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ever, in the present study, despite high dependence, HRQL indicators were similar or better in institutionalized com- pared to the community-dwelling elderly participants. Factors that included elderly physical fitness and the fa- cilities offered in the institution (e.g. more accessible spaces, short hallways, handrails, and walking path to provide a safety sensation) and the presence of a full-time health staff probably improved their HRQL perception. The differences in HRQL scores between institution- alized and community-dwelling elderly occurred in a gender-dependent fashion. Institutionalized men showed higher scores in physical and psychological domains com- pared to community-dwelling elderly, while no significant differences in any domain of health-related quality of life were observed among women. Given that HRQL is relat- ed to the perception of life, men probably have a better perception of their physical fitness and cognitive function. Moreover, chronic conditions such as arthritis, back prob- lems, or depression are found more frequently in women 6

A questionnaire addressing sociodemographic and health profiles was used together with the Mini-Mental State Examination, the Tilburg Frailty Indicator, the Barthel Index, and the Geriatric Depression Scale (GDS-15). Descriptive statistics were applied. The normality of the continuous variables was tested using the Shapiro-Wilk test. Spearman’s correlation was used for the continuous variables with frailty as the dependent variable. Result: Most elderly individuals were female (57.1%); the average age was 77.77; and 35.7% were widowed. In terms of health, 55.4% presented cognitive deficit; 62.5% had depression symptoms; 75.0% were considered frail; 42.9% had suffered falls in the last 12 months; and the individuals scored an average of 68.30 in the Barthel Index. A positive correlation between the frailty score and the GDS-15 (r=0.538; p=0.00) was observed, while a negative correlation was found between frailty and the Barthel Index (r=-0.302; p=0.02). Conclusion: increased frailty among institutionalized elderly persons is correlated with the presence of depressive symptoms and inferior performance of basic activities of daily living. The results of the present study can support the planning of care provided to elderly individuals living in LTCFs and encourage broader assessments of these individuals.

1. Onder G, Carpenter I, Finne-Soveri H, Gindin J, Frijters D, Henrard JC, et al. Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long Term Care (SHELTER) study. BMC Health Serv Res [Internet]. 2012 [cited 2012 Out 20]; 12: [about 10p]. Available from: http:// www.biomedcentral.com/content/pdf/1472-6963-12-5.pdf 2. Camarano AA, Kanso S. As instituições de longa permanência para idosos no Brasil. Rev Bras Estud Popul.2010;27(1):233-5. 3. Fornazari SA, Ferreira RE. [Religiousness/spirituality in

Used for the data collection was an instrument consisting of two parts, which was approved after content review by five experts. The first part was the identification data of the elderly and the sociodemographic variables (sex, age, marital status, number of children and education) and health (comorbidities). The second part was the aspects related to pain (presence, location, time of onset and type), impaired physical mobility (presence and reasons) and the performance of physical activity.

Introduction : Urinary incontinence is a geriatric syndrome that generates strong economic and social im- pacts as well as emotional changes and negative consequences for the health of the elderly. Objective: The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly. Materials and methods: A cross-sectional study was conducted herein, with long-term institutions for the elderly of the municipality of Natal Northeast Brazil . The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the )nternational Consultation on )ncontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of inconti- nence. The chi-square test and Fisher’s exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis. Results: The prevalence of urinary incontinence was . % % C): . – . . The impact of this condition on daily life was mild in . % of cases, moderate for . % of cases, and severe in . % of cases. The condition was associated with functional impairment p < . ; RP: . .

