Frailty profile in Brazilian older adults: ELSI-Brazil

Detalhes bibliográficos
Autor(a) principal: Andrade, Juliana Mara
Data de Publicação: 2019
Outros Autores: Duarte, Yeda Aparecida de Oliveira, Alves, Luciana Correia, Andrade, Flávia Cristina Drumond, Souza Junior, Paulo Roberto de, Lima-Costa, Maria Fernanda, Andrade, Fabíola Bof de
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
DOI: 10.11606/s1518-8787.2018052000616
Texto Completo: https://www.revistas.usp.br/rsp/article/view/153933
Resumo: OBJECTIVE: To estimate the prevalence of frailty and to evaluate the associated factors in the non-institutionalized Brazilian population aged 50 years or older. METHODS: The analyses were conducted in 8,556 participants of the baseline survey of the Longitudinal Study of Health of the Brazilian Elderly (ELSI-Brazil) conducted in 2015 and 2016. Frailty was defined based on five characteristics: weight loss, weakness, slowness, exhaustion and low level of physical activity. Participants with three or more characteristics were classified as frail. A Poisson regression model was used to examine the association between frailty and sociodemographic and health factors. RESULTS: The prevalence of frailty was 9.0% (95%CI 8.0–10.1) among participants aged 50 years or over. Among the older adults aged 60 or over, the prevalence was 13.5% (95%CI 11.9–15.3) and 16.2% (95%CI 14.3–18.3) among those 65 aged years or over. Factors associated with higher prevalence of frailty were low schooling, residence without a partner, health conditions (poor self-rated health and two or more chronic diseases) and limitation to perform basic activities of daily living. CONCLUSIONS: The prevalence of frailty among Brazilians aged 65 years or older is similar to their European counterparts. Poor health conditions, functional limitation and low schooling emerge as the factors most strongly associated with the frailty in this population.
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spelling Frailty profile in Brazilian older adults: ELSI-BrazilPerfil da fragilidade em adultos mais velhos brasileiros: ELSI-BrasilAgedAgingHealth StatusSocioeconomic FactorsHealth SurveysIdosoEnvelhecimentoNível de SaúdeFatores SocioeconômicosInquéritos EpidemiológicosOBJECTIVE: To estimate the prevalence of frailty and to evaluate the associated factors in the non-institutionalized Brazilian population aged 50 years or older. METHODS: The analyses were conducted in 8,556 participants of the baseline survey of the Longitudinal Study of Health of the Brazilian Elderly (ELSI-Brazil) conducted in 2015 and 2016. Frailty was defined based on five characteristics: weight loss, weakness, slowness, exhaustion and low level of physical activity. Participants with three or more characteristics were classified as frail. A Poisson regression model was used to examine the association between frailty and sociodemographic and health factors. RESULTS: The prevalence of frailty was 9.0% (95%CI 8.0–10.1) among participants aged 50 years or over. Among the older adults aged 60 or over, the prevalence was 13.5% (95%CI 11.9–15.3) and 16.2% (95%CI 14.3–18.3) among those 65 aged years or over. Factors associated with higher prevalence of frailty were low schooling, residence without a partner, health conditions (poor self-rated health and two or more chronic diseases) and limitation to perform basic activities of daily living. CONCLUSIONS: The prevalence of frailty among Brazilians aged 65 years or older is similar to their European counterparts. Poor health conditions, functional limitation and low schooling emerge as the factors most strongly associated with the frailty in this population.OBJETIVO: Estimar a prevalência de fragilidade e avaliar os fatores associados na população brasileira, não institucionalizada, com 50 anos ou mais. MÉTODOS: As análises foram conduzidas em 8.556 participantes da linha de base do Estudo Longitudinal da Saúde dos Idosos Brasileiros (ELSI-Brasil), entre 2015 e 2016. A fragilidade foi definida com base em cinco características: perda de peso, fraqueza, redução de velocidade de marcha, exaustão e baixo nível de atividade física. Os participantes com três ou mais características foram classificados como frágeis. As covariáveis incluíram características sociodemográficas e condições de saúde. As análises multivariadas foram realizadas por meio da regressão de Poisson. RESULTADOS: A prevalência de fragilidade foi de 9,0% (IC95% 8,0–10,1) na faixa etária de 50 anos ou mais. Na faixa etária de 60 anos ou mais, a prevalência aumentou para 13,5% (IC95% 11,9–15,3) e atingiu 16,2% (IC95% 14,3–18,3) entre aqueles com 65 anos ou mais. Os fatores associados à maior prevalência de fragilidade foram escolaridade mais baixa, residência sem um companheiro(a), condições de saúde (pior autoavaliação da saúde e duas ou mais doenças crônicas) e limitação para realizar atividades básicas da vida diária. CONCLUSÕES: A prevalência de fragilidade entre brasileiros com 65 anos ou mais é semelhante à observada, na faixa etária correspondente, em países europeus. As piores condições de saúde, a limitação funcional e a baixa escolaridade emergem como os fatores mais fortemente associados à fragilidade nessa população.Universidade de São Paulo. Faculdade de Saúde Pública2019-01-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15393310.11606/s1518-8787.2018052000616Revista de Saúde Pública; Vol. 52 No. Suppl 2 (2018): Supplement