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1.
Cien Saude Colet ; 25(3): 1119-1128, 2020 Mar.
Artículo en Portugués | MEDLINE | ID: mdl-32159679

RESUMEN

The scope of this work was to identify the prevalence of domestic violence against non-institutionalized elderly individuals, and to establish if violence is an independent factor associated with the Physical Component (PC) and Mental Component (MC) scores of the Health-Related Quality of Life (HRQOL) of these elderly individuals. It is a cross-sectional epidemiologic and population-based investigation that is part of the SABE (Wellbeing, Health and Aging) study. A sample of 1,126 elderly individuals filled out the Short-Form 12 (SF-12) Health Survey, namely a generic instrument that assesses HRQOL through the Physical and Mental components. The prevalence of domestic violence against of the elderly was 10% (CI 95% 9.1-13.6). In the multiple analyses, violence against the elderly was significantly associated to the MC (ß = -3.03; p = 0.000) and to the PC (ß = -1.69; p = 0.017) of HRQOL, independently of the sociodemographic, health, family support, and functional incapacity covariables. The prevalence of domestic violence was high and compromised the physical and mental health of the elderly.


Asunto(s)
Maltrato al Anciano/estadística & datos numéricos , Calidad de Vida , Anciano , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Población Urbana
2.
Ciênc. Saúde Colet ; 25(3): 1119-1128, mar. 2020. tab
Artículo en Portugués | LILACS | ID: biblio-1089471

RESUMEN

Resumo Objetivou-se identificar a prevalência da violência doméstica contra idosos não institucionalizados e verificar se esta é um fator independente associado aos Componentes Físico (CF) e Mental (CM) da Qualidade de Vida Relacionada à Saúde (QVRS) desses idosos. É um estudo epidemiológico transversal e de base populacional integrante do Estudo SABE (Saúde, Bem-Estar e Envelhecimento). A amostra foi de 1.126 idosos que responderam ao Short-Form 12 Health Related Survey (SF-12), instrumento genérico que avalia a QVRS em seus CF e CM. A prevalência da violência doméstica contra idosos foi de 10% (IC 95% 9,1 - 13,6). Na análise múltipla, a violência contra idosos permaneceu significativamente associada ao CM (β = -3,03; p = 0,000) e ao CF (β = -1,69; p = 0,017) da QVRS, independente de covariáveis sociodemográficas, de saúde, de apoio familiar e de incapacidade funcional. A prevalência da violência doméstica foi elevada e comprometeu a saúde física e mental dos idosos.


Abstract The scope of this work was to identify the prevalence of domestic violence against non-institutionalized elderly individuals, and to establish if violence is an independent factor associated with the Physical Component (PC) and Mental Component (MC) scores of the Health-Related Quality of Life (HRQOL) of these elderly individuals. It is a cross-sectional epidemiologic and population-based investigation that is part of the SABE (Wellbeing, Health and Aging) study. A sample of 1,126 elderly individuals filled out the Short-Form 12 (SF-12) Health Survey, namely a generic instrument that assesses HRQOL through the Physical and Mental components. The prevalence of domestic violence against of the elderly was 10% (CI 95% 9.1-13.6). In the multiple analyses, violence against the elderly was significantly associated to the MC (β = -3.03; p = 0.000) and to the PC (β = -1.69; p = 0.017) of HRQOL, independently of the sociodemographic, health, family support, and functional incapacity covariables. The prevalence of domestic violence was high and compromised the physical and mental health of the elderly.


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Calidad de Vida , Maltrato al Anciano/estadística & datos numéricos , Población Urbana , Brasil , Estudios Transversales , Persona de Mediana Edad
3.
Radiol Bras ; 52(5): 293-298, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31656345

RESUMEN

Objective: To perform a quantitative analysis of the brain volume of elderly individuals in a population-based sample. Materials and Methods: This was a radiological assessment and voxel-based quantitative analysis, with surface alignment, of 525 magnetic resonance imaging scans of individuals between 60 and 103 years of age who participated in the Saúde, Bem-estar e Envelhecimento (Health, Well-being, and Aging) study in the city of São Paulo, Brazil. Results: We noted a median rate of reduction in total brain volume of 2.4% per decade after 60 years of age. Gray and white matter both showed volume reductions with age. The total brain volume/intracranial brain volume ratio differed between males and females. Conclusion: We have corroborated the findings of studies conducted in the United States and Europe. The total brain volume/intracranial brain volume ratio is higher in men, representing a potential bias for the conventional radiological assessment of atrophy, which is typically based on the evaluation of the cerebrospinal fluid spaces.

