1
|
Germano ML, Dos Santos Gomes C, de Souza Barbosa JF, Neto NJ, Pereira DS, Ahmed T, Borrero CLC, Guerra RO. Allostatic load and physical performance in older adults: Findings from the International Mobility in Aging Study (IMIAS). Arch Gerontol Geriatr 2023; 109:104961. [PMID: 36806404 DOI: 10.1016/j.archger.2023.104961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 01/27/2023] [Accepted: 02/07/2023] [Indexed: 02/16/2023]
Abstract
OBJECTIVE This study aimed to evaluate the association between Allostatic Load (AL) and physical performance scores in older adults from four cities in North and South America. METHODS In this cross-sectional study, data from 1101 volunteers from three countries (Canada, Brazil, and Colombia) from the International Mobility in Aging Study (IMIAS) were used to evaluate the association between AL index and Short Physical Performance Battery (SPPB) scores. Three multiple linear regression models adjusted by age, Socioeconomic Status (SES), chronic conditions, depression symptoms, and Leganés Cognitive Test (LCT) were developed to estimate the independent association between SPPB and AL. Mediation analysis with 2012 LA data and covariates was performed to access the total, direct, and indirect effects of mediation on SPPB scores from 2016. RESULTS AL and SPPB were inversely associated, with older adults with high allostatic load scoring lower on SPPB (β: -0.234, Std: 0.033, p-value: <0.001). Indirect effects were evidenced between age, SES and chronic conditions with AL and SPPB scores. Chronic conditions also had a total effect on SPPB scores and were also mediated by AL. However, indirect effects of depressive symptoms and LCT on SPPB scores mediated by AL were not observed. CONCLUSIONS Findings from this study support that increased AL index determines worse physical performance states after full adjustments. AL has a mediator role between the number of chronic diseases, depressive symptoms, cognitive status and physical performance. Socioeconomic status also influenced physical scores mediated by the AL index.
Collapse
Affiliation(s)
- Matheus Lucena Germano
- Graduate Program in Physiotherapy, Department of Physiotherapy, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil
| | - Cristiano Dos Santos Gomes
- Department of Physiotherapy, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil
| | - Juliana Fernandes de Souza Barbosa
- Laboratory of Physical Therapy and Collective Health, Physical Therapy Department, Federal University of Pernambuco, Jornalista Aníbal Fernandes Avenue Recife, Brazil
| | - Nailton José Neto
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, General Cordeiro de Faria Street, Natal, Brazil
| | - Daniele Sirineu Pereira
- School of Physical Education, Physiotherapy and Occupational Therapy, Department of Physiotherapy, Federal University of Minas Gerais. Presidente Carlos Luz, 6627 - Pampulha, Belo Horizonte, MG, Brazil
| | - Tamer Ahmed
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
| | | | - Ricardo Oliveira Guerra
- Graduate Program in Physiotherapy, Department of Physiotherapy, Federal University of Rio Grande do Norte, Senador Salgado Filho Avenue, Natal, Brazil.
| |
Collapse
|
2
|
Elkjær E, Mikkelsen MB, Michalak J, Mennin DS, O'Toole MS. Motor alterations in depression and anxiety disorders: A systematic review and meta-analysis. J Affect Disord 2022; 317:373-387. [PMID: 36037990 DOI: 10.1016/j.jad.2022.08.060] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 05/19/2022] [Accepted: 08/21/2022] [Indexed: 10/31/2022]
Abstract
BACKGROUND Psychomotor retardation has long been recognized as a major feature of depression, and anxiety disorders have been linked with freeze and flight motor responses. This systematic review and meta-analysis aimed a) to synthesize available evidence of motor alterations comparing individuals with depression and anxiety disorders to healthy individuals and b) to evaluate the effect of experimental manipulations of motor displays within these clinical groups. METHOD The databases PubMed and PsycINFO were searched for studies either assessing motor differences between clinical and healthy control groups or manipulating the motor system within a clinical group. RESULTS The literature search yielded 87 relevant papers, comprising 82 studies comparing a clinical group to a healthy group and 5 studies investigating motor manipulations within a clinical sample. The results of the meta-analysis (K = 71) indicated a statistically significant combined estimate of differences between healthy and clinical groups (g = 0.38 [0.31, 0.45], adjusted for publication bias g = 0.26 [0.19, 0.33]) of a small size. This effect did not vary according to type of disorder (anxiety vs. depression, p = .468). From a narrative review of experimental studies within clinical groups, four out of five studies reported statistically significant effects of manipulating the motor system on affective outcomes. DISCUSSION This synthesis adds to the accumulating empirical evidence of motor alterations in depression and anxiety disorders. Future research will need to investigate how individuals suffering from depression or anxiety disorders could benefit from psychological, behavioral, and physical interventions directly aimed at the motor system.
