scholarly journals Contextual income and incidence of disability

2019 ◽  
Vol 53 ◽  
pp. 11
Author(s):  
Ana Lúcia Danielewicz ◽  
Eleonora D’Orsi ◽  
Antonio Fernando Boing
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Lower Income ◽  
Regression Analyses ◽  
Elderly Individuals ◽  
Instrumental Activities ◽  
The Subject ◽  
Individual Variables ◽  
Elderly Living

OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.

scholarly journals Functioning in Institutionalized and Noninstitutionalized Older Adults: A Comparative Study

2020 ◽  
Author(s):  
Manuel Lopes ◽  
Lara Pinho ◽  
César Fonseca ◽  
Margarida Goes ◽  
Henrique Oliveira ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Self Care ◽  
The Elderly ◽  
Functional Profile ◽  
Elderly Individuals ◽  
Core Set ◽  
Functional Profiles ◽  
Elderly Living

Abstract BackgroundIt is important to characterize the functioning of elderly adults in different care contexts and evaluate their suitability to the condition of the elderly population. Therefore, the present study aimed to compare the functional profiles of institutionalized and noninstitutionalized older adults; to evaluate the effect of biological and sociodemographic factors on the determination of functional profiles and to evaluate the probability of an older adults obtaining a certain overall functional profile based on his/her age.MethodsThis is a cross-sectional study that included 476 participants over 65 years old who were divided into two groups: noninstitutionalized elderly living in their homes and attending day care centers (100) and institutionalized elderly living in nursing homes (376). The data were collected using the semi-structured interview method and it was applied the Elderly Nursing Core Set. ResultsThe Elderly Nursing Core Set model tested consisted of 22 items in five domains: “Self-Care - Activities of daily living (a)”; “Self-Care - Activities of daily living (b)”; “Mental Functions”; “Communication” and “Support and Relationships”. Women, older participants, illiterate elderly and institutionalized participants had worse functional profile results.ConclusionsAge, female sex, lack of education, and institutionalization are negatively related to the functional profile. Given the association between education level and functioning, it is necessary to promote the training of elderly individuals throughout life. The implementation of social and health responses should allow elderly individuals to remain in their homes, given the influence of functioning on self-care and quality of life.

scholarly journals Mild cognitive impairment in the elderly Relationship between communication and functional capacity

2018 ◽  
Vol 12 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Ana Iza Gomes da Penha Sobral ◽  
Cláudia Marina Tavares de Araújo ◽  
Marcos Felipe Falcão Sobral
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Communication Skills ◽  
Social Communication ◽  
Daily Living ◽  
The Elderly ◽  
Intermediate Form ◽  
Instrumental Activities

Abstract Mild Cognitive Impairment is characterized as an intermediate form between age-related change and dementia. For the elderly, autonomy and independence are related to the ability to remain active in conducting their social activities and, for this to occur, communication is fundamental in this process. Objective: To assess the association between communication and the abilities of elderly people with mild cognitive impairment to perform instrumental activities of daily living. Methods: A cross-sectional, quantitative, analytical, correlational study was conducted at the Open University of the Third Age (UnATI), a program of the Federal University of Pernambuco. This study included 92 people, comprising 46 elderly with mild cognitive impairment and a caregiver or family member who met the inclusion criteria. The elderly were asked to complete a sociodemographic questionnaire and Lawton-Brody’s Instrumental Activities of Daily Living Scale. The caregivers were asked to complete the Functional Assessment of Communication Skills. The following variables were studied: social communication skills and instrumental activities of daily living. Data were stored in an Excel® 2007 spreadsheet, and the Pearson correlation test was used for the statistical analysis. Results: There were statistically significant correlations in four domains of social communication: referring to family members by name (p=0.0033); requesting information about people or events (p=0.0355); understanding conversations in a noisy environment (p=0.0448); and understanding what they watch on television or listen to on the radio (p=0.0127). Conclusion: Changes in the communication of elderly people with mild cognitive impairment interfere with their ability to perform instrumental activities autonomously and independently.

scholarly journals FUNCTIONAL ASSESSMENT OF OLDER OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY

2014 ◽  
Vol 51 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Denis PAJECKI ◽  
Marco Aurélio SANTO ◽  
Ana Lumi KANAGI ◽  
Daniel RICCIOPPO ◽  
Roberto de CLEVA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Activities Of Daily Living ◽  
Functional Assessment ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Obese Patients ◽  
Instrumental Activities

