Predictors of 10-year mortality in a population of community-dwelling Brazilian elderly: the Bambuí cohort study of aging

Lima‐Costa, Maria Fernanda; Peixoto, Sérgio Viana; Matos, Divane Leite; Firmo, Josélia Oliveira Araújo; Uchôa, Elizabeth

doi:10.1590/s0102-311x2011001500006

Cited by 34 publications

(36 citation statements)

References 32 publications

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“…This pattern follows the prevalence of other countries 16 . In addition to chronic diseases, national and international studies investigate other variables of mortality risk in older adults, including the self-assessment of health, common mental disorder, functional capacity, number of drugs consumed, frailty, and falls 2,12,15,25,26 .…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and health factors associated with mortality in community-dwelling elderly

2017

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OBJECTIVE The objective of this study is to identify factors associated with mortality, with emphasis on gender and age differences.METHODS This is a cross-sectional study, which uses data from the FIBRA-2008-2009 network in Campinas, State of São Paulo, Brazil, with information on non-institutionalized residents of the urban area and the Mortality Information System. The dependent variable has been death, in 2013. The associations have been tested by odds ratio (OR) and their 95% confidence intervals, and the analyses have been conducted using the program Stata 12.0.RESULTS Average age has been 72.3 years, 69.3% have been women, and 8.9% have died. We have found greater OR for mortality in individuals aged ≥ 75 years, classified as pre-frail or frail, and in those who have reported heart disease.CONCLUSIONS In this study, the analysis of specific subgroups has allowed us to better understand the relationship between the factors associated with death in the elderly. With the exception of age, strategies based on primary and secondary care, focused on priority groups, can have a positive impact on the reduction of mortality among the elderly.

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Section: Introductionmentioning

confidence: 99%

Sociodemographic and health factors associated with mortality in community-dwelling elderly

2017

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“…A potential limitation of our study is survival bias. Poor physical functioning is a stronger predictor of mortality among the Bambuí cohort members 16 . Other populationbased cohort studies have also reported increased risks of mortality associated with the inability of elderly persons to complete ADLs and/or IADLs 32,33,34 .…”

Section: Discussionmentioning

confidence: 89%

“…Functional dependence is one of the main outcome variables. The response rate was high at baseline (92.2%) and the attrition rate was very small during 10 year follow-up (6.8%) 16,17 . All participants aged 71-81 years at baseline in 1997 (that is, born from 1916 to 1926) and in 2008 (that is, born from 1927 to 1937) were selected for the present analysis.…”

Section: Methodsmentioning

confidence: 93%

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Birth cohort differences in physical functioning levels among elderly Brazilians: findings from the Bambuí cohort study of aging (1997-2008)

Oliveira

Lima‐Costa

2011

Cad. Saúde Pública

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“…Longitudinal studies show that loss of functional capacity is an important risk factor for mortality. 3,11 Independence and autonomy involve social and economic aspects and, most noticeably, the physical and mental abilities necessary to carry out activities of daily living (ADL) adequately and without the need for help. 16 In Brazil, 7% of the population aged 60 and over have diffi culties or are not able to carry out ADL unaided.…”

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Perguntas mínimas para rastrear dependência em atividades da vida diária em idosos

et al. 2013

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OBJECTIVE:To analyze non-redundant questions on independence in activities of daily living in the elderly, representing the spectrum of dependency. METHODS:Multicenter project with a probabilistic population sample of 5,371 elderly residents in Sao Paulo, SP, Rio de Janeiro, RJ, Fortaleza, CE and Bambui, MG in 2008. A household survey was carried out and a questionnaire with 20 activities of daily living applied for the elderly to self-assess the diffi culty/ need for help in performing them. The responses were analyzed according to: the prevalence of some kind of diffi culty/need for help for each activities of daily living, the frequency of non-response, and the grouping of activities in factor analysis. RESULTS:The personal activities (e.g., dressing) have, on average, a low prevalence of diffi culty or need for help, compared to instrumental activities (e.g., shopping), and have lower rates of non-response. In factor analysis it was possible to identify three factors grouping the activities of daily living: one relative to mobility (e.g., walking 100 m), another for personal needs (e.g., bathing) and one relative to what someone else can do for the elderly (e.g., washing clothes). The activities of daily living with the highest eigenvalues in each group were also analyzed in the light of the prevalence of reported need for help and the proportion of non response. Three activities of daily living were selected as representing the spectrum of dependency and being well understood by the elderly -getting out of bed, bathing and walking 100 m. CONCLUSIONS:With only three activities of daily living we can have a simple and reliable screening instrument capable of identifying elderly in need of help in daily life. Estimating demand for care on a daily basis is an important indicator for planning and administration of health services within the paradigm of chronic diseases and population aging. 2Questions screening for dependence in the elderly Ramos LR et al Growing old, even without chronic diseases, involves some loss in function, shown in decreasing vigor, strength, alertness, rate of systemic reaction and metabolic effi ciency. Fewer than 10% of people aged 65 and over are free of any chronic health problem and over 10% report having at least fi ve concurrent chronic diseases.12 This high prevalence of chronic disease exacerbates the loss of functional capacity in subjects who are growing old. Longitudinal studies show that loss of functional capacity is an important risk factor for mortality. 3,11 Independence and autonomy involve social and economic aspects and, most noticeably, the physical and mental abilities necessary to carry out activities of daily living (ADL) adequately and without the need for help. 16 In Brazil, 7% of the population aged 60 and over have diffi culties or are not able to carry out ADL unaided. 4 It is estimated that there are at least 1.3 million elderly individuals in the country with some degree of dependence in carrying out these activities. The independence referred to ...

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Predictors of 10-year mortality in a population of community-dwelling Brazilian elderly: the Bambuí cohort study of aging

Abstract: We used data on 1, 399

Cited by 34 publications

References 32 publications

Sociodemographic and health factors associated with mortality in community-dwelling elderly

Sociodemographic and health factors associated with mortality in community-dwelling elderly

Birth cohort differences in physical functioning levels among elderly Brazilians: findings from the Bambuí cohort study of aging (1997-2008)

Perguntas mínimas para rastrear dependência em atividades da vida diária em idosos

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