Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/88978 https://doi.org/10.20344/amp.11974 |
Resumo: | Introduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal. Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information. Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention. Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week. Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly. |
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Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional StudyAvaliação da Capacidade Funcional e Fatores Determinantes do Declínio Funcional em Idosos: Um Estudo TransversalAccidental FallsActivities of Daily LivingAgingPortugalPublic HealthRisk FactorsAtividades da Vida DiáriaEnvelhecimentoFatores de RiscoQuedas AcidentaisSaúde PúblicaIntroduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal. Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information. Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention. Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week. Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly.Introdução: Foi objectivo este estudo avaliar a capacidade funcional e determinar os fatores associados ao declínio funcional dos idosos num centro de dia e apoio domiciliário no Concelho de Coimbra, Portugal. Material e Métodos: Estudo transversal. Participaram no estudo 115 indivíduos de ambos os géneros, com idades entre os 65 – 98 anos, que utilizaram os serviços de apoio domiciliário e centro de dia no Concelho de Coimbra, Portugal. A capacidade funcional foi avaliada através dos questionários: índice de Barthel e índice de Lawton. Foi utilizado um questionário para caracterização sociodemográfica e do estado de saúde dos participantes. Resultados: Na análise, as atividades básicas da vida diária tiveram associação significativa com idade, coabitação, uso de medicamentos, quedas e presença de multimorbilidade. Na análise entre as variáveis de estudo e as atividades instrumentais da vida diária, houve associação significativa com idade, vínculo com instituição, perceção do estado de saúde, internamento hospitalar, uso de medicamento, prática de atividades física, presença de multimorbilidade, quedas e prevenção de quedas. Discussão: Os resultados demonstram que não foram encontradas diferenças estatisticamente observáveis entre género e dependência funcional. Quando a relação entre as habilidades funcionais e a coabitação foi analisada, houve uma relação significativa entre o índice de Barthel e a coabitação. Sublinha-se que essa amostra revelou o papel altamente importante das famílias na determinação da proteção de pessoas idosas muito dependentes, bem como foi observada uma relação significativa entre as atividades instrumentais da vida diária e os níveis de atividade física, em que maior independência foi encontrada nos idosos que praticavam exercício físico três ou mais vezes por semana. Conclusão: Os resultados deste estudo permitem identificar fatores que podem estar associados ao declínio funcional dos idosos. Acrescentam evidências úteis para a adoção de estratégias de intervenção nesta população, focadas na prevenção do declínio funcional e na manutenção das capacidades funcionais dos idosos.Centro Editor Livreiro da Ordem dos Médicos2019-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/88978http://hdl.handle.net/10316/88978https://doi.org/10.20344/amp.11974eng1646-07580870-399Xhttps://actamedicaportuguesa.com/revista/index.php/amp/article/view/11974Oliveira, Anamélia Almeida deNossa, Paulo Nuno Maia de SousaMota Pinto, Anabelainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2021-06-01T13:26:10Zoai:estudogeral.uc.pt:10316/88978Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:09:26.135248Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study Avaliação da Capacidade Funcional e Fatores Determinantes do Declínio Funcional em Idosos: Um Estudo Transversal |
title |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
spellingShingle |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study Oliveira, Anamélia Almeida de Accidental Falls Activities of Daily Living Aging Portugal Public Health Risk Factors Atividades da Vida Diária Envelhecimento Fatores de Risco Quedas Acidentais Saúde Pública |
title_short |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
title_full |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
title_fullStr |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
title_full_unstemmed |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
title_sort |
Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study |
author |
Oliveira, Anamélia Almeida de |
author_facet |
Oliveira, Anamélia Almeida de Nossa, Paulo Nuno Maia de Sousa Mota Pinto, Anabela |
author_role |
author |
author2 |
Nossa, Paulo Nuno Maia de Sousa Mota Pinto, Anabela |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Oliveira, Anamélia Almeida de Nossa, Paulo Nuno Maia de Sousa Mota Pinto, Anabela |
dc.subject.por.fl_str_mv |
Accidental Falls Activities of Daily Living Aging Portugal Public Health Risk Factors Atividades da Vida Diária Envelhecimento Fatores de Risco Quedas Acidentais Saúde Pública |
topic |
Accidental Falls Activities of Daily Living Aging Portugal Public Health Risk Factors Atividades da Vida Diária Envelhecimento Fatores de Risco Quedas Acidentais Saúde Pública |
description |
Introduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal. Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information. Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention. Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week. Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/88978 http://hdl.handle.net/10316/88978 https://doi.org/10.20344/amp.11974 |
url |
http://hdl.handle.net/10316/88978 https://doi.org/10.20344/amp.11974 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1646-0758 0870-399X https://actamedicaportuguesa.com/revista/index.php/amp/article/view/11974 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Centro Editor Livreiro da Ordem dos Médicos |
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Centro Editor Livreiro da Ordem dos Médicos |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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