Intestinal constipation in the elderly and associated factors – SABE Study

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.

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Undernutrition and associated factors in a Portuguese older adult community

Revista de Nutrição ◽

10.1590/1415-52732015000300001 ◽

2015 ◽

Vol 28 (3) ◽

pp. 231-240 ◽

Cited By ~ 7

Author(s):

Ana Luísa Moreira dos Santos ◽

Teresa Maria de Serpa Pinto Freitas do Amaral ◽

Nuno Pedro Garcia Fernandes Bento Borges

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

Major Factors ◽

Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Prevalence of anemia and associated factors in older adults: evidence from the SABE Study

Revista de Saúde Pública ◽

10.1590/s0034-8910.2014048005039 ◽

2014 ◽

Vol 48 (5) ◽

pp. 723-431 ◽

Cited By ~ 13

Author(s):

Ligiana Pires Corona ◽

Yeda Aparecida de Oliveira Duarte ◽

Maria Lucia Lebrão

Keyword(s):

Older Adults ◽

Chronic Diseases ◽

Associated Factors ◽

Distribution Curve ◽

Descriptive Analysis ◽

Advanced Age ◽

Depression Symptoms ◽

Sabe Study ◽

Aging Study ◽

Prevalence Of Anemia

OBJECTIVE To assess the prevalence of anemia and associated factors in older adults. METHODS The prevalence and factors associated with anemia in older adults were studied on the basis of the results of the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Welfare and Aging) study. A group of 1,256 individuals were interviewed during the third wave of the SABE study performed in Sao Paulo, SP, in 2010. The study included 60.4% females; the mean age of the participants was 70.4 years, and their average education was 5.3 years. The dependent variable was the presence of anemia (hemoglobin levels: 12 g/dL in women and 13 g/dL in men). Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: a) demographics: gender, age, and education and b) clinical characteristics: self-reported chronic diseases, presence of cognitive decline and depression symptoms, and body mass index. RESULTS The prevalence of anemia was 7.7% and was found to be higher in oldest adults. There was no difference between genders, although the hemoglobin distribution curve in women showed a displacement toward lower values in comparison with the distribution curve in men. Advanced age (OR = 1.07; 95%CI 0.57;1.64; p < 0.001), presence of diabetes (OR = 2.30; 95%CI 1.33;4.00; p = 0.003), cancer (OR = 2.72; 95%CI 1.2;6.11; p = 0.016), and presence of depression symptoms (OR = 1.75; 95%CI 1.06;2.88; p = 0.028) remained significant even after multiple analyses. CONCLUSIONS The prevalence of anemia in older adults was 7.7% and was mainly associated with advanced age and presence of chronic diseases. Thus, anemia can be an important marker in the investigation of health in older adults because it can be easily diagnosed and markedly affects the quality of life of older adults.

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Individual Pharmacotherapy Management (IPM) - I: a group-matched retrospective controlled clinical study on prevention of complicating delirium in the elderly trauma patients and identification of associated factors

BMC Geriatrics ◽

10.1186/s12877-021-02630-y ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Luise Drewas ◽

Hassan Ghadir ◽

Rüdiger Neef ◽

Karl-Stefan Delank ◽

Ursula Wolf

Keyword(s):