Collapse
Affiliation(s)
- Emma Elkjær
- Department for Psychology and Behavioral Sciences, Aarhus University, Denmark.
| | - Mai B Mikkelsen
- Department for Psychology and Behavioral Sciences, Aarhus University, Denmark
| | - Johannes Michalak
- Department of Psychology and Psychotherapy, Witten/Herdecke University, Germany
| | - Douglas S Mennin
- Department of Psychology, Teachers College, Columbia University, New York, NY, United States of America
| | - Mia S O'Toole
- Department for Psychology and Behavioral Sciences, Aarhus University, Denmark.
| |
Collapse
|
3
|
Zhao M, Wang Y, Wang S, Yang Y, Li M, Wang K. Association between Depression Severity and Physical Function among Chinese Nursing Home Residents: The Mediating Role of Different Types of Leisure Activities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063543. [PMID: 35329225 PMCID: PMC8955444 DOI: 10.3390/ijerph19063543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 03/10/2022] [Accepted: 03/14/2022] [Indexed: 12/04/2022]
Abstract
Despite strong evidence associating depression with poor physical function, the underlying mechanisms of this association remain unknown. This study aimed to ascertain whether different types of leisure activities mediate the effect of depression severity on physical function. This cross-sectional descriptive study included 353 Chinese nursing home residents (aged ≥ 60 years; 197 female) from nursing homes of five districts (Lixia, Tianqiao, Huaiyin, Shizhong, and Licheng) in Jinan, Shandong Province, China, from March to June 2018. Multiple-mediation analyses, including regression and bootstrap analyses, were conducted to evaluate the association of depressive symptoms’ severity and active or passive leisure activities with physical function. Active, but not passive, leisure activities significantly mediated the effect of moderate/severe depressive symptoms on physical function compared to those without depressive symptoms. In contrast, there was no significant association between mild depressive symptoms and physical function. This study demonstrates that leisure activities affect the association between depressive symptoms’ severity and physical function, and its protective role depends on the type of leisure activities. Interventions for physical function should be designed by focusing on active leisure activities among older adults, especially those with moderate/severe depressive symptoms, to delay physical function and improve overall well-being.
Collapse
Affiliation(s)
| | | | | | | | - Ming Li
- Correspondence: (M.L.); (K.W.)
| | | |
Collapse
|
4
|
Sisa Caiza I, Vega R. Prevalence of depression in older adults living in Ecuador and contributing factors: a population-based study. Rev Salud Publica (Bogota) 2021. [DOI: 10.15446/rsap.v23n2.85965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objective To estimate the prevalence of depression in the older population of Ecuador and explore the independent associations of key socio-demographic and health-related factors with moderate/severe depression.Methods A cross-sectional study was conducted using a national database. The outcome variable was estimated using the Short Form of the Geriatric Depression Scale. A cut-value of >9 was used to ascertain the outcome variable. We conducted bivariate and logistic regression analysis.Results The study sample consisted of 5 235 subjects, with a median age of 70 years, 53.5% were female, and 44.9% of the sample was living in rural areas. Our study found a prevalence of any depression of 35.4%. Individuals were classified as having mild depression (1 239, 23.7%), moderate depression (457, 8.7%), and severe depression (156, ~3%). The prevalence of moderate/severe depression was of 11.7%. Among socio-demographic factors, no education (OR=3.69 [95% CI: 1.35-11.94]), Afro-Ecuadorian race (OR= 2.1 [1.03-4.06]), living alone (OR=2.37 [1.67-3.31]), perception of insufficient income (OR= 3.56 [2.14-6.38]), and suffering physical abuse (OR=2.33 [1.59-3.36]) remained statistically significant. Among health-related factors, drinking alcohol (OR=0.27 [0.08-0.66]), exercise (OR=1.68 [1.24-2.31]), incontinence (OR=2.00 [1.54-2.59]), lower perception of hearing (OR=2.19 [1.41-3.32]), cancer (OR=1.90 [1.00-3.51]), and being functionally dependent (OR=1.59 [1.22-2.08]) remained statistically significant.Conclusions Our investigation brings light to an important public health problem in Ecuador. Addressing depression and its contributing factors may help to improve the quality of life and long-term health outcomes in Ecuador’s growing older population.
