scholarly journals Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e62430
Author(s):  
Alexandre de Andrade Nadu ◽  
Danila Cristina Paquier Sala ◽  
Carla de Lima Silva ◽  
Odete de Oliveira Monteiro ◽  
Paula Cristina Pereira da Costa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Fear Of Falling ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Instrumental Activities

Objective: to associate functional capacity with the risk of falls, fear of falling, and pain in hospitalized elderly. Methods: cross-sectional study with 130 elderlies. The following scales were applied: Activities of Daily Living, Instrumental Activities of Daily Living, Morse Falls, Fear of Falling and Pain. The Kruskal-Wallis test was used to associate the categorical variables to the Daily Living Activities and Pain Scales and the Chi-square test to the Morse Falls. Spearman’s Correlation Coefficient was used to associate the continuous variables with the Fear of Falling Scale. Results: most of the elderlies were independent for basic and instrumental activities of daily living, had high risk for falls, little concern about the possibility of falling, and no pain. Those with higher risk for falls are those with more dependence and have more concern about falling. Conclusion: there was an association between functional capacity and the scales fear of falling and pain.

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 Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study

2019 ◽  
Vol 32 (10) ◽  
pp. 654 ◽  
Author(s):  
Anamélia Oliveira ◽  
Paulo Nossa ◽  
Anabela Mota-Pinto
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Adult Day Care ◽  
Medication Usage ◽  
Cross Sectional ◽  
Care Support

Introduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal.Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information.Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention.Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week.Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly.

scholarly journals Factors associated with functional impairment of elderly patients in the emergency departments

2015 ◽  
Vol 13 (2) ◽  
pp. 209-214 ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Julieth Santana Silva Lage ◽  
Cássia Regina Vancini-Campanharo ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Functional Impairment ◽  
Daily Living ◽  
The Elderly ◽  
Ratio Test ◽  
Cross Sectional ◽  
Instrumental Activities

ABSTRACT Objective: To assess the functional capacity of elderly patients in the emergency department as to Basic and Instrumental Activities of Daily Living. Methods: A cross-sectional study of 200 elderly patients admitted to the emergency department of a teaching hospital in São Paulo (SP), Brazil. The functional capacity of the elderly was assessed by the Katz index and Lawton & Brody scale. Statistical analyses were performed using analysis of variance, Bonferroni correction, χ2 test, or the likelihood ratio test. Results: Most seniors were independent (65%), and the degree of dependence was related to age, female gender, being single and widowed, and presence of cerebrovascular disease and dementia. The more dependent elderly for Instrumental Activities of Daily Living had increased dependence for Basic Activities. Conclusion: We emphasize the importance of assessing the functional capacity of the elderly in the emergency department as it provides data for the nursing care in order to minimize or to avoid their functional impairment.

scholarly journals Evaluation of the functional capacity among of the aged with stroke

2011 ◽  
Vol 5 (3) ◽  
pp. 748
Author(s):  
Ana Railka de Souza Oliveira ◽  
Alice Gabrielle de Sousa Costa ◽  
Daniel Bruno Resende Chaves ◽  
Filipe Emmanuel Coelho Alves ◽  
Rafaella Pessoa Moreira ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Quantitative Approach ◽  
Sectional Study ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Las Mujeres ◽  
Cerebral Vascular

