Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).

Detalhes bibliográficos
Autor(a) principal: Nascimento, Clarissa de Matos
Data de Publicação: 2015
Outros Autores: Mambrini, Juliana Vaz de Melo, Oliveira, Cesar Messias de, Giacomin, Karla Cristina, Peixoto, Sérgio William Viana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/12748
Resumo: Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil.
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spelling Nascimento, Clarissa de MatosMambrini, Juliana Vaz de MeloOliveira, Cesar Messias deGiacomin, Karla CristinaPeixoto, Sérgio William Viana2016-02-17T15:41:47Z2016-02-17T15:41:47Z2015NASCIMENTO, Clarissa de Matos et al. Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008). BMC Public Health, vol. 15, p. 591, 2015. Doi: 10.1186/s12889-015-1956-2.1471 -2458https://www.arca.fiocruz.br/handle/icict/1274810.1186/s12889-015-1956-2engBioMed CentralDiabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil.University College London. Research Department of Epidemiology and Public Health. London, UK.Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil/Prefeitura de Belo Horizonte. Secretaria de Saúde. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil/Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, BrasilBackground: The rapid population ageing has been accompanied by a growing number of older adults experiencing chronic conditions, especially diabetes and hypertension, which are conditions associated to the decline in physical functioning. The aim of this study was to investigate changes in the strength of the association between mobility and two chronic conditions (hypertension and diabetes) in a large representative sample of Brazilian older adults over a ten year period. Methods: The data came from the Brazilian National Household Sample Survey (PNAD) of 1998, 2003 and 2008. The sample comprised 28,943 participants aged 60 years and older investigated in 1998, 35,042 in 2003 and 41,269 in 2008, totalling 105,254 older adults. The dependent variable was the physical mobility index (PMI) constructed based on the Item Response Theory (IRT) using five physical mobility indicators. The chronic conditions were self-reported and the confounders included: age, sex, schooling, ethnicity, family income, household composition, other co-morbidities and use of health services. The association between physical mobility (three different groups) and chronic conditions (hypertension and diabetes) was performed using multinomial logistic regression. Results: Over the ten year period the prevalence of hypertension increased from 44 % (1998), 49 % (2003) to 53 % (2008) (p < 0.001). Similar pattern was observed for the prevalence of diabetes: 10 % in 1998, 13 % in 2003 and 16 % in 2008 (p < 0.001). Overall, physical mobility showed a statistical significant association with both chronic diseases studied even after adjusting for potential confounders. The time-disease interaction term was significant (p < 0.05) for the two chronic conditions studied, and the strength of the associations decreased over the first five years, but it was not sustained between 2003 and 2008. Conclusions: Despite the increases observed in the prevalence of the hypertension and diabetes over the ten year period, the decrease in strength of the association with physical mobility during the first period could be explained by improvements in health services and treatment of older adults. Special attention should be given to the treatment and management of diabetes in order to avoid declines in physical mobility levels.HypertensionDiabetesMobilityOlder adultsItem response theoryinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/12748/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALDiabetes, hypertension and mobility.pdfDiabetes, hypertension and mobility.pdfapplication/pdf142641https://www.arca.fiocruz.br/bitstream/icict/12748/2/Diabetes%2c%20hypertension%20and%20mobility.pdf53d2284c15fe9f5c878f8f62ff4fac52MD52TEXTDiabetes, hypertension and mobility.pdf.txtDiabetes, hypertension and mobility.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
title Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
spellingShingle Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
Nascimento, Clarissa de Matos
Hypertension
Diabetes
Mobility
Older adults
Item response theory
title_short Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
title_full Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
title_fullStr Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
title_full_unstemmed Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
title_sort Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008).
author Nascimento, Clarissa de Matos
author_facet Nascimento, Clarissa de Matos
Mambrini, Juliana Vaz de Melo
Oliveira, Cesar Messias de
Giacomin, Karla Cristina
Peixoto, Sérgio William Viana
author_role author
author2 Mambrini, Juliana Vaz de Melo
Oliveira, Cesar Messias de
Giacomin, Karla Cristina
Peixoto, Sérgio William Viana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Nascimento, Clarissa de Matos
Mambrini, Juliana Vaz de Melo
Oliveira, Cesar Messias de
Giacomin, Karla Cristina
Peixoto, Sérgio William Viana
dc.subject.en.pt_BR.fl_str_mv Hypertension
Diabetes
Mobility
Older adults
Item response theory
topic Hypertension
Diabetes
Mobility
Older adults
Item response theory
description Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2016-02-17T15:41:47Z
dc.date.available.fl_str_mv 2016-02-17T15:41:47Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv NASCIMENTO, Clarissa de Matos et al. Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008). BMC Public Health, vol. 15, p. 591, 2015. Doi: 10.1186/s12889-015-1956-2.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/12748
dc.identifier.issn.none.fl_str_mv 1471 -2458
dc.identifier.doi.none.fl_str_mv 10.1186/s12889-015-1956-2
identifier_str_mv NASCIMENTO, Clarissa de Matos et al. Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008). BMC Public Health, vol. 15, p. 591, 2015. Doi: 10.1186/s12889-015-1956-2.
1471 -2458
10.1186/s12889-015-1956-2
url https://www.arca.fiocruz.br/handle/icict/12748
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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