Collapse
|
5
|
Relationship between Quality of Life and Sociodemographic, Physical and Mental Health Variables in People over 65 in the Community of Madrid. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228528. [PMID: 33212988 PMCID: PMC7698464 DOI: 10.3390/ijerph17228528] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/11/2020] [Accepted: 11/16/2020] [Indexed: 01/14/2023]
Abstract
Except in the case of depression, there are few studies that analyze mental health variables related to quality of life (QoL) in people over 65 years of age. The objective of this study is to analyze the relationship between QoL and the following variables: sociodemographic and physical and mental health of people over 65 years of age. The sample was randomly selected and consists of men and women between 65 and 84 years of age (N = 555) from the Community of Madrid. Mental disorders were evaluated with the CIDI65+ interview and QoL with the WHOQoL-BREF scale. Means, ANOVA and multiple linear regression analyses were performed. Women have worse QoL than men and QoL worsens with age. The regression model for the dependent variable “WHOQoL BREF Scale” explains 41.43% of the variance (R2 = 0.413). The variables that have the greatest impact on QoL are as follows: a greater number of physical and psychological symptoms, experiencing financial difficulties and the presence of a psychological disorder, while continuing to work has a positive effect on QoL. Physical and mental disorders have a similar impact on QoL. The presence of a greater number of psychological symptoms (without necessarily fulfilling the criteria of a mental disorder) is a predictive variable of worse QoL. Mental health has a burden on the QoL of people over 65 years of age that is as powerful as physical health.
Collapse
|
6
|
Factors associated with functional loss among community-dwelling Mexican older adults. ACTA ACUST UNITED AC 2020; 40:546-556. [PMID: 33030833 PMCID: PMC7666859 DOI: 10.7705/biomedica.5380] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Indexed: 11/29/2022]
Abstract
Introduction: Functional status decline is related to many negative outcomes. Objective: To explore the relationship of sociodemographic, medical, and psychological factors with the incidence of functional status decline in Mexican older adults. Materials and methods: Data from the 2012 and 2015 waves of the Mexican Health and Aging Study (MHAS) survey were analyzed. Participants with previous functional status decline at baseline were excluded. We assessed functional status decline individually with activities of daily living (ADL) and instrumental ADL (IADLs) in an individual way. Results: Age was associated with functional limitations in ADL. Being male had an association with limitations for IADL. A poor financial situation and lower education related to higher limitations for ADL. Furthermore, pain, comorbidities, and depression were found to be independently associated with limitations in ADL. IADL limitation was associated with age, poor education, comorbidities, and depression, as well as cognitive impairment. Conclusions: We found that factors such as age, financial status, educational level, pain, and the number of comorbidities were associated with the incidence of functional status decline. Pain had a greater association in the 3-year functional ADL decline incidence when compared with cognitive impairment. Studying functional decline by domains allowed us to find more detailed information to identify factors susceptible to intervention with the aim to reduce the incidence of functional status decline and dependence.
Collapse
|
7
|
Yilmaz N, Karaca SN. Dissatisfaction with life and absence of leisure time activity: clues to overt depression and occult suicide risk in elderly individuals without significant disabling disease. Psychogeriatrics 2020; 20:337-344. [PMID: 31930627 DOI: 10.1111/psyg.12504] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 04/12/2019] [Accepted: 12/10/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Depression is a major public health problem in all ages. Besides other chronic physical diseases, it is one of the most common psychiatric disorders observed in the elderly. In this study, it was aimed to determine the prevalence of depressive symptoms and related factors and to draw attention to occult suicide probability in elderly people without significant disabling disease. METHODS Individuals aged 65 and over, who were randomly selected from a family healthcare centre, were enrolled into the study. Geriatric Depression Scale (GDS) was used to assess prevalence of depression and Suicide Probability Scale (SPS) for risk of suicide. RESULTS There were 323 elderly (F/M: 150/173). Mean age was 73.3 ± 6.1 years. The majority had chronic physical illnesses (77.7%). Mean GDS and SPS scores were 11.07 ± 4.6 and 62.91 ± 8.24, respectively. Prevalence of depression was 27.6%. In multivariable logistic regression analysis, living without a spouse (P = 0.047, Exp(B) = 1.744, 95% CI = 1.008-3.01), dissatisfaction with life (P ˂ 0.001, Exp(B) = 5.327, 95% CI = 3.02-9.36) and having no leisure time activity (P = 0.047, Exp(B) = 1.846, 95% CI = 1.009-3.37) were found to be the independent predictors of presence of depression, as indicated by GDS. In logistic regression analysis, dissatisfaction with life (P ˂ 0.001, Exp(B) = 2.631, 95% CI = 1.53-4.50) was found to be an independent predictor of high SPS scores. CONCLUSION In elderly individuals without overt disabling disease, dissatisfaction with life, absence of leisure time activities, and a life without a partner seem to significantly increase the likelihood of overt depression. On the other hand, there is occult increase in suicide risk in the presence of dissatisfaction with their lives in the elderly.