Clinical Study ◽

Associated Factors ◽

Intervention Group ◽

The Elderly ◽

Control Group ◽

Trauma Patients ◽

Effective Prevention ◽

Multivariable Regression ◽

Elderly Trauma Patients ◽

Controlled Clinical Study

Abstract Background Delirium is one of the most frequent complications in hospitalized elderly patients with additional costs such as prolongation of hospital stays and institutionalization, with risk of reduced functional recovery, long-term cognitive impairment, and increased morbidity and mortality. We analyzed the effect of individual pharmacotherapy management (IPM) in the University Hospital Halle in geriatric trauma patients on complicating delirium and aimed to identify associated factors. Methods In a retrospective controlled clinical study of 404 hospitalized trauma patients ≥70 years we compared the IPM intervention group (IG) with a control group (CG) before IPM implementation. Delirium was recorded from the hospital discharge letter. The medication review and data records included baseline data, all medications, diagnoses, electrocardiogram (ECG), laboratory and vital parameters during hospitalization. The IPM internist and the senior trauma physician guaranteed personnel and structural continuity in the implementation of the interdisciplinary patient rounds. Results There was a highly matched congruence between CG and IG in terms of age, gender, residency, BMI, most diagnoses, and injury patterns to compare the two groups. The total number of medications per patient was 11.1 ± 4.9 (CG) versus 10.4 ± 3.6 (IG). Our targeted IPM focus on 6 frontline aspects with reduction of antipsychotics, anticholinergic burden, benzodiazepines, serotonergic opioids, elimination of pharmacokinetic and pharmacodynamic drug interactions and overdosage reduced complicating delirium from 5% to almost zero at 0.5%. The association of IPM with a significant 10-fold reduction, OR = 0.09 [95% CI 0.01–0.7], in univariable regression, maintained of clinical relevance in multivariable regression OR = 0.1 [95% CI 0.01–1.1]. Factors most strongly associated with complicating delirium in univariable regression were cognitive dysfunction, nursing home residency, muscle relaxants, antiparkinsonian agents, xanthines, transient disorientation documented in the fall risk scale, antibiotic-requiring infections, antifungals, antipsychotics, and intensive care stay, the two latter maintaining significance in multivariable regression. Conclusions IPM is associated with a highly effective prevention of complicating delirium in the elderly trauma patients. For patient safety it should be integrated as an essential preventative contribution. The associated factors help identify patients at risk.

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Depressão em idosos: fatores associados e manejo terapêutico / Depression in the elderly: associated factors and therapeutic management

Brazilian Journal of Development ◽

10.34117/bjdv7n8-023 ◽

2021 ◽

Vol 7 (8) ◽

pp. 76025-76037

Author(s):

Lucas Antonio Faveri ◽

Henrique Guimarães Vasconcelos ◽

Fernanda Silva Carvalho ◽

Alexandre Oliveira De Jesus ◽

Gabriel Franco De Sousa ◽

...

Keyword(s):

Associated Factors ◽

The Elderly ◽

Therapeutic Management

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Knowledge about mammography and associated factors: population surveys with female adults and elderly

Revista Brasileira de Epidemiologia ◽

10.1590/s1415-790x2013000400013 ◽

2013 ◽

Vol 16 (4) ◽

pp. 930-942 ◽

Cited By ~ 9

Author(s):

Ione Jayce Ceola Schneider ◽

Marui Weber Corseuil ◽

Antonio Fernando Boing ◽

Eleonora d'Orsi

Keyword(s):

Associated Factors ◽

Elderly Women ◽

Descriptive Analysis ◽

Age Groups ◽

The Elderly ◽

Cancer Information ◽

Population Surveys ◽

Factors Associated ◽

Younger Age ◽

Adjusted Model

The purpose of this paper is to describe the knowledge about mammography and to identify associated factors in female adults and elderly. Data were obtained from two population surveys, one with female adults and another with elderly women from Florianópolis (SC) in 2009 - 2010. A descriptive analysis of the variables was carried out, the appropriate mean of responses about mammography was estimated and crude and adjusted Poisson regression was conducted to identify associated factors. Among adults, 23.1% answered all of the questions appropriately and the appropriate average responses was 7.2 (95%CI 7.1 - 7.3) in a total of 9. In the adjusted model, older age, higher education and income were associated with knowledge about mammography. For the elderly, 15.3% answered all questions appropriately and the average of appropriate responses was 6.4 (95%CI 5.2 - 6.5) and the factors associated with knowledge about mammography in the adjusted model were younger age groups, increased education and income, and identification of mammography as the main diagnostic method for breast cancer. Information about mammography can neither be transmitted in a clear way nor be easily understood; there are also demographic and socioeconomic differences concerning the knowledge about the exam.