4.
Radiol. bras ; 52(5): 293-298, Sept.-Oct. 2019. graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1040949

RESUMEN

Abstract Objective: To perform a quantitative analysis of the brain volume of elderly individuals in a population-based sample. Materials and Methods: This was a radiological assessment and voxel-based quantitative analysis, with surface alignment, of 525 magnetic resonance imaging scans of individuals between 60 and 103 years of age who participated in the Saúde, Bem-estar e Envelhecimento (Health, Well-being, and Aging) study in the city of São Paulo, Brazil. Results: We noted a median rate of reduction in total brain volume of 2.4% per decade after 60 years of age. Gray and white matter both showed volume reductions with age. The total brain volume/intracranial brain volume ratio differed between males and females. Conclusion: We have corroborated the findings of studies conducted in the United States and Europe. The total brain volume/intracranial brain volume ratio is higher in men, representing a potential bias for the conventional radiological assessment of atrophy, which is typically based on the evaluation of the cerebrospinal fluid spaces.


Resumo Objetivo: Analisar, quantitativamente, o volume cerebral de idosos em uma amostra de base populacional em São Paulo. Materiais e Métodos: O estudo é uma avaliação radiológica e análise quantitativa baseada em voxel com alinhamento de superfície de 525 imagens de ressonância magnética de participantes de uma coorte de idosos (SABE - Saúde, Bem-estar e Envelhecimento) em São Paulo, Brasil, com idades de 60 a 103 anos, dos dois sexos. Resultados: Observamos redução média do volume cerebral total de 2,4% por década após os 60 anos de idade. A redução de volume ocorreu na substância cinzenta e na substância branca com a idade. A relação entre volume cerebral intracraniano e volume cerebral total diferiu entre homens e mulheres. Conclusão: Nós reproduzimos os achados de estudos prévios em populações americanas e europeias. A relação entre volume intracraniano e volume cerebral é maior em homens, o que pode representar fonte de viés na avaliação de atrofia radiológica convencional, já que essa avaliação é usualmente baseada em análise de espaços liquóricos intracranianos.

5.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180002, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726347

RESUMEN

The Health, Wellbeing and Aging Study (SABE) began in 2000 under the coordination of the Pan American Health Organization as a multicenter study developed in seven urban centers of Latin America and the Caribbean, to determine the health and living conditions of elderly in this region. In Brazil, the study was developed in the city of São Paulo, where 2,143 individuals (cohort A) aged 60 years or older were selected through probabilistic sampling. In 2006, 1,115 of these individuals were interviewed a second time, and a new probabilistic cohort of individuals aged 60 to 64 years was added (cohort B; n=298). Thus the SABE Study - Brazil was transformed into a multi-cohort longitudinal study, with the objective of identifying changes that occur in the aging process among different generations. In 2010, a longitudinal follow-up was developed with cohorts A and B, with the addition of a new cohort of individuals aged 60 to 64 years (cohort C; n=355). Thethree surveys (2000, 2006 and 2010) involved the application of a questionnaire, anthropometric evaluation and functional tests, with the subsequent inclusion of blood collection for the evaluation of biochemical, immunological and genetic variables, as well as an accelerometer for the measuring of caloric expenditure.


Asunto(s)
Envejecimiento , Evaluación Geriátrica/métodos , Evaluación Geriátrica/estadística & datos numéricos , Encuestas Epidemiológicas/métodos , Encuestas Epidemiológicas/estadística & datos numéricos , Distribución por Edad , Anciano , Anciano de 80 o más Años , Algoritmos , Brasil , Femenino , Envejecimiento Saludable , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Estándares de Referencia , Distribución por Sexo , Factores Socioeconómicos , Encuestas y Cuestionarios
6.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180003, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726348

