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1.
Ciênc. Saúde Colet. (Impr.) ; 27(10): 4015-4023, out. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1404147

ABSTRACT

Abstract The aim was to investigate the longitudinal association between physical frailty and change in the profile of limitation to perform basic and instrumental activities of daily living (BADL and IADL) and mortality in a 10-year period in Brazilian community-dwelling older people. A longitudinal study was conducted with data from the Frailty in Brazilian Older People (FIBRA) study, 2009-2019. Physical frailty was categorized into vulnerability (pre-frail and frail) and robustness (non-frail). The generalized estimating equation and the Cox proportional hazards models were used in the data analysis. Out of 200 older people evaluated in 2009 (moment 1), 139 were located in 2019 (moment 2). Of these, 102 were interviewed and 37 deaths were recorded. The chance of vulnerable older people at moment 1 being dependent on performing BADL at moment 2 was 4.19-fold the chance of robust older people. For IADL, the chance of vulnerable older people at moment 1 being dependent at moment 2 was 3.12-fold the chance of robust older people. Cox's analysis showed that the risk of death among vulnerable older people was 2.50-fold that among robust older people. The results reinforce the importance of monitoring and early intervention to prevent frailty, and the limitation to performing activities of daily living and death among Brazilian older people.


Resumo O objetivo foi investigar a associação longitudinal entre fragilidade física e mudança no perfil de limitação para realizar as atividades básicas e instrumentais de vida diária (ABVD e AIVD) e mortalidade em 10 anos em idosos comunitários brasileiros. Um estudo longitudinal foi conduzido com dados do Estudo da Fragilidade em Idosos Brasileiros (FIBRA), 2009-2019. A fragilidade física foi categorizada em vulnerabilidade (pré-frágil e frágil) e robustez (não frágil). Modelos de equação de estimação generalizada e de riscos proporcionais de Cox foram usados na análise dos dados. Dos 200 idosos avaliados em 2009 (momento 1), 139 foram localizados em 2019 (momento 2). Destes, 102 foram entrevistados e 37 óbitos foram registrados. A chance dos idosos vulneráveis no momento 1 serem dependentes nas ABVD no momento 2 foi de 4,19 vezes a chance dos idosos robustos. Para as AIVD, a chance dos idosos vulneráveis no momento 1 serem dependentes no momento 2 foi de 3,12 vezes a chance dos idosos robustos. A análise de Cox mostrou que o risco de morte entre os idosos vulneráveis foi 2,50 vezes o risco dos idosos robustos. Os resultados reforçam a importância do acompanhamento e intervenção precoce para prevenir a fragilidade, e a limitação para realização das atividades de vida diária e morte em idosos brasileiros.

2.
J. health med. sci. (Print) ; 8(2): 109-117, abr.-jun. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1391929

ABSTRACT

INTRODUCCIÓN: Desde la última década se ha evidenciado el aumento de la población de personas mayores en Chile. Muchos de ellos son usuarios regulares del sistema público de salud el cual se caracteriza por entregar una atención de tipo integral. En este sentido, resulta relevante conocer los requerimientos en salud desde la perspectiva de las experiencias de las personas mayores con respecto al uso de este servicio. OBJETIDO: El objetivo de este estudio fue identificar las expectativas de las personas mayores que asisten a los centros de APS. MATERIAL Y MÉTODOS: Este es un estudio cualitativo, descriptivo, donde la muestra fue de 13 personas mayores de 65 años y más, autovalentes, de tres centros APS, los cuales fueron entrevistados mediante instrumento semiestructurado, con análisis cualitativo de datos método que incluyó codificación abierta y focalizada. RESULTADOS: Las expectativas de las personas mayores fueron categorizadas como requerimiento de una atención profesional integral, oportunidad de atención, accesibilidad de la atención, promoción de salud sobre el autocuidado, explicación de cambios en el envejecimiento con enfoque biológico y alfabetización en salud. CONCLUSIONES: Las expectativas de las personas mayores en este estudio dan cuenta de una atención profesional integral poco efectiva, además de la necesidad de un trato especializado al grupo poblacional específico, no sólo de los profesionales, sino también del personal administrativo de los centros de APS, considerándolos una barrera en la calidad de la atención.


INTRODUCTION: Since the last decade there has been evidence of an increase in the population of older people in Chile. Many of them are regular users of the public health system (PHS) which is characterized by providing comprehensive care. In this sense, it is relevant to know the health requirements from the perspective of the experiences of the older people regarding the use of this health service. OBJECTIVE: The objective of this study was to identify the needs and expectations of older people attending PHS centers. MATERIAL AND METHODS: It were a qualitative and descriptive study. The sample was compounded by 13 people over 65 years and over, self-sufficient, from three PHS centers. It was used a semi-structured instrument. RESULTS: The main needs of the elderly were categorized as a requirement for comprehensive professional care, the opportunity for care, accessibility of care, health promotion on self-care, explanation of changes in aging with a biological focus and health literacy. CONCLUSIONS: The needs and expectations of the older people in this study account for an ineffective comprehensive professional care, in addition to the need for specialized treatment of the specific population group, not only of professionals but also of the administrative staff of the centers of PHS, considering them a barrier in the quality of care.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Primary Health Care , Aged/psychology , Attitude to Health , Patient Acceptance of Health Care , Perception , Self Care/psychology , Aging/psychology , Health Knowledge, Attitudes, Practice , Patient Satisfaction , Qualitative Research , Health Literacy , Noncommunicable Diseases/psychology
3.
Säo Paulo med. j ; 140(3): 422-429, May-June 2022. tab
Article in English | LILACS | ID: biblio-1377396

ABSTRACT

ABSTRACT BACKGROUND: Falls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population. Objective: To analyze the cognitive performance of older people, classified as non-fallers, sporadic fallers and recurrent fallers, and investigate the relationship between falls and cognition. DESIGN AND SETTING: Cross-sectional study conducted in the interior of the state of São Paulo, Brazil. METHODS: Evaluations on 230 older people were conducted. They were divided into three groups: non-fallers, sporadic fallers (one fall) and recurrent fallers (two or more falls). The Mini-Mental State Examination, Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Brief Cognitive Screening Battery (BCSB), Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) similarities subtest and digit span test were applied. RESULTS: In multinomial logistic regression, being a recurrent faller was significantly associated with lower scores in the CERAD word list (odds ratio, OR = 0.92; 95% confidence interval, CI, 0.86-0.98; P = 0.01), in CERAD constructive praxis (OR = 0.88; 95% CI, 0.79-0.98; P = 0.02), in BCSB figure list memory (OR = 0.94; 95% CI, 0.89-0.99; P = 0.02) and in verbal fluency (OR = 0.89; 95% CI, 0.81-0.97; P = 0.01). Recurrent fallers also had lower scores in these same tests, compared with sporadic fallers. CONCLUSION: Cognitive impairment, especially in the domains of memory and executive functioning, can influence occurrences of recurrent falls.


