0418/2018 - Perfil de multimorbidade associado à incapacidade entre idosos residentes na Região Metropolitana de Belo Horizonte. Multimorbidity profile associated with disability among older adults living in the Metropolitan Region of Belo Horizonte.
O objetivo foi investigar as associações da incapacidade em três níveis (ABVD, AIVD e mobilidade) com doenças cardiovasculares, diabetes e multimorbidade, entre idosos residentes na Região Metropolitana de Belo Horizonte (RMBH). Estudo transversal em amostra representativa de adultos da RMBH, tendo sido selecionados 2172 idosos (60 anos ou mais). A incapacidade, para cada domínio (ABVD, AIVD e mobilidade), foi avaliada como o relato de muita dificuldade ou necessidade de ajuda para realizar pelo menos uma atividade entre as investigadas, e as doenças autorreferidas incluíram hipertensão arterial, infarto do miocárdio e angina, acidente vascular encefálico (AVE), diabetes, e as combinações dessas doenças. Utilizou-se regressão de Poisson ajustada, estimando-se também a fração atribuível populacional. Houve importante contribuição do AVE para a incapacidade em todos os domínios, com destaque para as ABVD’s, bem como do infarto/angina na incapacidade em AIVD’s e mobilidade, sobretudo quando combinadas com diabetes e hipertensão. O perfil de multimorbidade pode ser usado para identificação de grupos vulneráveis, que deveriam ser alvo de ações de prevenção e reabilitação, reduzindo o custo financeiro e social desse evento entre idosos.
Palavras-chave:
incapacidade, idoso, doença crônica, inquéritos de morbidade, doenças cardiovasculares.
Abstract:
The objective was to investigate the associations of disability in three domains (BADL, IADL and mobility) with cardiovascular diseases, diabetes and multimorbidity profile, among older adults living in the Metropolitan Region of Belo Horizonte (MRBH). A cross-sectional study was carried out on a representative sample of adultsthe MRBH, and the 2,172 older adults (60 years and over) were ed. Disability, for each domain (ABVD, AIVD and mobility), was assessed as reporting a great difficulty or need for help to perform at least one activity among those investigated, and self-reported diseases included arterial hypertension, myocardial infarction or angina, stroke, diabetes, and combinations of these diseases. The adjusted Poisson regression was used, and the population attributable fraction was also estimated. An important contribution of stroke to disability in all domains was observed, especially the ABVD\'s, as well as the presence of infarction or angina in disability in IADL´s and mobility, especially when combined with diabetes and hypertension. The multimorbidity profile can be used to identify vulnerable groups, which should be the target of prevention and rehabilitation, reducing the financial and social cost of this event among the older adults.
Multimorbidity profile associated with disability among older adults living in the Metropolitan Region of Belo Horizonte.
Resumo (abstract):
The objective was to investigate the associations of disability in three domains (BADL, IADL and mobility) with cardiovascular diseases, diabetes and multimorbidity profile, among older adults living in the Metropolitan Region of Belo Horizonte (MRBH). A cross-sectional study was carried out on a representative sample of adultsthe MRBH, and the 2,172 older adults (60 years and over) were ed. Disability, for each domain (ABVD, AIVD and mobility), was assessed as reporting a great difficulty or need for help to perform at least one activity among those investigated, and self-reported diseases included arterial hypertension, myocardial infarction or angina, stroke, diabetes, and combinations of these diseases. The adjusted Poisson regression was used, and the population attributable fraction was also estimated. An important contribution of stroke to disability in all domains was observed, especially the ABVD\'s, as well as the presence of infarction or angina in disability in IADL´s and mobility, especially when combined with diabetes and hypertension. The multimorbidity profile can be used to identify vulnerable groups, which should be the target of prevention and rehabilitation, reducing the financial and social cost of this event among the older adults.
Bernardes, GM, Mambrini, J. V. M., Lima-Costa, Maria Fernanda, Peixoto, S.V.. Perfil de multimorbidade associado à incapacidade entre idosos residentes na Região Metropolitana de Belo Horizonte.. Cien Saude Colet [periódico na internet] (2018/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perfil-de-multimorbidade-associado-a-incapacidade-entre-idosos-residentes-na-regiao-metropolitana-de-belo-horizonte/16951?id=16951&id=16951
