CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20232022063pt
CoDAS
Artigo Original

Autopercepção da voz, audição e saúde geral no rastreio de distúrbio vocal em idosas

Self-perception of voice, hearing, and general health in screening for voice changes in older women

Maria Clara Rocha; Bárbara de Faria Morais Nogueira; Flávio Barbosa Nunes; Adriane Mesquita de Medeiros

Downloads: 0
Views: 54

Resumo

RESUMO: Objetivo: Verificar a associação de fatores sociodemográficos, do comportamento vocal, morbidades e autopercepção da voz, auditiva e de saúde geral de idosas com distúrbio vocal.

Método: Participaram 95 idosas com idades entre 60 e 84 anos (média 69,5). Realizou-se uma entrevista com apoio de um questionário estruturado contendo questões sociodemográficas, de saúde e do comportamento vocal. Utilizou-se o Protocolo para Rastreamento de Alterações Vocais em Idosos (RAVI) para identificar a presença de distúrbio vocal.

Resultados: Houve o predomínio de participantes com ensino médio completo e aposentadas. O número de idosas que apresentaram distúrbio vocal segundo o RAVI foi de 46,3%. Queixas relacionadas às sensações físicas como garganta seca, pigarro e coceira na garganta foram as mais presentes. O grupo de idosas com distúrbio vocal apresentou pior autopercepção da qualidade vocal, audição, saúde geral e maior frequência de infecções de vias aéreas superiores quando comparadas àquelas sem distúrbio vocal (p≤0,05).

Conclusão: Houve associação estatística entre a autoavaliação vocal mensurada pelo RAVI e a autopercepção da qualidade da voz, da audição, da saúde geral, inflamações de garganta, sinusite e alergias respiratórias.

Palavras-chave

Envelhecimento, Voz, Idoso, Presbifonia, Distúrbio Vocal, Autopercepção

Abstract

Purpose: To verify the association between sociodemographic factors, vocal behavior, morbidities, and selfperception of voice, hearing, and general health in older women with voice disorders.

Methods: The sample had 95 older women aged 60 to 84 years (mean of 69,5). They were interviewed with a structured questionnaire on sociodemographic aspects, health, and vocal behavior. The Screening Protocol for Voice Disorders in Older Adults (RAVI) was used to identify the presence of voice disorders.

Results: Participants who had finished high school and were retired predominated. The number of older women with voice disorders according to RAVI was 46.3%. Physical sensations such as dry throat, throat clearing, and itchy throat were the most common complaints. The group of older women with voice disorders had worse self-perception of voice quality, hearing, and general health and a higher frequency of upper airway infections than those without voice disorders (p ≤ 0.05).

Conclusion: The vocal self-assessment measured with RAVI was statistically associated with self-perception of voice quality, hearing, general health, sore throat, sinusitis, and respiratory allergies.

Keywords

Aging; Voice; Elderly; Presbyphonia; Voice Alteration; Self-perception

Referências

1 OMS: Organização Mundial da Saúde. OPAS: Organização Pan-Americana da Saúde. Envelhecimento ativo: uma política de saúde. Brasília: OPAS; 2005.

2 Góis ACB, Pernambuco L, Lima KC. Prevalence and associated factors with voice disorders in Brazilian community-dwelling older adults. J Voice. 2019;33(5):806.e1-7. http://dx.doi.org/10.1016/j.jvoice.2018.02.025. PMid:29678439.

3 Roy N, Stemple J, Merrill RM, Thomas L. Epidemiology of voice disorders in the elderly: preliminary findings. Laryngoscope. 2007;117(4):628-33. http://dx.doi.org/10.1097/MLG.0b013e3180306da1. PMid:17429872.

4 Pontes P, Brasolotto A, Behlau M. Glottic characteristics and voice complaint in the elderly. J Voice. 2005;19(1):84-94. http://dx.doi.org/10.1016/j.jvoice.2004.09.002. PMid:15766853.

5 Meirelles RC, Bak R, Cruz FC. Presbifonia. Rev Hosp Univ Pedro Ernesto. 2012;11:77-82.

6 Gois ACB, Pernambuco LA, Lima KC. Factors associated with voice disorders among the elderly: a systematic review. Braz J Otorhinolaryngol. 2018;84(4):506-13. http://dx.doi.org/10.1016/j.bjorl.2017.11.002. PMid:29331352.

7 Pernambuco LA, Espelt A, Magalhães HV Jr, Cavalcanti RVA, Lima KC. Screening for voice disorders in older adults (Rastreamento de Alterações Vocais em Idosos – RAVI) – part I: validity evidence based on test content and response processes. J Voice. 2016;30(2):246.e9-17. http://dx.doi.org/10.1016/j.jvoice.2015.04.008. PMid:25979792.

8 Pernambuco LA, Espelt A, Costa EBM, Lima KC. Screening for voice disorders in older adults (Rastreamento de Alterações Vocais em Idosos – RAVI) – part II: validity evidence and reliability. J Voice. 2016;30(2):246.e19-27. http://dx.doi.org/10.1016/j.jvoice.2015.04.007. PMid:25979791.

