Disability relating to basic and instrumental activities of daily living among elderly subjects

Detalhes bibliográficos
Autor(a) principal: Del Duca, Giovâni Firpo
Data de Publicação: 2009
Outros Autores: Silva, Marcelo Cozzensa da, Hallal, Pedro Curi
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32682
Resumo: OBJECTIVE: To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS: This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and 2008. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS: The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8). The lowest proportion of independence was in relation to controlling the urination and/or evacuation functions. In relation to instrumental activities, the prevalence of disability was 28.8% (95% CI: 24.5; 33.1), particularly in relation to moving around using means of transportation. A high proportion of the elderly subjects (21.7%) presented more than one instrumental activity with disability. In relation to basic activities, the greatest proportion presented dependence for only one activity (16.6%). In the adjusted analysis, disability relating to basic activities was associated with non-white skin color (p=0.01) and increasing age (p
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spelling Disability relating to basic and instrumental activities of daily living among elderly subjects Incapacidad funcional para actividades básicas e instrumentales de la vida diaria en ancianos IdosoEnvelhecimentoAptidão FísicaSaúde do Portador de Deficiência ou IncapacidadeIncapacidade FuncionalAtividades CotidianasEstudos TransversaisAncianoEnvejecimientoAcondicionamiento FísicoSalud del Portador de Deficiencia o DiscapacidadDiscapacidad funcionalActividades CotidianasEstudios TransversalesAgedAgingPhysical FitnessDisabled HealthDisabilityActivities of Daily LivingCross-Sectional Studies OBJECTIVE: To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS: This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and 2008. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS: The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8). The lowest proportion of independence was in relation to controlling the urination and/or evacuation functions. In relation to instrumental activities, the prevalence of disability was 28.8% (95% CI: 24.5; 33.1), particularly in relation to moving around using means of transportation. A high proportion of the elderly subjects (21.7%) presented more than one instrumental activity with disability. In relation to basic activities, the greatest proportion presented dependence for only one activity (16.6%). In the adjusted analysis, disability relating to basic activities was associated with non-white skin color (p=0.01) and increasing age (p OBJETIVO: Estimar a prevalência e os fatores associados à incapacidade funcional para atividades básicas e instrumentais da vida diária em idosos. MÉTODOS: Estudo transversal com 598 indivíduos com idade igual ou superior a 60 anos, selecionados em amostragem por conglomerado em dois estágios na cidade de Pelotas, RS, entre 2007 e 2008. Para a avaliação das atividades básicas e instrumentais foram empregados o Índice de Katz e a Escala de Lawton, respectivamente. Definiu-se como incapacidade funcional para cada domínio a necessidade de ajuda parcial ou total para a realização de, no mínimo, uma atividade da vida diária. Empregou-se a regressão de Poisson com variância robusta nas análises bruta e ajustada levando-se em consideração a amostragem por conglomerados. RESULTADOS: A prevalência de incapacidade para as atividades básicas foi de 26,8% (IC 95%: 23,0; 30,8) e a menor proporção de independência foi para controlar funções de urinar e/ou evacuar. Para as atividades instrumentais, a prevalência de incapacidade funcional foi de 28,8% (IC 95%: 24,5; 33,1), sobretudo para realizar deslocamentos utilizando algum meio de transporte. Elevado percentual de idosos (21,7%) apresentou mais de uma atividade com incapacidade nas atividades instrumentais; já nas atividades básicas, a maior parte apresentou dependência para apenas uma atividade (16,6%). Na análise ajustada, a incapacidade para as atividades básicas associou-se com cor da pele parda/preta/outras (p=0,01) e com o aumento da idade (p OBJETIVO: Estimar la prevalencia y los factores asociados a la incapacidad funcional para actividades básicas e instrumentales en la vida diaria de ancianos. MÉTODOS: Estudio transversal con 598 individuos con edad igual o superior a 60 años, seleccionados en muestreo por conglomerado en dos fases en la ciudad de Pelotas, RS, entre 2007 y 2008. Para evaluación de las actividades básicas e instrumentales fueron utilizados el Índice de Katz y la Escala de Lawton, respectivamente. Se definió como incapacidad funcional para cada dominio la necesidad de ayuda parcial o total para la realización de, como mínimo, una actividad de la vida diaria. Se empleó la regresión de Poisson con varianza robusta en los análisis bruto y ajustado considerándose el muestreo por conglomerados. RESULTADOS: La prevalencia de incapacidad para las actividades básicas fue de 26,8% (IC 95%:23,0;30,8) y la menor proporción de independencia fue para controlar funciones de orinar y/o evacuar. Para las actividades instrumentales, la prevalencia de incapacidad funcional fue de 28,8% (IC 95%:24,5;33,1), sobre todo para realizar traslados