This study analyzed self-rated health in the elderly according to demographic, socioeconomic, and health-related behavior. This was a cross-sectional, population-based study with a cluster sample using data from a survey in Campinas, São Paulo State, Brazil (ISACamp 2008-2009

Resumo A prevalência da simultaneidade de doenças específicas nos idosos ainda é pouco descrita na literatura. O objetivo do estudo foi estimar a prevalência simultânea de hipertensão arterial e diabetes mellitus em idosos brasileiros, e os fatores contextuais e individuais a ela associados. Estudo transversal de base populacional com idosos (≥ 60 anos) entrevistados pelo Vigitel em 2012 (n = 10.991). As análises foram realizadas por meio de regressão de Poisson multinível no Stata 12. A média de idade dos idosos foi de 69,4 anos e a prevalência simultânea das doenças foi de 16,2% com variação nas capitais brasileiras. Em São Paulo e Curitiba as prevalências foram mais elevadas do que em Boa Vista e Manaus. Maiores prevalências foram observadas nas capitais das regiões Sul/Sudeste/Centro-Oeste, nos idosos de cor preta e parda, naqueles com escolaridade ≤ 8 anos de estudo, nos não fumantes e ex-fumantes, e com excesso de peso. Verificou-se o efeito da região geográfica na prevalência simultânea pela elevação de 23,5% na magnitude da razão de prevalencia, após ajuste para todas as variáveis individuais. Por meio do estudo, foi possível dimensionar o efeito do contexto onde estão inseridos os idosos (região de residência) sobre a prevalência das principais doenças que acometem e relacionam-se à mortalidade na população idosa na atualidade.

OBJECTIVE To analyze the association between negative self-rated health and indicators of health, wellbeing and sociodemographic variables in older adults.METHODS Cross-sectional study that used data from a population-based health survey with a probability cluster sample that was carried out in Campinas, SP, Southeastern Brazil,, in 2008 and 2009. The participants were older adults (≥ 60 years) and the dependent variable was self-rated health, categorized as: excellent, very good, good, bad and very bad. The adjusted prevalence ratios were estimated by means of Poisson multiple regression.RESULTS The highest prevalences of bad/very bad self-rated health were observed in the individuals who never attended school, in those with lower level of schooling, with monthly per capita family income lower than one minimum salary. Individuals who scored five or more in the physical health indicator also had bad self-rated health, as well as those who scored five or more in the Self-Reporting Questionnaire 20 and those who did not refer feeling happiness all the time.CONCLUSIONS The independent effects of material life conditions, physical and mental health and subjective wellbeing, observed in self-rated health, suggest that older adults can benefit by health policies supported by a global and integrative view of old age.

No abstract

Os objetivos foram investigar indicadores psicométricos de validade de nova versão da CASP-19 para brasileiros com 55 anos e mais e estudar relações entre pontuações na escala e sexo, idade, escolaridade e status conjugal. Trezentos e sessenta e oito frequentadores de programas educacionais para a 3ª idade responderam à CASP-19 (controle, autonomia, autorrealização e prazer), traduzida e adaptada do inglês por cinco especialistas e testada em 19 mulheres (α = 0,730). Os dados foram submetidos a análises fatoriais exploratórias (AFE) e confirmatórias (AFC) pelo método de equações estruturais para variáveis latentes; de consistência interna e de correlação com instrumentos de conteúdo similar. Foram comparadas as pontuações dos grupos de sexo, idade, escolaridade e status conjugal. AFC produziram modelo com 19 itens e 2 fatores (autorrealização/prazer e controle/autonomia), com bons índices de ajustamento (GFI = 0,8; AGFI = 0,7606; CFI = 0,7241; NNFI = 0,6876; SRMR = 0.0902; RMSEA = 0,0928; IC90%: 0,0827-0,1031). Os α de Cronbach foram 0,837 para o fator 1 e 0,670 para o 2; 0,874 na escala total para os de 9 anos ou mais de escolaridade, 0,834 para os de 5 a 8 anos e 0,772 para os de 1 a 4 anos. Foram observadas correlações altas e significativas com os escores em escalas de satisfação e felicidade subjetiva. Homens tiveram pontuação mais alta em autorrealização/prazer do que mulheres; os mais velhos e os mais escolarizados, pontuação mais baixa em controle/autonomia; os sem cônjuge, mais alta em controle/autonomia. A nova versão da CASP-19 foi eficaz para avaliar a qualidade de vida percebida em indivíduos de 55 anos e mais, residentes nas regiões Sudeste, Sul e Nordeste do país.

