Prevalence of functional disability in the elderly: analysis of the National Health Survey

This paper investigated depression-free life expectancy in the elderly population of Ceará, the Northeast and Brazil. We used data from the 2019 National Health Survey (PNS) and the projections of the Mortality Tables provided by the Brazilian Institute of Geography and Statistics (IBGE) in 2018. Sullivan's method was used to estimate depression-free life expectancy at age 60 years. The results show that, among the elderly in the analyzed regions, women are at a disadvantage in the number of years they will live with depression compared to men. Which suggests that women live longer with depression compared to men. Among the populations analyzed, it was also found that the one in the Northeast showed the smallest difference in the prevalence of depression in the elderly between the sexes, with 11.6% in women and 3.7% in men. In general, the Northeast has the lowest prevalence of depression among the elderly, when compared to the other two regions.

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Alcohol Consumption among the Elderly Citizens in Hungary and Serbia—Comparative Assessment

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041289 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1289

Author(s):

Natasa Mihailovic ◽

Gergő József Szőllősi ◽

Nemanja Rancic ◽

Sándor János ◽

Klára Boruzs ◽

...

Keyword(s):

Alcohol Consumption ◽

National Health ◽

Health Survey ◽

Well Being ◽

Good Health ◽

The Elderly ◽

National Health Survey ◽

Younger Age ◽

Health Significance

Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.

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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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Prevalence of corrected arterial hypertension based on the self-reported prevalence estimated by the Brazilian National Health Survey

Cadernos de Saúde Pública ◽

10.1590/0102-311x00033619 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Jessica Pronestino de Lima Moreira ◽

Renan Moritz Varnier Rodrigues de Almeida ◽

Nei Carlos dos Santos Rocha ◽

Ronir Raggio Luiz

Keyword(s):

Arterial Hypertension ◽

Sensitivity And Specificity ◽

National Health ◽

Health Survey ◽

The Elderly ◽

National Health Survey ◽

The Self ◽

Self Report ◽

Younger Women ◽

Age Range

The objective was to correct the self-reported prevalence of systemic arterial hypertension (SAH) obtained from the Brazilian National Health Survey (PNS 2013). SAH prevalence estimates were corrected by means of sensitivity/specificity of information. Sensitivity and specificity values from a similar study (same self-report question, age range and gold standard) were used to this end. A sensitivity analysis was also performed, by using the upper and lower limits of confidence intervals as sensitivity and specificity parameters. The corrected prevalence of SAH for Brazil as a whole was 14.5% (self-reported: 22.1%). Women presented a higher rate of self-reported SAH but, after correction, men were found to have a higher prevalence. Among younger women (18-39 age range), the self-reported prevalence was 6.2%, a value that, after correction, dropped to 0.28%. There was not much difference between self-reported and corrected SAH among the elderly (51.1% vs. 49.2%). For certain groups the corrected results were greatly different from the self-reported prevalence, what may severely impact public health policy strategies.

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Time trends in leisure time physical activity and physical fitness in the elderly: Five-year follow-up of the Spanish National Health Survey (2006–2011)

Maturitas ◽

10.1016/j.maturitas.2014.12.014 ◽

2015 ◽

Vol 80 (4) ◽

pp. 391-398 ◽

Cited By ~ 8

Author(s):

Carmen Casado-Pérez ◽

Valentín Hernández-Barrera ◽

Rodrigo Jiménez-García ◽

Cesar Fernández-de-las-Peñas ◽

Pilar Carrasco-Garrido ◽

...

Keyword(s):

Physical Activity ◽

Physical Fitness ◽

National Health ◽

Health Survey ◽

Time Trends ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

The Elderly ◽

National Health Survey

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Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

Revista Brasileira de Epidemiologia ◽

10.1590/1980-549720200055 ◽

2020 ◽

Vol 23 ◽

Author(s):

Adriano Drummond ◽

Wendel Rodrigo Teixeira Pimentel ◽

Valéria Pagotto ◽

Ruth Losada de Menezes

Keyword(s):

Activities Of Daily Living ◽

National Health ◽

Health Survey ◽

Daily Living ◽

Functional Dependence ◽

The Elderly ◽

National Health Survey ◽

Cross Sectional ◽

Instrumental Activities ◽

History Of

ABSTRACT: Objective: The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly. Methods: A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression. Results: There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities. Conclusion: Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.

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Functional disability in Brazilian octogenarians: data from the 2013 National Health Survey

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1178 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

P M Stolses Bergamo Francisco ◽

D de Assumpção ◽

F Silva Arbex Borim ◽

A Gomes de Macedo Bacurau ◽

A M Pita Ruiz ◽

...

