Functional disability and associated factors in elderly stroke survivors in Vitória, Brazil

Abstract

Objective: The aim of the present study was to estimate the prevalence of disability and associated factors in elderly stroke survivors. Methods: A cross-sectional study of 230 elderly persons was conducted in the 22 territories of the Estratégia de Saúde da Família (the Family Health Strategy) of Vitória, in the state of Espirito Santo. Patients were assessed using the modified Rankin Scale. Poisson regression with robust variance in crude and adjusted analyses was employed. Results: The majority of subjects were men (52.1%) aged between 60 to 98 years, with a mean age of 75.8 (sd±9.2). The prevalence of disability was 66%. Age ≥80 years, self-perceived limitations in bodily function, considering the physical structure of the street to be a barrier to leaving home and believing street lighting to be insufficient were positively associated with functional disability. Possessing 12 or more years of schooling was inversely associated with the outcome. Conclusions: The high prevalence of disability and associated factors in elderly stroke survivors reinforce the need for a health system that operates continuously and proactively, promoting active aging.

Functional capacity of diabetic older adults living in a municipality in Northeastern Brazil

“…In addition, national and international studies have found high prevalence rates of functional disability in diabetic older adults after a cerebrovascular event (Carmo et al, 2016;Dutra et al, 2017). This relationship is explained by the vascular damage caused by diabetes itself and other lifestyle factors which, when combined, predispose older adults to higher levels of systemic inflammation and damages to the integrity of the various organs, thereby compromising functional capacity (Rekeneire & Volpato, 2015).…”

Implicações da saúde bucal na esfera funcional de idosos brasileiros

“…O declínio funcional inicia por volta da terceira década de vida, obtendo velocidade com o passar dos anos 5,14 , e se intensifica significativamente para os octogenários e mais longevos, como evidenciado na Tabela 3. O processo natural de envelhecimento somado à carga das doenças e às situações evidenciadas ao longo dos anos contribuem para o agravamento dos quadros de DF 15 , para ambos os agrupamentos (ABVD e AIVD).…”

<b>O cuidado da pessoa idosa na atenção primária à saúde sob a ótica dos profissionais de saúde / Elderly care in primary health care from the perspective of health professionals<b>

“…Dados de pesquisa identificaram a "vulnerabilidade no saber cuidar do idoso por parte da família" e que, com a diminuição da independência e da capacidade funcional, a família delega a responsabilidade aos cuidadores e instituições (11) . Inclusive, há situações em que o aparecimento de doenças incapacitantes e suas sequelas dificulta ainda mais o cuidado no contexto familiar, situação esta, muitas vezes, atendida nas visitas domiciliares (12,13) .…”