Functional performance of the elderly in instrumental activities of daily living: an analysis in the municipality of São Paulo, Brazil

Abstract

The changes that occur during aging are accompanied by limitations in functional performance that impair elderly people's social participation and consequently harm their quality of life. In the SABE Study (São Paulo, Brazil), the results indicated relationships between life expectancy without disabilities and demographic and social variables. This article sought to evaluate these and other variables together as explanatory factors for the presence or absence of difficulties in instrumental activities of daily living (IADL), directly related to the possibility of more efficient community participation. Five of the eight questions relating to IADL that were applied to the sample of 2,143 elderly individuals in the municipality of São Paulo in 2000 were considered. Odds ratios were calculated using logistic regression. All the socio-demographic variables analyzed (age, income, ethnicity, schooling, and gender) were significant, with the exception of "sufficient money". All the variables in the "health" group (one or two or more diseases reported, and depression) were also significant. The two other variables that entered the model were physical activity and alcohol consumption.

Autopercepção positiva de saúde em idosos: estudo populacional no Sul do Brasil

“…Previous studies found an association between diseases 44 and negative self-rated health 3,17 (the more the diseases, the higher the prevalence of negative self-rated health). Elderly with three or more diseases present worse quality of life 45,46 , worse health conditions 45 , and more difficulty in performing ADL and consequently worse functional capacity 45 . These elements may lead older individuals with 3 or more diseases to rate their health less optimistically.…”

“…Greater difficulty in performing ADL is known to lead to worse functional capacity 45 , negatively impacting quality of life in the elderly 47 . In addition, dependence in ADL interferes in the social activities in which the elderly participate, such as attending church, visiting friends 46 , and attending social groups, among others. This may explain the lower prevalence of positive self-rated health in more dependent elderly.…”

Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study

“…[43][44][45][46][47][48][49][50][51][52][53][54][55][56] Guralnik et al 51 studied 1,122 elderly individuals and also found that the subjects with higher LLMS evaluated through FTSST presented greater functional independence, a conclusion that was obtained after four years of study. The study by Rosa et al 47 which investigated the determining factors of functional independence among elderly individuals, identified that females and individuals with advanced age presented greater probability of developing functional dependence (P < 0.001).…”

Satisfação com saúde bucal de idosos brasileiros: um estudo de gênero com modelo hierárquico

“…O cálculo amostral foi realizado para comparação entre gêneros considerando-se a prevalência de capacidade funcional para atividades instrumentais nos gêneros masculino (86,6%) e feminino (72,9%) 20 . O erro estimado foi de até cinco pontos porcentuais, poder de teste de 80%, com intervalos de 95% de confiança (IC95%), considerando um efeito de delineamento de dois.…”