Context Obesity in the elderly is associated with exacerbation of functional decline (dependency), that occurs with aging, because of decreased muscle mass and strength, and increased joint dysfunction. Consequently, there is progressive loss of independence, autonomy, chronic pain and impaired quality of life. The weight loss can bring benefits in all these aspects, especially when accompanied by exercises. Elderly patients with morbid obesity may be submitted to surgical treatment, taking into account that the massive weight loss, eventually caused by bariatric surgery, may exacerbate the loss of muscle mass and nutritional complications that may bring harm to the overall health and quality of life of these patients. The functional assessment of elderly patients, candidates for bariatric surgery and the extent to which surgery can bring benefits to the patients, in the field of functionality, has still to be determined. Objective To describe profile functionality in obese elderly referred to a bariatric surgery program. Methods Patients with age ≥60 and BMI ≥35 underwent comprehensive geriatric assessment that evaluates co morbidities, medication use, ability to perform basic activities of daily living and instrumental activities of daily living, and the “Timedupandgo” test to evaluate mobility, whose cut-off point was ≤10 seconds. Statistical analysis was performed in order to see if there is a positive correlation of dependency with BMI and age (over or under 65 years). Results Forty subjects have completed evaluation. The mean age was 64.1 years (60-72) and 75% were women. They had an average weight of 121.1 kg (72.7-204) and a mean BMI of 47.2 kg/m2 (35.8-68.9). 16 patients (40%) have shown dependency for activities of daily living, 19 (47,5%) for instrumental activities of daily living and 20 patients (50%) had a “Timedupandgo” test over 10 seconds. Statistical analysis (t-Student, Mann-Whitney, Binary Logistic Regression) has shown positive correlation of dependency in activities of daily living for BMI >49 kg/m2, dependency in instrumental activities of daily living for BMI >46,5 kg/m2, and “Timedupandgo” test greater than 10 seconds for BMI >51 kg/m2 (P<0,05). No dependency difference was observed for patients over or under 65 years age. Conclusions Functional decline is observed in almost half of the morbid obese patients over 60 years old. It is related to increasing BMI (BMI >46,5 kg/m2) but not related to age (60 to 65 years or over 65 years). Functional decline should be considered a co-morbidity in the elderly obese patients and should be assessed before bariatric surgery in this population.

scholarly journals Functional limitation on elderly people in the northeast and the feminization of eld in urban and rural areas of Brazil

2021 ◽  
Vol 43 ◽  
pp. e51421
Author(s):  
Roberta Dayanny Soares ◽  
Aíla Maropô Araújo
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Urban Areas ◽  
Daily Living ◽  
Functional Limitation ◽  
Rio Grande ◽  
The Elderly ◽  
Northeast Region ◽  
Instrumental Activities ◽  
Urban And Rural Areas

Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living   and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

scholarly journals Prevalence of disability and associated factors in the elderly

2015 ◽  
Vol 24 (2) ◽  
pp. 521-529 ◽  
Author(s):  
Jair Sindra Virtuoso Júnior ◽  
Cristiane Alves Martins ◽  
Liliane Beatriz Roza ◽  
Thais Reis Silva de Paulo ◽  
Maria da Conceição Lopes Ribeiro ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
The Elderly ◽  
Performance Tests ◽  
Cross Sectional ◽  
Factors Associated ◽  
Instrumental Activities ◽  
Multigenerational Family ◽  
Cross Sectional Design

The aim of this study was to estimate the prevalence and factors associated with functional disability in the elderly. The cross-sectional design was used with a sample of 624 individuals, between 60 and 96 years of age. In the assessment of the elderly interviews and physical performance tests were used. In the inferential data analysis, the Poisson regression was used, p≤0.05. The prevalence of disability was 17.6% for Basic Activities of Daily Living and 46.3% for Instrumental Activities of Daily Living. Functional disability for Basic Activities of Daily Living was associated with increasing age, alcohol consumption, depressive symptoms and frailty; the Instrumental Activities of Daily Living were associated with increasing age, illiteracy, multigenerational family arrangement, hospitalization and fragility. The variables that remained in the explanatory model for the decline of functional capacity should be emphasized in proposals for public policies to promote the health of the elderly.

scholarly journals REHABILITATION NURSING: DIFFERENTIATION IN PROMOTING THE AUTONOMY OF THE ELDERLY

2021 ◽  
Vol 4 (1) ◽  
pp. 15-22
Author(s):  
Andreia Maria Lima ◽  
Maria Manuela Ferreira da Silva Martins ◽  
Maria Salomé Martins Ferreira ◽  
Francisco Sampaio ◽  
Soraia Dornelles Schoeller ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Nurse Specialist ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Rehabilitation Programs ◽  
Instrumental Activities ◽  
Significant Difference ◽  
Specialist Nurses

Introduction: The promotion of autonomy, through the use of nursing interventions that promote physical, cognitive and social integration skills, are added competencies of nurses specialized in rehabilitation nursing, so it is important to realize whether these professionals invest in this area in their practices. Objectives: To identify and compare the perception of nurses who are specialists in rehabilitation nursing and nurses who are specialists in other specialty areas. Methodology: A descriptive, correlational, cross-sectional, quantitative study with non-probabilistic snowball sampling. For data collection, the Self-Assessment Scale of Elderly Autonomy was used between September and October 2020. Results: The sample consists of 151 specialist nurses, 72 specialists in rehabilitation nursing, and 79 specialists in other specialty areas. All specialist nurses promote the autonomy of the elderly with less visibility in the development of interventions for instrumental activities of daily living. It is perceived that the nurse specialist in rehabilitation nursing promotes more autonomy of the elderly on a broader scale (p <0.05), with a more significant difference concerning the development of physical and cognitive interventions (<0.001). Conclusion: All specialist nurses perceive that they promote the elderly's autonomy but have weaknesses in interventions that promote instrumental activities of daily living. The specialist nurses in rehabilitation nursing realize that they promote more autonomy for the elderly, probably due to the implementation of rehabilitation programs aimed at this promotion.

