Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study
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Data de Publicação: | 2020 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | PAJAR - Pan American Journal of Aging Research |
Texto Completo: | https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/35893 |
Resumo: | Aim: To evaluate whether family functionality, using the instrument “Adaptation, Partnership, Growth, Affection, and Resolve” (APGAR) and its components, as well as other health indicators, influences the survival of nonagenarians and centenarians. Methods: Participants were randomly identified and evaluated in their homes of Porto Alegre — Brazil. Death or survival information were verified by telephone or death registry system. Follow-up time measured the number of months between the first evaluation and the date of death or the last contact. Participants with APGAR ≥ 7 were classified with good functionality. The APGAR components were analyzed as yes or no. Results: Two-hundred-fourteen participants (73% women, age 92.4±3.59 years) were followed during 23±10.0 months. Sixty-on (28.5%) died. Survivors were younger (p<0.001), had better cognitive performance (p<0.001), and reported more frequently leaving home (p=0.010) and participating in social activities (p<0.001). Survivors had a similar frequency for good family functioning (90% p=0.994), but more often they were satisfied with their family time (p=0.032) and with the way the family showed affection and reacted to their feelings (p=0.083). Conclusions: Family affection and time were significantly associated with lower hazard-ratio, even adjusted for age, as well as cognitive performance, social activities and the habit of leaving home. In addition to the preservation of cognitive performance, to remain physically and socially active, family support is related to the higher survival rate in nonagenarians and centenarians in Brazil. |
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PAJAR - Pan American Journal of Aging Research |
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Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort studyFuncionalidad familiar, condición cognitiva y participación social relacionadas com la supervivencia em nonagenarios y centenarios: datos de un estudio de cohorte brasileñoFuncionalidade familiar, condição cognitiva e participação social estão relacionados com a sobrevida em nonagenários e centenários: dados de um estudo de coorte brasileiro.Family relationsAged, 80 and overSurvival analysisRelaciones familiaresanciano de 80 años o másanálisis de supervivenciaRelações familiaresidoso de 80 anos ou maisanálise de sobrevidaAim: To evaluate whether family functionality, using the instrument “Adaptation, Partnership, Growth, Affection, and Resolve” (APGAR) and its components, as well as other health indicators, influences the survival of nonagenarians and centenarians. Methods: Participants were randomly identified and evaluated in their homes of Porto Alegre — Brazil. Death or survival information were verified by telephone or death registry system. Follow-up time measured the number of months between the first evaluation and the date of death or the last contact. Participants with APGAR ≥ 7 were classified with good functionality. The APGAR components were analyzed as yes or no. Results: Two-hundred-fourteen participants (73% women, age 92.4±3.59 years) were followed during 23±10.0 months. Sixty-on (28.5%) died. Survivors were younger (p<0.001), had better cognitive performance (p<0.001), and reported more frequently leaving home (p=0.010) and participating in social activities (p<0.001). Survivors had a similar frequency for good family functioning (90% p=0.994), but more often they were satisfied with their family time (p=0.032) and with the way the family showed affection and reacted to their feelings (p=0.083). Conclusions: Family affection and time were significantly associated with lower hazard-ratio, even adjusted for age, as well as cognitive performance, social activities and the habit of leaving home. In addition to the preservation of cognitive performance, to remain physically and socially active, family support is related to the higher survival rate in nonagenarians and centenarians in Brazil.Objetivo: evaluar si la funcionalidad familiar que utiliza el instrumento APGAR familiar y sus componentes, así como otros indicadores de salud, influyen en la supervivencia de los nonagenarios y centenarios. Métodos: los participantes fueron identificados al azar y