Perfil de pacientes idosos com baixa densidade mineral óssea referenciados ao Programa Mais Vida

Abstract

The growth life in expectancy of Brazilian population draws attention to chronic health problems such as osteoporosis. The Government of Minas Gerais (Brazil) began in 2010 the Program Mais Vida (More Life), aiming the improvement of welfare life and providment care for the elderly and weak patient. In the municipality of Belo Horizonte, the headquarters of the program, or the Center more life, is in the Institute Jenny de Andrade Faria. The purpose of this research was to characterize the elderly patients referenced to the Programa Mais Vida and determinate factors related with low bone mass and the occurrence of falls. There has been conducted an observational study divided into two stages: transversal cut and telephone survey. The cross-sectional study have been involved the collecting data from 2.020 elderly patients diagnosed with osteopenia or osteoporosis, that have been attended from September 2011 to December 2013. The telephone survey have been included 1.120 patients at the first stage that had eligible telephone contact. The descriptive analysis of the data have been included the frequency distribution for variables: sociodemographic, clinical, anthropometric and related to lifestyle. The prevalence of osteoporosis in the population studied was 54.6% and, among those, 58.3% were women. The predominant age range was from 70 a 79 years, and the body mass index (BMI) was 26.2±5.0. Of the patients interviewed, 30.8% reported fall, 39.4% declare that they have had some fracture in life, 16.2% practiced regular physical activity and 84.2% drank milk and/or their derivatives daily. The results attested that patients with low bone mineral density, referenced to the program, were predominantly female and were overweight and comorbidities associated with higher risk of osteoporotic fractures. The vertebral osteoporosis has been more frequent in individuals with low weight, while the femoral osteoporosis has been less frequent in these individuals. There has been a low use of osteoporosis drugs, demonstrating how this disease is undertreated. In general, the referenced and attended patient at the Center More Life has fixed income, and is satisfied with the service provided by the staff of the health centers.