Are there still sex differences in the functioning of the elderly?
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/28826 |
Resumo: | Introduction: Sex is one of the demographic characteristics that better differentiates the independence of the elderly, despite this distinction not being consensual. Objective: To know the differences in functioning associated with sex in elderly people aged ≥ 65 years according to the International Classification of Functioning, Disability, and Health (ICF). Methods: This was an analytical and cross-sectional observational study with a sample of 451 subjects. The instruments were a sociodemographic questionnaire identical to a ICF checklist and the Biopsychosocial Assessment Method. The student t, Mann-Whitney, chi-square, and Spearman correlation tests were used considering p < 0.05. Results: The average age was between 79.5 ± 7.5 years with a female prevalence (62.1%). Of the 43 variables studied, sex differences were found in 17 (39.5%). In the personal factors, women showed greater vulnerability in conjugality (p ≤ 0.001), cohabitation (p = 0.037), and economic income (p = 0.002). Nonetheless, they showed healthier behaviors in all health-related habits. As for environmental factors and body functions, greater fragility was once again observed in women: the need for assistive devices (p ≤ 0.001) and urinary incontinence (p = 0.021). In activities/participation, differences were found in mobility, where women experienced more restrictions, whereas men were more dependent on washing/drying clothes in domestic life (p = 0.022). Conclusion: Women are more unprotected in social and economic areas, while men showed more vulnerability in habits related to health. These differences are linked to demographic issues related to longevity, cultural differences, and socialization, and differences regarding activities/participation tend to dilute between sexes. |
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Are there still sex differences in the functioning of the elderly?Ainda existem diferenças de sexo na funcionalidade dos idosos?Elderly. ICF. Frailty. Sex.Idoso. Classificação Internacional de FuncionalidadeIncapacidade e Saúde. Fragilidade. Sexo.Introduction: Sex is one of the demographic characteristics that better differentiates the independence of the elderly, despite this distinction not being consensual. Objective: To know the differences in functioning associated with sex in elderly people aged ≥ 65 years according to the International Classification of Functioning, Disability, and Health (ICF). Methods: This was an analytical and cross-sectional observational study with a sample of 451 subjects. The instruments were a sociodemographic questionnaire identical to a ICF checklist and the Biopsychosocial Assessment Method. The student t, Mann-Whitney, chi-square, and Spearman correlation tests were used considering p < 0.05. Results: The average age was between 79.5 ± 7.5 years with a female prevalence (62.1%). Of the 43 variables studied, sex differences were found in 17 (39.5%). In the personal factors, women showed greater vulnerability in conjugality (p ≤ 0.001), cohabitation (p = 0.037), and economic income (p = 0.002). Nonetheless, they showed healthier behaviors in all health-related habits. As for environmental factors and body functions, greater fragility was once again observed in women: the need for assistive devices (p ≤ 0.001) and urinary incontinence (p = 0.021). In activities/participation, differences were found in mobility, where women experienced more restrictions, whereas men were more dependent on washing/drying clothes in domestic life (p = 0.022). Conclusion: Women are more unprotected in social and economic areas, while men showed more vulnerability in habits related to health. These differences are linked to demographic issues related to longevity, cultural differences, and socialization, and differences regarding activities/participation tend to dilute between sexes.Introdução: O sexo é das caraterísticas demográficas que mais diferencia a independência dos idosos, apesar dessa distinção não ser consensual. Objetivo: Conhecer as diferenças da funcionalidade associadas ao sexo, de acordo com a Classificação Internacional de Funcionalidade, em idosos com idade ≥ 65 anos. Métodos: Estudo observacional, analítico e transversal com uma amostra de 451 indivíduos. Os instrumentos foram um questionário sociodemográfico idêntico à checklist da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) e o Método de Avaliação Biopsicossocial. Utilizaram-se os testes de T-Student, Mann-Whitney, Qui-Quadrado e Correlação de Spearman, considerando-se p < 0,05. Resultados: A média de idade foi de 79,5 ± 7,5 anos, observando-se uma prevalência feminina (62,1%). Das 43 variáveis estudadas, foram encontradas diferenças no sexo em 17 (39,5%). Nos fatores pessoais, as mulheres apresentaram maior vulnerabilidade na conjugalidade (p ≤ 0,001), na coabitação (p = 0,037) e no rendimento econômico (p = 0,002). Em todos os hábitos relacionados com a saúde, contudo, revelaram comportamentos mais saudáveis. Nos fatores ambientais e nas funções do corpo, observou-se novamente maior fragilidade nas mulheres: na necessidade de dispositivos de auxílio (p ≤ 0,001) e na incontinência urinária (p = 0,021). Nas atividades/participação as mulheres apresentaram maior restrição na mobilidade e os homens na vida doméstica (lavar/secar roupa p = 0,022). Conclusão: As mulheres apresentam-se mais desprotegidas nas dimensões social e econômica, enquanto os homens manifestam hábitos de saúde mais vulneráveis. Estas diferenças estão ligadas às questões demográficas da longevidade e às diferenças culturais e de socialização. As diferenças nos domínios das atividades/participação tendem a diluir-se entre os sexos.Editora PUCPRESS2021-12-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2882610.1590/fm.2022.35103Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont.Fisioterapia em Movimento; v. 35 (2022): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/28826/pdfhttps://periodicos.pucpr.br/fisio/article/view/28826/25493Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessFontes, Ana Paula2022-10-07T13:31:55Zoai:ojs.periodicos.pucpr.br:article/28826Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-10-07T13:31:55Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Are there still sex differences in the functioning of the elderly? Ainda existem diferenças de sexo na funcionalidade dos idosos? |
title |
Are there still sex differences in the functioning of the elderly? |
spellingShingle |
Are there still sex differences in the functioning of the elderly? Fontes, Ana Paula Elderly. ICF. Frailty. Sex. Idoso. Classificação Internacional de Funcionalidade Incapacidade e Saúde. Fragilidade. Sexo. |
title_short |
Are there still sex differences in the functioning of the elderly? |
title_full |
Are there still sex differences in the functioning of the elderly? |
title_fullStr |
Are there still sex differences in the functioning of the elderly? |
title_full_unstemmed |
Are there still sex differences in the functioning of the elderly? |
title_sort |
Are there still sex differences in the functioning of the elderly? |
author |
Fontes, Ana Paula |
author_facet |
Fontes, Ana Paula |
author_role |
author |
dc.contributor.author.fl_str_mv |
Fontes, Ana Paula |
dc.subject.por.fl_str_mv |
Elderly. ICF. Frailty. Sex. Idoso. Classificação Internacional de Funcionalidade Incapacidade e Saúde. Fragilidade. Sexo. |
topic |
Elderly. ICF. Frailty. Sex. Idoso. Classificação Internacional de Funcionalidade Incapacidade e Saúde. Fragilidade. Sexo. |
description |
Introduction: Sex is one of the demographic characteristics that better differentiates the independence of the elderly, despite this distinction not being consensual. Objective: To know the differences in functioning associated with sex in elderly people aged ≥ 65 years according to the International Classification of Functioning, Disability, and Health (ICF). Methods: This was an analytical and cross-sectional observational study with a sample of 451 subjects. The instruments were a sociodemographic questionnaire identical to a ICF checklist and the Biopsychosocial Assessment Method. The student t, Mann-Whitney, chi-square, and Spearman correlation tests were used considering p < 0.05. Results: The average age was between 79.5 ± 7.5 years with a female prevalence (62.1%). Of the 43 variables studied, sex differences were found in 17 (39.5%). In the personal factors, women showed greater vulnerability in conjugality (p ≤ 0.001), cohabitation (p = 0.037), and economic income (p = 0.002). Nonetheless, they showed healthier behaviors in all health-related habits. As for environmental factors and body functions, greater fragility was once again observed in women: the need for assistive devices (p ≤ 0.001) and urinary incontinence (p = 0.021). In activities/participation, differences were found in mobility, where women experienced more restrictions, whereas men were more dependent on washing/drying clothes in domestic life (p = 0.022). Conclusion: Women are more unprotected in social and economic areas, while men showed more vulnerability in habits related to health. These differences are linked to demographic issues related to longevity, cultural differences, and socialization, and differences regarding activities/participation tend to dilute between sexes. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/28826 10.1590/fm.2022.35103 |
url |
https://periodicos.pucpr.br/fisio/article/view/28826 |
identifier_str_mv |
10.1590/fm.2022.35103 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/28826/pdf https://periodicos.pucpr.br/fisio/article/view/28826/25493 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont. Fisioterapia em Movimento; v. 35 (2022): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138749562486784 |