Functional disability and morbidities among the elderly people, according to socio-demographic conditions and indicative of depression

Agreli, Bárbara Ferreira; Dias, Flávia Aparecida; Ferreira, Pollyana Cristina dos Santos; Gomes, Nayara Cândida; Tavares, Darlene Mara dos Santos

doi:10.17533/udea.iee.v35n1a06

Cited by 9 publications

(6 citation statements)

References 21 publications

(43 reference statements)

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“…In the multivariate analysis, the mood functional system did not show a significant association with greater dependence, diverging from other Brazilian studies with larger samples of older people in the community that employed the Lawton and Brody, Katz, and the reduced Geriatric Depression scales ( 46 - 47 ) . However, we emphasize the importance of professionals to intervene early, enabling family members to be alert to depression symptoms and to communicate to the health care team, to minimize dependence on the performance of functional capacity and impact on morbidities in the older adult ( 46 ) .…”

Section: Discussioncontrasting

confidence: 99%

Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care

Predebon¹,

Ramos

Pizzol

et al. 2021

Rev. Latino-Am. Enfermagem

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Objective: to analyze the association of global functionality with the main functional systems and the sociodemographic variables of older adults followed by Home Care in Primary Health Care. Method: a cross-sectional study with 124 older people developed through home interviews. Functionality was assessed by Basic Activities of Daily Living (Barthel) and Instrumental Activities of Daily Living (Lawton and Brody); the main functional systems were assessed using the Mini-Mental State Exam, by the Timed Up and Go test, by the Geriatric Depression Scale (15 items), and questionnaire with sociodemographic variables. Bivariate and multivariate analyses were applied (Poisson Regression). Results: 46% of the older adults showed moderate/severe/total dependence for basic activities and instrumental activities had a median of 12. In the multivariate analysis, there was an association between moderate/severe/total dependence on basic activities with cognitive decline (p=0.021) and bedridden/wheelchair users (p=0.014). Regarding the dependence on instrumental activities, there was an association with age ≥80 years (p=0.006), single/divorced marital status (p=0.013), cognitive decline (p=0.001), bedridden/wheelchair (p=0.020), and Timed Up and Go ≥20 seconds (p=0.048). Conclusion: the decline in cognitive and mobility was associated with poor functionality in basic and instrumental activities. The findings highlight the need to monitor Home Care for these individuals and serve as guidelines for health actions.

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Section: Discussioncontrasting

confidence: 99%

Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care

Predebon¹,

Ramos

Pizzol

et al. 2021

Rev. Latino-Am. Enfermagem

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“…In Mexico, women are responsible for tasks at home even if they have to work and men participate less in daily activities in the home. With respect to basic and instrumental activities activities of daily living, participants are mostly independent although in lower proportion in the instrumental activities, data that confirms results, (24) and similar to the literature, some women present problems of incontinence. (9) Only a fifth part reported symptoms of depression; both men and women in similar proportion, a result that agrees with studies conducted in Latin American older adults.…”

Section: Resultssupporting

confidence: 88%

Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model

et al. 2018

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“…Similar to previous studies, the risk of disability was found to progressively increase with the increasing number of morbidities in this study [2,[23][24][25]. It is increasingly evident that multimorbidities have a greater impact on functional disability than individual morbidities, indicating an additive or synergistic effect of various combinations of morbidities on disability [26][27][28].…”

Section: Discussionsupporting

confidence: 88%

A Community-Based Study on Functional Disability and Its Associated Factors Among Elderly Individuals in a Rural Setting in Northeastern India

Medhi¹,

Visi²,

Bora³

et al. 2021

Cureus

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Background Functional disability in older adults is common and adversely impacts the quality of life. Given the paucity of population-based data, the present analysis attempted to determine the prevalence and factors associated with functional disability in basic activities of daily living (ADLs) among the elderly population in a rural setting of Northeastern state of India Methods A total of 430 elderly were recruited in a population-based cross-sectional study among elderly individuals (≥60 years) during the period 2013-2016 in rural areas of the Dibrugarh district of Northeastern India. The Barthel index was used to measure ADL. Anyone with a Barthel index score <100 (or having limitations in one or more ADL items) were considered as having a functional disability. The analysis of variance (ANOVA) test and the binary logistic regression analysis were used to examine the factors associated with functional disability. Results Overall, 43.7% % (Male 42.9%, Female 44.5%) of the participants had a functional disability. Increasing age, being widowed, having no formal education, being underweight (body mass index (BMI)<18.5 kg/m 2), and increasing numbers of morbidities were significantly associated with functional disability among the elderly in this study in age and gender-adjusted logistic regression analysis. Being ≥80 years was associated with a threefold greater risk (OR=31.72, 95% CI=1.3-6.91) of functional disability than the youngest age group (60-69 years). On the other hand, the presence of more than five morbidities was associated with a nearly 20 times increased risk (OR=19.61, 95% CI=9.01-42.68) than those with zero to two morbidities. Conclusion A high proportion of the rural elderly residents of Dibrugarh had a functional disability. The study provides epidemiological evidence of the risk factors of functional disability in this setting. This epidemiological information may be useful for developing prevention strategies to reduce the burden of functional disability.

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Functional disability and morbidities among the elderly people, according to socio-demographic conditions and indicative of depression

Cited by 9 publications

References 21 publications

Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care

Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care

Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model

A Community-Based Study on Functional Disability and Its Associated Factors Among Elderly Individuals in a Rural Setting in Northeastern India

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