Indicadores socioculturais e histórias de vida de idosos longevos: heterogeneidade e ressignificações de hábitos na velhice / Sociocultural indicators and life histories of longlived elderly: heterogeneity and resignification of habits in old age / Indicadores socioculturales e historias de vida de las personas mayores: heterogeneidad y resignificación de hábitos en la vejez

Ao conceber o envelhecimento como um fenômeno complexo caracterizado por múltiplos dilemas e desafios, justifica-se o objetivo deste estudo: Delinear o perfil de um grupo de idosos longevos da cidade de São Paulo, SP, e evidenciar as articulações de suas trajetórias e hábitos de vida com indicadores socioculturais que caracterizam o contexto dos ambientes de sua convivência, na perspectiva de promover o envelhecimento com qualidade de vida. O estudo foi realizado por meio de abordagem qualitativa, utilização de entrevistas com idosos de idade igual ou superior a oitenta anos. As análises pautaram-se em categorias previamente definidas e permitiram evidenciar a heterogeneidade de percepções e condutas motivadas por estímulos socioculturais, o que instiga a constante ressignificação do envelhecimento, da velhice e do ser idoso, tendo em vista a desejável qualidade de vida.

When conceiving aging as a complex phenomenon characterized by multiple dilemmas and challenges, the aim of this study is justified: to outline the profile of a long-lived elderly sample living in São Paulo, SP, and highlight the articulations of their trajectories and life habits with sociocultural indicators which characterize the context of the coexistence environments, in the perspective of promoting aging with quality of life. The study was carried out by a qualitative approach, using interviews with elderly aged eighty years old and over. The analyses were based on previously defined categories and made it possible to highlight the heterogeneity of perceptions and behaviors motivated by sociocultural stimuli, which instigates the constant remeaning of aging, of old age and of the elderly, considering the quality of life expected.

Al diseñar el envejecimiento como un fenómeno complejo caracterizado por múltiples dilemas y desafíos, el propósito de este estudio se justifica: delinear el perfil de un grupo de personas mayores que viven en la ciudad de São Paulo, estado de São Paulo, y destacar las articulaciones de sus trayectorias y hábitos de vida con indicadores socioculturales que caracterizan el contexto de los entornos de convivencia, en la perspectiva de promover el envejecimiento con calidad de vida. El estudio se llevó a cabo a través de un enfoque cualitativo, utilizando entrevistas con personas mayores de 80 años o más. Los análisis se basaron en categorías previamente definidas y permitieron mostrar la heterogeneidad de las percepciones y comportamientos motivados por estímulos socioculturales, lo que fomenta la constante significación del envejecimiento, la vejez y los ancianos, en vista de la calidad de vida deseable.

Capacidade funcional no idoso longevo: revisão integrativa / The functional capacity in the older elderly person: an integrative review / Capacidad funcional en ancianos de larga vida: revisión integradora

Este artigo tem como objetivo analisar, tanto a produção científica que versa sobre a manutenção da capacidade funcional em idosos longevos, quanto aquela que trata dos possíveis agravantes à saúde desse grupo etário. Para tanto, foi realizada uma revisão integrativa; houve, porém, muita dificuldade em encontrar literatura cientifica voltada para este grupo etário. Pode-se observar que, além das doenças que acometem estes idosos, fatores psicossociais, como a depressão e o isolamento são responsáveis pela perda de autonomia e independência deste grupo.

This article aims to analyze both the scientific production that deals with the maintenance of functional capacity in the elderly, as well as the one that deals with the possible health problems of this age group. To this end, an integrative review was performed; However, it was very difficult to find scientific literature for this age group. It can be observed that, in addition to the diseases that affect these elderly, psychosocial factors such as depression and isolation are responsible for the loss of autonomy and independence of this group.

Este artículo tiene como objetivo analizar tanto la producción científica que se ocupa del mantenimiento de la capacidad funcional en los ancianos, como la que se ocupa de los posibles problemas de salud de este grupo de edad. Con este fin, se realizó una revisión integradora; Sin embargo, fue muy difícil encontrar literatura científica para este grupo de edad. Se puede observar que, además de las enfermedades que afectan a estos ancianos, los factores psicosociales como la depresión y el aislamiento son responsables de la pérdida de autonomía e independencia de este grupo.