evaluados en sus residencias en Porto Alegre — Brasil. La información sobre muerte o supervivencia se verificó por teléfono o mediante un sistema de registro de defunciones. El tiempo de seguimiento midió el número de meses entre la primera evaluación y la fecha de la muerte o el último contacto. Los participantes con APGAR> 6 fueron calificados con buena funcionalidad. Los componentes APGAR se analizaron como sí o no. Resultados: Doscientos catorce participantes (73% mujeres, edad 92.4 ± 3.59 años) fueron seguidos durante 23 ± 10.0 meses. Sesenta y ocho (28.5%) murieron. Los sobrevivientes eran más jóvenes (p <0.001), tenían un mejor rendimiento cognitivo (p <0.001) y reportaron más a menudo salir de casa (p = 0.010) y participar en actividades sociales (p <0.001). Los sobrevivientes tuvieron una frecuencia similar para el funcionamiento familiar (90% p = 0,994), pero una mayor frecuencia de satisfacción con el tiempo que pasaron con la familia (p = 0,032) y la forma en que la familia mostró afecto y reaccionó a los sentimientos. (p = 0,083). Conclusiones: el afecto y el tiempo con la familia se asociaron significativamente con una menor probabilidad de muerte, incluso ajustada por edad, así como con el rendimiento cognitivo, las actividades sociales y el hábito de salir de casa. Además de preservar el rendimiento cognitivo, mantenerse activo física y socialmente, el apoyo familiar está relacionado con la mayor tasa de supervivencia de los no nonagenarios y centenarios en Brasil.Objetivo: Avaliar se a funcionalidade familiar, utilizando o instrumento APGAR da família e seus componentes, assim como outros indicadores de saúde, influenciam a sobrevida de nonagenários e centenários. Métodos: Os participantes foram identificados e avaliados aleatoriamente em suas residências em Porto Alegre — Brasil. As informações sobre óbito ou sobrevivência foram verificadas por telefone ou sistema de registro de óbitos. O tempo de acompanhamento mediu o número de meses entre a primeira avaliação e a data da morte ou o último contato. Os participantes com APGAR ≥ 7 foram classificados com boa funcionalidade. Os componentes do APGAR foram analisados como sim ou não. Resultados: Duzentos e quatorze participantes (73% mulheres, idade 92,4 ± 3,59 anos) foram acompanhados durante 23 ± 10,0 meses. Sessenta e oito (28,5%) morreram. Os sobreviventes eram mais jovens (p <0,001), apresentaram melhor desempenho cognitivo (p <0,001) e relataram mais frequentemente sair de casa (p = 0,010) e participar de atividades sociais (p <0,001). Os sobreviventes tiveram uma frequência semelhante para o bom funcionamento da família (90% p = 0,994), mas maior frequência de satisfação com o tempo que passavam com família (p = 0,032) e com a maneira como a família mostrou afeto e reagiu aos sentimentos (p = 0,083). Conclusões: O afeto e o tempo com a família associaram-se significativamente a menor chance de óbito, mesmo ajustada pela idade, bem como desempenho cognitivo, atividades sociais e hábito de sair de casa. Além da preservação do desempenho cognitivo, manter-se física e socialmente ativo, o apoio familiar está relacionado à maior taxa de sobrevida em nonagenários e centenários no Brasil.Editora da PUCRS - ediPUCRS2020-08-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/3589310.15448/2357-9641.2020.1.35893PAJAR - Pan American Journal of Aging Research; Vol. 8 No. 1 (2020): Single Volume; e35893PAJAR - Pan-American Journal of Aging Research; Vol. 8 Núm. 1 (2020): Número Único; e35893PAJAR - Pan-American Journal of Aging Research; v. 8 n. 1 (2020): Número Único; e358932357-964110.15448/2357-9641.2020.1reponame:PAJAR - Pan American Journal of Aging Researchinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUCRSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/35893/26185Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Researchhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRigo, Ilva InêsBós, Ângelo José Gonçalves2020-08-04T00:01:10Zoai:ojs.revistaseletronicas.pucrs.br:article/35893Revistahttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/about/editorialTeamPRIhttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/oaicataldo@pucrs.br||pajar@pucrs.br2357-96412357-9641opendoar:2020-08-04T00:01:10PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study Funcionalidad familiar, condición cognitiva y participación social relacionadas com la supervivencia em nonagenarios y centenarios: datos de un estudio de cohorte brasileño Funcionalidade familiar, condição cognitiva e participação social estão relacionados com a sobrevida em nonagenários e centenários: dados de um estudo de coorte brasileiro. |
