Fragility monitoring software for the elderly assisted by the Family Health Support Center (NASF) at São Carlos - SP - Brazil

• Grant number: 14/50104-0
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Start date: July 01, 2014
• End date: December 31, 2015
• Field of knowledge: Interdisciplinary Subjects
• Agreement: CNPq - PPSUS
• Principal Investigator: Marisa Silvana Zazzetta
• Grantee: Marisa Silvana Zazzetta
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
• Associated scholarship(s): 14/22403-2 - Tool for monitoring fragility levels and associated factors in elderly patients at the Family Health Support Center (NASF), in São Carlos, BP.TT

Abstract

The National Health Policy for the Elderly (PNSl) proposes detect health problems and signs of fragility, to provide better care to the elderly and consequently improvement in their quality of life. However, tools that facilitate effective actions of these policies are scarce in the planning and monitoring of the conditions of fragility of users in the Unified Health System (SUS). Objective: To develop and test an algorithm that works as a tool for monitoring levels of frailty and associated factors among elderly assisted by the for Family Health Support Center (NASF) on an interior city. Method; This was a longitudinal study with two phases: 1) Diagnosis of frailty in the elderly 2) Sewing and a monitoring tool and associated factors of fragility test 703 elderly people (321 men, 382 women) attended by NASF from the high vulnerability will be assessed. First, a frailty diagnosis subjectively associated with the classification proposed by Fried and phenotype by Scale Fragility of Edmonton will be held. There will also be assessed sociodemographic characteristics, cognition, humor, Balance, Fear of Falling, Pain, independence in basic and instrumental activities of daily living, physical activity, nutritional behavior, Risk of Diabetes and renal Disease, social support and need care. Analysis of blood biomarkers for Alzheimer's disease (ADAM10) and sarcopenia (IL6) will be held. An algorithm is created to direct the care of the elderly according to levels of frailly (not frail, pre-frail and fragile) and their viability will be tested in 10 % of the sample, randomly. (AU)

Scientific publications

(10)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

RIBEIRO, JULIO C.; DUARTE, JULIANA G.; GOMES, GRACE A. O.; COSTA-GUARISCO, LETICIA P.; DE JESUS, ISABELA T. M.; NASCIMENTO, CARLA M. C.; SANTOS-ORLANDI, ARIENE A.; ORLANDI, FABIANA S.; VASILCEAC, FERNANDO A.; ZAZZETTA, MARISA S.; et al. Associations between inflammatory markers and muscle strength in older adults according to the presence or absence of obesity. Experimental Gerontology, v. 151, AUG 2021. (16/15235-1, 14/50104-0)

ZAZZETTA, M. S.; GOMES, G. A. O.; ORLANDI, F. S.; GRATAO, A. C. M.; VASILCEAC, F. A.; GRAMANI-SAY, K.; PONTI, M. A.; CASTRO, P. C.; PAVARINI, I, S. C.; MENEZES, A. L. C.; et al. IDENTIFYING FRAILTY LEVELS AND ASSOCIATED FACTORS IN A POPULATION LIVING IN THE CONTEXT OF POVERTY AND SOCIAL VULNERABILITY. JOURNAL OF FRAILTY & AGING, v. 6, n. 1, p. 29-32, 2017. (14/50104-0)

NASCIMENTO, CARLA M. C.; ZAZZETTA, MARISA S.; GOMES, GRACE A. O.; ORLANDI, FABIANA S.; GRAMANI-SAY, KARINA; VASILCEAC, FERNANDO A.; GRATAO, ALINE C. M.; PAVARINI, SOFIA C. I.; COMINETTI, MARCIA R.. Higher levels of tumor necrosis factor are associated with frailty in socially vulnerable community-dwelling older adults. BMC GERIATRICS, v. 18, NOV 6 2018. (14/21066-2, 14/50104-0)

CRISPIM NASCIMENTO, CARLA MANUELA; ZACARIN CARDOSO, JULIANA DE FATIMA; MACHADO DE JESUS, ISABELA THAIS; ORLANDI, FABIANA DE SOUZA; PIMENTA COSTA-GUARISCO, LETICIA; DE OLIVEIRA GOMES, GRACE ANGELICA; DOS SANTOS ORLANDI, ARIENE ANGELINI; VASILCEAC, FERNANDO AUGUSTO; IOST PAVARINI, SOFIA CRISTINA; GRAMANI-SAY, KARINA; et al. Are body fat and inflammatory markers independently associated with age-related muscle changes?. Clinical Nutrition, v. 40, n. 4, p. 2009-2015, APR 2021. (16/15235-1, 14/50104-0)