RESUMEN

INTRODUCTION: Possessing active social networks seems to positively influence the functional performance of elderly people. OBJECTIVE: To verify the association between the characteristics of social networks of the elderly people and the emergence of functional impairment. METHODS: This is a longitudinal population-based study, which used the 2006 (n = 1,413) and 2010 (n = 990) cohorts of the Health, Well-Being, and Aging (SABE) Study. To characterize the social networks, the following variables were used: number of members in the network; living arrangements; sex and age of the members; coresidence with children or only elderly individuals; satisfaction with the relationships; and receiving and offering social support (financial, material, emotional, performing tasks inside and outside the home, providing companionship, and personal care). Logistic regression was used to analyze the data. All ethical guidelines were followed. RESULTS: The social networks of the elderly people had an average of 8.15 members and consisted predominantly of family members aged between 15 and 59 years. Dependent elderly people received more material support, help in performing household tasks and those outside the home, and personal care, while the independent elderly people received more emotional support and companionship. Provision of social support (OR = 0.32, 95%CI 0.14 - 0.71) decreased the chances of developing dependency, independent of sociodemographic and health conditions. CONCLUSION: The strengthening of social networks in old age should be encouraged since confidence in informal care offered, mainly by families, may not be the best option for dealing with the growing demand for care that accompanies the aging of the population.


Asunto(s)
Envejecimiento/fisiología , Envejecimiento Saludable/fisiología , Red Social , Actividades Cotidianas , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil , Familia , Femenino , Anciano Frágil , Humanos , Modelos Logísticos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Características de la Residencia , Factores Sexuales , Apoyo Social , Factores Socioeconómicos
7.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180004, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726349

RESUMEN

INTRODUCTION: Understanding racial disparities in Brazil has been very complex and poorly investigated in some population segments, such as the elderly individuals. OBJECTIVE: This study aimed to present descriptively a comparative analysis in a racial perspective of sociodemographic profile, health conditions, and health service use by older people in the city of São Paulo. METHODS: This is a cross-sectional analysis of the Health, Welfare and Aging Study (SABE). For this study, 1,345 elderly individuals were considered in the cohort of 2010. Data about the black, brown, and white elders were selected. The data were addressed in three major axes: sociodemographic, health conditions, and health service use. The chosen epidemiological measure of association was the prevalence ratio (PR), as well as the percentage values for expressing differences among the groups. RESULTS AND CONCLUSION: The results showed a more favorable scenario for the aging of the white elderly compared to those of brown or black color, considering sociodemographic indicators, health conditions or use and access to health services.


Asunto(s)
Envejecimiento/etnología , Servicios de Salud para Ancianos/estadística & datos numéricos , Disparidades en el Estado de Salud , Grupo de Ascendencia Continental Africana , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/etnología , Estudios Transversales , Femenino , Evaluación Geriátrica , Conductas Relacionadas con la Salud/etnología , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Religión , Distribución por Sexo , Factores Socioeconómicos
8.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180005, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726350

RESUMEN

INTRODUCTION: The city of São Paulo has the largest community of Japanese descendants outside of Japan. OBJECTIVES: To compare the demographic, economic, functional, and health conditions of non-Japanese, Japanese, and their descendants; and to analyze comparatively the functional and health conditions of older adults born in Japan and their descendants born in Brazil. METHODS: A cross-sectional study was carried out in the city of São Paulo, in 2010, with 1,345 older adults (≥ 60 years) participants in the SABE Study (Health, Welfare and Aging). The participants were classified as non-Japanese (not born in Japan), Japanese (born in Japan) or have reported being a direct descendant of Japanese. For the data analysis, χ2 test with Rao-Scott correction was used. RESULTS: Of the 1,345 older adults, 3.3% were Japanese or descendants. These differed from non-Japanese in terms of higher education and reported income sufficiency. Among older adults born in Japan, there was a higher proportion of oldest old (38.8%), cardiovascular diseases (48.9%) and cognitive decline (26.7%). CONCLUSION: It is noted that Japanese and descendants older adults presented better functionality when compared to non-Japanese. Among Japanese and descendants, differences in the profile of diseases were observed. It is believed that such results may be due to cultural influences.


