scholarly journals Frailty profile in Brazilian older adults

2019 ◽  
Vol 52 (Suppl 2) ◽  
pp. 17s ◽  
Author(s):  
Juliana Mara Andrade ◽  
Yeda Aparecida De Oliveira Duarte ◽  
Luciana Correia Alves ◽  
Flávia Cristina Drumond Andrade ◽  
Paulo Roberto De Souza Junior ◽  
...  
Keyword(s):  
Older Adults ◽  
Poisson Regression ◽  
Daily Living ◽  
Associated Factors ◽  
Functional Limitation ◽  
Health Conditions ◽  
Baseline Survey ◽  
Poisson Regression Model ◽  
Factors Associated ◽  
Health Factors

OBJECTIVE: To estimate the prevalence of frailty and to evaluate the associated factors in the non-institutionalized Brazilian population aged 50 years or older. METHODS: The analyses were conducted in 8,556 participants of the baseline survey of the Longitudinal Study of Health of the Brazilian Elderly (ELSI-Brazil) conducted in 2015 and 2016. Frailty was defined based on five characteristics: weight loss, weakness, slowness, exhaustion and low level of physical activity. Participants with three or more characteristics were classified as frail. A Poisson regression model was used to examine the association between frailty and sociodemographic and health factors. RESULTS: The prevalence of frailty was 9.0% (95%CI 8.0–10.1) among participants aged 50 years or over. Among the older adults aged 60 or over, the prevalence was 13.5% (95%CI 11.9–15.3) and 16.2% (95%CI 14.3–18.3) among those 65 aged years or over. Factors associated with higher prevalence of frailty were low schooling, residence without a partner, health conditions (poor self-rated health and two or more chronic diseases) and limitation to perform basic activities of daily living. CONCLUSIONS: The prevalence of frailty among Brazilians aged 65 years or older is similar to their European counterparts. Poor health conditions, functional limitation and low schooling emerge as the factors most strongly associated with the frailty in this population.

scholarly journals Social integration and its relationship with functional limitations in Chilean older adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L de Albuquerque Araújo ◽  
G Icaza Noguera ◽  
C Albala Brevis
Keyword(s):  
Older Adults ◽  
Social Integration ◽  
Daily Living ◽  
Protective Factor ◽  
Public Policies ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Lower Prevalence ◽  
Community Groups ◽  
Recreational Activities

Abstract We are experiencing the highest levels of life expectancy and it poses challenges in the maintenance of the functional capacity in old age. This study seeks to determine the relation between social integration and functional limitation in Chilean older adults. Cross-sectional study with baseline of two cohort studies: the SABE cohort (born before 1940) and the Alexandros cohort (born between 1940 and 1948 from Primary Health Care centers), from Santiago. Were considered 1733 elderly. Performance variables were studied in seven Instrumental Activity of Daily Living (IADL): preparing food, managing money, leaving home alone, making purchases, making or receiving calls, doing light housework, organizing and taking medications, and six basic Activities of Daily Living (ADL): bathing, dressing, use of the bathroom, transfer, continence of urine and feeding. Having difficulties or inability to perform at least one activity was classified as having functional limitations. Social integration variables were: participation in community groups, clubs or organizations and in recreational activities. Adjustment variables were: sex, age, educational level, household income, depression, cognitive impairment and multimorbidity. Robust Poisson Regression was performed and prevalence ratios (PR) of functional limitation in ADL and IADL were reported. The level of significance was ≤0.5. Prevalence of functional limitations in ADL was 73.3% and in AIVD was 37.1%. Who participated in recreational activities have a lower prevalence of functional limitation in ADL (PR 0.85; 95%CI 0.80-0.90) and in IADL (PR 0.74; 95% CI0.63-0.86). Participation in community groups, clubs or organizations was associated with a lower prevalence of limitation in ADL (RP 0.78; 95%CI 0.71-0.87), although it was not significantly related to performance in IADL. Greater social integration in adulthood is a protective factor for limitation in ADL and IADL and should be the subject of public policies in Chile. Key messages Social integration seems to be a protective factor for functional limitation in Chilean older adults. Society and public policies should give greater opportunity for the elderly to participate in recreational activities and community groups.