This cross-sectional study assessed the oral health of the institutionalized elderly in Belo Horizonte, Brazil. A sample of 335 individuals over 60 years of age was selected through a stratified sampling strategy. Data was collected through interviews, reviews of medical records and a clinical examination for a single researcher. The oral health was evaluated in relation to the occurrence of oral mucosal conditions, edentulousness, wearing of prosthesis, oral hygiene, caries experience and periodontal disease. The data were submitted to the descriptive analysis using the software SPSS v.12.0. One or more lesions or variations of normal were observed in 79.7% of the elderly. The most frequent oral mucosal variations of normal were varicosities (51.6%) and coated tongue (27.8%). Denture stomatitis was the most common denture-related oral lesion (15.2%). Edentulousness was observed in 74.9% of the elderly and of these 42.6% didn't wear prosthesis. Among the partially dentate (25.1%), 30.9% wore removable partial prosthesis. Bacterial plaque was present in 76.0% of the evaluated dental surfaces and 57.0% of the elderly that wearing upper removable full prosthesis presented plaque in at least one of the surfaces of the same. The DMF-T index was of 30.8 (SD=3.2), with the missing component representing 94.2%. Of the 584 exposed roots in the oral cavity, 76.0% were sound, 14.4% decayed and 9.6% filled. Missing sextants was the worst periodontal finding in the majority of the elderly (78.2%). Among the valid sextants, there was higher prevalence of 4 to 5 mm periodontal pocket (CPI=3). There are a high prevalence of oral mucosal lesions and variations of normal among the institutionalized elderly. In spite of that highly prevalent tooth loss, the prevalence of wearing of prosthesis is low. The oral hygiene of the institutionalized elderly is precarious. A high value of DMF-T reveals the caries severity and their consequences among the elderly. Among the remaining teeth, the experience of root caries is low. The periodontal disease affects the few remaining teeth, which present priority of the shallow periodontal pocket.

It was verified that the low level of schooling interferes with the autonomy, independence and, consequently, in the functional capacity of the elderly. Notice also that the underage elderly have minor morbidities than the old higher, although not in a large proportion. This confirms the fact that people do not have aged healthily. The older is getting the individual, greater exposure to other morbidities, being susceptible to increased fragility, that demand greater attendance in health. Some authors report that the increase of the limitations in AVD is directly related to increased morbidities in the elderly. 18

73.3% of the elderly persons reported having experi- enced one or more falls in the last year. The number of falls experienced by the elderly is important due to the possibility of complications and the high rate of morbidity and mortality associated with falls, with serious implications for public health. In this study, it was observed that the majority of elderly individuals who reported falls were female. Literature shows that women have a 2.5 times higher risk of falling than men 24 . A meta-analysis by Ueno et al. (2006) 25 identified

29. Weidt S, Bruehl AB, Straumann D, Hegemann SC, Krautstrunk G, Rufer M. Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship. BMC Health Serv Res. 2014;14(1):317. 30. Dag E, Bayar Muluk N, Karabicak H, Kursat Arikan O, Turkel Y. Cognitive Evaluation and Quality of Life Assessment in Patients with Subjective Tinnitus. Acta Neurol Taiwan. 2016;25(1):1-9.

Objective: to analyze the relationship between the level of frailty and sociodemographic and health characteristics among elderly residents of a long-term care facility (LTCF) in Ribeirão Preto, São Paulo, Brazil. Method: this descriptive and cross-sectional study included 56 elderly persons living in a LTCF. Data were collected from April to June 2016. A questionnaire addressing sociodemographic and health profiles was used together with the Mini-Mental State Examination, the Tilburg Frailty Indicator, the Barthel Index, and the Geriatric Depression Scale (GDS-15). Descriptive statistics were applied. The normality of the continuous variables was tested using the Shapiro-Wilk test. Spearman’s correlation was used for the continuous variables with frailty as the dependent variable. Result: Most elderly individuals were female (57.1%); the average age was 77.77; and 35.7% were widowed. In terms of health, 55.4% presented cognitive deficit; 62.5% had depression symptoms; 75.0% were considered frail; 42.9% had suffered falls in the last 12 months; and the individuals scored an average of 68.30 in the Barthel Index. A positive correlation between the frailty score and the GDS-15 (r=0.538; p=0.00) was observed, while a negative correlation was found between frailty and the Barthel Index (r=-0.302; p=0.02). Conclusion: increased frailty among institutionalized elderly persons is correlated with the presence of depressive symptoms and inferior performance of basic activities of daily living. The results of the present study can support the planning of care provided to elderly individuals living in LTCFs and encourage broader assessments of these individuals.

