests on 349 elderly between June and December 2009. The prevalence of anemia was 11.7% (95% CI 8.3% -15.1%) and was found to be higher among men (15.4%) among those aged 80 years and older (30%) and those who practiced polypharmacy (16.8%). The results obtained indicate anemia determinants similar to those observed in developed countries. The real need of polypharmacy should be evaluated in health care for the elderly, in order to prevent iatrogenic complications, of which anemia is one such complication.

Resumo A anemia é o problema hematológico mais comum encontrado na população idosa. Com objetivo de avaliar a prevalência e os fatores associados à anemia em idosos no município de Viçosa (MG), foi realizado um estudo transversal, de base populacional. Os dados foram coletados de junho a dezembro de 2009, mediante inquérito domiciliar e realização de exames bioquímicos em 349 idosos. A prevalência de anemia foi de 11,7% (IC95% 8,3%-15,1%) e mostrou-se mais elevada entre os homens (15,4%), entre idosos com 80 anos e mais (30,0%) e naqueles que praticavam polifarmácia (16,8%). Os resultados evidenciaram determinantes de anemia semelhantes ao observado em países desenvolvidos. A real necessidade da polifarmácia deve ser avaliada na atenção à saúde dos idosos, com vistas a prevenir iatrogenias, dentre as quais a anemia está incluída.

Abstract Anemia is the most common hematological problem encountered in the elderly population. A cross-sectional, population-based survey was conducted to evaluate the prevalence and factors associated with anemia in the elderly in Viçosa (State of Minas Gerais). Data were collected by means of a household survey and conducting biochemical tests on 349 elderly between June and December 2009. The prevalence of anemia was 11.7% (95% CI 8.3% -15.1%) and was found to be higher among men (15.4%) among those aged 80 years and older (30%) and those who practiced polypharmacy (16.8%). The results obtained indicate anemia determinants similar to those observed in developed countries. The real need of polypharmacy should be evaluated in health care for the elderly, in order to prevent iatrogenic complications, of which anemia is one such complication.

ABSTRACT This transversal study, with a descriptive-exploratory character, aimed to analyze the presence of arterial hypertension in patients with chronic kidney disease undergoing hemodialysis treatment, and its associated factors. Interviews were held with 140 patients of an institute of nephrology located in the rural area of the state of Minas Gerais, in August – October 2013. The prevalence of arterial hypertension in patients with chronic kidney disease was 78.8%. A relationship was observed between diabetes mellitus, dyslipidemias and ignorance regarding renal failure with arterial hypertension. It was identified that 72.2% of the participants were above their ideal weight, and that of these, 63.3% presented hypertensive crisis in the interdialytic period. It is concluded that arterial hypertension is significantly present in individuals, and that the associated factors are: effective adherence to the dialysis and drug treatment; control of fluid and food intake; and physical activity.

RESUMEN Estudio transversal, de carácter descriptivo exploratorio, cuyo objetivo fue analizar la presencia de hipertensión arterial en pacientes con enfermedad renal crónica en tratamiento hemodialítico y sus factores asociados. Fueron entrevistados 140 pacientes de un instituto de nefrología ubicado en el interior del estado de Minas Gerais, en el periodo de agosto a octubre de 2013. La prevalencia de hipertensión arterial en los pacientes con enfermedad renal crónica fue de 78,8%. Se constató relación entre diabetes mellitus, dislipidemias y desconocimiento acerca de la insuficiencia renal con la hipertensión arterial. Se identificó que 72,2% de los participantes excedieron al peso ideal y, de estes, 63,3% presentaron crisis hipertensiva en el periodo interdialítico. Se concluye que la hipertensión arterial está presente de modo significativo en los individuos y los factores asociados son: adhesión efectiva al tratamiento dialítico y medicamentoso; control de ingesta hídrica y alimentar; y actividad física.

RESUMO Estudo transversal, de caráter descritivo-exploratório. Objetivou analisar a presença de hipertensão arterial em pacientes portadores de doença renal crônica em tratamento hemodialítico e seus fatores associados. Foram entrevistados 140 pacientes de um instituto de nefrologia localizado no interior do estado de Minas Gerais, no período de agosto a outubro de 2013. A prevalência de hipertensão arterial nos pacientes portadores de doença renal crônica foi de 78,8%. Constatou-se relação entre diabetes mellitus, dislipidemias e desconhecimento acerca da insuficiência renal com a hipertensão arterial. Identificou-se que 72,2% dos participantes excederam ao peso ideal, e destes, 63,3% apresentaram crise hipertensiva no período interdialítico. Conclui-se que a hipertensão arterial está presente significativamente nos indivíduos e os fatores associados são: adesão efetiva ao tratamento dialítico e medicamentoso; controle de ingesta hídrica e alimentar; e atividade física.