Navegando por Autor "Jerez-Roig, Javier"
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Artigo Análise da produção científica da Revista Brasileira de Geriatria e Gerontologia: uma revisão bibliométrica(2014) Jerez-Roig, Javier; Guedes, Marcello Barbosa Otoni Gonçalves; Silva, João Maria Dias; Lima, Kenio Costa deObjetivo: Descrever e analisar o perfil das publicações da Revista Brasileira de Geriatria e Gerontologia (RBGG) no período de 2006 a 2013. Método: Trata-se de pesquisa de revisão bibliográfica, do tipo descritivo, com análise bibliométrica da produção científica da RBGG. A coleta dos dados foi realizada por três pesquisadores treinados. Contatou-se a equipe editorial via correio eletrônico para obter a informação referente ao número de manuscritos recebidos, rejeitados e aceitos na revista. Resultados: Publicou-se um total de 400 trabalhos, dos quais 301 (75,3%) foram artigos originais e 42 (10,5%) revisões. A maior parte dos trabalhos (95,1%) é de autores brasileiros, predominando as Regiões Sudeste (43,4%) e Sul (26,8%), especificamente nos estados de São Paulo (19,8%), Rio Grande do Sul (15,6%) e Rio de Janeiro (12,0%). A maioria dos trabalhos é de abordagem quantitativa e o tipo de estudo mais frequente é o transversal (45,9%), seguido pela revisão de literatura (13,7%) e a série de casos de tipo observacional (10,7%). Verificou-se, ainda, aumento do tempo para publicação entre 2006 e 2011, seguido por uma estabilidade até 2013. As temáticas mais comuns foram as referentes aos aspectos psicológicos do envelhecimento, atividade física e nutrição. Conclusões: Observou-se aumento continuado no número de trabalhos recebidos e publicados na RBGG durante todo o período. A produção é focada nas instituições universitárias, em âmbito nacional, e centralizada nas regiões Sudeste e Sul. Identificou-se ainda uma grande abrangência de temáticas.Artigo Autopercepção da saúde em idosos institucionalizados(FapUNIFESP (SciELO), 2016) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Andrade, Fabienne Louise Juvêncio Paes de; Lima Filho, Bartolomeu Fagundes de; Medeiros, Rafaela Jordânia de; Oliveira, Nayara Priscila Dantas de; Cabral Neto, Sadote Macêdo; Lima, Kenio Costa; https://orcid.org/0000-0001-8426-3120Este trabalho objetivou determinar a autopercepção da saúde em idosos institucionalizados, assim como verificar a prevalência de percepção negativa da saúde e seus fatores associados. Trata-se de estudo transversal realizado em 10 instituições de longa permanência para idosos (ILPI) da cidade de Natal, entre outubro e dezembro de 2013. Foram analisadas variáveis sociodemográficas, relacionadas à ILPI e às condições de saúde. Realizou-se a análise descritiva, bivariada mediante os testes qui-quadrado, exato de Fisher ou qui-quadrado de tendência linear, assim como multivariado mediante regressão logística. A amostra foi de 127 idosos. A prevalência de autopercepção negativa da saúde foi de 63,19% (IC 95%: 55,07-70,63), e esteve associada à perda de peso (RP: 1,54; IC 95%: 1,19-1,99), doença reumática (RP: 1,46; IC 95%: 1,05-2,01) e ILPI sem fins lucrativos (RP: 1,37; IC 95%: 1,03-1,83), ajustado por sexo. É fundamental desenvolver ações de promoção da saúde nas ILPI, como aquelas baseadas na nutrição e fisioterapia que atuem sobre esses agravos à saúde, com vistas a melhorar a qualidade de vidaArtigo Depressive symptoms and associated factors in institutionalized elderly(Experimental Aging Research, 2016) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Oliveira, Nayara Priscila Dantas de; Lima Filho, Bartolomeu Fagundes de; Bezerra, Maria Amanda de Farias; Matias, Monayane Grazielly Leite; Ferreira, Lidiane Macedo; Amaral, Fabienne Louise Juvêncio dos Santos; https://orcid.org/0000-0001-8426-3120Background/Study Context: Depression is a common psychiatric disorder in the elderly that leads to a decrease in quality of life and functional impairment, among other health problems. The study of depressive symptoms in institutionalized elderly is scarce in Latin America and can contribute to plan prevention and treatment actions in order to improve health conditions for the residents as well as quality of life. Therefore, the aim of this study is to determine the prevalence of depressive symptoms and identify its associated factors in institutionalized elderly. Methods: A cross-sectional study is presented herein, carried out in 10 nursing homes of the municipality of Natal (Northeast Brazil). All individuals over the age of 60 were included. The Geriatric Depression Scale (GDS-15) was applied to verify the depressive symptoms, as well as sociodemographic variables related to the institution and health conditions (comorbidities, medication, body mass index, level of physical activity, mobility, and functional and cognitive capacities). Bivariate analysis was carried out using the chi-square Pearson’s test (or Fisher’s test) and the linear trend chi-square. Finally, logistic regression was utilized for multivariate analysis. Results: The final sample was constituted of 142 elderly, mostly of the female sex (78.9%), with an average age of 79.3 (SD: 8.2). Of these, 65 individuals presented depressive symptoms, with a 45.77% prevalence (95% confidence