DIETARY HABITS AND FUNCTIONAL LIMITATION OF OLDER BRAZILIAN ADULTS: EVIDENCE FROM THE BRAZILIAN NATIONAL HEALTH SURVEY (2013)

Objective: To compare the consumption of selected healthy and unhealthy food groups among elderly Brazilians with daily living activity limitations relative to those with no limitations. Design: Cross-sectional analyses of a nationally representative survey. Setting: The Brazilian National Health Survey, conducted in 2013. Subjects: 11,177 Brazilians aged 60 and over. Results: The prevalence of daily living limitations was 29% (95% CI 27.6,30.5). The consumption of daily meat, beans on a regular basis, and recommended fruit and vegetables intake were 67.1% (95% CI 66.5,68.7), 71.3% (95% CI 69.9,72.8) and 37.3% (95% CI 35.6,39.9), respectively. Compared to those without functional limitation, the consumption of these three food groups was significantly lower among those older adults with functional limitation (Prevalence Ratio = 0.89, 95% CI 0.80,0.98; 0.90, 95% CI 0.82,0.99 and PR 0.86, 95% CI, 0.76,0.96, respectively), independently of age, sex, marital status, living arrangements and education. Level of education showed a strong positive association with fruit and vegetable consumption, and a negative association with bean consumption, a staple diet in Brazil. Conclusions: Our findings highlight the need for public health policies to increase consumption healthy food consumption among those older adults with functional limitations, especially fruit and vegetable intake among those who have low education levels.

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Patient self-reported functioning by pain severity and usual analgesic treatment among older adults with osteoarthritis: Analysis of the 2017 Spanish National Health Survey

10.21203/rs.3.rs-24694/v1 ◽

2020 ◽

Author(s):

Sofía García-López ◽

Natalia Llopart-Carles ◽

Francisco Castro-Domínguez ◽

Javier Rejas-Gutiérrez

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Daily Living ◽

Treatment Strategies ◽

National Health Survey ◽

Pain Severity ◽

Cross Sectional ◽

Analgesic Treatment ◽

Instrumental Activities

Abstract Background Osteoarthritis (OA) pain is among the leading causes of disability and social isolation worldwide. Since prevalence is high, particularly in adults aged 65 or older, it represents a significant burden for society and national health systems. The objective of this study was to determine whether patient self-reported functioning in key domains of daily living differs by pain severity and analgesic treatment among older OA patients in Spain. Methods The Spanish National Health Survey (ENSE), a large, nationally representative, cross-sectional general health survey administered by trained interviewers to 23,089 adults, was the data source. Subjects of both sexes aged 65 or older with a self-reported physician diagnosis of OA who completed the survey were analyzed. Patients were cross classified by pain severity (no/mild, moderate or severe) and analgesia (treated or untreated). Assessment of daily living included basic and instrumental activities of daily living and mental, social, and cognitive domains. Scores were re-scaled to a 0%-100% standardized metric (0%: no limitation [independence]; 100%: complete limitation [full dependence]). Results A total of 3,526 (3,389 surveys completed [96.1%]) older adults with OA were analyzed (women 73.3%; age 77.4 [standard deviation {SD}: 7.5]). Adjusted means (95% confidence interval [CI]) scores in domains of functioning showed significant association with pain severity (p < 0.001) but not treatment status, except basic and instrumental activities and social functioning, with higher scores in treated patients. Limitations in patients with untreated no/mild pain versus severe treated pain were as follows: in basic activities, 6.5% (5.0–8.0) versus 31.5% (30.1–32.9); in instrumental activities, 9.0% (7.2–10.8) versus 34.1% (32.3–35.8); in mental, 29.1% (27.9–30.3) versus 45.0% (43.9–46.2); in social, 3.0% (0.6–5.4) versus 42.2% (39.9–44.5); and, in cognitive, 10.9% (9.2–12.6) versus 23.4% (21.8–25.1). Conclusions Pain severity was a major driver of functional impairment in all the main domains of functioning analyzed in older OA patients. Regardless of pain severity, treated patients showed poorer functioning in basic, instrumental and social activities versus untreated subjects. Treated patients might have been in later disease stages, which would have affected the results. Existing analgesic treatment strategies do not meet patient needs for adequate pain management.

