Functional disability in activities of daily living and instrumental or domestic activities of daily living in the elderly living at home in Bobo-Dioulasso (Burkina Faso)

2015 ◽  
Vol 13 (4) ◽  
pp. 381-390
Author(s):  
Abdramane Berthé ◽  
Lalla Berthé-Sanou ◽  
Blahima Konaté ◽  
Hervé Hien ◽  
Fatoumata Tou ◽  
...  
2019 ◽  
Vol 53 ◽  
pp. 11
Author(s):  
Ana Lúcia Danielewicz ◽  
Eleonora D’Orsi ◽  
Antonio Fernando Boing

OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.


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 ◽  
...  

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.


2020 ◽  
Author(s):  
Manuel Lopes ◽  
Lara Pinho ◽  
César Fonseca ◽  
Margarida Goes ◽  
Henrique Oliveira ◽  
...  

Abstract BackgroundIt is important to characterize the functioning of elderly adults in different care contexts and evaluate their suitability to the condition of the elderly population. Therefore, the present study aimed to compare the functional profiles of institutionalized and noninstitutionalized older adults; to evaluate the effect of biological and sociodemographic factors on the determination of functional profiles and to evaluate the probability of an older adults obtaining a certain overall functional profile based on his/her age.MethodsThis is a cross-sectional study that included 476 participants over 65 years old who were divided into two groups: noninstitutionalized elderly living in their homes and attending day care centers (100) and institutionalized elderly living in nursing homes (376). The data were collected using the semi-structured interview method and it was applied the Elderly Nursing Core Set. ResultsThe Elderly Nursing Core Set model tested consisted of 22 items in five domains: “Self-Care - Activities of daily living (a)”; “Self-Care - Activities of daily living (b)”; “Mental Functions”; “Communication” and “Support and Relationships”. Women, older participants, illiterate elderly and institutionalized participants had worse functional profile results.ConclusionsAge, female sex, lack of education, and institutionalization are negatively related to the functional profile. Given the association between education level and functioning, it is necessary to promote the training of elderly individuals throughout life. The implementation of social and health responses should allow elderly individuals to remain in their homes, given the influence of functioning on self-care and quality of life.


2014 ◽  
Vol 27 (2) ◽  
pp. 189-200 ◽  
Author(s):  
Larissa de Lima Borges ◽  
Fernanda Pains Vieira dos Santos ◽  
Valéria Pagotto ◽  
Ruth Losada de Menezes

Introduction Cataract arises as a risk factor for functional disability in elderly Objective: To determine differences in functional capacity and contextual factors associated with it in elderly affected and not affected by cataract and association between disability and cataracts.Methods A transversal-type observational study was carried out with 100 community elderly, divided into two groups: elderly affected (n = 50) and not affected by cataracts (n = 50). It was evaluated: activities of daily living (ADL) – Katz Index –, instrumental activities of daily living (IADL) – Lawton scale – and mobility – Short Physical Performance Battery. Functional disability was detected when the elderly were dependent or semi-dependent for one or more IADL or ADL and/or when they presented any difficulty in mobility. Data analysis included absolute and relative frequencies, Chi-squared or Fisher’s exact tests (p < 0.05) and Poisson regression.Results No statistically significant associations were observed between IADL, ADL or mobility disability and cataracts. A statistically significant difference was observed between the disabled elderly affected and not affected by cataract according to contextual factors for ADL regarding age (p = 0.037) and comorbidity (p = 0.037), for mobility regarding the practice of physical activity (p = 0.013), and for IADL (p = 0.001), ADL (p = 0.001) and mobility (p = 0.013) regarding the self-reporting of eyesight problems.Conclusions Besides cataracts, physical inactivity, comorbidity and functional aging itself are contributing factors to the process of disability in elderly, so, the physiotherapy is essential both to prevent as to reverse this process.


Author(s):  
Darlene Mara dos Santos Tavares ◽  
Paula Berteli Pelizaro ◽  
Maycon Sousa Pegorari ◽  
Mariana Mapelli de Paiva ◽  
Gianna Fiori Marchiori

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.


Rev Rene ◽  
2016 ◽  
Vol 17 (1) ◽  
pp. 103
Author(s):  
Winnie Andaki Nunes ◽  
Flavia Aparecida Dias ◽  
Janaína Santos Nascimento ◽  
Nayara Cândida Gomes ◽  
Darlene Mara dos Santos Tavares

to describe the socioeconomic characteristics of the elderly according to cognitive status, and, to associate the cognitive decline with functional disability and depression indicative among the elderly. Methods: this is a quantitative, retrospective and observational study with 92 elderly. The used instruments were: Mini Examination of Mental State; Katz Index; Lawton and Brody Scale and Abbreviated Geriatric Depression Scale. Statistical analysis and chi-square test (p<0.05) were used. Results: elderly with a cognitive decline for females were predominant, 80 years and older, widowed and living with children, with one to three years of study, individual income up to a minimum wage. The proportion of elderly with a dependent cognitive decline in basic activities of daily living (p=0.043) and instrumental activities of daily living (p=0.008) was higher than independent. There were no significant differences in the depression indicative (p=0.437). Conclusion: the proportion of dependent elderly was higher in those with cognitive decline.


2019 ◽  
Vol 39 (4) ◽  
pp. 393-397 ◽  
Author(s):  
Claire K. Ankuda ◽  
Deborah A. Levine ◽  
Kenneth M. Langa ◽  
Katherine A. Ornstein ◽  
Amy S. Kelley

This study assesses patterns of caregiving, death, and recovery after incident disability in older adults. We used the Health and Retirement Study to follow of a cohort of adults age ≥65 years in the United States with incident disability in activities of daily living (ADLs) or instrumental activities of daily living (IADLs; n = 8,713). Rates of care and function state were assessed biennially: deceased, nursing home dwelling, at home with paid help, at home with both paid and unpaid help, at home with unpaid help, at home with no assistance and recovered. In the 2 years after incident disability, 22.1% recovered and 46.8% died. Transitions between care and function states occurred frequently, with more than 20% of the cohort living at home with no assistance despite disability at least once. This study demonstrates the high levels of care and function state fluctuation and unmet needs after functional disability.


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

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.


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