OBJECTIVE To identify factors associated with perceived quality of life in a representative national sample of the population aged 50 or over.METHODS Data from 7,651 participants of the baseline ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between 2015 and 2016, were used. The perceived quality of life was measured by the CASP-19 scale - (CASP - control, autonomy, self-fulfillment and pleasure), considering the highest tertile as good quality of life. The independent variables included socio-demographic characteristics, mobility, loneliness, and indicators of sociability (social network, social support and social participation). The associations were tested using multivariate Poisson regression.RESULTS The best perceived quality of life showed a positive and independent association with the frequency of contacts with friends (PR = 1.25 for at least once every 2–3 months and PR = 1.36 for at least once a week), instrumental support from spouse or partner in the household (PR = 1.69), and emotional support from other relatives (PR = 1.45), children or children in law (PR = 1.41) and spouse or partner (PR = 1.33). Negative associations were observed for participants aged 80 and over (RP = 0.77), with 4 to 7 or 8 or more years of schooling (PR = 0.78 and 0.75, respectively) and with difficulty in mobility (PR = 0.83).CONCLUSIONS In addition to age and schooling, mobility, sociability and instrumental and emotional support are associated with perceived quality of life among older Brazilian adults. These characteristics must be considered when actions are taken, aiming to promote quality of life in this population.

OBJECTIVE The objective of this study is to identify factors associated with mortality, with emphasis on gender and age differences.METHODS This is a cross-sectional study, which uses data from the FIBRA-2008-2009 network in Campinas, State of São Paulo, Brazil, with information on non-institutionalized residents of the urban area and the Mortality Information System. The dependent variable has been death, in 2013. The associations have been tested by odds ratio (OR) and their 95% confidence intervals, and the analyses have been conducted using the program Stata 12.0.RESULTS Average age has been 72.3 years, 69.3% have been women, and 8.9% have died. We have found greater OR for mortality in individuals aged ≥ 75 years, classified as pre-frail or frail, and in those who have reported heart disease.CONCLUSIONS In this study, the analysis of specific subgroups has allowed us to better understand the relationship between the factors associated with death in the elderly. With the exception of age, strategies based on primary and secondary care, focused on priority groups, can have a positive impact on the reduction of mortality among the elderly.

Background: The link between sarcopenia and cognitive impairment has not yet been thoroughly evaluated, especially among older adults. Objective: To evaluate the relationship between probable sarcopenia and cognitive impairment among community-dwelling older adults in two Brazilian cities. Methods: Probable sarcopenia was assessed using the EWGSOP2 (2018) criteria. Thus, participants were classified as probably having sarcopenia if they had SARC-F (Strength, Assistance in walking, Rise from a chair, Climb stairs and Falls) ≥4 points and low grip strength. Cognitive function was evaluated through the Mini-Mental State Examination (MMSE), verbal fluency (VF) and clock drawing test (CDT). Results: In a sample of 529 older adults (mean age 80.8±4.9 years; mean education 4.2±3.67 years; 70.1% women), 27.3% of the participants had SARC-F≥4, 38.3% had low grip strength and 13.6% were classified as probable sarcopenia cases. After adjusting for possible confounders (age, sex, education, depression, diabetes, hypertension, leisure-time physical activity and obesity), probable sarcopenia was found to be associated with impairment in the MMSE (OR 2.52; 95%CI 1.42‒4.47; p=0.002) and in VF (OR 2.17; 95%CI 1.17‒4.01; p=0.014). Low grip strength was found to be associated with impairment in the MMSE (OR 1.83; 95%CI 1.18‒2.82; p=0.006) and in the CDT (OR 1.79; 95%CI 1.18‒2.73; p=0.006). SARC-F scores were found to be associated with impairment in the MMSE (OR 1.90; 95%CI 1.18‒3.06; p=0.008). Conclusion: The results suggested that probable sarcopenia and its components present a significant association with cognitive deficits among community-dwelling older adults. Future longitudinal studies will further explore the causal relationship.