Subject(s)
Humans , Aged , Accidental Falls , Alzheimer Disease , Brazil/epidemiology , Cross-Sectional Studies , Risk Factors , Cognition , Independent Living
4.
Acta sci., Health sci ; 44: e53676, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1363573

ABSTRACT

Maintaining a functional natural dentition plays an important role in keeping a satisfactory nutritional status. The aim of this study was to evaluate the relationship between oral health conditions determined by the presence of edentulism and the number of missing teeth, nutritional status and consumption of nutrients by the elderly. This cross-sectional study comprised 494 independent elderly of both genders, over 60 years of age, registered at the Brazilian public health service in Londrina, southern Brazil. The data collection included: oral examinations; anthropometric measurements by calculating the Body Mass Index (BMI); analysis of food consumption based on a multiple pass 24-hour dietary recall and a food intake frequency questionnaire; and structured interviews to obtain sociodemographic information. Multiple linear regression, the Fisher's Exact test, chi-square and Mann-Whitney tests, were applied at a 5% significance level. The prevalence of edentulism was 47.3%; this predominated in females, age group from 65 to 74 years, low education level and low/medium economic classification. A larger numberof underweight and fewer number of overweight elderly were recorded among the edentulous versus dentate participants (< 0.0001). Significantly lower consumption of several nutrients, as well as fruit, was recorded among the edentulous group. In particular, carbohydrates, vitamins (B1, B9 and C), and the majority of the minerals studied were associated with a larger number of missing teeth. In conclusion, tooth loss was associated with the food consumption pattern of some macro-and micronutrients and the nutritional status of the Brazilian elderly.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Aged , Oral Health/education , Nutritional Status , Tooth Loss/rehabilitation , Body Mass Index , Cross-Sectional Studies/methods , Dental Care for Aged/methods , Eating
5.
Article in Chinese | WPRIM | ID: wpr-936475

ABSTRACT

ObjectiveTo explore the relationship between snoring and hypertension in middle-aged and elderly residents in Yangpu District, Shanghai. MethodsThe data of this study were obtained from the project of “early screening and comprehensive intervention for high-risk of cardiovascular diseases” carried out by the National Cardiovascular Disease Center in Yangpu District in 2017. Questionnaire survey, physical examination and laboratory test were conducted among permanent residents aged 35‒75 years. Logistic regression model was used to analyze the influence of sleep snoring on hypertension. ResultsA total of 11 100 people with complete data were included in the analysis, The self-reported snoring rate of male was significantly higher than female (48.12% vs 36.21%, χ2=137.70, P<0.01). The proportion of self-reported occasional snoring, frequent snoring and daily snoring were 14.67%(1 628/11 100), 7.59%(843/11 100) and 17.50% (1 943/11 100), respectively, and the prevalence of hypertension gradually increased with the increase of snoring frequency (≤60 years,male: χtrend2=51.83,P<0.01;female: χtrend2=95.01, P<0.01; >60 years, male: χtrend2=9.22, P<0.01; female: χtrend2=27.10, P<0.01). Multivariate logistic regression analysis showed that in people aged ≤60 years, both men and women, snoring frequency was significantly associated with hypertension after adjusting for education, total family income, smoking, alcohol consumption, diabetes, body mass index (BMI) and waist circumference. In the males: occasional snoring OR (95%CI) was 1.95 (1.36,2.80), frequent snoring OR (95%CI) was 1.55 (1.04,2.31), daily snoring OR (95%CI) was 1.92 (1.43,2.59). In the females: occasional snoring OR (95%CI) was 1.31 (1.08,1.59), frequent snoring OR (95%CI) was 1.41 (1.07,1.88), daily snoring OR (95%CI) was 1.63 (1.32,2.00). But in people aged >60 years, the significant association between snoring frequencies and hypertension did not exist, after adjusting for education, total family income, smoking, alcohol consumption, diabetes, BMI and waist circumference. In the males: occasional snoring OR (95%CI) was 1.31 (0.97,1.78), frequent snoring OR (95%CI) was 1.22 (0.87,1.73), daily snoring OR (95%CI) was 1.19 (0.94,1.73). In the females: occasional snoring OR (95%CI) was 1.06 (0.87,1.29), frequent snoring OR (95%CI) was 1.30 (0.99,1.72), daily snoring OR (95%CI) was 1.19 (0.97,1.46). ConclusionIn people ≤60 years old, snoring is significantly associated with hypertension, so more attention should be paid to sleep snoring monitoring in middle-aged people for early detection of hypertension.

6.
Rev. bras. geriatr. gerontol. (Online) ; 25(5): e210219, 2022. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1387865

ABSTRACT

Resumo Objetivo Identificar o perfil de mobilidade nos espaços de vida em idosos que vivem na comunidade e estabelecer a precisão dos pontos de corte desse instrumento para discriminar entre níveis de fragilidade, fragilidade em marcha e de risco de sarcopenia. Método Estudo observacional e metodológico com 391 participantes com 72 anos e mais (80,4±4,6), que responderam ao Life Space Assessment (LSA) e a medidas de rastreio de fragilidade e risco de sarcopenia usando respectivamente o fenótipo de fragilidade e o SARC-F. Os pontos de corte para fragilidade e risco de sarcopenia foram determinados por meio da Curva ROC (Receiver Operating Characteristic) com intervalos de confiança de 95%. Resultados A média da pontuação no LSA foi 53,6±21,8. Os pontos de corte de melhor acurácia diagnóstica foram ≤54 pontos para fragilidade em marcha (AUC= 0,645 95%; p<0,001) e ≤60 pontos para risco de sarcopenia (AUC= 0,651 95%; p<0,001). Conclusão A capacidade de idosos de se deslocar nos vários níveis de espaços de vida, avaliado pelo LSA demonstrou ser uma ferramenta viável que pode contribuir no rastreio de fragilidade em marcha e de risco de sarcopenia e, com isso, prevenir desfechos negativos.