Percepção dos idosos jovens e longevos gaúchos quanto aos espaços públicos em que vivem / The perception of the young and long-lived elderly ‘Gauchos’ (from the State of Rio Grande do Sul, Brazil) about the public spaces they live in Resumo

Em 2050, o número de brasileiros residindo em áreas urbanas passará dos 200 milhões e 29% da população será composta por idosos. Os idosos longevos possuem 80 anos ou mais, os idosos jovens são aqueles que apresentam idade entre 60 e 79 anos. O objetivo foi verificar a diferença da percepção de idosos jovens e longevos do Rio Grande do Sul quanto ao ambiente urbano em que vivem. Estudo de base populacional, observacional, descritivo, retrospectivo, com paradigma de análise quantitativa, analisou dados da pesquisa Perfil dos Idosos do RS, realizado pelo Instituto de Geriatria e Gerontologia da PUCRS em parceria com a Escola de Saúde Pública do RS. A amostra foi composta por 6913 questionários respondidos por idosos de 59 cidades. A análise dos dados foi realizada com cada um dos grupos etários e as variáveis independentes foram testadas pelo Qui-Quadrado, sendo o nível de significância menor que 0,05. Como resultado, a percepção de dificuldades, como poucos bancos, falta de faixas de segurança, tempo de sinal muito curto para pedestres, degraus muito altos e mau cheiro dos banheiros públicos, foi maior entre os idosos jovens. Os idosos longevos perceberam menos esses fatores, porém, referiram que frequentam menos os ambientes comunitários.

By 2050, the number of Brazilians living in urban areas will be over 200 million and 29% of the population will be elderly. The long-lived elderly are 80 or more years old and the young elderly are between 60 and 79 years of age. The scope of this article was to verify the difference in perception between the young elderly and the long-lived elderly from Rio Grande do Sul (RS) about the urban environment they live in. This is a population-based, observational, descriptive, retrospective study with a quantitative analysis paradigm. Data was analyzed from Elderly Profile research in RS conducted by the Geriatric and Gerontological Institute of PUCRS in partnership with the RS School of Public Health. The sample consisted of 6913 questionnaires answered by the elderly from 59 cities. Data analysis was performed for each age group and independent variables were processed using the Chi-square test, with p under 0.05. Results showed that the perception of difficulties such as a lack of park benches and safety strips, short traffic light times for pedestrians, high steps and bad-smelling public toilets was greater among the young elderly. The long-lived elderly noticed these facts less, though they admitted that they frequent community environments less often.

A Study on Dietary Pattern and Nutritional Status of the Long-Lived Elderly People by Food Habit Index in Ganghwa-gun Area / 대한지역사회영양학회지

This study was carried out to assess the food habit index of the long-lived elderly who were aged over 85 years living in Ganghwa-gun. A survey was conducted during December 2003. Dietary nutrient intake data was obtained through the 24-hr recall method. The subjects were 96 (32 males, 64 females) aged people and divided into three groups based on food habit index scores. Such as group A: good 16~20, group B: fair 11~15, and group C: poor 5~10. The three groups of the subjects were 90.7 years of age and 21.3 kg/m2 of BMI on average. Healthy eating index scores of the subjects were 9.4% in group A, 54.2% in group B and 36.5% in group C. Their level of education were lower and their levels of living standards tended to have been middle and lower of the middle class. The percentage of living together with their families or spouses in all groups were over 60.0% and the rates of the subjects who have responsibility for their meal preparations were also very high in all groups. Most subjects tended not to drirk nor smoke, and spend 8~10 hours for their sleep. The percent of number of diseases in group A was lower than in groups B and C. Their dietary habits such as taking three meals a day regularly have shown that they have good eating habit in general. There was a positive correlation between the eating behaviors and nutrient intakes. The protein, animal protein, fat, PUFA, vitamin E, vitamin B2, niacin, P and K intaks in group A were significantly higher than that of the groups B and C. For group A of good food habits aged had no sufficient intake of Ca and vitamin A than the Korean RDA and long-lived elderly of group C in Ganghwa areas had worse nutrients intakes, especially Ca, vitamin A, vitamin B2 and vitamin E. According to this research having a good eating habits could be considered as increasing of the health and nutritional status.