title |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
spellingShingle |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study Rigo, Ilva Inês Family relations Aged, 80 and over Survival analysis Relaciones familiares anciano de 80 años o más análisis de supervivencia Relações familiares idoso de 80 anos ou mais análise de sobrevida |
title_short |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
title_full |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
title_fullStr |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
title_full_unstemmed |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
title_sort |
Family Functionality, cognitive status and social participation are related to survival in nonagenarians and centenarians: data from a Brazilian cohort study |
author |
Rigo, Ilva Inês |
author_facet |
Rigo, Ilva Inês Bós, Ângelo José Gonçalves |
author_role |
author |
author2 |
Bós, Ângelo José Gonçalves |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Rigo, Ilva Inês Bós, Ângelo José Gonçalves |
dc.subject.por.fl_str_mv |
Family relations Aged, 80 and over Survival analysis Relaciones familiares anciano de 80 años o más análisis de supervivencia Relações familiares idoso de 80 anos ou mais análise de sobrevida |
topic |
Family relations Aged, 80 and over Survival analysis Relaciones familiares anciano de 80 años o más análisis de supervivencia Relações familiares idoso de 80 anos ou mais análise de sobrevida |
description |
Aim: To evaluate whether family functionality, using the instrument “Adaptation, Partnership, Growth, Affection, and Resolve” (APGAR) and its components, as well as other health indicators, influences the survival of nonagenarians and centenarians. Methods: Participants were randomly identified and evaluated in their homes of Porto Alegre — Brazil. Death or survival information were verified by telephone or death registry system. Follow-up time measured the number of months between the first evaluation and the date of death or the last contact. Participants with APGAR ≥ 7 were classified with good functionality. The APGAR components were analyzed as yes or no. Results: Two-hundred-fourteen participants (73% women, age 92.4±3.59 years) were followed during 23±10.0 months. Sixty-on (28.5%) died. Survivors were younger (p<0.001), had better cognitive performance (p<0.001), and reported more frequently leaving home (p=0.010) and participating in social activities (p<0.001). Survivors had a similar frequency for good family functioning (90% p=0.994), but more often they were satisfied with their family time (p=0.032) and with the way the family showed affection and reacted to their feelings (p=0.083). Conclusions: Family affection and time were significantly associated with lower hazard-ratio, even adjusted for age, as well as cognitive performance, social activities and the habit of leaving home. In addition to the preservation of cognitive performance, to remain physically and socially active, family support is related to the higher survival rate in nonagenarians and centenarians in Brazil. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-03 |
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://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/35893 10.15448/2357-9641.2020.1.35893 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/35893 |
identifier_str_mv |
10.15448/2357-9641.2020.1.35893 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/35893/26185 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Research http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Research http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
PAJAR - Pan American Journal of Aging Research; Vol. 8 No. 1 (2020): Single Volume; e35893 PAJAR - Pan-American Journal of Aging Research; Vol. 8 Núm. 1 (2020): Número Único; e35893 PAJAR - Pan-American Journal of Aging Research; v. 8 n. 1 (2020): Número Único; e35893 2357-9641 10.15448/2357-9641.2020.1 reponame:PAJAR - Pan American Journal of Aging Research instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUCRS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUCRS |
institution |
PUCRS |
reponame_str |
PAJAR - Pan American Journal of Aging Research |
collection |
PAJAR - Pan American Journal of Aging Research |
repository.name.fl_str_mv |
PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
cataldo@pucrs.br||pajar@pucrs.br |
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1797174625674723328 |