Asunto(s)
Envejecimiento/etnología , Grupo de Ascendencia Continental Asiática/estadística & datos numéricos , Evaluación Geriátrica/estadística & datos numéricos , Actividades Cotidianas , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/etnología , Estudios Transversales , Femenino , Humanos , Japón , Masculino , Persona de Mediana Edad , Distribución por Sexo , Factores Socioeconómicos , Encuestas y Cuestionarios
9.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180008, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726353

RESUMEN

INTRODUCTION: Cardiometabolic diseases are prevalent in populations and are among the leading causes of death. Objective: This sub-study of the Health, Well-being and Aging (SABE) study describes the self-reported prevalence of diabetes mellitus (DM), hypertension, and atherosclerotic cardiovascular disease (CVD) for its three waves (2000, 2006, and 2010). It also analyses the associations with selected risk factors. METHODS: Logistic regression models were performed. RESULTS: Predominance of women and average age (68 years) were maintained in all the waves. During the period, there was a general tendency of increasing prevalence of hypertension (53.1 to 66.7%), DM (16.7 to 25.0%), and CVD (23.0 to 27.2%); and stabilization of the CVD prevalence rate occurred only from 2006 to 2010. Women, with body mass index (BMI) > 27 kg/m2, and ex-smokers had consistently higher risk of self-reported hypertension across the three waves. BMI >27kg/m2 was also associated with a higher probability of DM in the three waves, whereas with ex-smokers this occurred only in 2010. Ex-smokers presented higher risk of CVD in all the waves, but not excess weight. Wave pairs were analyzed to test changes in prevalence, and it was found a significant increase in diseases rates across the years. CONCLUSION: In summary, self-reported DM, hypertension, and CVD had high prevalence rates for participants of SABE Study, in São Paulo. The association of elevated BMI with cardiometabolic diseases suggests that body adiposity might favor their occurrence, although the study design does not guarantee a cause and effect relationship. Increased rates of affected individuals from the first to the third wave may reflect improvement in diagnostic conditions and/or control of these diseases' mortality during that period.


Asunto(s)
Aterosclerosis/epidemiología , Diabetes Mellitus/epidemiología , Hipertensión/epidemiología , Factores de Edad , Anciano , Aterosclerosis/etiología , Índice de Masa Corporal , Brasil/epidemiología , Estudios Transversales , Diabetes Mellitus/etiología , Femenino , Humanos , Hipertensión/etiología , Modelos Logísticos , Masculino , Prevalencia , Factores de Riesgo , Autoinforme , Factores Sexuales , Factores Socioeconómicos , Factores de Tiempo
10.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180009, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726354

RESUMEN

OBJECTIVES: To estimate the prevalence of sarcopenia, dynapenia, and sarcodynapenia and associated factors in older adults in the city of São Paulo, Brazil. METHODS: A population-based, cross-sectional study was conducted with 1,168 older adults who participated in the third wave of the Health, Well-being, and Aging study in 2010 (SABE study). Men and women with skeletal muscle mass ≤ 8.90 and ≤ 6.37 kg/m2, respectively, were considered sarcopenic. Men and women with grip strength < 30 and < 20 kg, respectively, were considered dynapenic. Those with both conditions were considered sarcodynapenic. Sociodemographic, behavioral, clinical, nutritional, and biochemical characteristics were investigated as factors associated with each of the three conditions using multinomial logistic regression. RESULTS: Theprevalence of sarcopenia, dynapenia, and sarcodynapenia was 4.8% (95%CI 3.6 - 6.3), 30.9% (95%CI 27.5 - 34.6) and 9.0% (95%CI 7.2-11.3), respectively. An increase in age and malnutrition was associated with all the three conditions. Cognitive impairment was associated with both dynapenia and sarcodynapenia. Schooling, current smoking habit, and not having a marital life were associated with sarcopenia. Osteoarthritis, schooling, being an ex-smoker, and low hemoglobin were associated with dynapenia. Smoking habit and the risk of malnutrition were associated with sarcodynapenia. CONCLUSION: Dynapenia is more prevalent among older adults, followed by sarcodynapenia, and sarcopenia. With the exception of age, schooling, and malnutrition, the factors associated with sarcopenia and dynapenia are different. However, there are similarities in some associations regarding the presence of sarcodynapenia.


