Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

Abstract

<jats:p>ABSTRACT: Objective: The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly. Methods: A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression. Results: There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities. Conclusion: Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.</jats:p>

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

“…20 These two aspects are also involved in the occurrence of falls. 4,5,8,9,12 The fact that only the number morbidities was associated with falls in this group suggests that the effect of excess abdominal fat on the expression of morbidities seems to be a more important risk factor than other variables.…”

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.…”

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.Obesity is a common condition in the elderly population and is associated with higher morbidity and mortality, risk of institutionalization, and poorer quality of life. 20 Additionally, advanced age is one of the main factors associated with falls.…”

Functional capacity: association with risk for falls, fear of falling and pain in the elderly

“…Outro achado desta pesquisa consiste no fato de que os idosos com baixo risco para quedas apresentam maior independência nas Atividades Instrumentais de Vida Diárias, o que vai ao encontro do que a literatura evidencia sobre o comprometimento nas AVDs e AIVDs estar associado à dependência, à fragilidade, ao aumento do risco de quedas, problemas de mobilidade e institucionalização precoce (19) . Contudo, causa inquietação a questão de os idosos relatarem pouca preocupação em cair.…”

Walking speed and home adaptations are associated with independence after stroke: a population-based prevalence study

“…Overall, eight potential factors were associated with independence to perform activities of daily living, in grouped analyses: two sociodemographic factors (education and marital status), two health-related factors (walking speed and physical activity), two health services factors (hospitalizations and medical visits), and two environment assistance factors (home adaptations and use of walking devices) (Table 2). In addition, age (p = 0.25) and falls in the past 12 months (p = 0.22), which were marginally associated with independence and previously suggested as important factors associated with independence 23 , were also included in the fully adjusted model.…”