scholarly journals Expansion of morbidity: trends in healthy life expectancy of the elderly population

2014 ◽  
Vol 60 (5) ◽  
pp. 434-441 ◽  
Author(s):  
Alessandro Gonçalves Campolina ◽  
Fernando Adami ◽  
Jair Licio Ferreira Santos ◽  
Maria Lucia Lebrão
Keyword(s):  
Life Expectancy ◽  
Elderly Population ◽  
Functional Disability ◽  
Well Being ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Basic Activity ◽  
Expansion Of Morbidity

Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods: cross-sectional and population survey, based on official data for the city of São Paulo, Brazil, and data obtained from the Health, Well-Being and Aging Survey (SABE). Functional disability was defined as difficulty in performing at least one basic activity of daily living. The Sullivan method was used to calculate LE and DFLE for the years 2000 to 2010. Results: from 2000 to 2010, there was an increase in disabled life expectancy (DLE) in all age groups and both sexes. The proportion of years of life free of disability, at 60 years of age, decreased from 57.94% to 46.23% in women, and from 75.34% to 63.65% in men. At 75 years of age, this ratio decreased from 47.55% to 34.54% in women, and from 61.31% to 56.01% in men. Conclusion: the expansion of morbidity is an ongoing process in the elderly population of the municipality of São Paulo, in the period of 2000-2010. These results can contribute to the development of preventive strategies and planning of adequate health services to future generations of seniors.

scholarly journals Pregnancy-induced hypertension syndrome and cardiovascular risk

2014 ◽  
Vol 60 (5) ◽  
pp. 442-450
Author(s):  
Ana Ciléia Pinto Teixeira Henriques ◽  
Júlio César Garcia de Alencar ◽  
Lívia Rocha de Miranda Pinto ◽  
Rosa Maria Salani Mota ◽  
Raimunda Hermelinda Maia Macena ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Elderly Population ◽  
Functional Disability ◽  
Age Groups ◽  
Well Being ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Basic Activity ◽  
Expansion Of Morbidity

Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods: cross-sectional and population survey, based on official data for the city of São Paulo, Brazil, and data obtained from the Health, Well-Being and Aging Survey (SABE). Functional disability was defined as difficulty in performing at least one basic activity of daily living. The Sullivan method was used to calculate LE and DFLE for the years 2000 to 2010. Results: from 2000 to 2010, there was an increase in disabled life expectancy (DLE) in all age groups and both sexes. The proportion of years of life free of disability, at 60 years of age, decreased from 57.94% to 46.23% in women, and from 75.34% to 63.65% in men. At 75 years of age, this ratio decreased from 47.55% to 34.54% in women, and from 61.31% to 56.01% in men. Conclusion: the expansion of morbidity is an ongoing process in the elderly population of the municipality of São Paulo, in the period 2000-2010. These results can contribute to the development of preventive strategies and planning of adequate health services to future generations of seniors.

scholarly journals Effect of the elimination of chronic diseases on disability-free life expectancy among elderly individuals in Sao Paulo, Brazil, 2010

2014 ◽  
Vol 19 (8) ◽  
pp. 3327-3334 ◽  
Author(s):  
Alessandro Gonçalves Campolina ◽  
Fernando Adami ◽  
Jair Licio Ferreira Santos ◽  
Maria Lucia Lebrão
Keyword(s):  
Life Expectancy ◽  
Chronic Diseases ◽  
The Elderly ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Compression Of Morbidity ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Disability Free Life Expectancy

The scope of this study was to establish whether the elimination of certain chronic diseases is capable of leading to the compression of morbidity among elderly individuals in Sao Paulo (Brazil), 2010. A population-based, cross-sectional study was carried out with official data for the city of Sao Paulo (Brazil) in 2010 and data from the SABE (Health, Wellbeing and Ageing) study. A total of 907 elderly individuals were evaluated, 640 of whom were women (64.6%). Sullivan's method was used for the calculation of disability-free life expectancy (DFLE). Life tables for cause elimination were used to calculate the probabilities of death with the elimination of health conditions. In absolute terms, the gains in LE and DFLE were greater in the younger age group (60 to 74 years) in both genders. In relative terms (%DFLE in LE), the gains were higher among women aged 75 years or older and among men aged 60 years. If eliminated, heart disease was the condition that would most lead to the compression of morbidity in both genders. The elimination of chronic diseases from the elderly population could lead to a compression of morbidity in men and women at both 60 years of age and 75 years of age or older.

Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor
Keyword(s):  
Low Income ◽  
Univariate Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Total Blood ◽  
Cross Sectional ◽  
The Relationship ◽  
Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

scholarly journals Cerebrovascular diseases mortality in the elderly in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

The Prevalence of Headache Among Elderly in a Low-Income Area of São Paulo, Brazil

Cephalalgia ◽  
2008 ◽  
Vol 28 (4) ◽  
pp. 329-333 ◽  
Author(s):  
IM Benseñor ◽  
PA Lotufo ◽  
AC Goulart ◽  
PR Menezes ◽  
M Scazufca
Keyword(s):  
Low Income ◽  
International Headache Society ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Tension Type Headache ◽  
São Paulo ◽  
Cross Sectional ◽  
Migraine Headaches ◽  
Type Headache

There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.

scholarly journals Clinical pharmacology profile of care in Hepatology clinic

2017 ◽  
Vol 63 (5) ◽  
pp. 401-406
Author(s):  
Talita Rocha Passos ◽  
Fabiana Silva Santos ◽  
Maria Cleusa Martins ◽  
Vanusa Barbosa Pinto ◽  
Flair José Carrilho ◽  
...  
Keyword(s):  
Elderly Population ◽  
Health Spending ◽  
Secondary Level ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Medical Specialties ◽  
The University ◽  
Basic Health Units

Summary Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.

Influence of ultraviolet radiation on the production of 25 hydroxyvitamin D in the elderly population in the city of São Paulo (23 o 34’S), Brazil

2005 ◽  
Vol 16 (12) ◽  
pp. 1649-1654 ◽  
Author(s):  
Gabriela Luporini Saraiva ◽  
Maysa Seabra Cendoroglo ◽  
Luiz Roberto Ramos ◽  
Lara Miguel Quirino Araújo ◽  
José Gilberto H. Vieira ◽  
...  
Keyword(s):  
Ultraviolet Radiation ◽  
Elderly Population ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Hydroxyvitamin D ◽  
25 Hydroxyvitamin D ◽  
The City

DISABILITY LIFE EXPECTANCY FOR THE ELDERLY, CITY OF SÃO PAULO, BRAZIL, 2000: GENDER AND EDUCATIONAL DIFFERENCES

2007 ◽  
Vol 39 (3) ◽  
pp. 455-463 ◽  
Author(s):  
MIRELA CASTRO SANTOS CAMARGOS ◽  
CARLA JORGE MACHADO ◽  
ROBERTO DO NASCIMENTO RODRIGUES
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Educational Attainment ◽  
Health Care Services ◽  
Critical Role ◽  
Health Behaviours ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Past Experiences

Summary.There is evidence that ‘health life expectancy’ (expected number of years to be lived in health) differs by socioeconomic status. Time spent in health or disability plays a critical role in the use of health care services. The objective of this study was to estimate ‘disability life expectancy’ by age, gender and education attainment for the elderly of the city of São Paulo, Brazil, in the year 2000. Data came from the SABE database, population censuses and mortality statistics (SEADE Foundation). Life expectancy with disability was calculated using Sullivan’s method on the basis of the current probability of death and prevalence of disability by educational level. The prevalence of disability increased with age, for both sexes and both levels of educational attainment studied. Men showed a lower prevalence of disability, in general, and persons with lower educational attainment showed a higher prevalence of disability. Regarding life expectancy, women could expect to live longer than men, with and without disability. For both sexes, the percentage of life expectancy lived with disability decreased with increasing educational attainment. With increasing educational attainment, the sex differences in the percentage of remaining years to be lived with disability increased for most ages. Finally, the percentage of remaining years to be lived with disability increased with age for males and females, except for males with high educational attainment between the ages 70–75 and 75–80. The results may serve as a guide for public policies in the country, since health problems faced by older persons, such as disability, are the result of a number of past experiences during their life-times, such as health care, housing conditions, hygiene practices and education. Education influences health behaviours and is related, to some extent, to all these factors. Therefore, improvements in education for the disadvantaged may improve health.

scholarly journals Evaluation of the Stress Phasei In Students of tThe Health Area