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Trends and Associated Factors of Dietary Knowledge among Chinese Older Residents: Results from the China Health and Nutrition Survey 2004–2015

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218029 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8029

Author(s):

Shizhen Wang ◽

Ying Yang ◽

Runhu Hu ◽

Hongfei Long ◽

Ni Wang ◽

...

Keyword(s):

Physical Activity ◽

Associated Factors ◽

The Elderly ◽

Healthy Weight ◽

Physical Activity Intensity ◽

Nutrition Survey ◽

Targeted Interventions ◽

Dietary Knowledge ◽

Activity Intensity ◽

Health And Nutrition

Promoting a healthy diet of the elderly is an important task in the current “Healthy China Action”. This study aimed to describe the changing trends of the dietary knowledge elderly Chinese during 2004–2015 and to examine the associated factors of dietary knowledge. Elderly people aged ≥60 years were included as study subjects from the China Health and Nutrition Survey 2004–2015. A total of 15,607 samples were involved in the analysis. The correct rate of dietary knowledge items followed upward trends over time, except for two items regarding physical activity intensity (Question 11, Cochran-Armitage χ2 = 20.05, p < 0.001) and healthy weight (Question 12, Cochran-Armitage χ2 = 43.93, p < 0.001). Four of the twelve dietary knowledge items consistently followed the lowest correct rate between 2006 and 2015, regarding physical activity intensity (Question 11, 24.5%−25.8%), staple food consumption (Question 5, 36.6%−41.5%), animal product consumption (Question 6, 45.8%−59.5%), and fatty meat and animal fat consumption (Question 7, 63.6%−64.9%). Participants who had a lower educational level or lived in rural areas or western regions, did not know about the Chinese Food Pagoda (CFP) or Dietary Guidelines for Chinese Residents (DGCR), and did not proactively look for nutrition knowledge were less likely to have adequate dietary knowledge literacy. Targeted interventions should be developed to promote dietary knowledge level of the elderly.

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Self-medication among participants of an Open University of the Third Age and associated factors

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170204 ◽

2018 ◽

Vol 21 (4) ◽

pp. 419-427

Author(s):

Adriana Nancy Medeiros dos Santos ◽

Dulcinéia Rebecca Cappelletti Nogueira ◽

Caroline Ribeiro de Borja-Oliveira

Keyword(s):

Associated Factors ◽

The Elderly ◽

Open University ◽

Self Medication ◽

Cross Sectional ◽

Third Age ◽

Exact Test ◽

The Third ◽

Chi Squared ◽

Articular Pain

Abstract Objective: to identify the prevalence of self-medication, the therapeutic classes used without medical prescription, the symptoms treated with such medication and associated factors among participants of an Open University of the Third Age (OU3A). Method: a cross-sectional, descriptive and analytical study was carried out, the sample of which was composed of 138 OU3A attendees. To estimate the association between the variables, prevalence ratios (PR), confidence intervals (95% CI), the chi-squared test and Fisher's exact test were used. Results: the majority were aged 60-69 years (61.6%), were female (75.4%), had a health plan (63%) and claimed to self-medicate (59.4%, 95% CI, 0-64.8). The most frequently mentioned therapeutic classes were analgesics (31.9%), muscle relaxants (13.8%), anti-inflammatories (13.0%) and first-generation antihistamines (7.2%). The most commonly reported self-medication symptoms were muscle and joint pain (21.0%), headaches (10.1%) and colds and flu (8.7%). There was a significant association (p = 0.049) among those who self-medicated more frequently and anti-inflammatory use (PR = 1.46, 95% CI = 1.10-1.99). The complaint of muscular and articular pain exhibited a significant association with the diagnosis of arthrosis (p = 0.003, RP = 3.75, 95% CI = 2.07-6.76) and hypothyroidism (p = 0.002, RP = 2.77 ; 95% CI = 1.50-5.10). Conclusion: the most frequently mentioned reasons for self-medicating were previous experience using the drug and the certainty that it is safe. Most of the above medications are potentially inappropriate for the elderly. However, the elderly consider them safe and are unaware of the risks to which they expose them. They may also be unaware that pain treated by self-medication may be related to pre-existing diseases, which require the appropriate professional and treatment.

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