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

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.

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

European Geriatric Medicine ◽

10.1007/s41999-021-00488-2 ◽

2021 ◽

Author(s):

Sofía García-López ◽

Natalia Llopart-Carles ◽

Francisco Castro-Domínguez ◽

Javier Rejas-Gutierrez

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Pain Severity ◽

Analgesic Treatment

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

Revista Brasileira de Epidemiologia ◽

10.1590/1980-549720200055 ◽

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.

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

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1178 ◽

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.

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DIETARY HABITS AND FUNCTIONAL LIMITATION OF OLDER BRAZILIAN ADULTS: EVIDENCE FROM THE BRAZILIAN NATIONAL HEALTH SURVEY (2013)

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2016.114 ◽

2016 ◽

pp. 1-6

Author(s):

E. Alves Valle ◽

J. Vaz de Melo Mambrini ◽

S. Viana Peixoto ◽

D. Carvalho Malta ◽

C. de Oliveira ◽

...

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Living Arrangements ◽

Daily Living ◽

Vegetable Consumption ◽

Functional Limitation ◽

National Health Survey ◽

Food Groups ◽

Fruit And Vegetable

Objective: To compare the consumption of selected healthy and unhealthy food groups among elderly Brazilians with daily living activity limitations relative to those with no limitations. Design: Cross-sectional analyses of a nationally representative survey. Setting: The Brazilian National Health Survey, conducted in 2013. Subjects: 11,177 Brazilians aged 60 and over. Results: The prevalence of daily living limitations was 29% (95% CI 27.6,30.5). The consumption of daily meat, beans on a regular basis, and recommended fruit and vegetables intake were 67.1% (95% CI 66.5,68.7), 71.3% (95% CI 69.9,72.8) and 37.3% (95% CI 35.6,39.9), respectively. Compared to those without functional limitation, the consumption of these three food groups was significantly lower among those older adults with functional limitation (Prevalence Ratio = 0.89, 95% CI 0.80,0.98; 0.90, 95% CI 0.82,0.99 and PR 0.86, 95% CI, 0.76,0.96, respectively), independently of age, sex, marital status, living arrangements and education. Level of education showed a strong positive association with fruit and vegetable consumption, and a negative association with bean consumption, a staple diet in Brazil. Conclusions: Our findings highlight the need for public health policies to increase consumption healthy food consumption among those older adults with functional limitations, especially fruit and vegetable intake among those who have low education levels.

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A healthy eating score is inversely associated with depression in older adults: Results from the Chilean National Health Survey 2016-2017

Public Health Nutrition ◽

10.1017/s1368980021004869 ◽

2021 ◽

pp. 1-31

Author(s):

Fabian Lanuza ◽

Fanny Petermann-Rocha ◽

Carlos Celis-Morales ◽

Yeny Concha-Cisternas ◽

Gabriela Nazar ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Healthy Eating ◽

National Health ◽

Health Survey ◽

Short Form ◽

Composite International Diagnostic Interview ◽

National Health Survey ◽

Inverse Association ◽

Cross Sectional

Abstract Objective: To investigate the relationship of a healthy eating score with depression in Chilean older adults. Design: Cross-sectional study. Setting: Chilean older adults from the Chilean National Health Survey 2016-2017. Associations were analyzed using complex samples multivariable logistic regressions adjusted for: age, sex, socio-demographic, lifestyles (physical activity, smoking, alcohol consumption, and sleep duration), body mass index, and clinical conditions (hypertension, diabetes, hypercholesterolemia, and cardiovascular diseases). Participants: The number of participants were 2,031(≥60y). The Composite International Diagnostic Interview-Short Form (CIDI-SF) was applied to establish the diagnosis of major depressive episode (MDE). Six healthy eating habits were considered to produce the healthy eating score (range: 0-12): consumption of seafood, whole grain, dairy, fruits, vegetables, and legumes. Participants were categorized according to their final scores as healthy (≥9), average (5 to 8), and unhealthy (≤4). Results: Participants with a healthy score had a higher educational level, physical activity, and regular sleep hours than participants with an average and unhealthiest healthy eating score. Participants classified in the healthiest healthy eating score had an inverse association with depression (OR: 0.28, 95%CI: 0.10-0.74). Food items that contributed the most to this association were legumes (15.2%) and seafood (12.7%). Conclusion: Participants classified in the healthiest healthy eating score, characterized by a high consumption of legumes and seafood, showed a lower risk for depression in a representative sample of Chilean population.

