Resumo Este estudo objetivou comparar as condições de saúde e a sobrecarga de cuidadores formais e informais de idosos. Estudo observacional, seccional, comparativo com coleta em 2014, em São Carlos/SP, utilizando-se os instrumentos Escala de Sobrecarga de Zarit e SRQ 20 (Self Reporting Questionaire). A amostra, constituída de 15 cuidadores formais e 35 informais. Os formais, maioria mulheres (86,7%), média de 36,7 anos, escolaridade de 13,7 anos, carga horária de 7,5 horas diárias de trabalho, 26,7% com desconforto emocional e maior frequência, sentiram-se “um pouco sobrecarregados” (40%). Os informais, maioria mulheres (85,7%), 42,9% representados por filhos, média de 55,2 anos, escolaridade de 7,1 anos, tempo de cuidado de 6,5 anos, com 19,8 horas diárias no cuidado ao idoso, 17 (48,6%) apresentaram leve sobrecarga e 16 (45,7%) apresentaram desconforto emocional. Revelaram-se importantes diferenças e alertas para o planejamento de intervenções visando à melhoria nas condições de saúde e de trabalho destes indivíduos.

Objective: To evaluate the functional capacity, cognition and mood in three different care models for older adults. Method: A cross-sectional study conducted in 2014 with 140 older adults (37 institutionalized, 53 hospitalized and 50 outpatients). The MMSE, Clock Drawing Test (CDT), Activities of Daily Living Scale -ADLs (Katz, Lawton) and the Geriatric Depression Scale (GDS) were applied. Results: Of those institutionalized, the majority were totally dependent for ADLs and 100% presented cognitive decline. Of those hospitalized and the outpatients, the majority were independent for ADLs, with 62.3% and 48.0% presenting cognitive decline, respectively. The minority presented depressive symptoms. The results indicated that age was a predictor of cognitive decline and the likelihood of prevalence in hospitalized and outpatient older adults increased by 8.7% for each year of life. Conclusion: It is important to pay attention to the cognitive and functional performance of older adults with the aim of preventing their decline, which is so frequent in the public health services in Brazil.Keywords: Older adult; Daily Activities; Cognition. resumen Objetivo: Evaluar la capacidad funcional, cognitiva y el estado de ánimo en tres modelos diferentes de la atención a las personas mayores. Método: Estudio transversal comparativo realizado en el año 2014 con 140 ancianos (37 institucionalizados, 53 hospitalizados y 50 ambulatorios). Aplicado el MMSE, test del reloj, Actividades de la Vida Diaria Escala (Katz, Lawton) y Escala de Depresión Geriátrica. Resultados: El institucionalizada, la mayoría totalmente dependiente para ADL y el 100% tenían deterioro cognitivo. En hospitales y clínicas, muchos independiente para ADL, con el 62,3% y el 48% con el deterioro cognitivo, respectivamente, la minoría tenía síntomas depresivos. Los resultados indicaron que la edad es un predictor de deterioro cognitivo y las posibilidades de prevalencia en hospitalizados y ambulatorios ancianos aumento del 8,7% por cada año de vida. Conclusión: Cabe destacar la importancia de dar atención al rendimiento cognitivo y funcional de las personas mayores a la prevención disminución de éstos, tan frecuentes en los servicios de salud pública en Brasil.

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Objective to correlate socio-demographic and health variables of elderly people of different age groups with frailty. Method this is a quantitative, cross-sectional study conducted with 50 elderly individuals seen at a Gerontology Outpatient Clinic in the interior of São Paulo. Socio-demographic and health data were collected, including: frailty, cognitive performance, dependence on Basic and Instrumental Activities of Daily Living, and depressive symptoms. For data analysis, the Spearman correlation test was used. Results there was a predominance of women, with a mean age of 79.4 (±9.4) years and low education. A total of 58.3% of the elderly aged between 60 and 79 years and 84.6% of those above 80 years were considered frail. In the first group, there was a correlation between frailty and a higher number of medications, worse cognitive performance, and dependence on Basic and Instrumental Activities of Daily Living. In the oldest old, frailty correlated with a greater number of morbidities, worse cognitive performance, and dependence on Basic and Instrumental Activities of Daily Living. Conclusion and implications for practice the correlations found allow the establishment of measures to improve the planning of actions aimed at outpatient care, enabling the organization of prevention and intervention priorities.

ABSTRACT. It is important to assess the prevalence of risk factors for dementia to slow down the progression and evolution of the disease, and to support interventions and prevention programs. Objective: We aimed to evaluate the prevalence of these factors in individuals registered in Primary Health Care in Brazil and their relationship with sex and age group. Methods: This was a cross-sectional and quantitative study with n=300 individuals. We evaluated the prevalence of main risk factors (low education, hearing loss, high blood pressure, obesity, smoking, depression, physical inactivity, social isolation, and diabetes mellitus) and others (poor diet, alcohol use, head trauma, monolingualism, visual impairment, and sleep disorders) identified in the literature. Poisson regression was used, according to sex and age group (45-59 years/60+ years). Results: The main risk factors with the highest prevalence were physical inactivity (60.3%) and depressive symptoms and hypertension (56.7% each). Among the other factors, monolingualism (98.0%), visual impairment (84.7%), and irregular consumption of fruits (60.4%), and vegetables (53.5%) prevailed. No differences were identified between sexes. The regression analysis confirmed a significant difference for education and age group, with older individuals having a higher prevalence of low schooling. Conclusion: The results can guide interventions, especially in developing countries. Practice of physical activity and healthy eating should be the focus of these interventions as they can indirectly help in reducing the prevalence of other factors. Early identification, screening and adequate treatment of depressive symptoms, high blood pressure and visual impairment can also contribute to reducing the prevalence of dementia.