EVALUATION OF SOME HEALTH AND PHYSICAL CHARACTERISTICS IN INSTITUTIONALIZED ELDERLY IN THE REPUBLIC OF MACEDONIA

Lidija Todorovska, Elizabeta Sivevska, Sanja Mancevska, Jasmina Pluncevic-Gligorovska, Goran Ajdinski

Rapid progression of elderly population is a main demographic characteristic of XXI century all over the world. In the Republic of Macedonia during the last 30 years the number of individuals older than 65 years rose for 260 %. There are a lot of diseases frequently present in the elderly population. Physical condition is important factor of the so called "healthy aging". The main aim of this study was to evaluate the health status and some physical characteristics of the elderly in the Republic of Macedonia. 363 elderly subjects (mean age 73.5 ± 6.0 y) from three Geriatric institutions in the Republic of Macedonia were included in this study. Demographic and medical data were collected and health status was investigated according to clinical examination, anthropometry (stature, body weight, BMI, arm and calf circumferences triceps and sub-scapular skin-fold thickness, elbow diameter and knee height); nutritional status (Mini Nutritional Assessment – protocol) and biochemical analysis (blood sedimentation, hematology, MCV, alkaline-phosphate, glucose, urea, SGOT, SGPT and analysis of urine). Following physical characteristics were investigated: muscle strength with arm dynamometry, activity daily leaving (ADL) and instrumental activity daily leaving (IADL). 51 elderly (14 %) were selected in category of healthy elderly (HE), according to SENIEUR protocol, and 86 % were NON-SENIEUR elderly with pour health and nutritional status. 75.8 % of NON-SENIEUR elderly had more than 2 ADL and IADL disabilities and significantly lower arm dynamometry (male, 6.5 ± 2.8; female, 6.3 ± 1.9 kg/W on dominant arm), according to HE (male, 9.6 ± 2.6; female 8.0 ± 2.0 kg/W). It can be concluded that high percent of institutionalized elderly in Republic of Macedonia had disabilities and must be included in special programs of physical fitness for the elderly.

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