9 Pernambuco LA, Espelt A, Lima KC. Screening for voice disorders in older adults (RAVI) – part III: cutoff score and clinical consistency. J Voice. 2017;31(1):117.e17-22. http://dx.doi.org/10.1016/j.jvoice.2016.03.003. PMid:27085911.

10 Pernambuco LA, Espelt A, Góis ACB, Lima KC. Voice disorders in older adults living in nursing homes: prevalence and associated factors. J Voice. 2017;31(4):510.e15-21. http://dx.doi.org/10.1016/j.jvoice.2016.11.015. PMid:28069466.

11 Santos PC, Romão ND, Jesus JDS, Bassi IB, Medeiros AM. Vocal alteration in active elderly and associated factors. Audiol Commun Res. 2020;25:e2365. http://dx.doi.org/10.1590/2317-6431-2020-2365.

12 Wong HY-K, Ma EP-M. Self-perceived voice problems in a nontreatment seeking older population in Hong Kong. J Voice. 2021;35(4):597-603. http://dx.doi.org/10.1016/j.jvoice.2019.12.012. PMid:31911022.

13 Chiossi JSC, Roque FP, Goulart BNG, Chiari BM. Influence of voice and hearing changes in the quality of life of active elderly individuals. Cien Saude Colet. 2014;19(8):3335-42. http://dx.doi.org/10.1590/1413-81232014198.07642013. PMid:25119073.

14 Bertelsen C, Zhou S, Hapner ER, Johns MM III. Sociodemographic characteristics and treatment response among aging adults with voice disorders in the United States. JAMA Otolaryngol Head Neck Surg. 2018;144(8):719-26. http://dx.doi.org/10.1001/jamaoto.2018.0980. PMid:30003217.

15 Bainbridge KE, Roy N, Losonczy KG, Hoffman HJ, Cohen SM. Voice disorders and associated risk markers among young adults in the United States. Laryngoscope. 2017;127(9):2093-9. http://dx.doi.org/10.1002/lary.26465. PMid:28008619.

16 Kim KH, Kim RB, Hwang DU, Won SJ, Woo SH. Prevalence of and sociodemographic factors related to voice disorders in South Korea. J Voice. 2016;30(2):246.e1-7. http://dx.doi.org/10.1016/j.jvoice.2015.04.010. PMid:25985718.

17 Pernambuco LA, Espelt A, Balata PMM, Lima KC. Prevalence of voice disorders in the elderly: a systematic review of population-based studies. Eur Arch Otorhinolaryngol. 2015;272(10):2601-9. http://dx.doi.org/10.1007/s00405-014-3252-7. PMid:25149291.

18 Roy N, Kim J, Courey M, Cohen SM. Voice disorders in the elderly: a national database study. Laryngoscope. 2016;126(2):421-8. http://dx.doi.org/10.1002/lary.25511. PMid:26280350.

19 Stookey JD. Analysis of 2009–2012 Nutrition Health and Examination Survey (NHANES) data to estimate the median water intake associated with meeting hydration criteria for individuals aged 12–80 years in the US population. Nutrients. 2019;11(3):657. http://dx.doi.org/10.3390/nu11030657. PMid:30889919.

20 Vasconcelos SV, Mello RJV, Silva HJ, Soares EB. Effects of smoking on the elderly people’s vocal cords dimensions. Arq Int Otorrinolaringol. 2009;13(1):24-9.

21 Abaza MM, Levy S, Hawkshaw MJ, Sataloff RT. Effects of medications on the voice. Otolaryngol Clin North Am. 2007;40(5):1081-90. http://dx.doi.org/10.1016/j.otc.2007.05.010. PMid:17765696.

22 Braga NA, Tsuji DH, Pinho SR, Sennes LU. Efeitos dos medicamentos na qualidade vocal e na laringe. In: 1° Encontro Ibero-Latino-Americano de Laringologia e Fonocirurgia; 2005 Jun 13-18; Manaus. Anais. Rio de Janeiro: ALLF; 2005. p. 18-27.

23 Ministério da Saúde [Internet]. Envelhecimento e saúde da pessoa idosa. Brasília: Ministério da Saúde; 2006 [citado em 2022 Jul 22]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/evelhecimento_saude_pessoa_idosa.pdf. (Cadernos de Atenção Básica; 19).

24 Ribeiro VV, Santos AB, Prestes T, Bonki E, Carnevale L, Leite APD. Self-perception vocal and quality of life in the hypertensive individuals. Rev CEFAC. 2013;15(1):128-34. http://dx.doi.org/10.1590/S1516-18462012005000074.

25 Cohen SM, Turley R. Coprevalence and impact of dysphonia and hearing loss in the elderly. Laryngoscope. 2009;119(9):1870-3. http://dx.doi.org/10.1002/lary.20590. PMid:19572385.

26 Ryu CH, Han S, Lee MS, Kim SY, Nam SY IV, Roh JL, et al. Voice changes in elderly adults: prevalence and the effect of social, behavioral, and health status on voice quality. J Am Geriatr Soc. 2015;63(8):1608-14. http://dx.doi.org/10.1111/jgs.13559. PMid:26140657.
 


Submetido em:
22/02/2022

Aceito em:
22/07/2022

66577a1ba9539562007c7ad3 codas Articles

CoDAS

Share this page
Page Sections