interval [CI]: 37.80–53.97%). The final model verified an association between the presence of depressive symptoms and functional impairment, prevalence ratio (PR) = 1.58 (95% CI: 1.04–2.42), and arterial hypertension, PR = 1.57 (95% CI: 1.07–2.31), adjusted by fecal incontinence, sex, and age. Conclusion: Depressive symptoms were present in almost half of the sample of institutionalized elderly, and this condition was associated with functional impairment and arterial hypertension. The results of this work indicate the importance of monitoring depression as well as intervening on these modifiable aspects, to avoid the cascade of negative outcomes associated with this disease and also improve the quality of life of this population groupArtigo Future burden of prostate cancer mortality in Brazil: a population-based study(2014) Jerez-Roig, Javier; Souza, Dyego L. B.; Medeiros, Pablo F. M.; Barbosa, Isabelle R.; Curado, Maria P.; Costa, Iris do Ceu Clara; Lima, Kenio Costa deProstate cancer mortality projections at the nationwide and regional levels to the year 2025 are carried out in this ecological study that is based on an analysis of Brazilian trends between 1996 and 2010. The predictions were made for the period 2011-2025 utilizing the Nordpred program based on the period of 1996-2010, using the age-period-cohort model. A significant increase was observed in the Brazilian rates between 1996 and 2006, followed by a non-significant decrease. The projections indicate a decrease in rates at a national level as well as for the Central, South and Southeast regions. Increases are expected for the North and Northeast regions. In conclusion, a reduction in the mortality rates for prostate cancer in Brazil is expected to the year 2025, as well as for the Central, South and Southeast regions. However, an increase in the absolute number of deaths in all regions is expected due to the anticipated aging of the population.Artigo Health promotion and education: a study of the effectiveness of programs focusing on the aging process(SAGE Publications, 2017) Souza, Dyego Leandro Bezerra de; Lima, Kenio Costa; Caldas, Celia Pereira; Veras, Renato Peixoto; Correa, Renata de Freitas; Bonfada, Diego; Jerez-Roig, Javier; https://orcid.org/0000-0001-8426-3120Considering the population aging and the failure of biologistic and hospital-based treatment model, health promotion programs based on scientific evidence are necessary. A comprehensive review of literature was performed, aiming to identify and analyze health promotion and education experiments focused on the aging process. Papers published in eight databases, together with the database of the Pan-American Health Organization, were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. A total of 22 studies were included, the majority of which adopted a quantitative approach, with a sample larger than 100 elderly or pre-retirement individuals. The majority of studies reported positive results in terms of health promotion and education. One study obtained minimum improvement and one reported that no statistically significant improvement had occurred. The positive effects most indicated by authors were: general or self-perceived improvement in physical health, improvement in psychosocial aspects and in relation to the aging process, improvement in adherence to preventative actions and in healthy conduct and lifestyle, increase in level of physical activity, improvement in quality of life and/or physical well-being, and improvement in activities of daily living or reduction of the risk of developing disabilitiesArtigo Incontinência urinária em idosos institucionalizados no Brasil: uma revisão integrativa(2013) Jerez-Roig, Javier; Souza, Dyego Leandro Bezerra de; Lima, Kenio Costa deEste estudo teve como objetivo abordar os principais aspectos relacionados à incontinência urinária (IU) em idosos institucionalizados no Brasil, por meio de revisão integrativa de literatura. Em agosto de 2013, foram pesquisadas as bases de dados PubMed, Scopus, LILACS, SciELO, PAHO, MedCarib, CAPES e Google Acadêmico, utilizando combinações dos termos "incontinência urinária", "idosos", "institucionalizados" e "Brasil". Após aplicação dos critérios de elegibilidade, selecionaram-se 11 trabalhos: nove artigos científicos e duas dissertações de mestrado. A maior parte dos estudos foi do tipo seccional, realizado na Região Sul ou Sudeste, e com amostra menor que 100 indivíduos. A frequência da IU variou entre 22 e 100%, ultrapassando 50% na maior parte das pesquisas, com acometimento maior no sexo feminino. A forma clínica mais comum foi a IU de esforço, seguida pela IU de urgência, e o volume das perdas urinárias referido pelos residentes variou entre pequena e grande quantidade, sem predominância de nenhuma das categorias. O impacto da condição na qualidade de vida do indivíduo é diverso, entre leve e elevado, mas parece ser menor que em idosos não institucionalizados. Com base neste trabalho, conclui-se que a IU é um problema de saúde frequente no âmbito asilar, que pode afetar a qualidade de vida do residente e se associar ao declínio da mobilidade e à função cognitiva. As pesquisas no Brasil, contudo, são escassas e com amostra reduzida