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Leisure-time physical activity among older adults in Brazil: results from the Brazilian National Health Survey – 2013

ABCS Health Sciences ◽

10.7322/abcshs.2020076.1530 ◽

2021 ◽

Author(s):

Vítor Häfele ◽

César Augusto Häfele ◽

Jeferson Santos Jerônimo ◽

Rodrigo Wiltgen Ferreira ◽

Steve Anthony Maravillo ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

National Health ◽

Health Survey ◽

Leisure Time ◽

Healthy Aging ◽

Leisure Time Physical Activity ◽

National Health Survey ◽

Physical Activity Recommendations ◽

Activity Recommendations

Introduction: Health behaviors are fundamental for healthy aging. In this sense, the practice of physical activity is one of the most beneficial factors for the health of individuals. Objective: To describe the prevalence of leisure-time physical activity among the older adults and analyze in terms of sociodemographic characteristics, national regions, Federative Units of Brazil, and types of physical activity practiced. Methods: Study utilizing data from the Brazilian National Health Survey - 2013. Leisure-time physical activity was analyzed with two distinct cutoff points: 1) Some physical activity - 10 or more minutes/week; 2) Meeting recommended 150 minutes/week of physical activity. Results: Nearly 21% of the older adults completed some physical activity, and 13.2% reached the physical activity recommendations. There was no difference in the prevalence of physical activity between men and women. Individuals aged 60-69 years and those with higher income were more active than their peers. As for the national regions, the North had the lowest prevalence of physically active older adults. Among all regions, walking was the most frequent form of physical activity practiced. Conclusion: The prevalence of older adults who practiced some physical activity and reached the physical activity recommendations was low, with walking being the most common form of physical activity. Older adults with higher age, low socioeconomic status and from the Northern Brazilian regions were the least active.

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Association of physical performance impairments and limitations with insufficient physical activity among older adults in Brazil: results from the national health survey

Journal of Public Health ◽

10.1007/s10389-020-01351-7 ◽

2020 ◽

Author(s):

Luiza Ferreira Moreira ◽

Antônio Macedo Costa Filho ◽

Juleimar Soares Coelho de Amorim

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Performance ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Insufficient Physical Activity

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Prevalence of polypharmacy and associated factors in older adults in Spain: Data from the National Health Survey 2017

Medicina Clínica (English Edition) ◽

10.1016/j.medcle.2019.06.009 ◽

2019 ◽

Vol 153 (4) ◽

pp. 141-150

Author(s):

Marta Gutiérrez-Valencia ◽

Pablo Aldaz Herce ◽

Esther Lacalle-Fabo ◽

Beatriz Contreras Escámez ◽

Bernardo Cedeno-Veloz ◽

...

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Associated Factors ◽

National Health Survey

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Dietary Habits of Older Adults in Serbia: Findings From the National Health Survey

Frontiers in Public Health ◽

10.3389/fpubh.2021.610873 ◽

2021 ◽

Vol 9 ◽

Author(s):

Dragana Stosovic ◽

Nadja Vasiljevic ◽

Verica Jovanovic ◽

Andja Cirkovic ◽

Katarina Paunovic ◽

...

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Dietary Habits ◽

Secondary Analysis ◽

Binary Logistic Regression ◽

National Health Survey ◽

Public Health Action ◽

Younger Adults ◽

Nationally Representative

Objectives: Adults aged 65 years and older comprise one fifth of the Serbian population. Many of them have multiple, often diet-related comorbidities. We aimed to investigate their dietary habits by comparing them with younger adults' and to determine the relation of the differing ones to demographic, socioeconomic and health factors.Methods: We performed a secondary analysis of 2013 Serbian National Health Survey data on 14,082 adults. Binary logistic regression was used to determine dietary habits associated with older age (≥65 years) compared to younger age (18–64 years) and to assess their independent predictors in older adults.Results: Older adults more often reported everyday breakfast (OR = 2.085, 95%CI = 1.622–2.680) and brown/wholegrain bread consumption (OR = 1.681, 95% CI = 1.537–1.839), while using margarine (OR = 0.578, 95%CI = 0.397–0.839), discretionary salt (sometimes: OR = 0.648, 95%CI = 0.596–0.705, almost always: OR = 0.522, 95%CI = 0.445–0.614) and consuming fish (two or more times a week: OR = 0.465, 95%CI = 0.383–0.566) less frequently than younger adults. This was mainly positively related to urban environment, affluence, higher education and poor health.Conclusion: Using nationally representative data, we found that older adults reported healthier dietary habits compared to younger adults, which requires timely public health action.

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