Abstract Objective To identify the profile of a sample of older people recruited at home based on a measure of life-space mobility and to establish the accuracy of the cut-off points of this instrument for discriminating between levels of frailty, frailty in walking speed and risk of sarcopenia. Method An observational methodological study of 391 participants aged ≥72 (80.4±4.6) years, who answered the Life-Space Assessment (LSA) and underwent frailty and risk of sarcopenia screening using the frailty phenotype and SARC-F measures, respectively, was performed. The cut-off points for frailty and risk of sarcopenia were determined using ROC (​​Receiver Operating Characteristic) curves and their respective 95% confidence intervals. Results Mean total LSA score was 53.6±21.8. The cut-off points with the best diagnostic accuracy for total LSA were ≤54 points for frailty in walking speed (AUC=0.645 95%; p<0.001) and ≤60 points for risk of sarcopenia (AUC=0.651 95%; p<0.001). Conclusion The ability of older people to move around life-space levels, as assessed by the LSA, proved a promising tool to screen for frailty in walking speed and risk of sarcopenia, thus contributing to the prevention of adverse outcomes.

7.
Actual. osteol ; 18(1): 29-39, 2022. ilus, tab
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1395951

ABSTRACT

La osteoporosis es una enfermedad sistémica que deteriora la calidad del hueso y su arquitectura. Como consecuencia, predispone a fracturas por fragilidad, entre las cuales las fracturas vertebrales son frecuentes. Estas se asocian a una gran morbimortalidad. La vertebroplastia ha surgido en 1984 como alter-nativa terapéutica para tratar algunos tumores vertebrales y fracturas vertebrales osteoporóticas dolorosas. Este procedimiento consiste en la inyección de cemento guiado por imágenes, para estabilizar la vértebra fracturada y disminuir el dolor. La vertebroplastia puede ser realizada con anestesia local, sedación o anestesia general. La fuga de cemento fuera de la vértebra es una complicación común; sin embargo esto no suele tener traducción clínica y solamente se trata de un hallazgo imagenológico. En este artículo revisaremos las indicaciones, contraindicaciones, la eficacia, controversias y las complicaciones de la vertebroplastia percutánea. (AU)


Osteoporosis is a systemic disease characterized by bone quality deterioration. As a consequence of this deterioration, osteoporosis results in high fracture risk due to bone fragility. Fractures to the spine are common in this scenario, and relate to an increased morbi-mortality. Vertebroplasty emerged in 1984 as an alternative to treat painful vertebral tumors and osteoporotic vertebral fractures. This procedure relies on image guided cement injection to achieve pain relief and strengthen the vertebral body. Vertebroplasty can be performed under local anesthesia, mild sedation, or general anesthesia. Among its complications, cement leakage is common but it is rarely associated with any symptoms and it is usually an imaging finding. In this article, we will review indications and contraindications, effectiveness, controversies and complications related to percutaneous vertebroplasty. (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Spinal Fractures/therapy , Vertebroplasty/methods , Osteoporotic Fractures/therapy , Chronic Pain/therapy , Administration, Cutaneous , Spinal Fractures/classification , Treatment Outcome , Vertebroplasty/adverse effects , Osteoporotic Fractures/classification
8.
Ciênc. cuid. saúde ; 21: e59160, 2022. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1384508

ABSTRACT

RESUMO Objetivo: identificar os fatores associados ao desenvolvimento de doença renal crônica em idosos cuidadores de idosos. Método: estudo transversal, realizado no período de janeiro a setembro de 2019 com 111 idosos cuidadores familiares de idosos da atenção primária à saúde. Para a coleta de dados, foram utilizados o Questionário de Caracterização Sociodemográfica, de Saúde e do Contexto do Cuidado, a Triagem para Doença Renal Oculta, o Exame Cognitivo de Addenbrooke - Versão Revisada, a Escala de Depressão Geriátrica, o Inventário de Sobrecarga de Zarit e a Escala de Estresse Percebido. Foi realizada estatística descritiva e análise múltipla de regressão logística pelo método stepwise forward (p<0,05). Todos os preceitos éticos foram observados. Resultados: a amostra apresentou predomínio de mulheres, casadas, que ofertavam o cuidado ao cônjuge. Através da triagem para doença renal crônica, constatou-se que 99,1% dos participantes apresentaram alta predisposição para o desenvolvimento da doença renal crônica. Cada acréscimo no número de medicamentos aumenta 1,257 vezes a chance de os idosos cuidadores desenvolverem doença renal crônica. Conclusão: houve predominância de alta predisposição para doença renal crônica na amostra de idosos cuidadores, e o número de medicamentos em uso foi o fator associado a esta predisposição.


RESUMEN Objetivo: identificar los factores asociados al desarrollo de enfermedad renal crónica en ancianos cuidadores de ancianos. Método: estudio transversal, realizado en el período de enero a septiembre de 2019 con 111 ancianos cuidadores familiares de ancianos de la atención primaria de salud. Para la recolección de datos, fueron utilizados el Cuestionario de Caracterización Sociodemográfica, de Salud y del Contexto del Cuidado; la Detección de Enfermedad Renal Crónica Oculta; el Test Cognitivo de Addenbrooke - Versión Revisada; la Escala de Depresión Geriátrica; la Escala de Sobrecarga del Cuidador de Zarit y la Escala de Estrés Percibido. Se realizaron estadística descriptiva y análisis múltiple de regresión logística por el método stepwise forward (p<0,05). Todos los preceptos éticos fueron observados. Resultados: la muestra presentó predominio de mujeres, casadas, que ofrecían el cuidado al cónyuge. A través de la clasificación de enfermedad renal crónica, se constató que el 99,1% de los participantes presentó alta predisposición para el desarrollo de la enfermedad renal crónica. Cada aumento en el número de medicamentos aumenta 1,257 veces la probabilidad de que los cuidadores mayores desarrollen enfermedad renal crónica. Conclusión: hubo predominancia de alta predisposición para enfermedad renal crónica en la muestra de ancianos cuidadores, y el número de medicamentos en uso fue el factor asociado a esta predisposición.