scholarly journals Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture

2021 ◽  
Vol 23 (4) ◽  
pp. 395-405
Author(s):  
Jin-Yeong Kim ◽  
Gwi-Ryung Son Hong
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Educational Program ◽  
Fear Of Falling ◽  
Descriptive Statistics ◽  
Factors Associated ◽  
Walking Aids ◽  
Explained Variance ◽  
One Way Anova

Purpose: The purpose of this study was to identify the factors associated with the fear of falling after discharge in older adults who had surgery for fall fractures.Methods: The participants were 143 older adults aged 65 or older hospitalized at the General Hospital due to a fall fracture. Data were collected from July 2019 to June 2020 using questionnaires for activities of daily living, pain, depression, and fear of falling. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression.Results: The average age of the subjects was 75.34±6.89 years, and 74.1% were women. The influencing factors on the fear of falling after discharge were activities of daily living (β=.31, p=.001), age (β=.20, p=.004), the need for walking aids or assistance in walking before the fall (β=.20, p=.005), and pain (β=.15, p=.027). Total explained variance was 55% (F=13.17, p<.001).Conclusion: Based on the results of this study, it is necessary to actively intervene the fear of falling once older adults are hospitalized, considering the factors associated with the fear of falling after discharge in older adults who had surgery after experiencing a fall fracture and to develop an educational program to reduce the fear of falling.

scholarly journals Trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality

2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Giana Gislanne da Silva de Sousa ◽  
Lívia Maia Pascoal ◽  
Ana Cristina Pereira de Jesus Costa ◽  
Floriacy Stabnow Santos ◽  
Leonardo Hunaldo dos Santos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Customer Service ◽  
Poisson Regression ◽  
Associated Factors ◽  
Age Groups ◽  
Clinical Form ◽  
Factors Associated ◽  
Increasing Trend ◽  
Series Study

ABSTRACT Objectives: to identify the trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in Imperatriz, Maranhão. Methods: epidemiological temporal-series study, conducted in a Northeastern Brazilian municipality. The population consisted of Tuberculosis cases with Diabetes Mellitus-associated aggravation notified in the Notifiable Diseases Information System (SINAN) between 2009 and 2018. We determined the prevalence and trend of comorbidity using Prais-Winsten regressions and to identify associated factors employed Poisson regression. Results: prevalence ranged from 3.23% in 2014 to 19.51% in 2018, with a mean of 11.5% for the period, showing an increasing trend. Age groups 30 to 59 years and ≥ 60 years, education < 8 years, and clinical form of pulmonary Tuberculosis were risk factors for comorbidity. Conclusions: The increasing trend of comorbidity and its associated factors alert us to the need to improve customer service at all levels of health care.

scholarly journals Factors associated with the receipt of pensions among older adults

2019 ◽  
Vol 52 (Suppl 2) ◽  
pp. 15s ◽  
Author(s):  
Eli Iola Gurgel Andrade ◽  
Mariângela Leal Cherchiglia ◽  
Paulo Roberto Borges de Souza Junior ◽  
Fabíola Bof de Andrade ◽  
Juliana Vaz de Melo Mambrini ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Living Arrangements ◽  
Functional Limitation ◽  
Prevalence Ratio ◽  
Brazilian Population ◽  
Health Conditions ◽  
Outcome Variable ◽  
Baseline Survey ◽  
The North ◽  
The Individual

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.

scholarly journals Chronic physical health conditions and associated factors among people with serious orthopaedic injuries: A systematic review

Trauma ◽  
2020 ◽  
pp. 146040862096834
Author(s):  
Asmare Yitayeh Gelaw ◽  
Belinda J Gabbe ◽  
Sandra C Braaf ◽  
Steven McPhail ◽  
Christina L Ekegren
Keyword(s):  
Physical Health ◽  
Associated Factors ◽  
Health Conditions ◽  
Current Evidence ◽  
Cochrane Library ◽  
Clear Understanding ◽  
Factors Associated ◽  
Causal Pathways ◽  
Orthopaedic Injury ◽  
Orthopaedic Injuries

