<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-9534</journal-id>
<journal-title><![CDATA[Colombia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Colomb. Med.]]></abbrev-journal-title>
<issn>1657-9534</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Valle]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-95342017000200041</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Physical frailty and fitness of older driver]]></article-title>
<article-title xml:lang="es"><![CDATA[Fragilidad física en ancianos y aptitud para dirigir un vehículo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lenardt]]></surname>
<given-names><![CDATA[Maria Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cechinel]]></surname>
<given-names><![CDATA[Clovis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Binotto]]></surname>
<given-names><![CDATA[Maria Angelica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kolb Carneiro]]></surname>
<given-names><![CDATA[Nathalia Hammerschmidt]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lourenço]]></surname>
<given-names><![CDATA[Tânia Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal University of Paraná, Curitiba, Brazil  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>48</volume>
<numero>2</numero>
<fpage>41</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-95342017000200041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-95342017000200041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-95342017000200041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Aim: to analyze the association between physical frailty and the results of fitness capacity exams for driving vehicles among elder Brazilians.  Methods: this is a cross sectional study, performed in traffic medicine clinics of the city of Curitiba (Brazil). The data was collected through the physical frailty tests, the use of a structured questionnaire, and searches on the records of the Brazilian National Register of Qualified Drivers.To analyze the information, the authors used descriptive statistics and non-parametrical tests.  Results: One hundred seventy two elderly people, of whom 56.4% pre-fragile and 43.6% non-fragile. 25.0% were considered fit for driving, 68.6% were considered fit, but with some restrictions, and 6.4% were placed as temporarily unfit for driving. There was no association between frailty condition and the final results for driving fitness (p= 0.8934). Physical frailty was significantly associated to the restrictions observed for those who were fit under restrictions (p= 0.0313), according to the weekly amount of kilometers traveled (p= 0.0222), and to car accidents occurred after the age of 60 (p= 0.0165).  Conclusion: Physical frailty was significantly associated to the restrictions related to driving, reason to which makes important to manage frailty over this group of drivers. However, no association observed between physical frailty and the final result for driving vehicles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Analizar la asociación entre la fragilidad física y los resultados del examen de aptitud para conducir un vehículo, en ancianos brasileños.  Métodos:  Estudio cuantitativo transversal, realizado en las clínicas de medicina de tráfico de Curitiba/PR (Brasil). Se recopilaron datos mediante pruebas de evaluación de la fragilidad física, aplicación de cuestionario estructurado y búsqueda en el formulario de Registro Nacional de Conductores Habilitados. Se utilizaron pruebas descriptivas y no paramétricas.  Resultados:  Ciento setenta y dos individuos de edad avanzada participaron en el estudio, de los cuales 56.4% fueron ancianos pre-frágiles y 43.6% no frágiles. Para conducir estaban aptos el 25.0% de los ancianos, 68.6% aptos con restricción y 6.4% no aptos temporarios. No hubo asociación entre la condición de fragilidad y los resultados finales para aptitud vehicular (p= 0.8934). La fragilidad física estuvo significativamente asociada a las restricciones impuestas para aptos con restricciones (p= 0.0313), al número de kilómetros conducidos semanalmente (p= 0.0222) y a los accidentes ocurridos después de los 60 años (p= 0.0165).  Conclusiones:  La fragilidad física estuvo significativamente asociada a las restricciones impuestas para aptos con restricciones, razón por la cual, es importante la gestión de la fragilidad en este grupo de conductores. Sin embargo no se observó una asociación entre la fragilidad física y el resultado final para conducir un vehículo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Frail elderly]]></kwd>
<kwd lng="en"><![CDATA[physical fitness]]></kwd>
<kwd lng="en"><![CDATA[aged]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[automobile driving]]></kwd>
<kwd lng="en"><![CDATA[Brazil]]></kwd>
<kwd lng="es"><![CDATA[Anciano fragilizado]]></kwd>
<kwd lng="es"><![CDATA[aptitud física]]></kwd>
<kwd lng="es"><![CDATA[envejecimiento]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[conducción de automovil]]></kwd>
<kwd lng="es"><![CDATA[Brasil]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<collab>Instituto Brasileiro de Geografia e Estatística</collab>
<source><![CDATA[Pesquisa Nacional por Amostra de Domicílio. Síntese de Indicadores 2015. Resultados. Tabela 1.3 População residente, por grupos de idade, segundo as Unidades da Federação 2014-2015]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>United Nations, Department of Economic and Social Affairs, Population Division</collab>
<source><![CDATA[World Population Prospects: The 2015 Revision, Key Findings and Advance Tables]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<collab>Departamento de Trânsito do Paraná</collab>
<source><![CDATA[Anuário Estatístico 2015]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiology of older driver crashes-identifying older driver risk factors and exposure patterns]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Langford]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Koppel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Transp Res Part F Traffic Psychol Behav]]></source>
<year>2006</year>
<volume>9</volume>
<page-range>309-21</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Behind the Wheel Predictors of driving exposure in older drivers]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coxon]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Chevalier]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ivers]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Keay]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Geriatr Soc]]></source>
<year>2015</year>
<volume>63</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1137-45</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<collab>Conselho Nacional de Trânsito</collab>
<source><![CDATA[Resolução n.o425, de 27 de novembro de 2012. Dispõe sobre o exame de aptidão física e mental, a avaliação psicológica e o credenciamento das entidades públicas e privadas de que tratam o art. 147, I e §§ 1o a 4o e o art. 148 do Código de Trânsito Brasileiro]]></source>