ABSTRACT Objective: to identify factors associated with the development of chronic kidney disease in older adult caregivers of elderly people. Method: cross-sectional study, carried out from January to September 2019 with 111 older adult family caregivers of elderly people in primary health care. For data collection, the Sociodemographic, Health and Care Context Characterization Questionnaire, the Screening for Occult Kidney Disease, the Addenbrooke Cognitive Examination - Revised Version, the Geriatric Depression Scale, the Zarit Burden Inventory and the Perceived Stress Scalewere used. Descriptive statistics and multiple logistic regression analysis were performed using the stepwise forward method (p<0.05). All ethical precepts were observed. Results: the sample showed a predominance of women, married, who offered care to their spouse. Through screening for chronic kidney disease, it was found that 99.1% of the participants had a high predisposition to the development of chronic kidney disease. Each unit of increase in the number of drugs increased the chance of older adult caregivers developing chronic kidney disease by 1,257 times. Conclusion: there was a predominance of high predisposition to chronic kidney disease in the sample of older adult caregivers and the number of drugs in use was the factor associated with this predisposition.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged , Caregivers/psychology , Renal Insufficiency, Chronic/diagnosis , Primary Health Care/organization & administration , Cross-Sectional Studies , Geriatric Nursing/organization & administration , Health Services Research/statistics & numerical data
9.
Epidemiol. serv. saúde ; 31(1): e2021603, 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1375383

ABSTRACT

Objetivo: Descrever os custos das autorizações de internação hospitalar (AIHs) por quedas de idosos no âmbito do Sistema Único de Saúde (SUS) do Brasil. Métodos: Estudo descritivo de custos, realizado a partir do Sistema de Informações Hospitalares do SUS, por meio das AIHs decorrentes de quedas de idosos (60 anos ou mais), no período de 2000 a 2020. Foram realizadas análises descritivas e mensurados os custos, por macrocusteio. Resultados: Foram registradas 1.746.097 AIHs por quedas de idosos, somando custos de R$ 2.315.395.702,75. A proporção de custos de internações foi maior entre aqueles com 80 anos ou mais (36,9%), sexo feminino (60,4%) e região Sudeste do país (57,3%). A média de permanência das internações variou de 5,2 a 7,5 dias. Conclusão: Os elevados custos identificados revelam a necessidade de investimentos em medidas mais efetivas, para prevenir e mitigar os danos decorrentes das quedas em idosos.


Objetivo: Describir los costos de Autorizaciones de Admisión Hospitalaria (AAH) por caídas de ancianos dentro del Sistema Único de Salud (SUS) de Brasil. Métodos: Estudio descriptivo de costos a partir de datos del Sistema de Información Hospitalaria del SUS, mediante las AAH por caídas de ancianos de 60 años y más, en el período 2000 a 2020. Se realizaron análisis descriptivos y la medición de costos mediante microcosteo. Resultados: Se registraron 1.746.097 AAH por caídas de ancianos, con un costo de R$ 2.315.395.702,75. La proporción de costos de hospitalización fue mayor entre los ancianos de 80 años o más (36,9%), entre el sexo femenino (60,4%) y en la región Sudeste (57,3%). La duración media de la estancia hospitalaria osciló entre 5,2 y 7,5 días. Conclusión: Los altos costos revelan la necesidad de invertir en medidas más efectivas para prevenir y mitigar los daños derivados de las caídas de ancianos.


Objective: To describe the costs of hospital admission authorizations (AIHs) due to falls among older people within the Brazilian National Health System (SUS). Methods: This was a descriptive cost analysis study, based on data from the SUS's Hospital Information System, related to AIH due to falls among older people (60 years and older), between 2000 to 2020. A descriptive analysis was performed and cost measurement was based on a macro-costing method. Results: 1,746,097 AIHs due to falls among older people were recorded, and the total cost was found to be BRL 2,315,395,702.75. The proportion of hospitalization costs was higher among those aged 80 years and older (36.9%), female (60.4%) and the Southeast region of the country (57.3%). The average length of stay in hospital ranged from 5.2 to 7.5 days. Conclusion: The high costs identified showed the need for investments in more effective measures in order to prevent and mitigate the damage caused by falls among older people.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Accidental Falls , Hospital Costs , Hospitalization , Brazil/epidemiology , Epidemiology, Descriptive , Costs and Cost Analysis
10.
Ciênc. Saúde Colet. (Impr.) ; 26(supl.3): 5133-5148, Oct. 2021. tab, graf
Article in English | LILACS | ID: biblio-1345731

ABSTRACT

Abstract This article presents an issue narrative non-systematic review about social network typologies for the older population. We analysed 18 studies with large samples from 14 countries worldwide. The position of family ties, network composition, network size, frequency of contacts and community participation are central to social network typologization in the older population. Restricted and diverse networks emerged in typologies associated, respectively, with less and more effective social support features, and are good predictors of well-being, health, mental health, social support and social participation. Cross-nationally, there is an unequal distribution of the construction of network typologies. The different typologies, that should be culturally grounded, provide guidelines to intervention planning, inform social service providers about emerging needs and contribute to social policy debate.


Resumo O artigo apresenta uma revisão temática e narrativa não sistemática sobre tipologias de redes sociais pessoais da população idosa. Analisámos 18 estudos com amostras grandes de 14 países. A posição dos laços familiares, a composição da rede, o tamanho, a frequência de contactos e a participação comunitária são centrais na definição dos tipos de rede nesta população. As redes restritas e diversificadas emergem nas tipologias associadas, respetivamente, a menor ou maior apoio social, e são bons indicadores do bem-estar, saúde, saúde mental, apoio social e participação social. Transnacionalmente, verifica-se uma distribuição desigual da construção de tipologias. As diferentes tipologias, que devem ser culturalmente fundadas, fornecem diretrizes para planejar a intervenção, repensar serviços sociais e planejar políticas sociais.


Subject(s)
Humans , Aged , Social Support , Mental Health , Social Networking
11.
Ciênc. Saúde Colet. (Impr.) ; 26(supl.3): 5069-5080, Oct. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1345735

ABSTRACT

Resumo O objetivo deste estudo foi analisar desigualdades em indicadores de envelhecimento ativo, segundo raça/cor, escolaridade, renda e posse de plano de saúde entre 986 idosos participantes do Inquérito de Saúde de Campinas, São Paulo - 2014/2015. Estimaram-se as prevalências de participação dos idosos em 11 atividades e as razões de prevalência foram calculadas pela regressão de Poisson. Os resultados revelaram que brancos e negros participavam de forma semelhante de todas as atividades da dimensão social, porém na atividade física realizada no trabalho se observou predomínio de negros (14,1% versus 8,2%), e no uso da Internet se constatou maior prevalência de brancos (RP = 2,11). Entre os idosos com maior escolaridade, renda mais elevada e posse de plano de saúde foram observadas maiores prevalências de participação em atividades físicas de lazer, uso da Internet, realização de cursos e atividades sociais, exceto cultos religiosos. Os resultados revelam que os idosos com maior acúmulo de recursos educacionais e financeiros têm mais acesso às atividades que são reconhecidamente associadas à saúde e ao bem-estar. O estudo também identificou importantes demandas para o SUS, pois a população que depende exclusivamente desse sistema apresentou menor participação em atividades benéficas à saúde.