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
Danielle Lemes Dutra ◽  
André Abrantes Rosique ◽  
Asaphe Lemes Dutra ◽  
Sarah Da Silva Candido ◽  
Cynthia Kallás Bachur
Keyword(s):  
Medical Students ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The Body ◽  
São Paulo ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Health Area ◽  
De Medicina

Stress is a general wear and tear of the body, being responsible for changes in the state of health and well-being of the individual. The present study had as objective apply an Inventory of Stress Symptoms among both medical and physiotherapy students, compare and identify the stage of stress they encounter. This is a descriptive and cross-sectional study. The sample consisted of students of the 4th year of both Medicine and Physiotherapy courses from Universidade de Franca- São Paulo, volunteers, regardless of sex or ethnicity. An inventory of Stress Symptoms I.S.S. Lipp to characterize the stress phase of students. A total of 70 students participated in the study, 25 of which were physiotherapists, 22 male and 48 female, 21.92 ± 1.57 years old, and 45 medical students, with a mean age of 24, 87 + 4.26 years. In both courses, the sample analyzed showed a predominance in the Resistance phase, corresponding to a score of 4.26 in relation to medical students and 1.57 in physiotherapy. Based on the data from the present study, it was possible to identify that the students of the health area are in a predominantly Exhaustion phase, according to the Lipp inventory. Avaliação da Fase de Estresse em Estudantes da Área da Saúde O estresse é causado pelas alterações psicofisiológicas que ocorrem quando o indivíduo é forçado a enfrentar situações que o irritem. O presente estudo teve como objetivo aplicar um Inventário de Sintomas de estresse entre estudantes de medicina e fisioterapia, comparar e identificar a fase de estresse que eles se encontram. Trata-se de um estudo de caráter descritivo e transversal. A amostra foi composta por estudantes do 4º ano do curso de Medicina e de Fisioterapia da Universidade de Franca- São Paulo, voluntários,sem distinção de sexo ou etnia. Foi aplicado um Inventário de Sintomas de estresse I.S.S. Lipp para caracterizar a fase do estresse dos estudantes. Participaram deste estudo70 estudantes, 25 do curso de Fisioterapia, com idade 21,92 + 1,57 anos e 45 estudantes do curso de medicina, com idade média de 24,87 + 4,26 anos. A amostra analisada apresenta, em ambos os cursos, uma predominância na fase de Resistência, correspondendo um escore de 4,26 em relação aos estudantes de Medicina e 1,57 aos de Fisioterapia. Com base nos resultados dos dados do presente estudo, foi possível identificar que os estudantes da área de saúde encontram-se em uma fase predominantemente de Exaustão segundo o inventário de Lipp.

scholarly journals Dentists’ perceptions and barriers to provide oral care for dependent elderly at home, long-term care institutions or hospitals

2018 ◽  
Vol 17 ◽  
pp. e18223 ◽  
Author(s):  
Albano Porto Cunha Junior ◽  
Mateus Bertolini Fernandes dos Santos ◽  
Jarbas Francisco Fernandes Santos ◽  
Leonardo Marchini
Keyword(s):  
Online Survey ◽  
Elderly Population ◽  
Oral Care ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Term Care ◽  
Dependent Elderly ◽  
E Mail

Aim: The aim of this study was to assess the perceptions and barriers to providing oral health care for the dependent elderly in unconventional settings as reported by dentists in the State of São Paulo, Brazil. The Brazilian elderly population is rapidly growing, and a larger elderly population implies an increasing number of dependent elderly patients. Therefore, investigating the perceptions and barriers reported by dentists for caring for these patients becomes important. Materials and methods: An online survey was sent by e-mail to dentists of a metropolitan area in the State of São Paulo, Brazil. Results: The response rate was 3.65% (n = 125). Only 14.4% of respondents offered home care to the elderly. Lack of experience or training (60.7%) and the small number of home visits (42.9%), were the main reported barriers to providing care for the dependent elderly. Most of the respondents (82.4%) agreed that the age of the patient did not influence their decision to provide care, and 96.8% agreed that delivering care to the elderly could be a rewarding experience. Conclusion: Few respondents offered care to the elderly and some of the most relevant factors considered in the decision to offer care were, experience and training, personal satisfaction and having gerodontology as a stand-alone course during dental school.

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