Estudo dos fatores preditores de envelhecimento sem incapacidade funcional entre os idosos em velhice avançada no município de São Paulo / Predict factors´ study for aging without disability among very old people in Sao Paulo city

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Aging is a world phenomenon and it is a result of the progressive decrease of the fecundity and mortality rates and of the increase of life expectation. The elderly group, in Brazil, is composed by people since 60 years. Inside this group, the population which grows very fast is called very old people (80 years and more) whose specific demand are yet unknown. Aging is normally associated with progressive functional decrease which creates attendance demands and a lot of dependent scene, the great fear of this population. So, to know the factors associated with functional independence become primordial and compose the aim of this study. In this context, predict factors are considered important for the elaboration of preventive acts that alter disability events, responsible for dependence. Aiming to clarify the health load that may come up from a population that has grown old too fast, the Pan-American Health Organization developed a multi central study called SABE, involving seven countries of Latin America and the Caribbean. In Brazil, it was developed at an urban area of Sao Paulo city in 2000 with a total final sample of 2.143 elderly people representing the population who live in this region in this period. The elderly with 80 years and more, were used to develop this study. This is a descriptive and exploratory research. Of the total of the elderly in advanced old age, 9,9% were functionally independents in the activities of daily living. Of these 66.4% were women, 33.6% were men, 75% were born in Brazil, 25.6% never went to school, 10.1% have already worked. Concerning the marital condition 71.1% were widow and 26.5 % were marriage; 53.6% were living alone and the most of them (68.6%) have had parents who died with 80 years or more. Concerning the income 38% were in the first quintile, meanwhile, 44.1% had reported that the income was sufficient. Concerning the life habits, 43.2% had practiced physical activity, 41.6% had practice leisure activities, 70.4% had never drunken and 68,9% had never smoked. In relation to life conditions in childhood 47.7% had reported that they had good health and 35.2% good economical conditions. Concerning the health condition current, 63.5% had reported to have excellent health, 43.5% had reported the presence of hypertension, 34.7% chronicle pulmonary disease and 7.3% diabetes. 95.1% had shown preserved cognitive ability. These variables were submitted to the multivariety analysis through Logistical Regression, using a significance level (µ = 0,05). The variables were gather in thematic blocks of interested, being submitted to the univariety analysis, showing itself meaning diabetes reported, fellowship and physical activity. Regarding to the predict factors for aging without disability, data was submitted to multivaried analysis through Logistic Regression, using a significance level of 5% (a=0.05). These variables were grouped and submitted to multiple analyses in order to constitute the model of the study. The statistical analysis have shown that the presence of diabetes decreases by a factor of 0.14 times the odds for do not have the difficulties in the ADL. To live with company decreases this risk by a factor of 0.15. The odds decrease if there is not the practice of physical activity. The study shows that factors are few and these can influence in this process. This can happen because these factors have already been difference among the “younger” elderly, but among the very old people, the “older” tends to equalize these differences

ASSUNTO(S)

functional independence independência funcional velhice avançada very old sabe study estudo sabe

ACESSO AO ARTIGO

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