Fatores associados à sintomatologia depressiva numa coorte urbana de idosos
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0047-20852009000100001 http://repositorio.unifesp.br/handle/11600/4792 |
Resumo: | INTRODUCTION: The process of population aging in Brazil has been fast and intense, increasing the prevalence of chronic diseases and psychological and mental problems, mainly depression, which is associated with functional losses of the aged one. OBJECTIVE: To analyse the association between depressive symptomatology and other indicators of functional capacity, and with mortality after 15 years of follow-up, in an urban cohort of elderly. METHODS: 1667 aged (> 65 years-old) residents in Clementino Village in São Paulo city were studied through a multidimensional evaluation of the functional capacity, as well as the death certificate of the deaths occurred between 1991 (beginning of the study) and April of 2006. In univaried analysis we calculated odds ratio and its significance statistics was evaluated by the reliable interval (95%). The logistic regression was used in the multiple analysis. RESULTS: 21,1% of the elderly were depressed in 1991. In univaried analysis the highest ratios of depressed people were found in the feminine sex, aged older than 80 years-old, illiterates, widowers or bachelors, high level of physical dependence, cognitive deficit, users of more medicines and among those who died in the period of 15 years. In multivaried analysis, controlling by sex and age, physical dependence and the users of more medicines are associated to depression. CONCLUSIONS: The worse levels of disability answer, by an expressive way, to the occurrence of depressive symptomatology between the aged ones. |
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Fatores associados à sintomatologia depressiva numa coorte urbana de idososDepressive symptomatology and its associated factors in an urban cohort of elderlyDepressionfunctional capacityelderlymortalityDepressãocapacidade funcionalidosomortalidadeINTRODUCTION: The process of population aging in Brazil has been fast and intense, increasing the prevalence of chronic diseases and psychological and mental problems, mainly depression, which is associated with functional losses of the aged one. OBJECTIVE: To analyse the association between depressive symptomatology and other indicators of functional capacity, and with mortality after 15 years of follow-up, in an urban cohort of elderly. METHODS: 1667 aged (> 65 years-old) residents in Clementino Village in São Paulo city were studied through a multidimensional evaluation of the functional capacity, as well as the death certificate of the deaths occurred between 1991 (beginning of the study) and April of 2006. In univaried analysis we calculated odds ratio and its significance statistics was evaluated by the reliable interval (95%). The logistic regression was used in the multiple analysis. RESULTS: 21,1% of the elderly were depressed in 1991. In univaried analysis the highest ratios of depressed people were found in the feminine sex, aged older than 80 years-old, illiterates, widowers or bachelors, high level of physical dependence, cognitive deficit, users of more medicines and among those who died in the period of 15 years. In multivaried analysis, controlling by sex and age, physical dependence and the users of more medicines are associated to depression. CONCLUSIONS: The worse levels of disability answer, by an expressive way, to the occurrence of depressive symptomatology between the aged ones.OBJETIVO: Analisar a associação, em uma coorte urbana de idosos, entre sintomatologia depressiva e outros indicadores de capacidade funcional com a mortalidade após 15 anos de seguimento. MÉTODOS: Foram estudados os casos de 1.667 idosos (> 65 anos) residentes em Vila Clementino, na cidade de São Paulo, por meio de uma avaliação multidimensional da capacidade funcional e dos atestados de óbito referentes a mortes ocorridas entre 1991 (início do estudo) e abril de 2006. Na análise univariada foram calculadas as razões de chances e sua significância estatística foi avaliada pelo intervalo de confiança (95%). Na análise múltipla foi empregada a regressão logística. RESULTADOS: Entre os idosos estudados, 21,1% eram deprimidos em 1991. Na análise univariada, as maiores proporções de deprimidos foram observadas entre indivíduos do sexo feminino, com mais de 80 anos, analfabetos, viúvos ou solteiros, com alto nível de dependência física e de déficit cognitivo, usuários de mais medicamentos e entre os que morreram no período de seguimento de 15 anos. Na análise múltipla, controlando-se por sexo e idade, a presença de dependência física e o fato de ser usuário de mais medicamentos foram os principais preditores da ocorrência de depressão. CONCLUSÕES: A ocorrência de sintomatologia depressiva parece estar diretamente relacionada aos níveis de incapacidade física observados entre os idosos.