Asunto(s)
Vida Independiente/estadística & datos numéricos , Debilidad Muscular/epidemiología , Sarcopenia/epidemiología , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Evaluación Geriátrica , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Debilidad Muscular/etnología , Músculo Esquelético/fisiopatología , Evaluación Nutricional , Prevalencia , Factores de Riesgo , Sarcopenia/etiología , Distribución por Sexo , Factores Socioeconómicos
11.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180010, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726355

RESUMEN

OBJECTIVE: To describe the prevalence of the self-rated poor and very poor health status among elderly people who were not in nursing homes and were living in São Paulo, Brazil, in 2010, and to identify whether the social inequalities previously reported for this condition persist. METHODS: We carried out a cross-sectional study, with a representative sample of 1,344 people aged 60 years or more living in the city, who participated in the SABE Study (Health, Well-Being, and Aging). We applied a questionnaire about sociodemographic characteristics, which included three questions on self-rated health status: a direct question about the current condition, a comparison with the condition of the other people of the same age, and a comparison with oneself a year before. The comparative analysis used Poisson regression models, reporting the prevalence ratio as a measure of association between variables. RESULTS: Only 7.8% of the elderly individuals reported a negative self-rated health status in 2010, similar proportion to those that consider themselves to be in worse health condition than the other people of the same age (8.7%). However, the prevalence of elderly people that reported worsening in comparison with the previous year was higher, of 29.2%. Regardless of the question used, the prevalence of negative self-rated health was directly associated with worse indicators of income, educational status, and consumer classes. Significant differences between genders, age groups, and skin color categories were also observed. CONCLUSION: Differences in the prevalence of self-rated negative health status continue to affect the sociodemographic groups. The knowledge already available about social inequalities in health did not eliminate or attenuate social injustice in this outcome.


Asunto(s)
Autoevaluación Diagnóstica , Disparidades en el Estado de Salud , Distribución por Edad , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Envejecimiento Saludable , Humanos , Masculino , Persona de Mediana Edad , Autoinforme , Distribución por Sexo , Factores Socioeconómicos
12.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180011, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726356

RESUMEN

INTRODUCTION: Childhood conditions can influence some aspects of development of an individual and thus affect health in adult life. OBJECTIVE: To evaluateassociations between early life conditions and health, as reported by the survey SABE in 2000, 2006, and 2010. METHODS: Early or previous conditions refer to the situations before 15 years of age of the interviewees, such as economic condition, famine, health assessment, medical conditions, and having lived in the countryside for over 5 years. The control variables were gender, education, andincome. The outcome was self-reported health as "good" or "bad." This study focused on ages between 60 and 65years. RESULTS: Bivariate analysis showed significant associations of the individual's origin in all the three cohorts. Economic and famine conditions were also significant for cohort B (2006). Multivariate Poisson regression was used with prevalence ratio as an element of comparison. Rural origin was the only significant early condition in the initial model. Thecontrol variables - gender, cohort, and education - were also significant. In the final model, the significant variables in the initial model were included, plus relation between rural origin and the number of diseases. Cohorts, gender, education, and the number of diseases were still significant factors when individuals had rural origin, but were not associated with the outcome if their origin was urban. CONCLUSION: There were connections between early conditions of life and the health of the elderly, and this might be an important tool for health care for both the individual and the community.


Asunto(s)
Estado de Salud , Envejecimiento Saludable/fisiología , Factores de Edad , Brasil , Estudios de Cohortes , Autoevaluación Diagnóstica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Distribución de Poisson , Factores de Riesgo , Población Rural , Autoinforme , Factores Sexuales , Factores Socioeconómicos , Población Urbana
13.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180012, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726357