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Leisure-time physical activity among older adults in Brazil: results from the Brazilian National Health Survey – 2013

ABCS Health Sciences ◽

10.7322/abcshs.2020076.1530 ◽

2021 ◽

Author(s):

Vítor Häfele ◽

César Augusto Häfele ◽

Jeferson Santos Jerônimo ◽

Rodrigo Wiltgen Ferreira ◽

Steve Anthony Maravillo ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

National Health ◽

Health Survey ◽

Leisure Time ◽

Healthy Aging ◽

Leisure Time Physical Activity ◽

National Health Survey ◽

Physical Activity Recommendations ◽

Activity Recommendations

Introduction: Health behaviors are fundamental for healthy aging. In this sense, the practice of physical activity is one of the most beneficial factors for the health of individuals. Objective: To describe the prevalence of leisure-time physical activity among the older adults and analyze in terms of sociodemographic characteristics, national regions, Federative Units of Brazil, and types of physical activity practiced. Methods: Study utilizing data from the Brazilian National Health Survey - 2013. Leisure-time physical activity was analyzed with two distinct cutoff points: 1) Some physical activity - 10 or more minutes/week; 2) Meeting recommended 150 minutes/week of physical activity. Results: Nearly 21% of the older adults completed some physical activity, and 13.2% reached the physical activity recommendations. There was no difference in the prevalence of physical activity between men and women. Individuals aged 60-69 years and those with higher income were more active than their peers. As for the national regions, the North had the lowest prevalence of physically active older adults. Among all regions, walking was the most frequent form of physical activity practiced. Conclusion: The prevalence of older adults who practiced some physical activity and reached the physical activity recommendations was low, with walking being the most common form of physical activity. Older adults with higher age, low socioeconomic status and from the Northern Brazilian regions were the least active.

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Association of physical performance impairments and limitations with insufficient physical activity among older adults in Brazil: results from the national health survey

Journal of Public Health ◽

10.1007/s10389-020-01351-7 ◽

2020 ◽

Author(s):

Luiza Ferreira Moreira ◽

Antônio Macedo Costa Filho ◽

Juleimar Soares Coelho de Amorim

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Performance ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Insufficient Physical Activity

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Prevalence of polypharmacy and associated factors in older adults in Spain: Data from the National Health Survey 2017

Medicina Clínica (English Edition) ◽

10.1016/j.medcle.2019.06.009 ◽

2019 ◽

Vol 153 (4) ◽

pp. 141-150

Author(s):

Marta Gutiérrez-Valencia ◽

Pablo Aldaz Herce ◽

Esther Lacalle-Fabo ◽

Beatriz Contreras Escámez ◽

Bernardo Cedeno-Veloz ◽

...

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Associated Factors ◽

National Health Survey

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Dietary Habits of Older Adults in Serbia: Findings From the National Health Survey

Frontiers in Public Health ◽

10.3389/fpubh.2021.610873 ◽

2021 ◽

Vol 9 ◽

Author(s):

Dragana Stosovic ◽

Nadja Vasiljevic ◽

Verica Jovanovic ◽

Andja Cirkovic ◽

Katarina Paunovic ◽

...