Abstract The objective of this study was to analyze inequalities in active aging indicators according to race/skin color, level of education, income, and possession of health insurance among 986 older people who participated in the 2014/15 Campinas Health Survey. We estimated the prevalence of participation in 11 activity domains using Poisson regression. The findings reveal similar levels of participation among white and black people in all the domains of the social dimension. The prevalence of work-related physical activity was higher among black people (14.1% compared to 8.2% in white people) and the prevalence of internet use was higher among white people (PR = 2.11). The prevalence of participation in leisure time physical activity, internet use, courses, and in all domains of the social dimension except attendance at religious services was higher among respondents in the highest educational and income groups and among those with health insurance. The findings reveal that older people with a higher income and higher level of education are more likely to participate in activities associated with better health and well-being. The study also shows that older people place a significant demand on Brazil's public health system since individuals who depend exclusively on public health services tend to participate less in activities that are shown to promote health benefits.


Subject(s)
Humans , Aged , Aging , Health Promotion , Socioeconomic Factors , Health Surveys , Income
12.
Rev. chil. neuro-psiquiatr ; 59(3): 176-184, sept. 2021. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1388396

ABSTRACT

Resumen Los conocimientos actuales sobre la salud de las personas mayores permiten afirmar que es posible mejorar su calidad de vida, especialmente a través del uso de técnicas no farmacológicas de carácter preventivo. El objetivo de este artículo es presentar una aplicación piloto de un Programa de Reminiscencia Positiva (REMPOS) que en otros países como España y México han demostrado ser efectivo en personas mayores con deterioro cognitivo leve y en población normal institucionalizadas. La población fue de 60 personas mayores pertenecientes a un centro de Larga Estudia del Gran Concepción. La muestra estuvo constituida por 5 personas mayores que aceptaron participar y que cumplían los criterios de inclusión. Instrumentos: se usó el MOCA y Mini Mental para evaluar deterioro leve y normalidad. Procedimiento: se seleccionaron sesiones del REMPOS que podrían tener un sesgo transcultural. Resultados: se encontró que varias de las sesiones necesitaban cambios especialmente con relación a la presencia de analfabetismo funcional, limitación motora y sensorial (vista y oído) en las personas mayores. Se discute la adaptación del programa y las implicaciones derivadas de la institucionalización.


Current knowledge about the health of older people, allows us to affirm that it is possible to improve their quality of life, especially with preventive non-pharmacological techniques. The objective of this article is to present a pilot Application of a Positive Reminiscence Program (REMPOS) which in other countries such as Spain and Mexico have been shown to be effective in older people with mild cognitive impairment and in normal institutionalized populations. The population was 60 older adults belonging to a Long Study center of the Great Conception. The sample consisted of 5 older adults who agreed to participate and who met the inclusion criteria. Instruments MOCA and Mini Mental were used to assess mild impairment and normality. Procedure REMPOS sessions were selected that could have a cross-cultural bias. Results It was found that several of the sessions needed changes especially in relation to the presence of functional illiteracy, motor and sensory limitation (sight and hearing) in older people. Program adaptation and institutionalization are discussed.


Subject(s)
Humans , Male , Female , Aged , Mental Recall , Cognitive Dysfunction/therapy , Homes for the Aged , Pilot Projects , Cognitive Dysfunction/diagnosis , Institutionalization
13.
Rev. chil. nutr ; 48(1)feb. 2021.
Article in English | LILACS-Express | LILACS | ID: biblio-1388457

ABSTRACT

ABSTRACT Objective: To assess whether there are differences between oral problems and food, energy, and nutrient intake and anthropometric indicators of institutionalized older adults. Methods: A total of 150 older people participated in the study. Their nutritional status was determined by anthropometric indicators and food intake. Oral problems were examined by a trained dentist who checked for caries, periodontitis, dry mouth, edentulism, and poorly-fitting partial or complete dentures. The categorical variables were analyzed by the Fisher's Exact Test and the continuous variables were analyzed by the Student's t-test for parametric data and the Mann-Whitney test for nonparametric data (p≤0.05). Results: Older people with oral problems presented lower anthropometric measurements and indices except for biceps skinfold thickness and consumed less energy (p= 0.027), protein (p= 0.012), lipids (0.012), and pan-fried meats (p= 0.001). Conclusion: Anthropometric indicators and the energy, protein and lipid intake were lower in elderly people with oral problems. This work warns about the importance of oral health for the good nutrition of older people and the need to establish strategies to adapt the diet of this population.


RESUMEN Objetivo: Evaluar si existe una diferencia entre los problemas orales y la ingesta de alimentos, energía y nutrientes e indicadores antropométricos de adultos mayores institucionalizados. Métodos: Un total de 150 personas mayores participaron en el estudio. Su estado nutricional se determinó mediante indicadores antropométricos y la ingesta de alimentos. Los problemas orales fueron examinados por un dentista capacitado que verificó la presencia de caries, periodontitis, boca seca, edentulismo y dentaduras postizas parciales o completas mal ajustadas. Las variables categóricas se evaluaron mediante la Prueba Exacta de Fisher y las variables continuas se evaluaron mediante la prueba t de Student para datos paramétricos y la prueba de Mann-Whitney para datos no paramétricos (p≤0.05). Resultados: Las personas mayores con problemas orales presentaron mediciones e índices antropométricos más bajos, excepto el grosor del pliegue cutáneo del bíceps y consumieron menos energía (p= 0.027), proteínas (p= 0.012), lípidos (0.012) y carnes fritas (p= 0.001). Conclusión: Los indicadores antropométricos y el consumo de energía, proteínas y lípidos fueron menores en personas mayores con problemas bucales. Este trabajo advierte sobre la importancia de la salud oral para la buena nutrición de las personas mayores y la necesidad de establecer estrategias para adaptar la dieta de esta población.