RESUMEN

INTRODUCTION: The use of dental prosthesis and the tooth loss in elderly people are associated with significant impact on the overall health and quality of life. Continuous assessment of oral health profile in this population is important for planning the actions and policies of the area. OBJECTIVES: The aims of this study were to assess the prevalence of tooth loss and use of dental prosthesis among the elderly people in different periods, to evaluate the association between functional dentition (20 teeth or more) and socioeconomic factors, and to evaluate the impact of tooth loss and use of dental prosthesis on self-rated oral health. METHODS: Thesample consisted of people aged 60 years and older who participated in the Health, Well-Being, and Aging Study (SABE). Data from the years 2000, 2006, and 2010 were used to assess the prevalence of tooth loss and use of dental prosthesis. Analysis of the factors associated with the functional dentition and self-rated oral health was based on the data collected in 2010. Comparison of oral health profile over the 3 years was done through descriptive analysis and comparison of confidence intervals. Multiple logistic regression models were used to assess the factors associated with functional dentition and self-rated oral health. RESULTS: The prevalence of tooth loss and use of dental prosthesis remained constant over the three periods analyzed. Functional dentition was significantly associated with education, sex, and race/gender. Individuals in need of dental prosthesis and with periodontal pocket were more likely to report poor oral health. CONCLUSION: There was no reduction in the prevalence of tooth loss and in the use of dental prosthesis over 10 years. Functional dentition is associated with socioeconomic inequalities. Self-rated oral health is associated with the need of dental prosthesis.


Asunto(s)
Prótesis Dental/estadística & datos numéricos , Autoevaluación Diagnóstica , Vida Independiente/estadística & datos numéricos , Salud Bucal/estadística & datos numéricos , Pérdida de Diente/epidemiología , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Encuestas de Salud Bucal/métodos , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Prevalencia , Distribución por Sexo , Perfil de Impacto de Enfermedad , Factores Socioeconómicos , Factores de Tiempo
14.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180013, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726358

RESUMEN

OBJECTIVES: The concomitance of smoking and poor dietary habits represents a worsened prognosis of health and quality of life for elderly. The aim of this study was to characterize the nutritional status of elderly who were smokers and former smokers and residents of São Paulo city. METHODS: A cross-sectional study was conducted in 2010 with a representative sample of 1,345 individuals aged 60 years and over, who were part of the elderly cohort monitored at the SABE Study. Sociodemographic, health, and nutritional aspects of the elderly were described, according to their tobacco use in life. RESULTS: The proportion of smokers and former smokers was 12.9 and 54.7%, 11.0 and 25.2%, and 11.8 and 37.2% for male, female, and total population, respectively. For both genders, increasing age decreased the proportion of smokers. The proportion of proper fruit intake was smaller for female smokers. Poorer nutritional status was observed in smokers, who had fewer meals per day and greater frequency of underweight compared with elderly nonsmokers. CONCLUSION: Considering the impact of inappropriate eating habits and smoking on health, elderly smokers deserve special attention on their nutritional status.


Asunto(s)
Conducta Alimentaria/fisiología , Estado Nutricional/fisiología , Fumar/fisiopatología , Distribución por Edad , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil , Estudios Transversales , Femenino , Evaluación Geriátrica , Conductas de Riesgo para la Salud , Humanos , Masculino , Persona de Mediana Edad , Autoinforme , Distribución por Sexo , Factores Sexuales , Fumadores , Factores Socioeconómicos , Factores de Tiempo
15.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180014, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726359

RESUMEN

OBJECTIVE: To estimate the prevalence of depressive symptoms in the elderly in São Paulo city, Brazil (SABE Study), in 2006 and to identify risk factors associated with the 2006 prevalence and protective factors among those who did not have depressive symptoms in the assessments conducted in 2000 and 2006. METHODS: In this cross-sectional and longitudinal study, the Geriatric Depression Scale was used for inclusion in the cohort in 2000 and also in 2006. RESULTS: The prevalence of depressive symptoms in 2006 was 14.2% (95%CI 11.8 - 16.7), and 74.8% of the participants did not present depressive symptoms in 2000 neither in 2006. Logistic regression models were constructed, with different groups of variables (socio-demographic variables, status and perception of health and memory) adjusted for sex and age. In the final logistic regression model, the following factors were associated with depressive symptoms: self-assessment of vision, oral health, memory and of general health as poor, dependence for basic activities of daily living, and moderate or severe family dysfunction. Protective factors against presenting depressive symptoms in the 2000 and 2006 phases were: being male, absence of pulmonary disease and positive self-assessment of health. CONCLUSION: Depressive symptoms were frequent among the elderly, and were associated with health problems, dependence and family dysfunction. These factors should be addressed in health policy planning for the care of these elderly.