Objective: to describe sociodemographic and family relationships, health status, depression and degree of functional capacity in institutionalized elderly persons in eleven long-term care facilities for the elderly in the north coastal region of Rio Grande do Sul, Brazil. Methods: a cross-sectional study was carried out of 60 institutionalized elderly persons without cognitive impairment, confirmed by a score greater than 13 in the Mini Mental State Exam. Questionnaires were used to obtain data on sociodemographic conditions, family relationships, and self-perception of health. Functional capacity was evaluated with the Barthel Index and the Geriatric Depression Scale was applied. Results: A predominance of women, widowed and single, with a of low level of education and precarious financial status, most of whom who did not have children, was observed. The elderly persons complained about difficulty walking (38.3%), generalized pain (16.7%) and vision problems (13.3%). The majority (95%) reported suffering from two to three chronic diseases and making daily use of three or more drugs. Although 55% of the participants presented depressive symptoms and morbidity, they reported functional independence and 50% rated their health as good. Conclusions: These data contributed to the knowledge of the health status and functional capacity of these institutionalized elderly persons, aiming to improve the care provided to this public.

studies have found an association between change in gait and the occurrence of falls. It is likely that the reduced sample in this study was not able to reflect the situation of immobility and physical limitation of the institutionalized elderly in all the physical tests, and, therefore, the associations were not significant. Some limitations were identified in this study, such as the possible memory bias of the elderly and/or caregivers when questioned about the presence of falls, bias related to the possible insufficient recording of the chronic diseases of the elderly in medical records, and the reduced number of elderly persons who underwent physical-functional evaluation, either due to physical limitations or refusal to participate in the study, thus impairing statistical analyzes. Despite this, the study of a common collective health event, as well as the functional evaluation of frail elderly persons, makes this study important.

individuals residing in these institutions from their own perception is the irst step to be taken in order to understand the speciic demands of this population. Despite the large number of ILPIs in Brazil, there are only few studies verifying the functional proile of these institutionalized elderly, especially when taking into consideration issues related to the speech health, including hearing, language, voice and speech motor skills. This fact hinders the implementation of care programs directed to this population and also the orientation of the profes- sionals involved in their care 7 .

Purpose: To identify the factors associated to suggestive signs of oropharyngeal dysphagia (OD) in institutionalized elderly women. Methods: A cross-sectional, study with 30 institutionalized elderly women (mean age: 83,73 ±10,56 years) was carried out in Maceió. From August 2007 to July 2008, social, demographic and cultural data was collected, as well as data on general health and deglutition from their medical records and follow-up (both in person and by video) of one meal of each elderly woman. Those with signs suggestive of OD were compared to those with no signs of it and the factors associated with signs suggestive of orophayngeal dysphagia and changes in the feeding dynamics were considered. Results: Regarding the factors associated to changes in feeding dynamics, the elderly with dementia were more likely to require assistance during mealtime and to present four or more changes in feeding dynamics. The elderly that required assistance were more likely to eat in bed, at an inadequate position and to have three or more changes in feeding dynamics. Conclusion: For institutionalized elderly women, the factors associated to signs suggestive of oropharyngeal dysphagia were use of medication, absence of depression, number of teeth and number of changes in feeding dynamics. The factors associated to changes in feeding dynamics are related to dementia and need of special care.

A descriptive study was performed with elderly people living in a LTCF in the town of Passo Fundo, Rio Grande do Sul, Brazil. A total of 174 people aged 60 and over of both genders, regardless of health conditions, participated from six institutions. The exclusion criteria of the study were: elderly persons hospitalized during the data collection period, with amputated limbs and/or a history of burns and/or recent surgical interventions in the feet. This research is part of a larger project entitled Patterns of Aging and Longevity: Biological, Educational and Psychosocial Aspects, which is part of the National Program for Academic Cooperation (PROCARD/CAPES, Applicationnº.71/2013).

