0458/2016 - Redução da capacidade funcional de idosos residentes em comunidade: estudo longitudinal Reductionfunctional capacity in elderly community residents: longitudinal study
O objetivo deste estudo foi identificar a incidência e fatores de risco para a redução da capacidade funcional de idosos residentes em comunidade. Foi conduzido estudo de coorte prospectivo em duas fases, 2011 e 2014. A população do estudo foi composta por 202 idosos inicialmente independentes para as atividades básicas da vida diária. Utilizou-se como medida de associação o risco relativo (RR) e seus respectivos intervalos de confiança (IC) 95%, que foram estimados por regressão log-binomial com variância robusta. A incidência da redução de capacidade funcional foi de 15,3%. Os fatores de risco para o declínio funcional foram estado civil sem união (RRaj= 2,75; IC95%: 1,15 – 6,57) e presença de sintomas de depressão (RRaj= 2,41; IC95%: 1,15 – 5,06), mesmo após ajuste por sexo, faixa etária, renda familiar per capita, diabetes, uso de medicamentos e nível de atividade física. A elevada incidência da redução de capacidade funcional e sua associação com aspectos da relação conjugal e de saúde mental revela a necessidade de considerar tais fatores no planejamento de ações em saúde voltadas à manutenção e recuperação da capacidade funcional dos idosos.
Palavras-chave:
Saúde do idosoEnvelhecimentoAtividades CotidianasIncapacidade Funcional
Abstract:
The objective of this study wast o identify the incidence and risk factors for reduced functional capacity of elderly residents in the community. A prospective cohort study was conducted in two phases, in 2011 and 2014. Initially, the study population consisted of 202 independent elderly for basic activities of daily living. It was utilized as measure of association the relative risk (RR) and their respective intervals (CI) of 95% confidence, that were estimated by log-binomial regression with robust variance. The incidence of reduced functional capacity was 15.3%. Risk factors for functional decline were marital status without union (RRaj = 2.75; 95% CI: 1.15 to 6.57) and symptoms of depression (RRaj = 2.41; 95% CI: 1.15 to 5.06), even after adjustment for sex, age, family in come per capita, diabetes, use of medications and physical activity level. The high incidence of reduced functional capacity and its association with aspects of the marital relation ship and mental health reveals the need to consider such factors in planning health actions aimed at maintaining and restoring the functional capacity of the elderly.
Keywords:
Health of the ElderlyAgingActivities of Daily LivingDisabled Persons
Reductionfunctional capacity in elderly community residents: longitudinal study
Resumo (abstract):
The objective of this study wast o identify the incidence and risk factors for reduced functional capacity of elderly residents in the community. A prospective cohort study was conducted in two phases, in 2011 and 2014. Initially, the study population consisted of 202 independent elderly for basic activities of daily living. It was utilized as measure of association the relative risk (RR) and their respective intervals (CI) of 95% confidence, that were estimated by log-binomial regression with robust variance. The incidence of reduced functional capacity was 15.3%. Risk factors for functional decline were marital status without union (RRaj = 2.75; 95% CI: 1.15 to 6.57) and symptoms of depression (RRaj = 2.41; 95% CI: 1.15 to 5.06), even after adjustment for sex, age, family in come per capita, diabetes, use of medications and physical activity level. The high incidence of reduced functional capacity and its association with aspects of the marital relation ship and mental health reveals the need to consider such factors in planning health actions aimed at maintaining and restoring the functional capacity of the elderly.
Palavras-chave (keywords):
Health of the ElderlyAgingActivities of Daily LivingDisabled Persons