14.
Rev. bras. geriatr. gerontol. (Online) ; 24(4): e210229, 2021. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1376646

ABSTRACT

Resumo Objetivo Identificar o perfil socioeconômico da população idosa residente em Viçosa (MG, Brasil) e suas condições de vida, e verificar a influência dos fatores idade, sexo e escolaridade na renda dos membros da família e do idoso em particular. Método Trata-se de um estudo transversal e descritivo, a partir dos dados da Pesquisa de Orçamento Familiar (POF) (2019-2020), do Departamento de Economia da Universidade Federal de Viçosa (DEE-UFV), da qual participaram 307 domicílios, sendo a amostra constituída por 167 idosos. Resultados A maioria dos idosos era do sexo feminino, com idade média de 69,8 (±8,07) anos, nível de escolaridade referente ao ensino médio completo, aposentada (74,90%), renda média de R$2.914,10, acima da faixa considerada baixa pelo Cadastro Único, e proveniente, exclusivamente, de aposentadoria. Os idosos encontravam-se satisfeitos com suas condições de vida, principalmente em relação à moradia. As variáveis sexo, idade e escolaridade influenciavam na renda dos membros da família, mas quando analisada somente a renda do idoso, o fator idade não exerceu influência. Conclusão Comparativamente, a amostra estudada encontrava-se em condições de vida, renda e escolaridade mais satisfatórias e favoráveis do que os idosos do país em geral, demonstrados nos estudos a partir de dados da POF nacional. Essa realidade, no entanto, pode ser atrelada à existência da UFV no município, onde boa parte da população estuda e/ou trabalha, auferindo melhores níveis educacionais e maiores rendimentos, visto que a educação impacta de forma positiva no acesso a melhores empregos e salários.


Abstract Objective The study aimed to identify the socioeconomic profile of the older population in Viçosa, MG, Brazil, and their living condition and verify the influence of the age, sex and education factors on the income of family members and the older people in particula Methods This is a cross-sectional and descriptive study, based on data from the Household Budget Survey (POF) (2019-2020), from the Department of Economics at the Federal University of Viçosa (DEE-UFV). Three hundred and seven households participated in the study and the sample was composed by 167 older people. Results Most of the older people were female, with an average age of 69.8 (±8.07) years old, education level referring to complete high school and retired (74.90%). As to their income, most of them had R$2,914.10 on average, which is above the range considered low by the Brazilian Government Registry named "Cadastro Único". They also had the retirement as their exclusive income. The older people were satisfied with their living conditions, especially in regard to housing. The variables gender, age, and education influenced the family members' income. But the age factor did not influence the older people's income when it was singularly analyzed. Conclusions The studied sample had more satisfactory and favorable income, schooling and living conditions than the older population in the country when compared to studies that used data from the national POF. However, this reality could be linked to the existence of the UFV in the city where great part of the population studies and/or works therefore achieving better educational levels and earning higher incomes once education has a positive impact on the access to better jobs and wages.

15.
Rev. bras. geriatr. gerontol. (Online) ; 24(5): e210209, 2021. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1387861

ABSTRACT

Resumo Objetivo identificar o risco nutricional de pessoas idosas com HIV/aids em uso de terapia antirretroviral (TARV) e fatores associados. Método estudo de natureza transversal e analítico. Participaram 241 idosos cadastrados nos Serviços de Referência para tratamento de HIV/aids do Município de Recife/PE, Brasil. A variável dependente correspondeu ao risco nutricional, avaliado por meio da Mini Avaliação Nutricional e as independentes incluíram: dados sociodemográficos, estilo de vida e condições de saúde. ResuItados foram identificados 44% dos participantes com risco nutricional e verificada associação entre risco nutricional e sexo feminino, escolaridade entre 1-4 anos de estudo e sintomatologia depressiva. Conclusão Sugere-se a inclusão de medidas de rastreio para intervenção precoce do estado nutricional como a Mini Avaliação Nutricional na rotina do cuidado, com vistas a possibilitar maior integralidade na assistência e redução de riscos de morbimortalidade associada ao HIV.


Abstract Objective To identify the nutritional risk of older people with HIV / AIDS and the associated factors. Method It is a cross-sectional and analytical study. 241 older people from the Reference Services in Recife/PE, Brazil participated. The dependent variable was Nutritional risk, assessed by the Mini Nutritional Assessment and the independent ones, the sociodemographic, lifestyle and health conditions. Results 44% of participants with nutritional risk were identified. There was an association between nutritional risk and female gender, education between 1-4 years of study and symptoms of depression. Conclusion It is suggested to include screening measures for early intervention of nutritional status, such as Mini Nutritional Assessment in the care routine, with a view to enabling greater comprehensiveness in care in Gerontology and reducing the risk of morbidity and mortality associated with the disease, and promoting longevity of better quality for those living with HIV.

16.
Article in English | LILACS-Express | LILACS | ID: biblio-1151788

ABSTRACT

OBJECTIVE: To analyze factors associated with perceived social support in older people with cancer. METHODS: This was a cross-sectional, analytical study conducted with a convenience sample of 134 older people seen at a specialist cancer treatment unit in a hospital located in a municipal district in the South of Minas Gerais state, Brazil. Data collection was conducted by interview and analysis of medical records. Social support was analyzed using the Medical Outcomes Study social support scale. The Mann-Whitney and Kruskal-Wallis tests were used to analyze differences between means. Linear regression was used for analysis of associations. RESULTS: The majority of the sample of older people with cancer analyzed were male, aged from 60 to 74 years, and reported high mean scores for material support; affective support; positive social interaction; and emotional/ informational support. Factors with positive associations with social support were: not living alone; income one to three times the minimum wage; having a partner; rating health as good/very good; and presence of comorbidity. Factors with negative associations were: poor/very poor perceived income and polypharmacy use. CONCLUSIONS: This sample of older people reported high mean scores for material support; affective support; positive social interaction; and emotional/informational support. Factors associated with perceived social support were: living arrangements; family income; perceived sufficiency of income; marital status; health self-assessment; comorbidity; and polypharmacy


OBJETIVO: Analisar os fatores associados ao apoio social percebido pelo idoso com câncer. METODOLOGIA: Trata-se de um estudo seccional analítico realizado com uma amostra por acessibilidade de 134 idosos atendidos num hospital de referência para tratamento oncológico localizado em um município da Região Sul do estado de Minas Gerais. A coleta de dados foi feita por meio de entrevista e análise de prontuário. Para a avaliação do apoio social, utilizou-se a escala de apoio social do Medical Outcomes Study. Utilizaram-se os testes de Mann-Whitney e Kruskal-Wallis para análise de diferença de médias. A análise de associação foi feita por meio de regressão linear. RESULTADOS: A maior parte dos idosos com câncer avaliados era do sexo masculino, com idade entre 60 e 74 anos e referiram elevados escores médios de apoio material, afetivo, interação social positiva e apoio emocional/informação. Os fatores associados positivamente ao apoio social foram: não morar sozinho, renda de um a três salários mínimos, possuir companheiro, avaliar a saúde como boa/muito boa e presença de comorbidade. Já os fatores associados negativamente foram: percepção de renda muito ruim/ruim e uso de polifarmácia. CONCLUSÕES: Os idosos referiram elevados escores médios de apoio material, afetivo, interação social positiva e apoio emocional/informação. Os fatores associados à percepção de apoio social foram: arranjo domiciliar, renda familiar e percepção de suficiência de renda, situação conjugal, autoavaliação de saúde, comorbidade e polifarmácia.