e, portanto, são necessários estudos com maior rigor metodológico que facilitem o planejamento de medidas adequadas de prevenção e tratamento, que visem reduzir os gastos sanitários, a sobrecarga dos cuidadores e profissionais de saúde e que permitam diminuir o impacto desta condição na saúde dos idosos institucionalizados.Artigo Multimorbidity and its impact on workers: a review of longitudinal studies(Elsevier, 2019) Souza, Dyego Leandro Bezerra de; Cabral, Giorgione Guerra; Souza, Ana C. Dantas de; Barbosa, Isabelle Ribeiro; Jerez-Roig, Javier; https://orcid.org/0000-0001-8426-3120Objective: This study investigates the impact of multimorbidity on work through a literature review of longitudinal studies. Methods: A systematic review was carried out in the databases Lilacs, SciELO, PAHO, PubMed/Medline, Scopus, Web of Science, and Cochrane. There were no restrictions regarding the year of publication or language to maximize the identification of relevant literature. The quality of studies was assessed by the protocol STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). Results: An initial database search identified 7522 registries, and at the end of the analysis, 7 manuscripts were included in the review. Several studies have demonstrated direct and indirect impacts of multimorbidity on the health of workers. For this, the number of missed days due to health-related issues was evaluated, as well as the reduction in work productivity of the unhealthy worker, vulnerability of the worker with multimorbidity regarding higher indices of dismissal and recruitment difficulties, and incidence of early retirement and/or receipt of benefits due to disabilities. Conclusions: Multimorbidity has a negative impact on work, with damages to quality of life and work productivity, worsening the absenteeism/presenteeism indices, enhancing the chances of temporary or permanent leaves, and lowering employability and admission of individuals with multimorbidityArtigo Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults(2015) Jerez-Roig, Javier; Souza, Dyego L. B.; Amaral, Fabienne L. J. S.; Lima, Kenio Costa deThe objective of this work is to determine the prevalence of FI and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes (NHs) of the city of Natal (Northeast Brazil). Individuals over the age of 60 were included in the study, while those hospitalized or in terminal phase were excluded. Data collection included sociodemographic information, FI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity and Pfeiffer test for cognitive status). FI was verified through the Minimum Data Set (MDS) 3.0, which was also used to assess toileting programs. The Chi-square test and the linear Chi-square test were performed for bivariate analysis, as well as logistic regression for multivariate analysis. The final sample consisted of 321 elderly, mostly females, with mean age of 81.5 years. The prevalence of FI was 42.68% (CI 95%, 37.39-48.15). Most residents presenting FI were always incontinent (83.9%) and the most frequent incontinence type was total FI (solid and liquid stools). Incontinence control measures were applied only to 9.7% of the residents. The final model revealed a statistically significant association between FI and functional and cognitive impairments. It is concluded that FI is a health issue that affects almost half of the institutionalized elderly, and is associated with functional and cognitive disability.Artigo Prevalence of urinary incontinence and associated factors in nursing home residents(Wiley, 2016) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Santos, Marquiony M.; Amaral, Fabienne Louise J.S.; Lima, Kenio C.; https://orcid.org/0000-0001-8426-3120Aims:To determine the prevalence of urinary incontinence (UI) and associated factors in the institutionalized elderly.Methods:A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursinghomes in the city of Natal (Northeast Brazil). Individuals over the age of 60, who reside in institutions, were included.Hospitalized individuals and those at end of life were excluded. Data collection included sociodemographic information,UI characterization, as well as variables related to the institution itself and to health conditions (comorbidities,medication, pelvic floor surgery, Barthel Index for functional capacity, and Pfeiffer test for cognitive status). UI wasverified through the Minimum Data Set (MDS) version 3.0, which was also used to assess urinary devices and UI toiletingprograms. The Chi-square test (or Fisher’s exact test), the linear Chi-square test, and logistic regression were utilized tomodel associations.Results:The final sample consisted of 321 elderly, mostly females, with a mean age of 81.5 years. Theprevalence of UI was 58.88% (CI 95%: 53.42–64.13) and the final model revealed a statistically significant associationbetween UI and white race, physical inactivity, stroke, mobility impairment, and cognitive decline. The most frequent UItype was functional UI and toileting programs (prompted voiding) were only applied to approximately 8% of residents.Conclusions:It is concluded that UI is a health issue that affects more than half of the institutionalized elderly, and isassociated