scholarly journals Oral health conditions and activities of daily living in an elderly population in Brazil

2016 ◽  
Vol 19 (6) ◽  
pp. 917-929 ◽  
Author(s):  
Diviane Alves da Silva ◽  
◽  
Yan Nogueira Leite de Freitas ◽  
Tamires Carneiro de Oliveira ◽  
Romerito Lins da Silva ◽  
...  
Keyword(s):  
Oral Health ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Previous History ◽  
Health Indicators ◽  
The Elderly ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Prosthesis Replacement

Abstract Objective: To analyze the relationship between the oral health status and functional capacity in performing basic activities of daily living of a population of elderly persons. Method: A cross-sectional population-based study with 441 individuals aged 60 years or over both genders was performed in the municipality of Macaíba, Rio Grande do Norte. From intraoral epidemiological examination, the degree of caries attacks (CPO-D index), periodontal condition (CPI and PIP indexes), the use and need for dental prosthesis and the presence of oral lesions were evaluated. Independence in Activities of Daily Living was used to evaluate functional capacity. Socioeconomic and demographic characteristics were surveyed using a structured questionnaire. Results: Oral health variables were subjected to factor analysis, which resulted in four indicators. There was no association between these indicators and the functional capacity of the elderly. Gender, age, presence of caregiver, dominant area of residence, time of last visit to the dentist, type of care sought during such visit and self-perception regarding prosthesis replacement were significantly associated with oral health indicators. Conclusion: Given the non-identification of the effect of functional capacity on the oral health of the elderly, the time of measurement of the events investigated should be considered. It is suggested that dependency among the elderly occurs at different times from when the consequences of oral problems are observed, considering the cumulative effects of a previous history of invasive dental care.

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 Analysis of the functional capacity of elderly residents of communities with a rapid population aging rate

2016 ◽  
Vol 19 (4) ◽  
pp. 643-652 ◽  
Author(s):  
Evelise Moraes Berlezi ◽  
Ana Maria Farias ◽  
Fernanda Dallazen ◽  
Karla Renata Oliveira ◽  
Ana Paula Pillatt ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Successful Aging ◽  
Daily Living ◽  
Population Aging ◽  
The Elderly ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Aging Rate ◽  
Probabilistic Study

Abstract Introduction: The elderly population has risen sharply in Brazil, increasing the need for a health policy focused on health promotion and disease prevention. Attention should also be focused on functional capacity because of the personal and family suffering caused by dependency, as well as the increased demand placed on public services. Objective: To check the health and functional capacity of elderly residents in a small town with a high population aging rate. Methods: A cross-sectional, analytical and non-probabilistic study was performed of 528 elderly persons aged ≥60 years, of both genders, who were evaluated in their home environment. The variables of interest were general health and functional capacity, assessed by the adapted Katz and Lawton and Brody scales. Data analysis was carried out using descriptive and analytical statistical tools. To assess the association between variables the chi-squared test was used, accepting the hypothesis of dependency of variables with p=0.05. Results: The mean age was 72.24±9.33 years. Functional capacity assessment identified that most of the elderly persons carried out activities of daily living (ADLs) and instrumental activities of daily living (IADL) independently; with percentages of 90% and 83.7%, respectively. A statistically significant association was observed (p=0.001) between reports of falls and functional capacity levels. Conclusion: The results show that the elderly of this municipality are mostly independent in performing their daily tasks, representing successful aging.

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 Assessment of functional capacity of the elderly associated with the risk for pressure ulcer

2012 ◽  
Vol 25 (spe1) ◽  
pp. 94-100 ◽  
Author(s):  
Elizabeth Souza Silva de Aguiar ◽  
Maria Júlia Guimarães Oliveira Soares ◽  
Maria Helena Larcher Caliri ◽  
Marta Mirian Lopes Costa ◽  
Simone Helena dos Santos Oliveira
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Pressure Ulcers ◽  
The Elderly ◽  
Functional Independence ◽  
Cognitive Status ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Physical Limitations

OBJECTIVE: To characterize the elderly with physical limitations; to assess functional capacity as it relates to physical mobility, cognitive status and level of functional independence in activities of daily living, and to relate functional capacity to the risk for pressure ulcers. METHODS: A quantitative cross-sectional approach, conducted in households in the city of João Pessoa (PB) with seniors who presented physical limitation. Fifty-one elderly were investigated in a two-stage cluster sampling design. RESULTS: There was evidence of impairments in functional capacity of the elderly aged 80 years or more, with more severe physical limitations, cognitive impairment and a higher level of dependency for activities. Significant differences were observed between the level of functional independence in performing activities of daily living and the risk of pressure ulcers. CONCLUSION: This study allowed for the identification of the elderly in functional decline and at risk for developing pressure ulcers, supporting the implementation of preventive actions at the household level.

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 Disability relating to instrumental activities of daily living in the elderly with rheumatic diseases

2018 ◽  
Vol 21 (5) ◽  
pp. 570-578 ◽  
Author(s):  
Priscila Maria Stolses Bergamo Francisco ◽  
Priscila de Paula Marques ◽  
Flávia Silva Arbex Borim ◽  
Sarina Francescato Torres ◽  
Anita Liberalesso Neri
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
Well Being ◽  
The Elderly ◽  
Population Based ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Instrumental Activities

Abstract Objective: to characterize the sociodemographic profile of elderly persons with arthritis/rheumatism in relation to gender, as well as to estimate the prevalence and factors associated with functional disability for the performance of instrumental activities of daily living (IADL). Method: a cross-sectional population-based study with a sample of 1,136 elderly persons (≥65 years old) from seven Brazilian municipal regions was carried out. Functional capacity was assessed by the self-reports of the elderly in terms of the performance of IADL, using the Lawton Scale. Differences between the genders, according to sociodemographic variables, were verified by the chi-squared test (p<0.05). The prevalence of inability to perform IADL was calculated and the independent associations were verified through multiple logistic regression. Results: the mean age was 72.4 years, 79.1% of the sample were women, and 45.9% of the elderly with arthritis/rheumatism were dependent for the performance of IADL. Differences were observed between the genders in relation to age, marital status, income and household arrangements (p<0.05). A higher prevalence of disability was observed among older elderly persons, those with no schooling and lower incomes, who lived in multigenerational households and who were frail. In the evaluation of the performance of specific activities, elderly persons with arthritis/rheumatism had greater difficulty taking medication (OR: 1,90; CI 95%: 1.19 - 3.06), after adjusting for gender and age. Conclusion: associations were found between functional disability and sociodemographic variables and frailty. Independence in daily activities such as those evaluated in this study is one of the primary conditions for the well-being of the elderly, even in conditions of frailty or chronic diseases.

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 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.

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