JESUS, ISABELA T. MACHADO DE; ORLANDI, FABIANA DE SOUZA; DE OLIVEIRA GOMES, GRACE ANGELICA; SAY, KARINA GRAMANI; GUARISCO, LETICIA PIMENTA COSTA; ORLANDI, ARIENE ANGELINI DOS SANTOS; POTT-JUNIOR, HENRIQUE; ZAZZETTA, MARISA SILVANA. Frailty state transitions among non-frail and vulnerable older adults: Does mobility performance really matter?. GERIATRIC NURSING, v. 42, n. 6, p. 1367-1372, NOV-DEC 2021. (16/15235-1, 14/50104-0)

DE MELO, LETICIA ALVES; MACHADO DE JESUS, ISABELA THAIS; ORLANDI, FABIANA DE SOUZA; DE OLIVEIRA GOMES, GRACE ANGELICA; ZAZZETTA, MARISA SILVANA; PEREIRA DE BRITO, TABATTA RENATA; DOS SANTOS-ORLANDI, ARIENE ANGELINI. Frailty, depression, and quality of life: a study with elderly caregivers. Revista Brasileira de Enfermagem, v. 73, n. 3, 2020. (14/50104-0, 18/04980-3)

BARBIERI, LUCAS BAPTISTELLA; COSTA DA SILVA, MARCO AURELIO; ORLANDI, FABIANA DE SOUZA; DOS SANTOS-ORLANDI, ARIENE ANGELINI; IOST PAVARINI, SOFIA CRISTINA; GRAMANI-SAY, KARINA; DE OLIVEIRA GOMES, GRACE ANGELICA; ZAZZETTA, MARISA S.; POTT-JUNIOR, HENRIQUE. 25-hydroxyvitamin D in older adults: Which factors really matter?. GERIATRIC NURSING, v. 44, p. 6-pg., 2022-01-26. (16/15235-1, 14/50104-0)

OLIVEIRA MONTEIRO, MARIA PATRICIA A.; SALHEB OLIVEIRA, DANIELLE S. M.; MANZINE, PATRICIA R.; CRISPIM NASCIMENTO, CARLA M.; DOS SANTOS ORLANDI, ARIENE A.; DE OLIVEIRA GOMES, GRACE A.; ORLANDI, FABIANA DOS SANTOS; ZAZZETTA, MARISA S.; POTT-JUNIOR, HENRIQUE; COMINETTI, MARCIA R.. ADAM10 plasma levels predict worsening in cognition of older adults: a 3-year follow-up study. ALZHEIMERS RESEARCH & THERAPY, v. 13, n. 1, JAN 8 2021. (16/15235-1, 19/02648-4, 14/50104-0)

POTT-JUNIOR, HENRIQUE; CRISPIM NASCIMENTO, CARLA MANUELA; COSTA-GUARISCO, LETICIA PIMENTA; DE OLIVEIRA GOMES, GRACE ANGELICA; GRAMANI-SAY, KARINA; ORLANDI, FABIANA DE SOUZA; MARTINS GRATAO, ALINE CRISTINA; DOS SANTOS ORLANDI, ARIENE ANGELINI; IOST PAVARINI, SOFIA CRISTINA; VASILCEAC, FERNANDO AUGUSTO; et al. Vitamin D Deficient Older Adults Are More Prone to Have Metabolic Syndrome, but Not to a Greater Number of Metabolic Syndrome Parameters. NUTRIENTS, v. 12, n. 3, MAR 2020. (16/15235-1, 14/50104-0)

QUESSADA, LIGIA PEREIRA MARTINS; NASCIMENTO, CARLA MANUELA CRISPIM; ORLANDI, FABIANA DE SOUZA; GRATAO, ALINE CRISTINA MARTINS; VASILCEAC, FERNANDO AUGUSTO; PAVARINI, SOFIA CRISTINA IOST; GRAMANI-SAY, KARINA; GOMES, GRACE ANGELICA DE OLIVERIA; ZAZZETTA, MARISA S.; COMINETTI, MARCIA R.; et al. Plasma 25-hydroxyvitamin D levels, quality of life, inflammation and depression in older adults: Are they related?. Experimental Gerontology, v. 153, OCT 2021. (16/15235-1, 14/50104-0)