Introduction A clear understanding of the development of chronic physical health conditions following orthopaedic injury is essential to fully recognise the magnitude and burden of injury, improve treatment and predict certain outcomes. This review aimed at systematically identifying and evaluating current evidence of the incidence and prevalence of chronic physical health conditions and factors associated with chronic physical health conditions following serious orthopaedic injury. Materials and method Systematic literature search was performed using Ovid MEDLINE, Scopus, and Embase via Ovid, Cochrane Library and Ovid Emcare up to 30 December 2018. Observational studies relating to the incidence or prevalence of chronic physical health conditions and associated factors in people with serious orthopaedic injuries were included. Data extraction and methodological quality assessment were carried out independently by 2 reviewers. Result Of the 4835 references identified in the initial search, only five studies with sample sizes ranging from 83 to 3846 met the criteria for inclusion. The most prevalent conditions reported in people with serious orthopaedic injury included coronary artery disease, arrhythmias, myocardial infarction, hypertension, diabetes mellitus and chronic heart failure. Bronchial, rectal, prostate and breast cancers were also causes of late death in orthopaedic injury survivors. Most of the studies included in this review were unable to determine whether these conditions were related to injuries. Conclusions Chronic physical health conditions are prevalent among people with serious orthopaedic injury. Little is known about factors associated with chronic physical health conditions following serious orthopaedic injury or whether physical health conditions are associated with injury. Further work needs to be done to identify causal pathways and the longer-term effects of orthopaedic injury on the risk of developing chronic physical health conditions.

scholarly journals Healthy aging determinants and disability among older adults: SABE Colombia

2021 ◽  
Vol 45 ◽  
pp. 1 ◽  
Author(s):  
Fernando Gómez ◽  
David Osorio-García ◽  
Luisa Panesso ◽  
Carmen-Lucia Curcio
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Socioeconomic Position ◽  
Daily Living ◽  
Healthy Aging ◽  
Well Being ◽  
Structural Determinants ◽  
Factors Associated ◽  
Intrinsic Capacity ◽  
Main Factors

Objective. To identify the main factors associated with disability in older adults in Colombia, adjusted according to structural and intermediary determinants of healthy aging. Methods. This study used cross-sectional data from 23 694 adults over 60 years of age in the SABE Colombia nationwide survey. Structural determinants such as demographic and socioeconomic position variables were analyzed. Intermediary variables were classified into three blocks: intrinsic capacity, physical and built environment, and health care systems. Data analysis employed multivariate logistic regression. Results. The prevalence of overall disability was 21% for activities of daily living, 38% for instrumental activities of daily living, and 33% for mobility disability. Disability was associated with sociodemographic structural determinants such as older age, female sex, rural residence, never married/divorced, living alone, low educational level, and Indigenous/Black ethnicity. With regard to determinants of socioeconomic position, net low income, poor socioeconomic stratum, insufficient income perception, and a subsidized health insurance scheme exerted a major influence on disability. Intermediary determinants of intrinsic capacity, such as poor self-rated health, multimorbidity, low grip strength, sedentary lifestyle, early childhood economic adversity, no social support, and no participation in activities, were significantly associated with disability. Conclusions. Actions that affect the main factors associated with disability, such as reducing health inequities through policies, strategies, and activities, can contribute significantly to the well-being and quality of life of Colombian older adults.

scholarly journals Abuse of alcohol among farmers: Prevalence and associated factors

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254904
Author(s):  
Roberta Machado Alves ◽  
Emelynne Gabrielly de Oliveira Santos ◽  
Isabelle Ribeiro Barbosa
Keyword(s):  
Alcohol Abuse ◽  
Poisson Regression ◽  
Associated Factors ◽  
Alcohol Misuse ◽  
Northeastern Brazil ◽  
Work Characteristics ◽  
Lower Prevalence ◽  
Factors Associated ◽  
The Family ◽  
Cage Questionnaire

We sought to identify the prevalence and factors associated with alcohol abuse among farmers living in a medium-sized municipality in northeastern Brazil during 2019 and 2020. Trained interviewers applied the standardized questionnaire to 450 participants. Sociodemographic, health, income and work characteristics were investigated. The tracking of alcohol misuse was done using the CAGE questionnaire (Cut down, Annoyed by criticism, Guilty and Eye-opener), being the cut-off point ≥ 2. Poisson Regression was applied with robust estimation to verify the reasons of prevalence (RP) in bivariate and multivariate analysis. The prevalence of alcohol abuse among farmers was 32% (95% CI 27.8–36.4). Factors such as being male, having a diagnosis of mental disorder in the family, being a smoker, and using drugs were associated with the higher prevalence of the outcome. Being 60 years old or older was associated with a lower prevalence of alcohol abuse. These results indicate the need for social support to this group of workers in the context of occupational health.

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2019 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

Sign in / Sign up

Export Citation Format

Share Document