Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period

Nikolova, Р.; Demers, Louise; Béland, François; Giroux, Francine

doi:10.1016/j.archger.2009.11.003

Cited by 53 publications

(61 citation statements)

References 34 publications

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“…In our study, the disability of IADL was more frequent than the inability of ADL, results of which are considered consistent with other literatures 3,6,24 . The ADL is related to the survival and it requires the need of caregivers, whereas the IADL involves greater complexity degree for implementation and precedes the ADL 3 .…”

Section: Discussionsupporting

confidence: 81%

“…The ADL is related to the survival and it requires the need of caregivers, whereas the IADL involves greater complexity degree for implementation and precedes the ADL 3 . The measuring of the IADL allows scaling at populational level, the functional disability in the early stages, and facilitating the early detection of the problem.…”

Section: Discussionmentioning

confidence: 99%

“…Several epidemiological studies, in different populations, have been associating functional disability to predisposing (gender and age) and intraindividual characteristics (self-evaluation of health and history of diagnosis for chronic diseases, such as hypertension, diabetes, and arthritis) 1,3,4 . In relation to the extraindividual factors, the role of social environment and of social relations in determining disability has been demonstrated in longitudinal 5 and cross-sectional 4,6,7 studies, as the limitations in social relations may generate inequalities in health, preventing social control and hindering decision making in health.…”

Section: Introductionmentioning

confidence: 99%

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Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To assess the prevalence of disability and its association with social capital among community-dwelling elderly. Methods: The study was based on 2 nd Health Survey of Belo Horizonte Metropolitan Region -2010, that included 1,995 community-dwelling elderly, randomly sampled. The exposure of interest was social capital, measured by confidence in neighborhood, perception of the physical environment, sense of cohesion in housing, and neighborhood perception of help. Socio-demographic variables, health conditions and use of health services were considered in the analysis with the purpose of adjustment. Results: Approximately one third of participants (32.6%) were unable to at least one instrumental activity of daily living (IADL) and/or basic activity of daily living (ADL); the prevalence of disability in ADL/IADL was 18.1%, and only in IADL was 14.6%. Elderly with functional disabilities had higher odds of poor social capital, but only the sense of cohesion in housing neighborhood showed to be independently associated with functional disability (OR = 1.80; 95%CI 1.12 -2.88). Conclusions: Our results show the importance of social capital in research on associated factors of functional disability and indicate the need to implement public policies for social and environmental areas, since the needs of the elderly require measures beyond those typical of the health sector.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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“…O facto de nenhum ser classificado com excelente ou boa saúde física pode ser resultado da morbilidade, do consumo elevado de medicação e de uma autoavaliação negativa da sua saúde física atual (Rodrigues, 2009;Silva, 2014). Nas AVD, ao contrário dos estudos de Farinasso (2005) e Rodrigues (2009), observámos diferenças entre sexos e entre grupos etários, relacionadas com o declínio físico e mental dos participantes, traduzido na menor capacidade para as AVD (Nikolova, Demers, Beland, & Giroux, 2011;Oliveira et al, 2010 (Lima, Silva, & Ramos, 2009;Oliveira et al, 2010;Rodrigues, 2009;Rodrigues, 2012;Silva, 2014), refletem um declínio cognitivo e um aumento da perceção de perda de memória, mais acentuado no sexo feminino (Rodrigues, 2009 …”

Section: Discussionunclassified

The oldest old: multidimensional functional assessment

Rodrigues¹,

Silva²,

Loureiro³

et al. 2015

Rev. Enf. Ref

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Resumenpp.65-74 Palavras-chave: envelhecimento da população; avaliação geriátrica. Resumo Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O ( O R I G I N A L ) Os muito idosos: avaliação funcional multidimensionalMarco contextual: El proceso de transición demográfica, traducido en el envejecimiento de la población, impone la adecuación de los servicios de salud y sociales a las necesidades y expectativas de los ancianos. La definición de las intervenciones requiere una evaluación funcional multidimensional. Objetivos: Evaluar la capacidad funcional en cinco áreas (recursos sociales, recursos económicos, salud mental, salud física y actividades de la vida diaria) de la población de ≥ 75 años de Coímbra. Metodología: Estudio cuantitativo, descriptivo y correlacional con una muestra de 1.153 individuos. Se utilizó el Questionário de Avaliação Funcional Multidimensional para Idosos y los participantes se clasificaron en cada área funcional de excelente a limitación total. Resultados: Clasificados con limitación grave o total se encuentra, en el área de recursos sociales, el 12,5 % de los participantes; recursos económicos el 15,4 %; salud mental 16,0 %; salud física 45,6 % y actividades de la vida diaria el 23,6 %. Las mujeres y las personas de ≥ 85 años tienden a presentar clasificaciones peores. Conclusión: La evaluación multidimensional proporciona datos que permiten la intervención integrada de los servicios sociales y de salud teniendo en cuenta las diferencias de género y edad.Palabras clave: envejecimiento de la población; evaluación geriátrica.Theoretical framework: When translated into population ageing, the demographic transition process imposes an adaptation of the healthcare and social services to the needs and expectations of the elderly. The definition of interventions requires a multidimensional functional assessment. Objectives: To assess the functional capacity of individuals aged 75 years and older from the municipality of Coimbra in five areas (social resources, economic resources, mental health, physical health and activities of daily living). Methodology: Quantitative, descriptive and correlational study, with a sample of 1153 individuals. The Questionário de Avaliação Funcional Multidimensional para Idosos was used to classify the participants from excellent to totally impaired in each functional area. Results: The participants were classified with severe or total impairment in the following areas: 12.5% in social resources; 15.4% in economic resources; 16.0% in mental health; 45.6% in physical health; and 23.6% in activities of daily living. Women and individuals aged 85 years and older usually had lower scores. Conclusion:The multidimensional assessment provides data for an integrated intervention of healthcare and social services, taking into account gender and age differences.

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“…Many terms have been used in literature to describe functional decline, such as going off syndrome, senility, decreased vitality, unexplained decline, failure to thrive, loss of function, ADL status decline, and functional impairment [21]. Functional decline can be defined as "restrictions in fundamental physical and mental actions.…”

Section: Functional Decline Syndromementioning

confidence: 99%

The most important considerations in the assessment of functional decline in seniors: a literature review

Jahan¹

2017

APJHS

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In recent years, there has been much focus on functional decline associated with aging, but not many studies have examined how functional decline can be effectively evaluated and detected at earlier stages of the aging process. Early detection of functional decline helps to intervene much earlier to avoid many of negative consequences of functional decline and frailty. Late identification of functional decline is problematic to the individuals and the healthcare systems considering that the percentage of the world population represented by people over the age of 65 is increasing rapidly worldwide. The aim of this review was to investigate the most important considerations in the assessment of functional decline in the population of seniors, and to explore relevant literature to provide a ground for an effective functional assessment for this population. Comprehensive literature search of the English-language articles for people aged 65 and over were conducted by searching MEDLINE and PubMed. The literature describes two main segments of elderly population with functional decline that should be assessed in different ways: Hospitalized and community-dwelling elders. When working with elderly clients, it is significantly important to identify all the factors that may contribute to the clinical picture of the client. Identification of risk factors, such as inability to do basic activities of daily living, social isolation, or lack of resources may help healthcare providers to intervene on time to avoid many catastrophic changes that affect seniors' health-related quality of life.

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Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period

Cited by 53 publications

References 34 publications

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

The oldest old: multidimensional functional assessment

The most important considerations in the assessment of functional decline in seniors: a literature review

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