Keyword(s):

Activities Of Daily Living ◽

National Health ◽

Health Survey ◽

Daily Living ◽

Functional Disability ◽

Healthcare Services ◽

Cross Sectional Study ◽

National Health Survey ◽

Cross Sectional ◽

Instrumental Activities

Abstract Background The impairment of function capacity implies a greater risk of biological and social vulnerability, increasing the demand for healthcare services and caregivers. Objective Estimate the prevalence of functional disability in the performance of basic and instrumental activities of daily living (BADL and IADL) among long-lived Brazilians (≥80 years) according to sociodemographic characteristics and self-rated health. Methods A cross-sectional study was conducted with data from seniors who participated in the 2013 National Health Survey (n = 1498). Functional disability was defined as difficulty performing at least one of the six BADL or five IADL. Independent associations were determined using Poisson multiple regression analysis, with the calculation of prevalence ratios and 95% confidence intervals adjusted for chronic diseases. Results Mean age was 84.8 years (CI95%: 84.5-85.1); 59% were women; 62% were self-declared white; and 63% had no private health insurance. The prevalence of functional disability in BADL and IADL was 33.8% (CI95%: 30.6-37.2) and 66.4% (CI95%: 62.5-70.2), respectively. Only 17.7% participated in organized social activities and only 15.5% rated their health as poor/very poor. Regarding BADL, greater disability was found among those ≥85 years of age, among men and those who rated their health as poor (p < 0.05). Regarding IADL, greater disability was found among those ≥85 years of age, those without a conjugal life, illiterate individuals and those who rated their health as poor (p < 0.05). Conclusions Approximately 1/3 and 2/3 of long-lived Brazilian exhibited restricted skills for maintaining their autonomy and independence regarding the performance of BADL and IADL, respectively. The present findings underscore the importance of family and social support networks to assist older adults in the performance of basic and instrumental activities of daily living as well as activities related to mobility. Key messages The impairment of function capacity increases the demand for healthcare services and caregivers. Approximately 1/3 and 2/3 of long-lived Brazilians have functional disability regarding the performance of basic and instrumental activities of daily living, respectively.

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Factors associated with self-reported diabetes according to the 2013 National Health Survey

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051000011 ◽

2017 ◽

Vol 51 (suppl 1) ◽

Cited By ~ 9

Author(s):

Deborah Carvalho Malta ◽

Regina Tomie Ivata Bernal ◽

Betine Pinto Moehlecke Iser ◽

Célia Landmann Szwarcwald ◽

Bruce Bartholow Duncan ◽

...

Keyword(s):

National Health ◽

Health Survey ◽

Eating Habits ◽

The Elderly ◽

Cross Sectional Study ◽

National Health Survey ◽

Health Condition ◽

Overweight And Obesity ◽

Cross Sectional ◽

Factors Associated

ABSTRACT OBJECTIVES To analyze the factors associated with self-reported diabetes among adult participants of the National Health Survey (PNS). METHODS Cross-sectional study using data of the PNS carried out in 2013, from interviews with adults (≥ 18 years) of 64,348 Brazilian households. The prevalence of self-reported diabetes, assessed by the question “Has a doctor ever told you that you have diabetes?,” was related to sociodemographic characteristics, lifestyle, self-reported chronic disease, and self-evaluation of the health condition. Prevalence ratios were adjusted according to age, sex, and schooling by Poisson regression with robust variance. RESULTS The diagnosis of diabetes was reported by 6.2% of respondents. Its crude prevalence was higher in women (7.0% vs. 5.4%), and among older adults, reaching 19.8% in the elderly. Black adults who received less schooling showed higher prevalence. Among those classified as obese, 11.8% reported having diabetes. Ex-smokers, those insufficiently active and those who consume alcohol abusively reported diabetes more often. Differences were not verified in eating habits among adults who reported, or did not, diabetes. A relation between diabetes and hypertension was found. CONCLUSIONS After adjustment according to age, schooling and sex, diabetes was shown to be associated with higher age, lower schooling, past smoking, overweight and obesity, and hypertension, as well as with a self-declared poor state of health, indicating a pattern of risk factors common to many chronic non-communicable diseases and the association of the disease with morbidity.

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Time trends in antibiotic consumption in the elderly: Ten-year follow-up of the Spanish National Health Survey and the European Health Interview Survey for Spain (2003–2014)

PLoS ONE ◽

10.1371/journal.pone.0185869 ◽

2017 ◽

Vol 12 (11) ◽

pp. e0185869 ◽

Cited By ~ 2

Author(s):

Domingo Palacios-Ceña ◽

Valentín Hernández-Barrera ◽

Isabel Jiménez-Trujillo ◽

Ramón Serrano-Urrea ◽

César Fernández-de-las-Peñas ◽

...

Keyword(s):

National Health ◽

Health Survey ◽

Time Trends ◽

The Elderly ◽

Antibiotic Consumption ◽

National Health Survey ◽

Interview Survey ◽

European Health ◽

European Health Interview Survey

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Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey

Journal of Clinical Medicine ◽

10.3390/jcm10153428 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3428

Author(s):

Rodrigo Citton P. dos Reis ◽

Bruce B. Duncan ◽

Célia Landmann Szwarcwald ◽

Deborah Carvalho Malta ◽

Maria Inês Schmidt

Keyword(s):

Blood Pressure ◽

National Health ◽

Health Survey ◽

Ldl Cholesterol ◽

National Health Survey ◽

Adherence To Treatment ◽

Cvd Risk ◽

Related Factors ◽

Duration Of Diabetes ◽

Basic Standards

ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence.

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