Percorrer por autor "Costa, Andreia"
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- Development of a mixed-meal that impacts carotid-body mediated cardiorespiratory and metabolic parameters - a pilot studyPublication . Frazão, Ana; Costa, Andreia; Teixeira, Bárbara; Santo, Marisa; Brito, Gabriel; Lages, Marlene; Lopes, Nuno Vieira; Fonseca-Pinto, Rui; Pereira, Cidália; Guarino, Maria PedroThe carotid bodies (CB) have been recently implicated in the genesis of metabolic diseases in animal models. The CBs respond to circulating insulin to increase heart rate, respiratory rate and blood glucose levels. In humans, this mechanism is not well characterized.
- Fall Prevention and Geriatric NursingPublication . Baixinho, Cristina Lavareda; Henriques, Maria; Costa, Andreia1. Introduction Falls among older people remain one of the most pressing and persistent public health challenges worldwide [1]. Given the increased life expectancy, and prevalence of disability, dependency, and comorbidities in this ageing population, there is a high risk that this will become a pandemic. On the other hand, as populations age the consequences of falls increase, ranging from physical injury and loss of functional independence to psychological distress, fear of falling, social isolation, and increased mortality, posing significant challenges not only to individuals and families but also to healthcare systems and societies [2,3]. Falls are a leading cause of injury-related hospitalizations among older persons and contribute substantially to escalating healthcare costs, long-term care admissions, and diminished quality of life [2]. The growing proportion of older adults, many living with multimorbidity, frailty, cognitive impairment, and social vulnerability, demands a critical rethinking of health, social, and urban policies to support healthy ageing [2,3,4]. While fall prevention is often framed as an individual responsibility, this perspective risks overlooking structural, educational, and systemic barriers that limit older adults’ capacity to engage in effective prevention strategies, such as low health literacy, unequal access to preventive services, and environments that are not age-friendly [4].
- Functional capacity and quality of life of older person with hip fracture at hospital discharge: a cross sectional studyPublication . Rocha, Paula; Marques, Andréa; Matos, Luís; Costa, Andreia; Henriques, Maria Adriana; Baixinho, Cristina Lavareda; Jester, RebeccaBackground: In older adults, a hip fracture, leads to functional decline, resulting in dependence in activities of daily living, with a negative impact on quality of life. Objective: Characterize the functional capacity and quality of life of older person with hip fracture on returning home. Methods: Exploratory-descriptive, cross-sectional, quantitative study, with a sample of 102 individuals aged 65 years or older with hip fracture admitted to an orthopedic service in a hospital in a central region of Portugal. Was used a questionnaire that included sociodemographic and clinical characteristics, instruments to assess functional independence, ADL performance, and quality of life. Descriptive and inferential statistical analysis was performed using SPSS software, version 29. Results: The results indicate severe dependence in performing activities of daily living (Barthel: 61.08); severe gait impairment (speed and quality) (Time Up and Go Test: 85.58 s); difficulties in functional exercises (10-m Walk Test: 77.74 s); and high risk of falls (Morse: 66.53). There is a negative correlation between gait and the Barthel index (r = 0.263; p = 0.007) and the Berg Scale (r = 0.420; p < 0.001); and a positive correlation between the Berg scale and the Barthel scale (r = 0.452; p < 0.001). Individuals with a history of falls had worse scores on the Berg Scale (U = 835.5; p = 0.002), and those who had less dependence had better quality of life scores in the General Health Status (p = 0.002); Physical Function (p = 0.003) and Mental Health (p = 0.005). Conclusions: Results obtained at hospital discharge are predictors of functional loss in older adults with hip fracture on returning home. Individuals with previous falls and who are more dependent are at greater risk of loss of quality of life.