ABSTRACTObjective: to evaluate the functional capacity of the aged with stroke. Method: this is about a cross-sectional study, from quantitative approach, performed in Fortaleza-CE city, Brazil. It was carried out from 2006 to 2007, through an interview and application of Barthel’s and Lawton’s scales to measure basic activities of daily living (BADL) and instrumental activities of daily living (IADL). The dates were analyzed by Epi Info software, version 3.3. Results: were evaluated 97 patients who had an average age of 64,3 years, 51,5% were women; 25,3% were illiterate; 90,7% lived with family; 52,6% were married and 54,7% presented diseases associated with stroke. The time after the last stroke was 4,1 years (±4,8) and the average of strokes was 1,4 event (±0,7). The men presented more dependence to activities carry through home. However, the women showed more dependence to outdoors activities. Conclusion: the evaluation of clinical and epidemiological conditions is necessary for allowing adjusts in interventions planning and contributes for to improve the treatment. Thereby the investments in training and qualification of nurses become essential. Descriptors: activities of daily living; stroke; aged; geriatric nursing.RESUMOObjetivo: avaliar a capacidade funcional de idosos após acidente vascular encefálico (AVE). Metodologia: estudo transversal, quantitativo, desenvolvido em Fortaleza, no período de 2006 a 2007, por meio de entrevista e aplicação das escalas de Barthel e Lawton que mediram as atividades básicas (ABVD) e instrumentais (AIVD) da vida diária. Os dados foram analisados pelo programa Epi Info versão 3.3. Resultados: foram avaliados 97 indivíduos, com idade média de 64,3 anos, 51,5% mulheres; 25,3% analfabetos; 90,7% moravam com familiares; 52,6% tinham companheiros e 54,7% apresentavam patologias associadas ao AVE. Encontrou-se tempo após último AVE de 4,1 anos (±4,8) e média de 1,4 episódios (±0,7). Os homens mostraram-se mais dependentes quanto às atividades realizadas dentro do âmbito domiciliar. Já as mulheres, tiveram maior dependência para as atividades desenvolvidas fora do domicílio. Conclusão: a avaliação das condições clínicas e epidemiológicas são necessárias para o enfermeiro planejar estratégias, possibilitando ajustes no planejamento das intervenções contribuindo para melhor atendimento desses indivíduos. Destarte, torna-se imprescindível redirecionar a formação acadêmica e a qualificação dos enfermeiros. Descritores: atividades cotidianas; acidente cerebral vascular; idoso; enfermagem geriátrica.RESUMENObjetivo: evaluar la capacidad funcional de ancianos con accidente cerebrovascular. Método: estudio transversal, cuantitativo, desarrollado en la ciudad de Fortaleza, de 2006 a 2007, por medio de entrevista y aplicación de las escalas de Barthel y Lawton para medida de las actividades básicas e instrumentales de vida diaria. Los datos fueron analizados por el programa Epi Info, versión 3.3. Resultados: se evaluaron 97 individuos, con edad media de 64,3 años, el 51,5% eran mujeres y el 25,3% analfabetos; el 90,7% vivían con familiares; el 52,6% tenían compañeros y el 54,7% presentaban enfermedades asociadas al accidente cerebrovascular. El tiempo medio después del último evento fue 4,1 años (±4,8) y media de 1,4 episodios (±0,7). Los hombres se presentaron con más dependencia para las actividades desarrolladas dentro del domicilio, y las mujeres para actividades desarrolladas fuera de casa. Conclusión: la evaluación de condiciones clínicas y epidemiológicas es fundamental para lo planeamiento del enfermero.  Por lo tanto, es esencial reorientar la formación académica y la cualificación del enfermero. Descriptores: actividades cotidianas; accidente cerebrovascular; anciano; enfermería geriatica.

scholarly journals Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

2018 ◽  
Vol 5 (7) ◽  
pp. 3136
Author(s):  
Frieda Bokali P. Engheepi ◽  
Nikita Joshi Sonowal ◽  
V. K. Mehta ◽  
Ajoy Daniel Rai
Keyword(s):  
Health Care ◽  
Activities Of Daily Living ◽  
Rural Areas ◽  
Daily Living ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Functional Impairments ◽  
Sectional Study ◽  
Cross Sectional ◽  
Instrumental Activities

Background: Ageing is a universal, biological reality, which affects every individual on this earth.India, being the second largest country with 8.4% of the total population belonging to the age group of 60 years and above faces challenges of population ageing. The major concern now being the health care of the elderly as functional ability decreases with age leading to avoidance of challenging situations, restricted activity and further decline in health. The objective of this study was to find out the functional impairments of elderly in rural areas of East Sikkim using Lawton’s instrumental activities of daily living scale.Methods: Cross-sectional study was carried out with 324 elderly people aged 60 years and above. The study sample was obtained using multistage random sampling method. Out of total 52 GPU’s in rural areas of east Sikkim, 18 GPU’s were selected using random generation number method and then the list of all the elderly were obtained from each selected GPU. From this list, 18 elderlies in each GPU were randomly selected for the study thus the total sample size was 324. The study was conducted using Lawton’s instrumental activities of daily living (IADL) scale.Results: There was significant difference between the IADL score of both the genders (p=0.0001). There was no significant relationship in IADL score with age (r=-0.072). However, 2.5% of the elderly were totally dependent for IADL activity.Conclusions: Developing multidisciplinary approaches for improving quality of life might be a fruitful approach in elderly and thus enhancing the policy makers for forming a comprehensive geriatric rehabilitation services to provide health care accessibility for every elderly.

scholarly journals Evaluation of functional disability and associated factors in the elderly

2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Bruna Menezes Aguiar ◽  
Patrícia Oliveira Silva ◽  
Maria Aparecida Vieira ◽  
Fernanda Marques da Costa ◽  
Jair Almeida Carneiro
Keyword(s):  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Functional Disability ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
The North ◽  
Instrumental Activities