with white race, physical inactivity, stroke, and other geriatric syndromes such as immobility and cognitivedisability.Artigo Regional differences in the profile of disabled community-dwelling older adults: a European population-based cross-sectional study(Plos One, 2018) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Prous, Marina Bosque; Garriga, Maria Gine; Calafat, Caritat Bagur; Compaño, Ester Teixido; Espelt, Albert; https://orcid.org/0000-0001-8426-3120The main objective of this work was to estimate the prevalence of disability in European community-dwelling older adults, as well as to investigate differences in the profile of disabled older adults between European regions (Northern, Central, Eastern and Southern). A cross-sectional study based on wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted. Community-dwelling participants aged 65–84 were selected (n = 33,369). Disability was defined as presenting at least one functional limitation in basic activities of daily living (BADL). Sociodemographic, health services, lifestyle and health-related variables were analyzed. Statistical analysis was carried out through the Chi-square and ANOVA tests for bivariate analysis, and Poisson regression for multivariate analysis. Overall prevalence of disability was 13.8%: 9.4% in the Northern region, 13.1% in the Southern region, 13.6% in the Central region, and 16.6% in the Eastern region. Portugal, Poland, Estonia and Belgium showed the highest prevalence of BADL limitations, while Sweden, Denmark, Greece and Switzerland showed the lowest prevalence. Besides, disabled older adults from East Europe presented the most disadvantaged health profile, followed by the Southern region. On the other hand, disabled older adults living in the Northern region showed the most advantaged characteristics of most variables, except for smoking and polypharmacyArtigo Trends of multimorbidity in 15 European countries: a population-based study in community-dwelling adults aged 50 and over(Bmc Public Health, 2021) Souza, Dyego Leandro Bezerra de; Fabregas, Albert Oliveras; Molina, Eduard Minobes; Cancela, Marianna de Camargo; Estragués, Paola Galbany; Jerez-Roig, Javier; https://orcid.org/0000-0001-8426-3120Background: The objective of this work was to analyse the prevalence trends of multimorbidity among European community-dwelling adults. Methods: A temporal series study based on waves 1, 2, 4, 5, 6 and 7 of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted, and community-dwelling participants aged 50+ (n = 274,614) from 15 European countries were selected for the period 2004–2017. Prevalence, adjusted by age, Average Annual Percentage Change (APC) and 95% confidence interval (95% CI) were all calculated. Trend analyses were realised by period, age groups and groups of diseases. Results: The results showed a large variability in the prevalence of multimorbidity in adults aged 50 and over among European countries. Increase in the prevalence of multimorbidity in the countries of central Europe (Austria, Belgium, Czech Republic, France, Germany and Switzerland) and Spain in both sexes, and in the Netherlands among men. Stability was observed in northern and eastern European countries. Musculoskeletal and neurodegenerative groups showed more significant changes in the trend analyses. Conclusions: This information can be useful for policy makers when planning health promotion and prevention policies addressing modifiable risk factors in healthArtigo What is the future burden of HPV-related cancers in Spain?(Springer, 2014) Souza, Dyego Leandro Bezerra de; Curado, Maria Paula; Bernal, María Milagros; Jerez-Roig, Javier; https://orcid.org/0000-0001-8426-3120Purpose The aim of this study is to analyze mortality trends of HPV-related cancers in Spain by gender, during the period 1996–2010, and make predictions until the year 2025. Methods All deaths registered as cervical cancer were registered (ICD-10 code: C53), as well as vulvar and vaginal (C51 and C52), anal (C21), penile (C60), and oropharyngeal (C02, C09, C10). Adjusted rate calculations for each year were used to study the trends through the regression program Joinpoint. Predictions were made using the Nordpred program, utilizing the age–period–cohort model. Results In men, a statistically significant increase was observed in mortality by anal cancer, a reduction was observed in oropharyngeal cancer mortality and penile cancer rates were stable. In women, a statistically significant decreasing trend was observed for cervical, vulvar and vaginal cancers. In the predictions, the annual change relative to risk or population changes (size and structure) revealed a reduction in death risk by oropharyngeal cancer in men, and a reduction in death risk by anal cancer in women, although stable adjusted rates were verified for anal cancer in women. Conclusions Although an increase was identified in the number of deaths for both genders, rates indicate gender differences in the trends, with increased rates for anal cancer and reduced rates for oropharyngeal cancer in men. Women presented reduced rates for cervical, vulvar, and vaginal cancers. For penile cancer and anal cancer in women, stable trends were verified