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

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.

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

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.

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

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.

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 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.

scholarly journals Hubungan Tingkat Kemandirian (Basic dan Instrumental Activities of Daily Living) dengan Pendidikan, Status Marital, dan Demensia pada Lansia di Panti Wredha

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Lisna Anisa Fitriana ◽  
Nazhifa Ufamy ◽  
Kusnandar Anggadiredja ◽  
Setiawan Setiawan ◽  
I Ketut Adnyana
Keyword(s):  
Nursing Homes ◽  
Activities Of Daily Living ◽  
Mental State ◽  
Daily Living ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
T Test ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
State Examination

ABSTRAKPenurunan daya ingat dan ketidakmampuan dalam melakukan aktivitas sehari-hari menjadi salah satu alasan lansia dikirim ke panti wredha. Adapun tujuan penelitian ini untuk mengetahui hubungan faktor demografi dan demensia dengan kemandirian lansia dalam memenuhi aktivitas dasar dan instrumental di panti wredha. Desain penelitian ini adalah cross sectional. Alat pengumpulan data menggunakan kuisioner BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), dan MMSE (Mini Mental State Examination). Sampel penelitian berjumlah 166 lansia berusia > 60 tahun yang tinggal di 3 panti wredha Bandung dan Garut. Analisa data menggunakan uji independent sample t-test. Hasil penelitian menunjukkan lansia yang ada di panti wredha 65,1% mandiri dalam BADL dan 51,8% mandiri dalam IADL, 109 orang (65,7%) mengalami demensia, 118 orang (71,1%) adalah wanita, 142 orang (85,5%) berpendidikan rendah, dan 153 orang (92,2%) tidak menikah. Analisis menunjukkan terdapat hubungan yang signifikan antara kemandirian (BADL dan IADL) dengan pendidikan, status marital, dan demensia pada lansia di panti wredha (p<0,05). Upaya yang komprehensif perlu dilakukan untuk meningkatkan kemandirian lansia khususnya yang ada di panti wredha. ABSTRACT Cognitive impairment and inability to do activities of daily living being the reasons for elderly to transferring in the nursing homes. The purpose of this study was to determine association of demographic factors and dementia with the independence of the elderly to fulfill basic and instrumental activities in nursing homes. The design of this study was cross-sectional. Data collection tools using BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), and MMSE (Mini Mental State Examination) questionnaires. The research sample of 166 elderly aged > 60 years who live in 3 nursing homes in Bandung and Garut. Data analysis uses an independent sample t-test. The results showed that the elderly in nursing homes 65.1% were independent in BADL and 51.8% were independent in IADL, 109 people (65.7%) suffered dementia, 118 people (71.1%) were women, 142 people (85.5% ) have low education, and 153 people (92.2%) are not married. The analysis showed that there was a significant relationship between BADL and IADL with education, marital status, and dementia in the elderly in nursing homes (p <0.05). Comprehensive treatment needs to improve the independence of the elderly especially in nursing homes.

scholarly journals 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)

2018 ◽  
Vol 34 (1) ◽  
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.

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.

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