Abstract Objective: To estimate the prevalence and self-reported socio-demographic and health factors associated with functional disability in basic and instrumental activities of daily living among the elderly. Method: A cross-sectional study was carried out, based on a representative sample of elderly people receiving care at a reference unit in the north of the state of Minas Gerais. The data were collected in 2015. Demographic and socioeconomic variables, morbidity, hospitalizations in the previous year, frailty (Edmonton Frail Scale), geriatric depression (GDS-15), and functional disability (Katz Index, Lawton and Brody Scales) were analyzed. Multiple analysis was performed using Poisson regression with robust variance. Results: 360 elderly people aged 65 years and over participated in the study. The prevalence of functional disability for Basic Activities of Daily Living was 21.4% while for instrumental activities it was 78.3%. Functional disability in basic activities was higher among elderly males (p=0.03) who had suffered strokes (p=0.00) and were frail (p=0.00), while for instrumental activities it was higher among older elderly persons (p=0.04); who were illiterate (p=0.00), had less than five years of schooling (p=0.02); had depressive symptoms (p=0.00) and were frail (p=0.00). It was lower among elderly persons who lived alone. Conclusion: A high prevalence of functional disability was identified among the elderly for instrumental activities of daily living, demonstrating the need for an effective and immediate approach by health professionals, who should employ preventive care in order to tackle this problem.

scholarly journals Functional capability and violence situations against the elderly

2014 ◽  
Vol 27 (5) ◽  
pp. 392-398 ◽  
Author(s):  
Andréa Mathes Faustino ◽  
Lenora Gandolfi ◽  
Leides Barroso de Azevedo Moura
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Physical Violence ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Functional Capability ◽  
Cross Sectional ◽  
Daily Lives ◽  
Partial Dependence

Objective To verify whether there is a connection between the functional capacity of the elderly and the presence of violent situations in their daily lives. Methods A population-based cross-sectional study developed with 237 elderly individuals. Standard and validated research instruments were used. Results Mean age of 70.25 years (standard deviation of 6.94), 69% were female, 76% were independent in basic activities of daily living and 54% had a partial dependence on at least one instrumental activity. The most prevalent violence was psychological and the relation between being dependent on basic activities of daily living and suffering physical violence was statistically significant. Conclusion When the elderly needs assistance to perform self-care activities, there is a greater chance of exposure to a situation of abuse, such as physical violence.

scholarly journals Anemia and functional capacity in elderly Brazilian hospitalized patients

2013 ◽  
Vol 29 (7) ◽  
pp. 1322-1332 ◽  
Author(s):  
Raquel de Macedo Bosco ◽  
Elisa Priscila Souza Assis ◽  
Renata Rosseti Pinheiro ◽  
Luiza Cristina Viana de Queiroz ◽  
Leani S. M. Pereira ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Strong Association ◽  
Population Based ◽  
Categorical Variables ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Belo Horizonte ◽  
The Impact

This study evaluated the association between anemia and physical functional capacity in a cross-sectional population-based sample of 709 hospitalized elderly patients aged 60 years and over admitted to the Madre Teresa Hospital, Belo Horizonte, State of Minas Gerais, Brazil. The Mann-Whitney or "t" test, and chi-square or Fisher exact test were used for quantitative and categorical variables, respectively, and hierarchical binary logistic regression was used to identify significant predictors. The presence of anemia was found in 30% of participants and was significantly associated with decreased functionality according to the two measures which were used - ADL (activities of daily living) and IADL (instrumental activities of daily living). Anemia was also independently associated with older age. The results of this study demonstrate a strong association between the presence of anemia and lower levels of functional capacity. Further investigations are needed to assess the impact of anemia treatment on the functionality and independence of older people.

scholarly journals Functional capacity and reported morbidities: a comparative analysis in the elderly

2017 ◽  
Vol 20 (3) ◽  
pp. 398-408 ◽  
Author(s):  
William César Gavasso ◽  
Vilma Beltrame
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Family Health ◽  
The Elderly ◽  
Gastrointestinal System ◽  
Elderly Persons ◽  
Santa Catarina ◽  
Cross Sectional ◽  
Percentage Difference

Abstract Objective: To evaluate the influence of chronic morbidities on the functional capacity of elderly persons living in the municipal region of Herval d’ Oeste, in the state of Santa Catarina, Brazil. Methods: An analytical cross-sectional study was carried out with a sample of 272 elderly people registered in the Family Health Strategy of the municipality of Herval d’ Oeste, Santa Catarina. A socio-demographic questionnaire, Katz’s Basic Activities of Daily Living Scale and Lawton’s Instrumental Activities of Daily Living Scale (IALD) were used as instruments to gather data. The socio-demographical variables were estimated in frequencies and percentages. The associations were analyzed through the chi-square test. Results: Significant statistical associations for dependence were only found in the IADL assessments. Hypertension and Diabetes Mellitus were not found to influence the dependence of the elderly. However, a greater number of elderly persons who reported pathologies of the gastrointestinal system were classified as dependent. While the number of morbidities did not influence dependence in IADL, there was a smaller percentage difference between dependent and independent individuals among those with more than three morbidities. Conclusion: No relationship was found between the number of morbidities and the functional and instrumental capacity of the elderly. However, diseases of the gastrointestinal system demonstrated an influence on the dependence of elderly persons of Herval d'Oeste, Santa Catarina.

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.

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