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de Medicina PreventivaUNIFESP, EPM, Depto. de Medicina PreventivaSciELOFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Instituto de Psiquiatria da Universidade Federal do Rio de JaneiroUniversidade Federal de São Paulo (UNIFESP)Lima, Márcio Tomita Da Rocha [UNIFESP]Silva, Rebeca de Souza e [UNIFESP]Ramos, Luiz Roberto [UNIFESP]2015-06-14T13:38:59Z2015-06-14T13:38:59Z2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1-7application/pdfhttp://dx.doi.org/10.1590/S0047-20852009000100001Jornal Brasileiro de Psiquiatria. Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, v. 58, n. 1, p. 1-7, 2009.10.1590/S0047-20852009000100001S0047-20852009000100001.pdf0047-2085S0047-20852009000100001http://repositorio.unifesp.br/handle/11600/4792porJornal Brasileiro de Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T20:08:01Zoai:repositorio.unifesp.br/:11600/4792Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T20:08:01Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos Depressive symptomatology and its associated factors in an urban cohort of elderly |
title |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
spellingShingle |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos Lima, Márcio Tomita Da Rocha [UNIFESP] Depression functional capacity elderly mortality Depressão capacidade funcional idoso mortalidade |
title_short |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
title_full |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
title_fullStr |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
title_full_unstemmed |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
title_sort |
Fatores associados à sintomatologia depressiva numa coorte urbana de idosos |
author |
Lima, Márcio Tomita Da Rocha [UNIFESP] |
author_facet |
Lima, Márcio Tomita Da Rocha [UNIFESP] Silva, Rebeca de Souza e [UNIFESP] Ramos, Luiz Roberto [UNIFESP] |
author_role |
author |
author2 |
Silva, Rebeca de Souza e [UNIFESP] Ramos, Luiz Roberto [UNIFESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Lima, Márcio Tomita Da Rocha [UNIFESP] Silva, Rebeca de Souza e [UNIFESP] Ramos, Luiz Roberto [UNIFESP] |
dc.subject.por.fl_str_mv |
Depression functional capacity elderly mortality Depressão capacidade funcional idoso mortalidade |
topic |
Depression functional capacity elderly mortality Depressão capacidade funcional idoso mortalidade |
description |
INTRODUCTION: The process of population aging in Brazil has been fast and intense, increasing the prevalence of chronic diseases and psychological and mental problems, mainly depression, which is associated with functional losses of the aged one. OBJECTIVE: To analyse the association between depressive symptomatology and other indicators of functional capacity, and with mortality after 15 years of follow-up, in an urban cohort of elderly. METHODS: 1667 aged (> 65 years-old) residents in Clementino Village in São Paulo city were studied through a multidimensional evaluation of the functional capacity, as well as the death certificate of the deaths occurred between 1991 (beginning of the study) and April of 2006. In univaried analysis we calculated odds ratio and its significance statistics was evaluated by the reliable interval (95%). The logistic regression was used in the multiple analysis. RESULTS: 21,1% of the elderly were depressed in 1991. In univaried analysis the highest ratios of depressed people were found in the feminine sex, aged older than 80 years-old, illiterates, widowers or bachelors, high level of physical dependence, cognitive deficit, users of more medicines and among those who died in the period of 15 years. In multivaried analysis, controlling by sex and age, physical dependence and the users of more medicines are associated to depression. CONCLUSIONS: The worse levels of disability answer, by an expressive way, to the occurrence of depressive symptomatology between the aged ones. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 2015-06-14T13:38:59Z 2015-06-14T13:38:59Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0047-20852009000100001 Jornal Brasileiro de Psiquiatria. Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, v. 58, n. 1, p. 1-7, 2009. 10.1590/S0047-20852009000100001 S0047-20852009000100001.pdf 0047-2085 S0047-20852009000100001 http://repositorio.unifesp.br/handle/11600/4792 |
url |
http://dx.doi.org/10.1590/S0047-20852009000100001 http://repositorio.unifesp.br/handle/11600/4792 |
identifier_str_mv |
Jornal Brasileiro de Psiquiatria. Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, v. 58, n. 1, p. 1-7, 2009. 10.1590/S0047-20852009000100001 S0047-20852009000100001.pdf 0047-2085 S0047-20852009000100001 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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Jornal Brasileiro de Psiquiatria |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
1-7 application/pdf |
dc.publisher.none.fl_str_mv |
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268272472752128 |