Brazil has been experiencing a process of population aging, which has led to an increase in the number of elderly people, as well as an enhancement of the importance of Long-term Institutions for Elderly People (LIEP). Based on this approach, this study aimed to know the health medical conditions and the medications used by the elderly people institutionalized in the city of Anápolis (GO). It was a descriptive and quantitative cross-sectional typology with pre-structured questionnaires used for analysis of medical records and reports of a population composed by 101 elderly people hosted in five LIEP. The results of this research were a higher prevalence of institutionalized elderly people over 76 years old, female, who suffer from high functional dependence, concomitantly with the decompensation of their chronic diseases, such as hypertension and diabetes, as well as worsening of acute aggravations, such as falls, and gastrointestinal disorders. It was also evaluated the prevalence of the medication classes used by the group, highlighting the usage of antihypertensive, in accordance with the most prevalent chronic disease. In addition, it was reported some difficulty in accessing adequate medical treatment. Finally, most of these places present socioeconomic characteristics of low financial conditions, conflicting family contact, absent leisure activities, with acute aggravations and decompensation caused by chronic diseases, and restricted medical care. However, all visited institutions were interested in the search for improvements that culminate in quality of life for the elderly people and fit the requirements recommended by the Ministry of Health.

26. Vieira RA, Guerra RO, Giacomin KCr, Vasconcelos KSS, Andrade ACS, Pereira LS M et al . Prevalência de fragilidade e fatores associados em idosos comunitários de Belo Horizonte, Minas Gerais, Brasil: dados do estudo FIBRA. Cad. Saúde Pública [serial on the Internet]. 2013 Aug [cited 2014 Oct 14]; 29( 8 ): 1631-1643. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000800015&lng=en. 27. Abellan VKG, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging 2009;13:881-9.

The increase in the size of the elderly population demands new knowledge about the process of healthy and active aging. Cognitive disorders are directly associated with aging, and therefore represent a public health problem. A longitudinal and interventional study with a quantitative approach was performed with the aim of analyzing the effects of a physical therapy program aimed at health promotion on the cognitive ability of institutionalized elderly women. Data was collected using a sociodemographic and clinical form and the Mini Mental State Examination (MMSE) at three time points (baseline, after 10 interventions and after 20 interventions). The health promotion program consisted of 20 recreational group activities in weekly meetings lasting an hour. Statistical analysis used the paired Student’s t-test and Analysis of variance, with a significance level of p<0.05. The sample consisted of 24 elderly persons, with a mean age of 80.04 years. The results showed improvement in the performance of the elderly, both in overall MMSE score (T0=19.22 vs. T2=28.33, p=0.01) and in the evaluated subcategories "time orientation" (T0=3.35 vs. T2=3.57, p=0.02), "record" (T0=2.61 vs. T2=2.95, p<0.01), "memory recall" (T0=1.78 vs. T2=2.71, p<0.01), "read and execute" (T0=0.43 vs. T2=0.67, p=0.01) and "copy diagram" (T0=0.26 vs. T2=0, 48, p=0.02). These findings suggest that physical therapy for health promotion purposes enables improvement in performance of cognitive activities of institutionalized elderly persons, thus contributing to a better quality of life.

This article aimed to analyze the perception of the nursing team about the care of institutionalized elderly. It consists of a qualitative and exploratory study developed in the six long-term care nursing homes for elderly in the city of João Pessoa/PB, Brazil, from Jan- uary to June 2013. The sample was comprised 50% of the nurses from all the institutions, totaling 13 participants, whose data were collected through semi-structured questionnaires. Content analysis was used in the study, which enabled the construction of two thematic categories: I) Perceptions of the delivery of care by the nursing staff of the institutions; II) Perceptions of the care activity to be performed by the nursing staff in the institutions. We conclude that the participants are aware of the need for an individualized and systematized care by the nursing staff , aimed to the prevention of diseases, health promotion and active aging.

The institutionalized subjects were chosen from 10 institutions that nurse elderly of different social and educational levels in the State of São Paulo. In four of these institutions, patients (group 2A) used to participate in activities such as occupational therapy, games, arts and crafts, painting lessons, parties, outside strolling, gymnastics, literacy classes and re- gular visits of relatives. While in the other institutions (group 2B) no scheduled activities were offered at all, only the basic food, hygiene and health care. In these places, the elders used to spend most of their time watching television or resting. Statistical Package for Social Sciences 11.5 software was used to analyze the results, and the significance level adopted was 5%. One-way analysis of variance (ANOVA) was performed, and the independent variables were groups (1, 2A or 2B). The dependent variables were the scores obtained in the GDS and in the neuropsychological tests. The correlation between the test measurements was accomplished using Pearson’s correlation test. Bonferroni test was used for post hoc analyses.