Work, social support and leisure protect the elderly from functional loss: EPIDOSO Study

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dc.contributor.authorD'Orsi, Eleonora
dc.contributor.authorXavier, Andre Junqueira
dc.contributor.authorRamos, Luiz Roberto [UNIFESP]
dc.contributor.institutionUniversidade Federal de Santa Catarina (UFSC)
dc.contributor.institutionUniv Santa Catarina
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-18T11:54:27Z
dc.date.available2018-06-18T11:54:27Z
dc.date.issued2011-08-01
dc.description.abstractOBJECTIVE: To identify risk factors for functional capacity loss in elderly people.METHODS: Epidoso (Epidemiology of the Elderly) cohort study with elderly people living in Sao Paulo (Southeastern Brazil). A total of 326 participants in the first interview (1991-1992) who were independent or had mild dependence (one or two activities of daily living) were selected. Those who presented functional loss in the second (1994-1995) or third interviews (1998-1999) were compared to those who did not present it. The incidence of functional loss was calculated according to sociodemographic variables, life habits, cognitive status, morbidity, hospitalization, self-rated health, tooth loss, social support and leisure activities. Crude and adjusted relative risks with 95% confidence intervals were estimated through bivariate and multiple analyses with Poisson regression. The criterion for the inclusion of the variables in the model was p < 0.20 and for exclusion, p > 0.10.RESULTS: The incidence of functional loss was 17.8% (13.6;21.9). The risk factors in the final model were: age group 70-74 years RR=1.9 (0.9;3.9); age group 75-79 years RR=2.8 (1.4;5.5); age group 80 years or older RR=5.4 (3.0;9.6); score in the mini-mental state examination < 24 RR=1.8 (1.1;2.9); asthma RR=2.3 (1.3;3.9); hypertension RR=1.7 (1.1;2.6); and diabetes RR=1.7 (0.9;3.0). The protective factors were: paid work RR=0.3 (0.1;1.0);monthly relationship with friends RR=0.5 (0.3;0.8); watching TV RR=0.5 (0.3;0.9); and handcrafting RR=0.7 (0.4;1.0).CONCLUSIONS: The prevention of functional loss should include adequate control of chronic diseases, like hypertension, asthma and diabetes, as well as cognitive stimulation. Work, leisure and relationships with friends should be valued due to their protective effect.en
dc.description.affiliationUniv Fed Santa Catarina, Dept Saude Publ, Programa Posgrad Saude Colet, BR-88037404 Florianopolis, SC, Brazil
dc.description.affiliationUniv Santa Catarina, Curso Med, Palhoca, SC, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Prevent Med, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Prevent Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent685-692
dc.identifierhttp://dx.doi.org/10.1590/S0034-89102011000400007
dc.identifier.citationRevista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 45, n. 4, p. 685-692, 2011.
dc.identifier.doi10.1590/S0034-89102011000400007
dc.identifier.fileS0034-89102011000400007-pt.pdf
dc.identifier.fileS0034-89102011000400007-en.pdf
dc.identifier.issn0034-8910
dc.identifier.scieloS0034-89102011000400007
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/45479
dc.identifier.wosWOS:000292934600007
dc.language.isopor
dc.publisherRevista De Saude Publica
dc.relation.ispartofRevista De Saude Publica
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAgeden
dc.subjectActivities of Daily Livingen
dc.subjectLeisure Activitiesen
dc.subjectSocial Supporten
dc.subjectPersonal Autonomyen
dc.subjectSocioeconomic Factorsen
dc.subjectCohort Studiesen
dc.titleWork, social support and leisure protect the elderly from functional loss: EPIDOSO Studyen
dc.titleTrabajo, soporte social y actividades de ocio protegen ancianos de la pérdida funcional: estudio epidoso.es
dc.titleTrabalho, suporte social e lazer protegem idosos da perda funcional: estudo epidosopt
dc.typeinfo:eu-repo/semantics/article
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