Asunto(s)
Depresión/epidemiología , Depresión/etiología , Actividades Cotidianas/psicología , Anciano , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Modelos Logísticos , Masculino , Prevalencia , Factores Protectores , Escalas de Valoración Psiquiátrica , Factores de Riesgo , Autoevaluación , Distribución por Sexo , Factores Socioeconómicos , Encuestas y Cuestionarios , Factores de Tiempo
16.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180016, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726361

RESUMEN

OBJECTIVE: To analyze the influence of demographic, health condition, and lifestyle factors on body balance disorders among elderly subjects living in the city of São Paulo, Brazil, in 2006. METHODS: Thestudy was developed based on information provided by the Health, Well-being, and Aging (SABE) Study. Itincluded 60-year-old subjects, both men and women, or those over this age. The sample comprised 1,226 subjects that represented 930,639 elderly subjects. The dependent variable was the elderly's body balance disorder, which was measured using part of the Short Physical Performance Battery (SPPB). The independent variables were divided into three groups: demographic, health conditions, and lifestyle. The multiple binary logistic regression analysis was applied to estimate the association between balance disorders and demographic, health, and lifestyle variables in the elderly. RESULTS: Age, difficulties in at least one mobility, and performance of regular physical activities showed a significant influence on the elderly's body balance (p < 0.05). Age was the strongest related determiner. Being aged 75-79 years and 80 years or more increased 3.77 and 5.31 times, respectively, the chances of the elderly subjects present balance disorders in comparison with the 60- to 64-years-old. CONCLUSION: Preventive measures that aim at reversing a body instability condition should be preconized and incorporated in the elderly's health-care schedule.


Asunto(s)
Equilibrio Postural , Trastornos de la Sensación/epidemiología , Trastornos de la Sensación/etiología , Actividades Cotidianas , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Evaluación Geriátrica , Humanos , Estilo de Vida , Modelos Logísticos , Masculino , Persona de Mediana Edad , Equilibrio Postural/fisiología , Factores de Riesgo , Trastornos de la Sensación/fisiopatología , Distribución por Sexo , Factores Socioeconómicos
17.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180017, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726362

RESUMEN

OBJECTIVE: To evaluate whether the occurrence of falls in the year preceding the interview is associated with frailty components after a four-year period. METHODS: Data were obtained from the second round of the Health, Well-being and Aging SABE Study, conducted in 2006, when 1,413 elderly people were interviewed. Individuals considered weak according to the Fried model were excluded, resulting in 1,207 elderly at the study entry. The explanatory variable was taken as the falls in the year prior to the 2006 survey. In 2010, the survivors were evaluated for the five frailty components. The statistical test with correction for the sample project -(Rao-Scott) was applied to assess the association between frailty and falls at the beginning of the study. RESULTS: Of the 1,413 individuals in the 2006 sample, 1,397 registered falls in the year before the interview and evaluation of fragility. The fragility of components for risk factors for the occurrence of falls were: (1)reduced grip strength (no falls: 21.8%; falls: 31.5%; relative risk - RR = 1.44; and p = 0.003); and (2) exhaustion (no falls: 7.6%; falls:14.7%; RR = 1.93; and p = 0.003). CONCLUSION: This finding suggests longitudinal studies in order to clarify the causality of falls in the elderly, considering the aspects of temporality between exposure and the event.


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Anciano Frágil/estadística & datos numéricos , Fragilidad/epidemiología , Distribución por Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Medición de Riesgo , Factores de Riesgo , Distribución por Sexo
18.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180018, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726363

RESUMEN

OBJECTIVES: The prevalence of sleep problems in elderly, such as insomnia, is a relevant issue in our society. Poor sleep quality is viewed by many as an inevitable result of aging. In this context, this study aimed to estimate the prevalence and associated factors of sleeping disturbances in elderly men and women (60 years and older). METHODS: The present study is part of SABE Study (Health, Well-being and Aging), a cohort conducted in São Paulo, Brazil. The sample included in the present cross-sectional study comprised 1,334 elderly people aged 60 years or older. Sleep disturbances were assessed based on responses of study participants on whether they had experienced any sleep disturbance in the past month. RESULTS: Among the elderly assessed, 44.9% had overall sleep disturbances, which were more frequent in women (51.5%) and in 75 to 79 years old (48.2%). According to the regression analysis, the variables gender, joint diseases, as well as nocturia and urinary incontinence, were associated with sleep disorders. Increase in sleep disturbances was found not to be linearly age-dependent. CONCLUSIONS: Gender, pain, urinary and nocturia incontinence were factors associated with sleep disorders. Thus, we might conclude that the absence of sleep disturbances in older adults depends on gender and health status.


