Carlos Cano-Gutiérrez1, Miguel Germán Borda, Carlos Reyes-Ortiz, Antonio J Arciniegas, Rafael Samper-Ternent. 1. Unidad de Geriatría, Hospital Universitario San Ignacio, Bogotá, D.C., Colombia Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia Semillero de Neurociencias y Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia. ccano@javeriana.edu.co.
Abstract
INTRODUCTION: Functional impairment produces a wide range of negative effects such as difficulty in mobility, social isolation, decreased quality of life, disability and institutionalization. Thus, functional status measurement is a marker of social wellbeing. OBJECTIVE: To determine and characterize the socio-demographic factors and health conditions related to functional impairment in older adults in Bogotá, Colombia. MATERIALS AND METHODS: Data was collected from the SABE Bogotá Study. Functional status was assessed using the Barthel and Lawton scales. Independent variables included socio-demographic factors, comorbidities, anthropometric measurements and physical activity (by tertiles). Bivariate analyzes were performed, and multivariate results were obtained using linear regression models. RESULTS: There were 2,000 participants aged 60 years and older, with a mean age of 71.2 ± 8 years. Younger age (standardized beta = -0.15, p<0.01), fewer medications (beta= -0.13, p<0.01), higher MMSE score (beta = 0.3, p< 0.01), higher level of physical activity (middle beta tertile = 0.18, p<0.01, and higher beta tertile= 0.18, p<0.01vs lower tertile) and better performance in the handgrip test (beta= 0.10, p<0.01) were associated with better function in daily life instrumental activities. Similarly, higher MMSE score (beta= 0.3, p<0.01) and better performance in the handgrip test (beta= 0.07, p= 0.02) were associated with better function in daily life basic activities. CONCLUSIONS: We found several factors related with functional impairment, which are likely to be modified to reduce dependence in this population.
INTRODUCTION:Functional impairment produces a wide range of negative effects such as difficulty in mobility, social isolation, decreased quality of life, disability and institutionalization. Thus, functional status measurement is a marker of social wellbeing. OBJECTIVE: To determine and characterize the socio-demographic factors and health conditions related to functional impairment in older adults in Bogotá, Colombia. MATERIALS AND METHODS: Data was collected from the SABE Bogotá Study. Functional status was assessed using the Barthel and Lawton scales. Independent variables included socio-demographic factors, comorbidities, anthropometric measurements and physical activity (by tertiles). Bivariate analyzes were performed, and multivariate results were obtained using linear regression models. RESULTS: There were 2,000 participants aged 60 years and older, with a mean age of 71.2 ± 8 years. Younger age (standardized beta = -0.15, p<0.01), fewer medications (beta= -0.13, p<0.01), higher MMSE score (beta = 0.3, p< 0.01), higher level of physical activity (middle beta tertile = 0.18, p<0.01, and higher beta tertile= 0.18, p<0.01vs lower tertile) and better performance in the handgrip test (beta= 0.10, p<0.01) were associated with better function in daily life instrumental activities. Similarly, higher MMSE score (beta= 0.3, p<0.01) and better performance in the handgrip test (beta= 0.07, p= 0.02) were associated with better function in daily life basic activities. CONCLUSIONS: We found several factors related with functional impairment, which are likely to be modified to reduce dependence in this population.
Entities:
Keywords:
Aged; cognition; hand strength; independence; motor activity; public health
Authors: Cleide Maria de Paula Rebouças; Maura Regina Ribeiro; Juliana Zangilorami-Raimundo; Polyana Caroline de Lima Bezerra; Angelo Márcio das Chagas de Souza Júnior; Nair da Silva Souza; Janaina Ribeiro Pereira; José Maria Soares Júnior; Larissa Maria de Paula Rebouças da Costa; Luiz Carlos de Abreu; Rodrigo Daminello Raimundo Journal: BMC Psychiatry Date: 2021-07-23 Impact factor: 3.630