Collapse
Affiliation(s)
- Nuryil Yilmaz
- Department of Psychiatry, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
| | - Sanem Nemmezi Karaca
- Department of Family Medicine, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
| |
Collapse
|
8
|
Fernandes SGG, Pirkle CM, Sentell T, Costa JV, Maciel ACC, da Câmara SMA. Association between self-rated health and physical performance in middle-aged and older women from Northeast Brazil. PeerJ 2020; 8:e8876. [PMID: 32309044 PMCID: PMC7153554 DOI: 10.7717/peerj.8876] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 03/09/2020] [Indexed: 11/20/2022] Open
Abstract
Background Self-rated Health (SRH) is regarded as a simple and valid measure of a person’s health status, given its association to adverse health outcomes, including low physical performance in older populations. However, studies investigating these associations in low- and middle-income settings are scarce, especially for middle-aged populations. Understanding the validity of SRH in relation to objective health measures in low-income populations could assist in decision making about health policy and strategies, especially in under-resourced settings. Objective Assess the relationship between SRH and physical performance measures in middle-aged and older women in a low-income setting of Brazil. Methods This is a cross-sectional study of 571 middle-aged (40–59 years old) and older (60–80 years old) women living in Parnamirim and Santa Cruz in the Northeast region of Brazil. Participants reported their health status and were allocated to the “SRH good” or “SRH poor” groups. The physical performance evaluation included: handgrip strength, one-legged balance with eyes open and closed and chair stand test. The relationship between SRH and physical performance for middle-aged and older women was assessed by quantile regression (modeling medians) adjusted for potential confounders (age, socioeconomic variables, body mass index, menopause status, age at first birth, parity, chronic conditions and physical activity). Results Middle-aged women from the “SRH good” group presented better physical performance with 1.75 kgf stronger handgrip strength (95% CI [0.47–3.02]; p = 0.004), 1.31 s longer balance with eyes closed ([0.00–2.61]; p = 0.030), and they were 0.56 s faster in the chair stand test ([0.18–0.94]; p = 0.009) than those who reported “SRH poor”. No association was found for balance with eyes open. For older women, there was no evidence of associations between physical performance and SRH. Conclusion This study showed that SRH is significantly associated with objective measures of physical performance in a sample of low-income middle-aged women. SRH can be an important tool to indicate the need for further evaluation of physical performance among middle-aged women and can be particularly useful for low-income communities.
Collapse
Affiliation(s)
- Sabrina Gabrielle Gomes Fernandes
- Postgraduate Program in Rehabilitation Sciences, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Catherine M Pirkle
- Office of Public Health Studies, University of Hawaii at Manoa, Honolulu, HI, USA
| | - Tetine Sentell
- Office of Public Health Studies, University of Hawaii at Manoa, Honolulu, HI, USA
| | - José Vilton Costa
- Department of Demography and Actuarial Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | - Saionara Maria Aires da Câmara
- Postgraduate Program in Rehabilitation Sciences, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| |
Collapse
|
9
|
Meneguci J, Meneguci CAG, Moreira MM, Pereira KR, Tribess S, Sasaki JE, Virtuoso Júnior JS. Prevalência de sintomatologia depressiva em idosos brasileiros: uma revisão sistemática com metanálise. JORNAL BRASILEIRO DE PSIQUIATRIA 2019. [DOI: 10.1590/0047-2085000000250] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
RESUMO Objetivo Estimar a prevalência de sintomatologia depressiva em idosos brasileiros residentes na comunidade. Métodos Foi realizada uma revisão sistemática nas bases de dados Medline, SciELO, Web of Science, Scopus e CINAHL, sendo selecionados estudos com idosos brasileiros que identificaram a prevalência de sintomatologia depressiva. De forma independente, dois pesquisadores selecionaram os estudos, extraíram os dados e avaliaram a qualidade metodológica. A metanálise foi realizada para estimar a prevalência de sintomatologia depressiva usando um modelo de efeito aleatório. Resultados Foram identificados 176 artigos e 33 foram incluídos na revisão, que investigaram 34 prevalências, com um total de 39.431 idosos. A distribuição geográfica dos estudos indicou pesquisas em todas as regiões do Brasil. A versão curta da Escala de Depressão Geriátrica foi a mais utilizada. A prevalência estimada de sintomatologia depressiva foi de 21,0% (IC de 95%: 18,0-25,0; I2 = 98,3%). As análises de subgrupos revelaram elevada heterogeneidade em todas as categorias analisadas. A metarregressão não identificou as causas da heterogeneidade. Conclusão Apesar da heterogeneidade entre os estudos analisados, os resultados indicam a necessidade de estratégias de intervenção para reduzir a prevalência de sintomatologia depressiva.