17.
Article in English | LILACS-Express | LILACS | ID: biblio-1349334

ABSTRACT

OBJECTIVES: To investigate the effect of frailty on 1-year mortality in long term-care facility (LTCF) residents. METHODS: This was a prospective cohort study with survival analysis of 209 participants living in 15 Brazilian LTCFs. Data on chronic diseases, age, sex, medication use, dependence in activities of daily living (ADLs; Katz index), and frailty (FRAIL scale) were collected at baseline, and death after 1 year was the outcome measure. Kaplan-Meier estimate and log-rank test were used to analyze the survival of residents. RESULTS: In the initial assessment, 65.07 of the residents were women, and the median age was 82 (interquartile range, 71­88) years, with 55% being over 80 years old. Overall, 88% had 2 or more diseases, 59.81% were using 5 or more medications, 42.11% were considered frail, 34.92% pre-frail, and 22.97% robust, and 69.94% were dependent in 3 or more ADLs. During the 12-month follow-up, 19.61% of the residents (n=41) died. In the survival analysis for death, there was a statistically significant association with frailty (p=0.03) and dependence in ADLs (p=0.04). CONCLUSIONS: In this population of LTCF residents, frailty and functional dependence were associated with death.


OBJETIVOS: Investigar o efeito da fragilidade na mortalidade em 1 ano em residentes de instituições de longa permanência para idosos (ILPIs). METODOLOGIA: Estudo de coorte prospectivo com análise de sobrevivência de 209 participantes residentes em 15 ILPIs brasileiras. Dados sobre doenças crônicas, idade, sexo, uso de medicamentos, dependência nas atividades da vida diária (AVDs; índice de Katz) e fragilidade (escala FRAIL) foram coletados no início do estudo, e morte após 1 ano foi a medida de desfecho. A estimativa de Kaplan-Meier e o teste de log-rank foram usados para analisar a sobrevida dos residentes.. RESULTADOS: Na avaliação inicial, 65,07% dos residentes eram mulheres e a mediana da idade era de 82 (intervalo interquartil, 71­88) anos, 55% com mais de 80 anos. Em geral, 88% tinham 2 ou mais doenças, 59,81% usavam 5 ou mais medicamentos, 42,11% foram considerados frágeis, 34,92% pré-frágeis e 22,97% robustos e 69,91% eram dependentes em 3 ou mais AVDs. No decorrer do seguimento de 12 meses, 19,61% dos residentes (n =41) evoluíram para óbito. Na análise de sobrevivência para evento morte, houve associação estatisticamente significativa com fragilidade (p=0,03) e dependência para AVDs (p=0,04). CONCLUSÕES: Nesta população de residentes de ILPIs, fragilidade e dependência funcional estiveram associadas ao óbito.

18.
Cad. saúde colet., (Rio J.) ; 29(spe): 59-72, 2021. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1364660

ABSTRACT

RESUMO Introdução No Brasil, o envelhecimento populacional impõe desafios à sociedade, entre os quais está o cuidado do idoso centrado na família. A ampliação da longevidade e as mudanças nos arranjos familiares aumentam a necessidade do cuidado formal. Objetivo Caracterizar o perfil do idoso não institucionalizado com incapacidade funcional, analisando o recebimento de ajuda no âmbito domiciliar, além de mensurar o déficit de ajuda na realização de pelo menos uma das atividades básicas da vida diária (ABDV). Método Os dados são provenientes da Pesquisa Nacional de Saúde de 2013. Utilizou-se da análise descritiva e dos modelos de regressão logística. Resultados Os resultados mostraram que 17% dos idosos relataram alguma dificuldade em realizar pelo menos uma das ABVD. A incapacidade foi maior entre os idosos com menores níveis de riqueza, menos escolarizados e com morbidades. Entre aqueles com incapacidade funcional, 10% relataram não receber ajuda, sendo essa chance maior entre os mais pobres, morando sozinhos e mulheres. Apenas 6% dos idosos com incapacidade funcional recebiam ajuda por meio de um cuidador formal, sendo mais expressivo entre os idosos com ensino superior completo e riqueza mais elevada. Conclusão Esses resultados refletem a importância do poder aquisitivo para a contratação do cuidado formal que é de elevado custo.


ABSTRACT Background In Brazil, population aging poses major challenges for society. Among them is the family-centered care provided to older people. Extending longevity and changes in family arrangements increase the need for formal care. Objective To characterize the profile of non-institutionalized older people with functional disability, analyzing the care provided to them at the household level, and measure the deficit in the care provided for at least one of the activities of daily living (ADL). Method The data were retrieved from the National Health Survey of 2013 (PNS 2013). Descriptive analysis and logistic regression models were used. Results The results showed that approximately 17% of the older people reported some difficulty in performing at least one ADL. Disability was higher among those with lower socioeconomic status (SES) and educational level and with morbidities. Among those with functional disability, 10% reported not receiving the care needed, and this proportion was higher among those who are poorer, live alone, and women. Only 6% of older people with functional disability was assisted by a formal caregiver, and this care was more expressive among those with complete higher education and higher SES. Conclusion These results highlight the importance of SES for hiring costly formal care.