Food Habits and Nutritional Status of the Long-Lived Elderly People in Ganghwa-gun Area / 대한지역사회영양학회지

This survey was carried out to obtain the information concerning nutritional status, including factors of food habits and nutrient intake of the long-lived elderly men and women living in Ganghwa-gun. In order to assess the quality of dietary intake among the elderly, a survey was conducted during December 2003 of 103 subjects who were over 85 years of age. Dietary nutrient intake data were obtained through the 24 hr recall method. Chi-square test and t-test were the main data analysis method. Their dietary habits such as three meals a day and a regular meal time have shown that they have generally good eating habits. Average daily calorie intake (% RDA) was 1233.2 kcal (68.8%) for male and 1215.8 kcal (75.8%) for female which were lower than the Recommended Dietary Allowances (RDA) for Koreans. Energy intake of females got closer to RDA than that of male. Protein intake was 49.3 g for male and 46.9 g for female (which was 82.3% RDA for male and 85.1% RDA for female) for elderly person, the proportion of animal protein to total protein intake were 45.2% for male and 39.0% for female. Average CPF ratio of energy intake for both male and female were 68.7 : 16.1 : 15.2 and 69.6 : 15.4 : 15.0. SFA : MUFA : PUFA ratio of the subject was 0.78 : 1.03 : 1.00 for male and 0.64 : 0.92 : 1.00 for female. Calcium intakes for both males and females were 321.3 mg and 377.2 mg. Vitamin A was the nutrient found to be least sufficient. Mean daily intakes of most of the vitamins and minerals for both males and females were lower than RDA except vitamin C and Zn for female, especially % RDAs of vitamin A, Ca for male and vitamin A for females were less than 50% of RDA. In conclusion, long-lived elderly in Ganghwa areas did not consume enough nutrients quantitatively as well as qualitatively, especially Ca, Fe, vitamin A, vitamin B2 and vitamin E. These results suggest that nutritional guidelines for older Koreans should focus on the maintenance of adequate energy intake. In addition, selection of foods with high protein and calcium, such as dairy food, should be emphasized, particularly in the long-lived elderly.

A Study on Social Factors and Physical Health Status of the Long-Lived Elderly People in Ganghwa-gun Area / 대한지역사회영양학회지

This study was to performed to assess social factors and physical health status. The subjects of the study were 103 elderly people of age over 85 years living in Ganghwa-gun area. The method of this research was based on the interview-survey with questionnaire. Chi-square test was the main data analysis method. The subject group was composed of 36 males and 67 females, the average age being 91.0 +/- 3.2 years old for the males and 91.1 +/- 3.4 years old for the females. The aged average height and weight were 161.0 +/- 7.9 cm and 54.6 +/- 7.8 kg in males, 141.0 +/- 8.2 cm and 42.2 +/- 7.9 kg in females which were lower than the Korean average standard but the mean BMIs of both male and female showed normal range. Their level of education was lower and they tended to be religious. The aged population might be economically poor. Their level of living standards tended to have been lower-middle and lower class. The mean age of their parents' death were 64.3 +/- 17.2 years in males, 59.0 +/- 14.9 years in females for the father and 70.9 +/- 15.5 years in males, 66.8 +/- 16.6 years in females for the mother. The rate of living together with their family or spouse in the female aged was 83.2% higher than in the male aged. They tended to have engaged in hobbies that require less movement. Of the kinds of hobby, "TV watching (47.8% in male and 44.9% in female) was the highest. Ratios of the drinking and the smoking elderly were 30.6%, 25.0% in male and 7.5%, 18.8% in female but they tended to have never drunken and smoked. Of the subjects, 42.9% spend 8~9 hours for sleeping in male and 35.8% spend 10 hours for sleeping in female. They tended to have not done any particular health behavior. The most common diseases were digestive disease in male, arthritis and hypertension in female. Most elderly males (47.3%) and females (61.2%) had 1~2 diseases.

