Activity limitations in brazilian institutionalized older adults

• Autor(a) principal: Souza, Dyego Leandro Bezerra de
• Data de Publicação: 2017
• Outros Autores: Roig, Javier Jerez, Medeiros, Jéssica Fernandes de, Fidélis, Kalyne do Nascimento Moreira, Lima Filho, Bartolomeu Fagundes de, Oliveira, Nayara Priscila Dantas de, Andrade, Fabienne Louise Juvêncio Paes de, Ferreira, Lidiane Maria de Brito Macedo, Lima, Kenio Costa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRN
• Texto Completo: https://repositorio.ufrn.br/handle/123456789/54983; http://dx.doi.org/10.1519/jpt.0000000000000101
• topic: older adults; activity limitations; activities of daily living; health of the elderly; health profile; personal autonomy; institutions for the elderly

Background and Purpose: Although functional assessments and programs to prevent activity limitations are fundamental for effi cient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people. Methods: A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index. Results and Discussion: The prevalence of activity limitations was 72.9% (95% confi dence interval: 67.8-77.5) and the most affected activity was “bathing” (71.6%), followed by “dressing” (65.4%) and “toileting” (62.0%). The fi nal model revealed associations with private (for-profi t) institutions (odds ratio [OR] = 3.33; P < .001), age ≥ 83 years (OR = 2.34; P = .003), institutionalization due to lack of caregiver (OR = 1.80: P = .033), and presence of osteoporosis (OR = 2.94; P = .045), adjusted by sex. Conclusions: Activity limitations affected almost 73% of institutionalized older people in this sample and were associated with private nursing homes, age, osteoporosis, and institutionalization due to lack of caregiver. Activity limitations exact high socioeconomic impacts and affect the quality of life of older people. The results obtained herein emphasized the importance of planning strategies for their prevention and treatment, directed to reduce the prevalence of this health issue. Key Words: activities of daily living , health of the elderly , health profi le , institutions for the elderly , personal autonomy