Author:

• Juliana L Torres - Torres, J. L. - <jlt.fisioufmg@hotmail.com>
ORCID: https://orcid.org/0000-0002-3687-897X

Co-author(s):

• Fabíola B Andrade - Andrade, F. B. - <fabiola.bof@fiocruz.br>
ORCID: https://orcid.org/0000-0002-3467-3989
• Maria Fernanda Lima-Costa - Lima-Costa, M. F. - <lima.costa@fiocruz.br>
ORCID: https://orcid.org/0000-0002-1077-1381
• Lucas R Nascimento - Nascimento, L. R. - <lucasnascimento@gmail.com>
ORCID: https://orcid.org/0000-0002-6792-0819

Abstract:

This study aimed at estimating the prevalence of stroke in older adults in Brazil, andat identifying the sociodemographic, health-related, health service-related, and environmentalfactorsassociated with independence indaily activities.Across-sectional, population-based study(Brazilian Longitudinal Study of Aging 2015-2016) was conducted. 536 individuals (≥50 years), from 9,412 participants,have had stroke and wereincluded.Prevalence of stroke was 5.3% among individuals aged 50 years and over, increasing up to 8.0% among individuals aged 75 years and over, showing a dissimilar pattern between sex. Independence was associated with walking speed (Prevalence Ratio (PR) 2.72, 95% CI: 1.96 to 3.77), physical activity (PR 1.24; 95% CI: 1.04 to 1.47) and use of walking devices (PR 0.63; 95% CI: 0.41 to 0.96). A significant interaction was found between walking speed plus home adaptationsand performance of daily living activities (PR 3.42; 95% CI: 1.04 to 11.29). The probability of independence was 40% among slow walkers (< 0.4 m/s), increasing up to 70% among fast walkers (> 0.8 m/s), and to 90% among those who also have home adaptations. Faster walking speed combined with home adaptations was the main factor associated with long-term independence after stroke.

Keywords:

activities of daily living, cerebrovascular disease, gait, prevalence, rehabilitation.

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