Collapse
|
10
|
Moreira MA, Vafaei A, da Câmara SMA, Nascimento RAD, de Morais MDSM, Almeida MDG, Maciel ÁCC. Metabolic syndrome (MetS) and associated factors in middle-aged women: a cross-sectional study in Northeast Brazil. Women Health 2019; 60:601-617. [PMID: 31726939 DOI: 10.1080/03630242.2019.1688445] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
We determined the prevalence of Metabolic Syndrome (MetS) and associated factors in 419 women (aged 40 to 65 years) in Northeast Brazil in a cross-sectional study conducted from April to November 2013. We defined MetS using the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) criteria. Socio-demographic variables, reproductive factors, lifestyle factors, anthropometrics, body composition, quality of life, and physical performance were assessed for their associations. We constructed multivariate Poisson regression models to estimate prevalence rate ratios (PRR) and 95% confidence intervals (CI). We identified 275 (65.6%) cases of MetS. The three most prevalent indicators were obesity (73.5%), reduced high-density lipoprotein level (63.0%), and elevated blood pressure (60.9%). In the final adjusted model, black race (PR 1.30, 95% CI: 1.07-1.57), lower grip strength/body mass index (PR 1.31, 95% CI: 1.15-1.50), and low estradiol levels (PR 1.17, 95% CI: 1.00-1.35) were associated with MetS. MetS is a long-term threat to the health of middle-aged women and a potential public health burden. These results may help in developing health promotion strategies to prevent morbidity and mortality associated with MetS in this vulnerable population.
Collapse
Affiliation(s)
- Mayle Andrade Moreira
- Department of Physiotherapy, Universidade Federal do Rio Grande do Norte , Natal, Brazil
| | - Afshin Vafaei
- Department of Public Health Sciences, Carruthers Hall, Queen's University , Kingston, Canada
| | | | | | | | | | | |
Collapse
|
11
|
Yao Y, Ding G, Wang L, Jin Y, Lin J, Zhai Y, Zhang T, He F, Fan W. Risk Factors for Depression in Empty Nesters: A Cross-Sectional Study in a Coastal City of Zhejiang Province and China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214106. [PMID: 31653106 PMCID: PMC6862174 DOI: 10.3390/ijerph16214106] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 10/16/2019] [Accepted: 10/21/2019] [Indexed: 11/16/2022]
Abstract
The elderly are susceptible to depression, especially empty nesters. This study investigated the risk factors associated with depression in empty nesters. The participants were selected via multi-stage random cluster sampling. Depression symptoms were assessed using the Geriatric Depression Scale. The questionnaire surveyed demographic characteristics, underlying diseases, behaviors and lifestyles, negative life experiences, social support, self-care ability, etc. Chronic health conditions, such as being overweight/obese, smoking cessation, cancer, and chronic pain, as well as negative life experiences, such as the death of a loved one and financial loss, increased the risk of depression in empty nesters. In addition, the incapability of performing self-care also increased the risk of depression in empty nesters. The prevalence of depression in empty nesters was high. Being overweight/obese, cancer, chronic pain, smoking cessation, the death of a loved one, financial loss, and the incapability to deliver self-care were risk factors for depression in empty nesters. It is recommended that comprehensive measures be taken to enhance health interventions for this population, including encouraging a proper diet and physical activity for weight control, providing psychological counseling after negative life experiences, and teaching correct methods of smoking cessation.