<year>2012</year>
<publisher-loc><![CDATA[DF ]]></publisher-loc>
<publisher-name><![CDATA[Diário Oficial da União]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<collab>Conselho Nacional de Trânsito</collab>
<source><![CDATA[Resolução n.o7, de 23 de janeiro de 1998, que tratam da formação de condutores e dos procedimentos para a habilitação]]></source>
<year>1998</year>
<publisher-loc><![CDATA[Brasília, DF ]]></publisher-loc>
<publisher-name><![CDATA[Diário Oficial da União]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Frailty Consensus A Call to Action]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morley]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Vellas]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[van Kan]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Anker]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabei]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Med Dir Assoc]]></source>
<year>2013</year>
<volume>14</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>392-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cardiovascular Health Study Collaborative Research Group Frailty in older adults: evidence for a phenotype]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fried]]></surname>
<given-names><![CDATA[LP]]></given-names>
</name>
<name>
<surname><![CDATA[Tangen]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Walston]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Hirsch]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gottdiener]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[J Gerontol A Biol Sci Med Sci]]></source>
<year>2001</year>
<volume>56</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>146-56</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Tradução, adaptação transcultural e análise das propriedades psicométricas do Questionário Minnesota de Atividades Físicas e de Lazer]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lustosa]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Britto]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Geriatr Gerontol]]></source>
<year>2011</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>57-65</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Frailty in Older Adults A Nationally Representative Profile in the United States]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bandeen-Roche]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Seplaki]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Buta]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Kalyani]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Varadhan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[J Gerontol A Biol Sci Med Sci]]></source>
<year>2015</year>
<volume>70</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1427-34</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The prevalence of subjective frailty and factors associated with frailty in Taiwan]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[CY]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lue]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Gerontol Geriatr]]></source>
<year>2010</year>
<volume>50</volume>
<numero>^sSuppl 1</numero>
<issue>^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>S43-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalence and factors associated with frailty among Peruvian older adults]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Runzer-Colmenares]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Samper-Ternent]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Al Snih]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ottenbacher]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Parodi]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Gerontol Geriatr]]></source>
<year>2013</year>
<volume>58</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>69-73</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Fragilidad en ancianos colombianos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Curcio]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Henao]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Med Sanitas]]></source>
<year>2012</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>8-16</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Metodologia e perfil sociodemográfico, cognitivo e de fragilidade de idosos comunitários de sete cidades brasileiras: Estudo FIBRA]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neri]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Yassuda]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Eulálio]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Cabral]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Siqueira]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<source><![CDATA[Cad Saude Publica]]></source>
<year>2013</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>778-92</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Driving self-restriction in high-risk conditions How old drivers compare to others]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naumann]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Dellinger]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Kresnow]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[J Safety Res]]></source>
<year>2011</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>67-71</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Driving patterns of older adults results from the second injury control and risk survey]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betz]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Lowesnstein]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Geriatr Soc]]></source>
<year>2010</year>
<volume>58</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1931-5</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Conducción y envejecimiento]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cantón-Cortés]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Geriatr Gerontol]]></source>
<year>2010</year>
<volume>45</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>30-7</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<collab>Brasil</collab>
<source><![CDATA[Lei n.o9503, de 23 de setembro de 1997. Institui o Código de Trânsito Brasileiro]]></source>
<year>1997</year>
<publisher-loc><![CDATA[Brasília, DF ]]></publisher-loc>
<publisher-name><![CDATA[Diário Oficial da União]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Driving status and three-year mortality among community-dwelling older]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Edwards]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Perkins]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Reynolds]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
</person-group>
<source><![CDATA[J Gerontol A Biol Sci Med Sci]]></source>
<year>2009</year>
<volume>64</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>300-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