19.
Texto & contexto enferm ; 30: e20200614, 2021. tab
Article in English | LILACS, BDENF | ID: biblio-1341741

ABSTRACT

ABSTRACT Objective: to analyze the relationship among sleep and sociodemographic aspects, health, frailty, performance in activities of daily living, cognitive performance and depressive symptoms of older residents in the community. Method: a cross-sectional, quantitative study was conducted with 81 older adults residents in the area covered by a Family Health Unit in the city of São Carlos (SP), Brazil. Data collection occurred in 2019, through the application of the following instruments: questionnaire for socioeconomic and health characterization of the older adult, Pittsburgh Sleep Quality Index, Frailty Phenotype proposed by Linda Fried, Mini Mental State Examination, Geriatric Depression Scale, Katz Index and Lawton Scale. Participants were divided into comparative groups according to sleep quality scores. Fisher's exact and Pearson's χ2 were used. A significance level of 5% was adopted. Results: 50.6% of the older adults had poor quality sleep (n=41), followed by 33.3% of older adults with good quality sleep (n=27) and 16.1% had sleep disorders (n=13). There was a relationship between sleep quality and sex (p=0.008), work status (p=0.001), self-assessment of health (p=0.013), falls (p=0.034), pain (p=0.012), frailty level (p=0.026) and the slow gait criterion (p<0.001). Conclusion: there was a higher prevalence of poor quality sleep and sleep disorders in older patients, who do not work outside the home, who evaluated their health as regular or poor, who suffered falls in the last year and who complained of pain, frailty and slow gait.


RESUMEN Objetivo: analizar la relación entre sueño y aspectos sociodemográficos, salud, fragilidad, desempeño en actividades de la vida diaria, desempeño cognitivo y síntomas depresivos en adultos mayores residentes en comunidad. Método: estudio transversal, cuantitativo, realizado con 81 adultos mayores residentes en el área de cobertura de una Unidad de Salud de la Familia en la ciudad de São Carlos (SP), Brasil. La recolección de datos se llevó a cabo en 2019, mediante la aplicación de los siguientes instrumentos: cuestionario para la caracterización socioeconómica y de salud del adulto mayor, Índice de Calidad del Sueño de Pittsburgh, Fenotipo de Fragilidad propuesto por Linda Fried, Mini Examen del Estado Mental, Escala de Depresión Geriatríca, Índice de Katz y Escala de Lawton. Los participantes se dividieron en grupos comparativos según las puntuaciones de calidad del sueño. Se utilizaron la exacta de Fisher y la χ2 de Pearson. Se adoptó un nivel de significancia del 5%. Resultados: el 50,6% de los adultos mayores tenía mala calidad del sueño (n=41), seguido por el 33,3% de los ancianos con buena calidad de sueño (n=27) y el 16,1% con trastornos del sueño (n=13). Hubo relación entre la calidad del sueño y el género (p=0,008), situación laboral (p=0,001), salud autoevaluada (p=0,013), caída (p=0,034), dolor (p=0,012), nivel de fragilidad (p=0,026) y el criterio de lentitud de la marcha (p <0,001). Conclusión: hubo una mayor prevalencia de sueño de mala calidad y trastornos del sueño en mujeresmayores, que no trabajan fuera del hogar, que calificaron su salud como regular o mala, que sufrieron caídas en el último año, que se quejaron de dolor, frágil y lentitud de la marcha.


RESUMO Objetivo: analisar a relação entre sono e aspectos sociodemográficos, de saúde, fragilidade, desempenho em atividades de vida diária, desempenho cognitivo e sintomas depressivos de idosos residentes na comunidade. Método: estudo transversal, quantitativo, realizado com 81 idosos residentes na área de abrangência de uma Unidade de Saúde da Família do município de São Carlos (SP), Brasil. A coleta de dados ocorreu em 2019, mediante a aplicação dos seguintes instrumentos: questionário para caracterização socioeconômica e de saúde do idoso, Índice de Qualidade do Sono de Pittsburgh, Fenótipo de Fragilidade proposto por Linda Fried, Mini Exame do Estado Mental, Escala de Depressão Geriátrica, Índice de Katz e Escala de Lawton. Os participantes foram divididos em grupos comparativos segundo os escores de qualidade do sono. Foram utilizados Exato de Fisher e χ2 de Pearson. Adotou-se nível de significância de 5%. Resultados: 50,6% dos idosos apresentaram sono de má qualidade (n=41), seguidos de 33,3% de idosos com sono de boa qualidade (n=27) e 16,1% com distúrbios do sono (n=13). Houve relação entre qualidade do sono e sexo (p=0,008), situação laboral (p=0,001), autoavaliação de saúde (p=0,013), queda (p=0,034), dor (p=0,012), nível de fragilidade (p=0,026) e o critério lentidão da marcha (p<0,001). Conclusão: houve maior prevalência de sono de má qualidade e de distúrbios do sono em mulheres idosas, que não trabalham fora de casa, que avaliaram a sua saúde como regular ou ruim, que sofreram quedas no último ano, que se queixaram de dor, frágeis e com lentidão da marcha.


Subject(s)
Humans , Aged , Aged, 80 and over , Sleep , Sleep Wake Disorders , Aged , Health of the Elderly , Social Vulnerability
20.
Article in English | WPRIM | ID: wpr-880328

ABSTRACT

BACKGROUND@#Life-space mobility is reflected in comprehensive longevity and health outcomes and is also an important indicator for preventing mortality and decline in well-being among older people. However, a comprehensive framework of life-space mobility and modifiable individual and environmental factors has not been well validated among community-dwelling independent older people, for primary prevention. We examined individual and environmental factors affecting life-space mobility among community-dwelling independent older people.@*METHODS@#This cross-sectional study included 3500 community-dwelling independent older people randomly selected using the National Basic Resident Registration System in Japan. Life-space mobility was measured using the Japanese version of the Life-Space Assessment (LSA) instrument, which is used to assess an individual's pattern of mobility. Negative multivariate binomial regression analysis was performed in a final sample of 1258 people. Individual factors (including physical, mental, and social characteristics) and environmental factors (including the social and material environment) were measured and analyzed as potential factors.@*RESULTS@#Negative multivariable binomial regression analysis, adjusted for demographics, showed that LSA score was associated with locomotive syndrome (β = - 0.48, 95% confidence interval [CI] = - 0.24 to - 0.73), depression (β = - 0.29, 95% CI = - 0.03 to - 0.55), health literacy (β = 0.20, 95% CI = 0.39-0.01), and participation in community activities (β = 0.23, 95% CI = 0.03-0.43) among individual factors, and receipt of social support (β = - 0.19, 95% CI = 0.00 to - 0.38) and social network (β = 0.29, 95% CI = 0.48-0.10) among environmental factors.@*CONCLUSIONS@#Our findings suggest that modifiable individual factors and environmental factors are related to life-space mobility among community-dwelling older people.


Subject(s)
Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Independent Living/statistics & numerical data , Japan , Male
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