Cross-national comparison of disability in Latin American and Caribbean persons aged 75 and older

Ortíz, Carlos; Ostir, Glenn V.; Peláez, Martha; Ottenbacher, Kenneth J.

doi:10.1016/j.archger.2005.06.006

Cited by 39 publications

(42 citation statements)

References 22 publications

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“…National and international research on the prevalence of FC of the elderly corroborate the findings, both of the independence and the partial and total dependency of this study (16)(17)(18)(19) . A major dependency for the IADL verified in this population studied were consistent with the literature about aging, in which the authors assert that, generally, the loss of FC tends to occur initially for the IADL and, subsequently, for the ADL (20) .…”

Section: Discussionsupporting

confidence: 87%

Prevalência de dependência em idosos e fatores de risco associados

et al. 2012

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Objective: To verify the prevalence of dependence among elderly assisted by teams of the Family Health Strategy in the city of Cuiabá (MT) and the associated risk factors. Methods: A study with a transversal design, of the survey type. The study sample was of 352 elderly with data collection conducted in their homes between the months of June and September of 2010, using the Katz Index questionnaire and the Lawton and Brody Scale. Results: The prevalence of dependency among the elderly was 38.6%. The statistical analysis showed that the sociodemographic characteristics and health were significantly associated with dependence, and there were several levels of prevalence rates of dependence among the elderly. Conclusion: The prevalence of dependency of 38.6% identified among the elderly study participants was higher than that reported in similar studies and suggests that this dependence results from the influence of the sociodemographic characteristics and health presented by these elderly. Keywords: Disabled persons; Geriatric assessment; Health of the elderly; Frail elderly; Risk factors RESUMOObjetivo: Verificar a prevalência de dependência entre idosos assistidos por equipes da Estratégia Saúde da Família na cidade de Cuiabá (MT) e os fatores de risco associados. Métodos: Estudo com delineamento transversal, tipo inquérito. A amostra estudada foi de 352 idosos com a coleta de dados realizada em seus domicílios entre os meses de junho e setembro de 2010, utilizando questionário, Índice de Katz e Escala de Lawton e Brody. Resultados: A prevalência de dependência entre os idosos foi de 38,6%. A análise estatística mostrou que as características sociodemográficas e de saúde estavam associadas significativamente à dependência e ocorreram vários graus de razão de prevalência da dependência entre os idosos. Conclusão: A prevalência de dependência de 38,6% identificada entre os idosos participantes do estudo foi superior à encontrada em estudos semelhantes e sugere que essa dependência sofra influência das características sociodemográficas e de saúde apresentadas por esses idosos. Descritores: Pessoa com deficiência; Avaliação geriátrica; Saúde do idoso; Idoso fragilizado; Fatores de risco RESUMEN Objetivo: Verificar la prevalencia de dependencia en ancianos asistidos por equipos de la Estrategia Salud de la Familia en la ciudad de Cuiabá (MT) y los factores de riesgo asociados. Métodos: Se trata de un estudio de tipo transversal, contencioso. La muestra estudiada fue de 352 ancianos cuyos datos fueron recolectados en sus domicilios entre los meses de junio y setiembre del 2010, utilizando un cuestionario, Índice de Katz y Escala de Lawton y Brody. Resultados: La prevalencia de dependencia entre los ancianos fue de 38,6%. El análisis estadístico mostró que las características sociodemográficas y de salud estaban asociadas significativamente a la dependencia y ocurrieron varios grados de razón de prevalencia de dependencia entre los ancianos. Conclusión: La prevalencia de dependencia del 38,6% identificada entr...

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Section: Discussionsupporting

confidence: 87%

Prevalência de dependência em idosos e fatores de risco associados

et al. 2012

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“…These activities can be influenced by sex, perception of the individual and the socio-cultural context. 4,5 The functional limitations and disabilities are conditions prevalent in the elderly, [6][7][8][9] with implications for increased use of health services and institutionalization, creating a serious public health problem. 8,9 Some studies suggest that nutritional status is an indicator of health and an important factor associated with motor performance limitations 7,10,11 and disability relating to basic and instrumental activities of daily life (ADLs and IADLs).…”

Section: Introductionmentioning

confidence: 99%

Nutritional status, physical performance and functional capacity in an elderly population in southern Brazil

Danielewicz

Barbosa

Duca

2014

Rev. Assoc. Med. Bras.

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Nutritional status, physical performance and functional capacity in an elderly population in southern Brazil Objective: to investigate the association between nutritional status and functional limitation and disability in an elderly population in southern Brazil. Methods: epidemiological, cross-sectional household-based study carried out with 477 elderly of both sexes (60 to 100 years). Body mass index (BMI) served to assess the nutritional status: underweight (BMI < 22 kg/m²) and overweight (BMI > 27 kg/m²). The sum score (0-5) obtained in three tests: "chair stand" and "pick up a pen" (measured by time) and standing balance (four static measurements) assessed the functional limitation. The disability was evaluated by the difficulty in performing one or more self-reported tasks related to basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Crude and adjusted analyzes (3 models) were carried out using Poisson regression; prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. Results: crude analyzes showed a positive association between underweight and functional limitation (PR = 2.71, 95% CI = 1.63 to 4.51); overweight and disability in ADLs (PR = 2.20, CI 95% = 1.44 to 3.35); overweight and disability in IADLs (PR = 1.56, CI 95% = 1.20 to 2.03). The additional adjustments for gender, age, level of education, living arrangements, current work, cognitive function and number of morbidities reduced the strength of the associations, without changing the statistical strength. Conclusion: nutritional status is a factor that is independently and positively associated with functional limitation and disability. We recommend the use of this indicator to monitor the health of the elderly.

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“…11 These instruments were chosen because of their widespread use in studies 3,7,17 and because of the recognition that they have received, regarding functional assessments for elderly people within primary care, in a recent document from the Brazilian Ministry of Health.…”

Section: Introductionmentioning

confidence: 99%

[No Title Available]

Duca

Silva²,

Hallal

2009

Rev. Saúde Pública

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Disability in relation to basic and instrumental activities of daily living among elderly subjects ABSTRACT OBJECTIVE:To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS:This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS:The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8). The lowest proportion of independence was in relation to controlling the urination and/or evacuation functions. In relation to instrumental activities, the prevalence of disability was 28.8% (95% CI: 24.5; 33.1), particularly in relation to moving around using means of transportation. A high proportion of the elderly subjects (21.7%) presented more than one instrumental activity with disability. In relation to basic activities, the greatest proportion presented dependence for only one activity (16.6%). In the adjusted analysis, disability relating to basic activities was associated with non-white skin color (p=0.01) and increasing age (p<0.001). Disability relating to instrumental activities was only associated with increasing age (p<0.001). CONCLUSIONS:The association between disability relating to basic and instrumental activities and increasing age is an indicator of importance for enabling the health services to plan actions that aim to prevent or delay the occurrence of disability, thereby ensuring independence and better quality of life among the elderly.

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Cross-national comparison of disability in Latin American and Caribbean persons aged 75 and older

Cited by 39 publications

References 22 publications

Prevalência de dependência em idosos e fatores de risco associados

Prevalência de dependência em idosos e fatores de risco associados

Nutritional status, physical performance and functional capacity in an elderly population in southern Brazil

[No Title Available]

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