utilizando algún medio de transporte. Elevado porcentual de ancianos (21,7%) presentó más de una actividad con incapacidad en las actividades instrumentales; ya en las actividades básicas, la mayor parte presentó dependencia para solo una actividad (16,6%). En el análisis ajustado, la incapacidad para las actividades básicas se asoció con color de la piel parda/negra/otras (p=0,01) y con el aumento de la edad (pUniversidade de São Paulo. Faculdade de Saúde Pública2009-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3268210.1590/S0034-89102009005000057Revista de Saúde Pública; Vol. 43 No. 5 (2009); 796-805 Revista de Saúde Pública; Vol. 43 Núm. 5 (2009); 796-805 Revista de Saúde Pública; v. 43 n. 5 (2009); 796-805 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32682/35097https://www.revistas.usp.br/rsp/article/view/32682/35098Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessDel Duca, Giovâni FirpoSilva, Marcelo Cozzensa daHallal, Pedro Curi2012-07-09T02:11:20Zoai:revistas.usp.br:article/32682Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T02:11:20Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Disability relating to basic and instrumental activities of daily living among elderly subjects
Incapacidad funcional para actividades básicas e instrumentales de la vida diaria en ancianos
title Disability relating to basic and instrumental activities of daily living among elderly subjects
spellingShingle Disability relating to basic and instrumental activities of daily living among elderly subjects
Del Duca, Giovâni Firpo
Idoso
Envelhecimento
Aptidão Física
Saúde do Portador de Deficiência ou Incapacidade
Incapacidade Funcional
Atividades Cotidianas
Estudos Transversais
Anciano
Envejecimiento
Acondicionamiento Físico
Salud del Portador de Deficiencia o Discapacidad
Discapacidad funcional
Actividades Cotidianas
Estudios Transversales
Aged
Aging
Physical Fitness
Disabled Health
Disability
Activities of Daily Living
Cross-Sectional Studies
title_short Disability relating to basic and instrumental activities of daily living among elderly subjects
title_full Disability relating to basic and instrumental activities of daily living among elderly subjects
title_fullStr Disability relating to basic and instrumental activities of daily living among elderly subjects
title_full_unstemmed Disability relating to basic and instrumental activities of daily living among elderly subjects
title_sort Disability relating to basic and instrumental activities of daily living among elderly subjects
author Del Duca, Giovâni Firpo
author_facet Del Duca, Giovâni Firpo
Silva, Marcelo Cozzensa da
Hallal, Pedro Curi
author_role author
author2 Silva, Marcelo Cozzensa da
Hallal, Pedro Curi
author2_role author
author
dc.contributor.author.fl_str_mv Del Duca, Giovâni Firpo
Silva, Marcelo Cozzensa da
Hallal, Pedro Curi
dc.subject.por.fl_str_mv Idoso
Envelhecimento
Aptidão Física
Saúde do Portador de Deficiência ou Incapacidade
Incapacidade Funcional
Atividades Cotidianas
Estudos Transversais
Anciano
Envejecimiento
Acondicionamiento Físico
Salud del Portador de Deficiencia o Discapacidad
Discapacidad funcional
Actividades Cotidianas
Estudios Transversales
Aged
Aging
Physical Fitness
Disabled Health
Disability
Activities of Daily Living
Cross-Sectional Studies
topic Idoso
Envelhecimento
Aptidão Física
Saúde do Portador de Deficiência ou Incapacidade
Incapacidade Funcional
Atividades Cotidianas
Estudos Transversais
Anciano
Envejecimiento
Acondicionamiento Físico
Salud del Portador de Deficiencia o Discapacidad
Discapacidad funcional
Actividades Cotidianas
Estudios Transversales
Aged
Aging
Physical Fitness
Disabled Health
Disability
Activities of Daily Living
Cross-Sectional Studies
description OBJECTIVE: To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS: This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and 2008. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS: The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8). The lowest proportion of independence was in relation to controlling the urination and/or evacuation functions. In relation to instrumental activities, the prevalence of disability was 28.8% (95% CI: 24.5; 33.1), particularly in relation to moving around using means of transportation. A high proportion of the elderly subjects (21.7%) presented more than one instrumental activity with disability. In relation to basic activities, the greatest proportion presented dependence for only one activity (16.6%). In the adjusted analysis, disability relating to basic activities was associated with non-white skin color (p=0.01) and increasing age (p
publishDate 2009
dc.date.none.fl_str_mv 2009-10-01
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://www.revistas.usp.br/rsp/article/view/32682
10.1590/S0034-89102009005000057
url https://www.revistas.usp.br/rsp/article/view/32682
identifier_str_mv 10.1590/S0034-89102009005000057
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32682/35097
https://www.revistas.usp.br/rsp/article/view/32682/35098
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
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. 43 No. 5 (2009); 796-805
Revista de Saúde Pública; Vol. 43 Núm. 5 (2009); 796-805
Revista de Saúde Pública; v. 43 n. 5 (2009); 796-805
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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