The Brazilian Longitudinal Study of Aging (ELSI-Brazil): Objectives and Design

Lima‐Costa, Maria Fernanda; Andrade, Fabíola Bof de; Souza, Paulo Roberto Borges de; Néri, Anita Liberalesso; Duarte, Yeda Aparecida de Oliveira; Castro-Costa, Érico; Oliveira, César de

doi:10.1093/aje/kwx387

Cited by 214 publications

(266 citation statements)

References 44 publications

(60 reference statements)

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“…36 In addition, prevalence of diabetes and hypertension has been estimated to be 15.8% and 63.2%, respectively. 36 It is very clear that factors other than oral health can influence the quality of life of older people, and these factors could also be impacted by oral disabilities. Therefore, future surveys should also consider analysis of general health together with oral health and quality of life parameters.…”

Section: Discussionmentioning

confidence: 99%

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

et al. 2019

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Aim To investigate factors that influence the oral health‐related quality of life of older people (65 years and over) in Brazil. Background Population‐based studies should be conducted to support health‐planning interventions. Materials and methods Data from the São Paulo State Survey on Oral Health (SBSP‐2015), which consisted of 5951 individuals, were used. A theoretical‐conceptual model was built based on the impact of family socio‐economic characteristics, individual social‐demographic features and self‐perceived and clinical oral health status on the oral impact on daily performance (OIDP). Multivariate binary logistic regression analysis was conducted at 5% significance level. Statistically significant variables included within the adjusted logistic regression model entered the multiple correspondence analysis (MCA). Results Oral health impact on daily activities was observed in 34.6% of older people. Characteristics significantly related to impact on OIDP score were as follows: family income up to R$ 500 (OR = 2.73), self‐perceived treatment need (OR = 1.33), self‐perceived toothache (OR = 1.52), self‐perception of denture replacement need (OR = 1.27), dissatisfaction (OR = 1.50) or very dissatisfied (OR = 2.57) with own oral health, partial lower denture use (OR = 1.34) and needing partial lower dentures (OR = 1.28). Increased number of people living in the same house (B = 0.05, OR = 1.06), number of bedrooms in the house (B = −0.10, OR = 0.90), age (B = −0.03, OR = 0.97) and number of teeth needing treatment (B = 0.08, OR = 1.08) contributed significantly to OIDP. Conclusion Prevalence of OIDP of older people in the state of São Paulo was related to factors other than their clinical and self‐perceived oral health status.

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Section: Discussionmentioning

confidence: 99%

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

et al. 2019

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“…Aged populations have a higher prevalence of chronic diseases and disabilities, which generates challenges for the social and health systems 25 . To understand the relation between the receipt of pension and presence of one or more chronic diseases or functional disability, we need to consider the heterogeneity of the segment of older adults.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the receipt of pensions among older adults

et al. 2019

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OBJECTIVE To describe the prevalence of receipt of pensions and associated factors in a nationally representative sample of the Brazilian population aged 50 years and over.METHODS We used data from 9,130 participants from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) baseline survey. The outcome variable was receipt of pensions from any source. The exploratory variables were age, gender, residence by region and by urban/rural area, household arrangements, schooling, household assets, perception of income sufficiency, age when started working, number of chronic diseases, and functional limitation. The analyses were based on the Poisson and binary logistic regressions.RESULTS The prevalence of the receipt of pension was 54.3%. In the multivariate analysis, the following factors showed statistically significant (p < 0.05) associations with the outcome: age [Prevalence Ratio (PR) = 2.59 and 3.24 for 60–69 and 70 years], rural residence (PR = 1.23 ), residence in the Northeast, South and Southeast compared to the North (PR ranging from 1.18 to 1.23), living arrangements (PR = 1.07 and 1.15 for living with one person and living alone), perception of income sufficiency (PR = 1.08 and 1.15 for sometimes and always), functional limitation (PR = 1.13) and having 1 and ≥ 2 chronic diseases (PR = 1,09 and 1,17). Negative association was observed for 5-8 years of education. No association between age when the individual started working and the outcome was observed. Younger participants (50–59 years old) with ≥ 2 diseases or functional limitation were 31% and 63% more likely to receive pensions, respectively; the strength of these associations declined with age.CONCLUSIONS The results suggest that health conditions are important determinants of early retirement. Discussions to increase age to the retirement cannot be separated from those on improvements in the health conditions of the Brazilian population.

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“…Brazil is currently facing one of the fastest population aging processes in the world. However, contrary to what happened in more developed countries, the Brazilian demographic transition occurs in a context of unfavorable economic, social, and health conditions [1][2][3]. In a country where 84% of the population lives in urban areas, Brazilian older adults are particularly vulnerable to experience adverse health outcomes and disparities [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Such a fast-paced demographic shift determines multifaceted changes that are not fully understood. The far-reaching challenges that come with a large older population are particularly disquieting in low-and middle-income countries (LMICs), where health systems are often ill-prepared to cope with the increasing burden of chronic diseases and high disability-adjusted life expectancy [2,8]. Therefore, longitudinal studies are still necessary to investigate the social and biological determinants of aging and its consequences in LMICs [2].…”

Section: Introductionmentioning

confidence: 99%

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Saraiva

Rangel

Cunha

et al. 2020

Preprint

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Background: The demographic changes in Brazil as a result of population aging is one of the fastest in the world. The far-reaching new challenges that come with a large older population are particularly disquieting in low- and middle-income countries (LMICs). Longitudinal studies must be completed in LMICs to investigate the social and biological determinants of aging and the consequences of such demographic changes in their context. Therefore, we designed the Prospective GERiatric Observational (ProGERO) study, a longitudinal study of older adults in Brazil, to collect data both on healthy aging and chronic diseases, and investigate characteristics associated with adverse outcomes in this population. Methods: The ProGERO study takes place in a geriatric outpatient clinic in the largest academic medical center in Latin America. We performed baseline health examinations in 2017 and will complete subsequent in-person visits every three years when new participants will also be recruited. We will use periodic telephone interviews to collect information on the outcomes of interest between in-person visits. The baseline evaluation included data on demographics, medical history, physical examination, and comprehensive geriatric assessment (CGA; including multimorbidity, medications, social support, functional status, cognition, depressive symptoms, nutritional status, pain assessment, frailty, gait speed, handgrip strength, and chair-stands test). We used a previously validated CGA-based model to rank participants according to mortality risk (low, medium, high). Our selected outcomes were falls, disability, health services utilization (emergency room visits and hospital admissions), institutionalization, and death. We will follow participants for at least ten years.Results: We included 1,336 participants with a mean age of 82±8 years old. Overall, 70% were women, 31% were frail, and 43% had a Charlson comorbidity index score ≥3. According to our CGA-based model, the incidence of death in one year varied significantly across categories (low-risk=0.6%; medium-risk=7.4%; high-risk=17.5%; P<0.001).Conclusion: The ProGERO study will provide detailed clinical data and explore the late-life trajectories of community-dwelling older patients during a follow-up period of at least 10 years. Moreover, the study will substantially contribute to new information on the predictors of healthy and pathological aging in older adults from LMICs.

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The Brazilian Longitudinal Study of Aging (ELSI-Brazil): Objectives and Design

Cited by 214 publications

References 44 publications

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

Factors associated with the receipt of pensions among older adults

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

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