ELSI-Brazil; 17sRevista de Saúde Pública; Vol. 52 Núm. Suppl 2 (2018): Supplement ELSI-Brazil; 17sRevista de Saúde Pública; v. 52 n. Suppl 2 (2018): Supplement ELSI-Brazil; 17s1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/153933/150255https://www.revistas.usp.br/rsp/article/view/153933/150256https://www.revistas.usp.br/rsp/article/view/153933/150258Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAndrade, Juliana MaraDuarte, Yeda Aparecida de OliveiraAlves, Luciana CorreiaAndrade, Flávia Cristina DrumondSouza Junior, Paulo Roberto deLima-Costa, Maria FernandaAndrade, Fabíola Bof de2019-04-25T16:08:07Zoai:revistas.usp.br:article/153933Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-04-25T16:08:07Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Frailty profile in Brazilian older adults: ELSI-Brazil
Perfil da fragilidade em adultos mais velhos brasileiros: ELSI-Brasil
title Frailty profile in Brazilian older adults: ELSI-Brazil
spellingShingle Frailty profile in Brazilian older adults: ELSI-Brazil
Frailty profile in Brazilian older adults: ELSI-Brazil
Andrade, Juliana Mara
Aged
Aging
Health Status
Socioeconomic Factors
Health Surveys
Idoso
Envelhecimento
Nível de Saúde
Fatores Socioeconômicos
Inquéritos Epidemiológicos
Andrade, Juliana Mara
Aged
Aging
Health Status
Socioeconomic Factors
Health Surveys
Idoso
Envelhecimento
Nível de Saúde
Fatores Socioeconômicos
Inquéritos Epidemiológicos
title_short Frailty profile in Brazilian older adults: ELSI-Brazil
title_full Frailty profile in Brazilian older adults: ELSI-Brazil
title_fullStr Frailty profile in Brazilian older adults: ELSI-Brazil
Frailty profile in Brazilian older adults: ELSI-Brazil
title_full_unstemmed Frailty profile in Brazilian older adults: ELSI-Brazil
Frailty profile in Brazilian older adults: ELSI-Brazil
title_sort Frailty profile in Brazilian older adults: ELSI-Brazil
author Andrade, Juliana Mara
author_facet Andrade, Juliana Mara
Andrade, Juliana Mara
Duarte, Yeda Aparecida de Oliveira
Alves, Luciana Correia
Andrade, Flávia Cristina Drumond
Souza Junior, Paulo Roberto de
Lima-Costa, Maria Fernanda
Andrade, Fabíola Bof de
Duarte, Yeda Aparecida de Oliveira
Alves, Luciana Correia
Andrade, Flávia Cristina Drumond
Souza Junior, Paulo Roberto de
Lima-Costa, Maria Fernanda
Andrade, Fabíola Bof de
author_role author
author2 Duarte, Yeda Aparecida de Oliveira
Alves, Luciana Correia
Andrade, Flávia Cristina Drumond
Souza Junior, Paulo Roberto de
Lima-Costa, Maria Fernanda
Andrade, Fabíola Bof de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Andrade, Juliana Mara
Duarte, Yeda Aparecida de Oliveira
Alves, Luciana Correia
Andrade, Flávia Cristina Drumond
Souza Junior, Paulo Roberto de
Lima-Costa, Maria Fernanda
Andrade, Fabíola Bof de
dc.subject.por.fl_str_mv Aged
Aging
Health Status
Socioeconomic Factors
Health Surveys
Idoso
Envelhecimento
Nível de Saúde
Fatores Socioeconômicos
Inquéritos Epidemiológicos
topic Aged
Aging
Health Status
Socioeconomic Factors
Health Surveys
Idoso
Envelhecimento
Nível de Saúde
Fatores Socioeconômicos
Inquéritos Epidemiológicos
description OBJECTIVE: To estimate the prevalence of frailty and to evaluate the associated factors in the non-institutionalized Brazilian population aged 50 years or older. METHODS: The analyses were conducted in 8,556 participants of the baseline survey of the Longitudinal Study of Health of the Brazilian Elderly (ELSI-Brazil) conducted in 2015 and 2016. Frailty was defined based on five characteristics: weight loss, weakness, slowness, exhaustion and low level of physical activity. Participants with three or more characteristics were classified as frail. A Poisson regression model was used to examine the association between frailty and sociodemographic and health factors. RESULTS: The prevalence of frailty was 9.0% (95%CI 8.0–10.1) among participants aged 50 years or over. Among the older adults aged 60 or over, the prevalence was 13.5% (95%CI 11.9–15.3) and 16.2% (95%CI 14.3–18.3) among those 65 aged years or over. Factors associated with higher prevalence of frailty were low schooling, residence without a partner, health conditions (poor self-rated health and two or more chronic diseases) and limitation to perform basic activities of daily living. CONCLUSIONS: The prevalence of frailty among Brazilians aged 65 years or older is similar to their European counterparts. Poor health conditions, functional limitation and low schooling emerge as the factors most strongly associated with the frailty in this population.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-24
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info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/153933
10.11606/s1518-8787.2018052000616
url https://www.revistas.usp.br/rsp/article/view/153933
identifier_str_mv 10.11606/s1518-8787.2018052000616
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/153933/150255
https://www.revistas.usp.br/rsp/article/view/153933/150256
https://www.revistas.usp.br/rsp/article/view/153933/150258
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 52 No. Suppl 2 (2018): Supplement ELSI-Brazil; 17s
Revista de Saúde Pública; Vol. 52 Núm. Suppl 2 (2018): Supplement ELSI-Brazil; 17s
Revista de Saúde Pública; v. 52 n. Suppl 2 (2018): Supplement ELSI-Brazil; 17s
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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dc.identifier.doi.none.fl_str_mv 10.11606/s1518-8787.2018052000616