Characteristics of Eating Behaviors of the Long-lived Elderly People in Kyungpook Sung-Ju / 대한지역사회영양학회지

The purpose of this study was to find out the common characteristics of eating behaviors of the long-lived elderly in order to offer the basic data for establishing dietary guidelines for a long and healthy life for the general population. The subjects were three-hundred elderly people over age 85 living in Kyungpook Sung-ju who have no problems in daily living. The general characteristics, nutrition knowledge and attitudes, meal patterns, and food preferences of the subjects were surveyed by individual intervies. The levels of the nutrition knowledge of the subjects were very low(average score ; 4.3) and the correlation coefficient between their nutrition knowledge and attitude score was also low(r=0.323, p=0.000). Most of the subjects(93%) had a regular meal pattern consuming three meals a day. The major staple food was rice mixed with other grains(75%) and the number of side dishes was mostly under four(99%). A majority(73%) had no habit of overeating and 51% of the subjects were taking snacks besides regular meals. Thirty one percent of the subjects had drinking habits and 80% of the drinking subjects had over 40 years of drinking history. The most common frequencies for intakes of various food groups were ; more than once a day(95%) for vegetables ; 2~3 times a week(74%) for green and orange color vegetables ; 2~3 times a week(72%) for fruits ; once a day(70%) for fish, eggs and legumes ; 2~3 times a week(49%) for milk ; 2~3 times a week(72%) for fruits ; once a day(70%) for fish, eggs and legumes ; 2-3 times a week(49%) for milk ; 2-3 times a week(85%) for seaweeds and 2-3 times a week(81%) for foods cooked with oil. The most preferred foods by the subjects were white rice(staple foods), soybean paste soup(soups), beef and eggs(meats and eggs), yellow croaker and hair tail(fish and shellfish), yoghurt(milk and milk products), all vegetables except carrot(vegetables), and watermelon(fruits). The popular food preparation methods included mixing with seasonings and the most preferred taste was sweet. The results showed that the eating pattern of long-lived elderly was characterized by regularity, simplicity, and no overeating.

The Relationship Between Chewing Ability and Health Status in the Long-lived Elderly of Kyungpook Area / 영남의대학술지

BACKGROUND: The objective of this study is to evaluate the effect of the dental and general health in relation to the state of dentition and chewing ability by survering oral condition and anthropometric measure in order to provide primary statistics for the development of a program which may lead to an improvement in the long-lived elderly health status in a rural community. MATERIALS AND METHODS: The subjects of this study were 97 rural long-lived elderly(27 males and 70 females) who were over 85 years-old (average age of subjects are 88.14+/-3.20 year old) in Sungju-Gun. Kyungpook Province. Data were collected by using questionnaires and direct measurement of anthropometrics, and oral examination from all 97 subjects on July, 1999. RESULTS: The following results were obtained: 1. 53.6% of all subjects believe that they are healthy. The average values of height, weight, BMI, body fat, lean body fat and total water were 148.8+/-11.2cm, 46.9+/-10.5kg, 21.2+/-3.5kg/m2, 26.7+/-6.9%, 73.0+/-7.1%, and 53.4+/-5.2%, respectively. 2. The average number of teeth remaining in the subjects were 3.50+/-571: the number of maxillary teeth remaining were 1.08+/-2.88; and the number of mandibular teeth remaining were 2.41+/-3.76. The maximum number of teeth remaining among subjects were 22 teeth, and the fully edentulous(no natural teeth) people were 76.3%. The oral conditions of the subjects were 52.6% using denture, 23.7% using natural teeth and 23.7% masticating edentulous ridge without denture. 3. In terms of oral condition in self-assessment of health, digestive ability, and chewing ability : On self-assessment of health, 47.1% of those wearing denture group responded as feeling food, 56.5% of those of edentulous without denture, and 65.2% in group of matural teeth only. On self-assessment of digestive ability, 82.4% of those in group of denture responded as feeling food, 65.2% of those in group of no teeth and no denture, and 73.9% of those in group of natural teeth only. On self-assessment of chewing ability, 90.2% of those in the group wearing a denture, 60.9% of those in the group of no teeth and no denture, and 65.2% of those in the group of natural teeth only. 4. In terms of oral condition in anthropometric measurements; The height. weight, body fat, lean body mass, and total water according to oral conditions were 150.0+/-10.7cm, 49.0+/-10.9kg, 26.9+/-6.6%, 72,7+/-7.0%, 53.2+/-5.1%, respectively, in group wearing a denture, 142.7+/-6.0cm, 43.2+/-5.5kg, 29.5+/-7.2%, 70.8+/-6.9%, 51.8+/-5.0%, respectively, in the group of no teeth and no denture, and 152.3+/-14.1cm, 45.9+/-12.6kg, 23.4+/-6.0%, 75.9+/-6.9%, 55.6+/-5.1%, respectively, in the group of natural teeth only. CONCLUSION: The subjective measurements of good health were higher denture user, and natural teeth.