scholarly journals Factors associated with instrumental activities of daily living dependence in the elderly: a case-control study

2020 ◽  
Vol 25 (11) ◽  
pp. 4623-4630
Author(s):  
Ezequiel Vitorio Lini ◽  
Alisson Padilha de Lima ◽  
Fabricio Bruno Cardoso ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring
Keyword(s):  
Activities Of Daily Living ◽  
Urban Area ◽  
Daily Living ◽  
Case Control Study ◽  
The Elderly ◽  
Case Control ◽  
Factors Associated ◽  
Instrumental Activities ◽  
The City ◽  
Control Study

Abstract The main goal of the study was to determine the factors associated with dependence to perform instrumental activities of daily living in the elderly. A population-based case-control study was conducted, with 180 elderly people from Passo Fundo-RS, 2014. The cases were represented by 60 individuals aged ≥ 60 years, dependents to perform instrumental activities of daily living residents of the urban area of the city. The controls were represented by 120 individuals, not dependents to perform instrumental activities of daily living, residents of the urban area of the city. Crude and multivariate analysis using Poisson regression were performed to test the association between the outcome and the independent variables, estimating the crude and adjusted odds ratios (OR) and calculating the 95% confidence intervals respectively. All the variables with p ≤ 0.20 were included in the final model. Remained statistically significant after adjusted analysis: being aged 80 years or more (OR = 1.76; CI95%: 1.01-3.08), having studied from 1 to 4 years (OR = 2.36; CI95%: 1.35-4.14), being illiterate (OR = 2.98; CI95%: 1.52-5.84), having Parkinson’s disease (OR = 2.44; CI95%: 1.39-4.29) and the presence of cognitive impairment (OR = 1.88; CI95%: 1.30-2.72).

scholarly journals Incapacidade funcional e fatores associados em idosos de área urbana: um estudo de base populacional

2016 ◽  
Vol 18 (5) ◽  
pp. 499 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
Paula Berteli Pelizaro ◽  
Maycon Sousa Pegorari ◽  
Mariana Mapelli de Paiva ◽  
Gianna Fiori Marchiori
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
Depression Scale ◽  
Action Planning ◽  
The Elderly ◽  
Bivariate Analysis ◽  
Urban Elderly ◽  
Cross Sectional ◽  
Instrumental Activities

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n5p499 Population aging may cause impaired functional abilities in the elderly population, with increased rates of functional disability. Early detection of functional disability makes it possible to postpone possible complications and helps with health action planning. The objective of this study was to investigate the factors associated with functional disability in urban elderly. We conducted an analytical and cross-sectional household survey with 1,691 urban elderly individuals in Uberaba (MG), Brazil, in 2012. The questionnaire included socioeconomic and clinical information. We used the following instruments to assessed the participants: Abbreviated Geriatric Depression Scale, Katz Index, and Lawton and Brody Scale. We performed a descriptive bivariate analysis and used a logistic regression model (p<0.05). The prevalence of functional disability in basic activities of daily living was 21.2%; whereas the prevalence of functional disability in instrumental activities of daily living was 65.9%. The following factors were associated with functional disability in basic and instrumental activities of daily living, respectively: age of 80 years old and older [(OR= 2.18; p<0.001), (OR=3.30, p<0.001)]; larger number of self-reported diseases [(OR=1.24, p<0.001), (OR=1.12; p<0.001)]; and symptoms of depression [(OR=1.49; p<0.003), (OR = 1.75, p<0.001)]; whereas no schooling (OR=1.88; p<0.001) was related to functional disability in instrumental activities of daily living. We found significant impairment of functional status, especially in instrumental activities of daily living and in association with socioeconomic and health variables; those aspects support the implementation of actions aimed at monitoring and controlling the factors that interfere with the functional ability of the elderly.

A Pharmacist Approach to Wellness Maintenance in the Community Elderly

2004 ◽  
Vol 17 (2) ◽  
pp. 133-136
Author(s):  
Robert L. Maher
Keyword(s):  
Primary Prevention ◽  
Secondary Prevention ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Great Opportunity ◽  
Health Maintenance ◽  
Instrumental Activities ◽  
Prevention Interventions ◽  
Progression Of Disease

Wellness prevention in the elderly has similar goals as prevention in nonelderly adults, which is to improve lifestyles and habits to prevent disease (primary prevention) or the progression of disease (secondary prevention). Pharmacists who interact with the community elderly have a great opportunity of helping to keep our elderly healthy and preventing lifelong chronic problems that can contribute to a decrease in function of activities of daily living (ADLs) and instrumental activities of daily living (IADLs). This article focuses on the key prevention interventions that a pharmacist can target in helping to promote health maintenance.

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