Asunto(s)
Trastornos del Sueño-Vigilia/epidemiología , Incontinencia Urinaria/epidemiología , Distribución por Edad , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Dolor/complicaciones , Dolor/epidemiología , Dolor/fisiopatología , Distribución de Poisson , Prevalencia , Distribución por Sexo , Factores Sexuales , Trastornos del Sueño-Vigilia/fisiopatología , Incontinencia Urinaria/complicaciones , Incontinencia Urinaria/fisiopatología
19.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180019, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726364

RESUMEN

INTRODUCTION: Functionality in aging is associated with the autonomy and independence of older people. OBJECTIVE: To identify and hierarchize the difficulties reported by older adults in performing activities of daily living. METHOD: This is a cross-sectional, descriptive, household-based study that used the Health, Well-being, and Aging Study (Saúde, Bem-Estar e Envelhecimento - SABE) database of 2000, 2006, and 2010. We evaluated the functionality using reports on the difficulty in performing basic and instrumental activities of daily living (ADL and IADL, respectively). The Guttman scaling assessed the hierarchy of functional impairment. RESULTS: The prevalence of reported difficulty in performing one or more IADLs was 35.4, 45.8, and 41.0%; while for ADLs, it was 16.3, 13.3, and 17.5%, in 2000, 2006, and 2010, respectively. In ten years of follow-up, the variability in prevalence among women ranged from 42.3 to 54.6% for IADL impairment, and 17.0 to 20.4% for ADL. For men, it varied from 25.6 to 33.1% for IADL impairment, and 8.0 to 13.7% for ADL. In the three waves, the activities with the highest reported difficulty were using transportation, performing heavy tasks, and managing finances, while feeding was the least prevalent. CONCLUSION: The prevalence of functional impairment increased in ten years, with higher variability among women and with advancing age. These results contribute to the planning of services and adequate distribution of existing resources as they reveal the needs and care required.


Asunto(s)
Actividades Cotidianas , Evaluación de la Discapacidad , Evaluación Geriátrica/estadística & datos numéricos , Distribución por Edad , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Distribución por Sexo , Factores Sexuales , Factores Socioeconómicos , Análisis y Desempeño de Tareas , Factores de Tiempo
20.
Rev Bras Epidemiol ; 21Suppl 02(Suppl 02): e180020, 2019 Feb 04.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-30726365

RESUMEN

INTRODUCTION: Multiple illness and injury classes can cause a functional disability of the elderly, or the right to seek help from another person. Caregiving can be generated without the caregiver functions, leading to burden. OBJECTIVE: to describe the sociodemographic and care profile of caregivers of the elderly and to analyze the factors associated with excessive stress regarding care. METHOD: This is a cross-sectional study, part of the SABE (Health, well-being and aging) Study, carried out in the city of São Paulo in 2010, with 362 caregivers. The excessive stress associated with care was evaluated by the Zarit Scale, and the load was found to be less than 24 points and the presence of burden was considered, with scores ≥ 24 points. Hierarchical Logistic Regression was used to analyze the factors associated with the stress of family caregivers. RESULTS: Most of the caregivers were family members (91.5%), being female (75.4%), mean age 53.9 years (SD ± 15.5), married (65.3%), lived in the same household with the elderly (68.2%). One-third of them presented burden, which was associated with age (OR = 1.04, p = 0.001), family dysfunction (OR = 5.60, p = 0.000), continuous care (OR = 78, p = 0.030). CONCLUSIONS: The data reveal the need to maintain their needs and support to caregivers, especially their relatives and their sources of life and their debts.


Asunto(s)
Cuidadores/estadística & datos numéricos , Cuidados de Enfermería en el Hogar/estadística & datos numéricos , Atención Domiciliaria de Salud/psicología , Atención Domiciliaria de Salud/estadística & datos numéricos , Estrés Psicológico/epidemiología , Adulto , Anciano , Brasil/epidemiología , Estudios Transversales , Familia , Femenino , Estado de Salud , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Factores Socioeconómicos , Factores de Tiempo
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