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Dietary Habits ◽

Secondary Analysis ◽

Binary Logistic Regression ◽

National Health Survey ◽

Public Health Action ◽

Younger Adults ◽

Nationally Representative

Objectives: Adults aged 65 years and older comprise one fifth of the Serbian population. Many of them have multiple, often diet-related comorbidities. We aimed to investigate their dietary habits by comparing them with younger adults' and to determine the relation of the differing ones to demographic, socioeconomic and health factors.Methods: We performed a secondary analysis of 2013 Serbian National Health Survey data on 14,082 adults. Binary logistic regression was used to determine dietary habits associated with older age (≥65 years) compared to younger age (18–64 years) and to assess their independent predictors in older adults.Results: Older adults more often reported everyday breakfast (OR = 2.085, 95%CI = 1.622–2.680) and brown/wholegrain bread consumption (OR = 1.681, 95% CI = 1.537–1.839), while using margarine (OR = 0.578, 95%CI = 0.397–0.839), discretionary salt (sometimes: OR = 0.648, 95%CI = 0.596–0.705, almost always: OR = 0.522, 95%CI = 0.445–0.614) and consuming fish (two or more times a week: OR = 0.465, 95%CI = 0.383–0.566) less frequently than younger adults. This was mainly positively related to urban environment, affluence, higher education and poor health.Conclusion: Using nationally representative data, we found that older adults reported healthier dietary habits compared to younger adults, which requires timely public health action.

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Informal and paid care for Brazilian older adults (National Health Survey, 2013)

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051000013 ◽

2017 ◽

Vol 51 (suppl 1) ◽

Cited By ~ 5

Author(s):

Maria Fernanda Lima-Costa ◽

Sérgio Viana Peixoto ◽

Deborah Carvalho Malta ◽

Célia Landmann Szwarcwald ◽

Juliana Vaz de Melo Mambrini

Keyword(s):

Older Adults ◽

Informal Care ◽

National Health ◽

Health Survey ◽

Population Aging ◽

Functional Limitations ◽

Sociodemographic Factors ◽

National Health Survey ◽

Community Dwelling ◽

Term Care

ABSTRACT OBJECTIVE To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians.

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Contribution of chronic diseases to the prevalence of disability in basic and instrumental activities of daily living in elderly Brazilians: the National Health Survey (2013)

Cadernos de Saúde Pública ◽

10.1590/0102-311x00204016 ◽

2018 ◽

Vol 34 (1) ◽

Cited By ~ 4

Author(s):

Antônio Macêdo Costa Filho ◽

Juliana Vaz de Melo Mambrini ◽

Deborah Carvalho Malta ◽

Maria Fernanda Lima-Costa ◽

Sérgio Viana Peixoto

Keyword(s):

Chronic Diseases ◽

National Health ◽

Health Survey ◽

Daily Living ◽

The Elderly ◽

National Health Survey ◽

Activity Of Daily Living ◽

Hazards Model ◽

Basic Activity ◽

Study Participants

Abstract: This study’s objective was to assess the contribution of selected chronic diseases to the prevalence of disability in elderly Brazilians, based on data from the National Health Survey (PNS 2013). Disability was defined as some degree of difficulty in performing ten activities, considering three levels: (i) without disability; (ii) disabled only in some instrumental activity of daily living (IADL); and (iii) disabled in some basic activity of daily living (BADL). The multinomial additive hazards model was the attribution method used to assess the contribution of each self-reported chronic condition (hypertension, diabetes, arthritis, stroke, depression, heart disease, and lung disease) to the prevalence of disability in this population, stratified by sex and age bracket (60 to 74 years and 75 or older). Study participants included 10,537 elderly Brazilians with a mean age of 70.0 years (SD = 7.9 years) and predominance of women (57.4%). Prevalence rates for disability in at least one IADL and at least one BADL were 14% (95%CI: 12.9; 15.1) and 14.9% (95%CI: 13.8; 16.1), respectively. In general, the contribution of chronic diseases to prevalence of disability was greater in younger elderly (60 to 74 years) and in the group with greatest severity (disabled in BADL), highlighting the relevance of stroke and arthritis in men, and arthritis, hypertension, and diabetes in women. This knowledge can help orient health services to target specific groups, considering age, sex, and current illnesses, aimed at preventing disability in the elderly.

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