Abstract:OBJECTIVE:To identify risk factors for functional capacity loss in elderly people.
METHODS:Epidoso (Epidemiology of the Elderly) cohort study with elderly people living in São Paulo (Southeastern Brazil). A total of 326 participants in the fi rst interview (1991)(1992) who were independent or had mild dependence (one or two activities of daily living) were selected. Those who presented functional loss in the second (1994)(1995) or third interviews (1998)(1999) were compared to those who did not present it. The… Show more
“…Several factors conventionally associated with functional dependence, in Brazilian and foreign studies, 5,7,8 were also significantly associated with moderate/ severe functional dependence in crude and/or multivariable analysis in the present work. That proves the consistency between data in the present work and literature; and reinforces the association between the independent variable and the outcome in relation to confounding factors.…”
Section: Discussionsupporting
confidence: 64%
“…Factors conventionally associated to functional dependence in Brazilian and foreign studies include: old age; low education; retirement; cognitive impairment; poor self-rated health; depression and other chronic diseases; hospitalization in the last six months; and infrequent contact with friends. 5,7,8 As contemporary as the general population ageing, the increase in use of digital tools -such as personal computers, selfservice cash (ATM), mobiles, and internet -provides a revolutionary way to social integration, in a process called Digital Inclusion.…”
Objective: To study the relationship between digital inclusion, represented by the exchange of online messages, and functional capacity of older adults living in Florianópolis, Santa Catarina, Brazil. Methods: Data were from EpiFloripa Idoso, a cross-sectional household-based survey conducted between 2009 and 2010 with older adults (60+ years). Functional capacity was represented by the inability / difficulty to perform basic / instrumental activities of daily living, and formed the outcome variable called functional dependence. The main independent variable was self-reported ability to send and receive online messages using the computer. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were estimated with multivariable Poisson regression models. Results: The sample consisted of 1,656 older adults between 60 and 102 years old with a mean age of 70.39 years (SD = 7.79). Older adults who could send and receive online messages without difficulty demonstrated a significant lower prevalence of moderate / severe functional dependence (PR = 0.61; 95%CI: 0.40 -0.94) after adjustment for demographic, socioeconomic, health and behavioral factors. Conclusions: The exchange of online messages has a strong association with functional independence. The causality of this association cannot be determined. Studies support the hypothesis that the exchange of online messages and functional independence have a bidirectional, additive and synergistic association. Longitudinal studies could elucidate the mechanisms involved in this association, in order to support digital inclusion policies for older adults, and to identify the profile of older adults who would benefit the most from digital inclusion.
“…Several factors conventionally associated with functional dependence, in Brazilian and foreign studies, 5,7,8 were also significantly associated with moderate/ severe functional dependence in crude and/or multivariable analysis in the present work. That proves the consistency between data in the present work and literature; and reinforces the association between the independent variable and the outcome in relation to confounding factors.…”
Section: Discussionsupporting
confidence: 64%
“…Factors conventionally associated to functional dependence in Brazilian and foreign studies include: old age; low education; retirement; cognitive impairment; poor self-rated health; depression and other chronic diseases; hospitalization in the last six months; and infrequent contact with friends. 5,7,8 As contemporary as the general population ageing, the increase in use of digital tools -such as personal computers, selfservice cash (ATM), mobiles, and internet -provides a revolutionary way to social integration, in a process called Digital Inclusion.…”
Objective: To study the relationship between digital inclusion, represented by the exchange of online messages, and functional capacity of older adults living in Florianópolis, Santa Catarina, Brazil. Methods: Data were from EpiFloripa Idoso, a cross-sectional household-based survey conducted between 2009 and 2010 with older adults (60+ years). Functional capacity was represented by the inability / difficulty to perform basic / instrumental activities of daily living, and formed the outcome variable called functional dependence. The main independent variable was self-reported ability to send and receive online messages using the computer. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were estimated with multivariable Poisson regression models. Results: The sample consisted of 1,656 older adults between 60 and 102 years old with a mean age of 70.39 years (SD = 7.79). Older adults who could send and receive online messages without difficulty demonstrated a significant lower prevalence of moderate / severe functional dependence (PR = 0.61; 95%CI: 0.40 -0.94) after adjustment for demographic, socioeconomic, health and behavioral factors. Conclusions: The exchange of online messages has a strong association with functional independence. The causality of this association cannot be determined. Studies support the hypothesis that the exchange of online messages and functional independence have a bidirectional, additive and synergistic association. Longitudinal studies could elucidate the mechanisms involved in this association, in order to support digital inclusion policies for older adults, and to identify the profile of older adults who would benefit the most from digital inclusion.
“…A research in the municipality of São Paulo, Brazil, showed that the elderly person with SAH had a 39% more chance in being dependent; the chance rises 59% if they also suffered from osteo-articulation diseases [21]. In fact, these illnesses have triggered a rise in morbi-mortality rates, affect life quality and limit the autonomy of the elderly population with financial impacts on society [22].…”
Section: Discussionmentioning
confidence: 99%
“…Human beings require a daily social conviviality. Salaried work and meeting with kin, friend and neighbors constitute their social relationships [22]. Functional inability has a deep link with not visiting friends and relatives, not meeting with friends at least once a month, and receiving scantly aid from friends [23].…”
Objective: Assessing the functional capacity in day-to-day basic activities of elderly people attended to in a Family Health Unit.Methodology: Current transversal study with 76 elderly people was undertaken between September and November 2014 in a Family Health Unit in the town of Nova Russas CE Brazil. The elderly people were interviewed and information on socio-demographic characteristics, health status and the performance of daily basic activities was collected. Data were described and analyzed with EpiInfo 7 and R v2.10.0.
Results:The population studied was mostly composed of females (63.1%), aged between 70 and 79 years old (68.4%), widows or widowers (63.2%), with 3-4 dependent people at home (60.6%); 96% of the elderly people may be considered independent.
Conclusion:Results show that most elderly people are independent in their daily basic activities.
“…A heterogeneidade do envelhecimento, especialmente entre a população idosa brasileira (Camarano, 2013;Neri, 1993;Pavarini,1997) Estudos referem a importância da manutenção da estimulação cognitiva em idosos saudáveis e em processo de declínio cognitivo. (D'orsi et al, 2011;Fonseca, 2006; 11,12,13 As AAVD, também chamadas de atividades complexas de vida diária, exigem a integridade de múltiplas funções físicas, psicológicas, sociais e cognitivas para sua realização e envolvem a realização de atividades dentro dimensões de participação em atividades sociais, produtivas e de lazer, tais como: habilidades para manter o trabalho, viajar e planejar viagens, participação em grupos ou movimentos comunitários, dirigir, planejar eventos ou jogar. 9,10,11,12 Apesar dos resultados de alguns estudos 11,12 20,21,22,23 A literatura científica sugere que os padrões de atividade e redes neurais relacionadas que são estabelecidos no início da vida possam ser mais importantes para manter a saúde cognitiva na velhice, no sentido de minimizar os efeitos da diminuição da velocidade de processamento cognitivo no envelhecimento.…”
Section: Diferentes Classificações Para As Aavdsunclassified
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Aos meus pais, Armando e Adair
Conclusions:The performance of a larger number of AADL appeared as a protective factor to the incidence of cognitive impairment, regardless of sociodemographic conditions, general health status and functionality.
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