Collapse
Affiliation(s)
- Yecheng Yao
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
| | - Gangqiang Ding
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
| | - Liaoliao Wang
- Wenling Center for Disease Control and Prevention, Wenling 317500, China.
| | - Ye Jin
- Wenling Center for Disease Control and Prevention, Wenling 317500, China.
| | - Jianwei Lin
- Wenling Center for Disease Control and Prevention, Wenling 317500, China.
| | - Yujia Zhai
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
| | - Tao Zhang
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
| | - Fan He
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
| | - Weigang Fan
- Wenling Center for Disease Control and Prevention, Wenling 317500, China.
| |
Collapse
|
12
|
Martins NIM, Caldas PR, Cabral ED, Lins CCDSA, Coriolano MDGWDS. Instrumentos de avaliação cognitiva utilizados nos últimos cinco anos em idosos brasileiros. CIENCIA & SAUDE COLETIVA 2019; 24:2513-2530. [DOI: 10.1590/1413-81232018247.20862017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 10/04/2017] [Indexed: 11/22/2022] Open
Abstract
Resumo A detecção e o monitoramento do déficit cognitivo em idosos são necessários já que podem causar impacto em sua funcionalidade. O objetivo dessa revisão integrativa é analisar a produção científica sobre uso de instrumentos de avaliação cognitiva em idosos brasileiros por meio de artigos publicados nos últimos cinco anos, indexados nas bases de dados Web of Science, PubMed, Scopus e Bireme. Os critérios de inclusão foram: artigos originais publicados em inglês e português, de 2012 a 2016, com critério de idade definido para ser considerado idoso, e escore maior que 6 no CASP adaptado. O critério de exclusão foi: ser resumo de congresso. A amostra final foi composta por 100 artigos. Foram apresentados os 61 instrumentos de avaliação cognitiva utilizados nos estudos, com destaque para o Mini Exame do Estado Mental. Essa revisão apresenta o uso de instrumentos cognitivos na pesquisa brasileira, suas diferentes versões e quais domínios são avaliados. O número de instrumentos presentes na literatura foi amplo. Os mais utilizados foram o MEEM (versão de Brucki e colaboradores), o Teste de Fluência Verbal (categoria animais) e o Teste Span de dígitos (ordem direta e inversa). Os achados apresentados nessa revisão são relevantes não apenas para área da pesquisa observacional e experimental, mas também para a prática clínica.
Collapse
|
13
|
Torres JL, da Silva SLA, Lustosa LP. The role of education on the association between disability and depressive symptoms among community-dwelling older adults: Evidence from Frailty in Brazilian Older People (Fibra) study. Arch Gerontol Geriatr 2019; 80:120-124. [DOI: 10.1016/j.archger.2018.11.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 10/26/2018] [Accepted: 11/08/2018] [Indexed: 10/27/2022]
|
14
|
Evans J, Charness N, Dijkstra K, Fitzgibbons JM, Yoon JS. Is episodic memory performance more vulnerable to depressive affect in older adulthood? AGING NEUROPSYCHOLOGY AND COGNITION 2018; 26:244-263. [PMID: 29310514 DOI: 10.1080/13825585.2018.1424314] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This study examined how age, depressive symptoms, demographic variables, frailty, and health factors jointly influence episodic memory across the lifespan in two large, diverse samples. Hierarchical regression analyses from both samples showed that depressive symptoms negatively impacted episodic memory performance with the effect being more pronounced for older adults. Health and frailty tended not to be associated with episodic memory. However, the main effect of depressive symptoms tended to remain significant over and above other predictors, while the interaction with age was weakened with the addition of demographic variables. The unique contribution of this study is demonstrating that the relationship between depressive symptoms and episodic memory is moderated by age across relatively large non-clinical lifespan samples of adults. The findings indicate the importance of measuring and studying depressive symptoms during the course of aging in order to better understand the complex relationship between age, affect, physical functioning, and memory.
Collapse
Affiliation(s)
- Jarrett Evans
- a Department of Psychology , Florida State University , Tallahassee , FL , USA
| | - Neil Charness
- a Department of Psychology , Florida State University , Tallahassee , FL , USA
| | - Katinka Dijkstra
- b Department of Psychology, Education, and Child Studies , Erasmus University Rotterdam , Rotterdam , Netherlands
| | | | - Jong-Sung Yoon
- a Department of Psychology , Florida State University , Tallahassee , FL , USA
| |
Collapse
|
15
|
Souza CFD, Vieira MCA, Nascimento RAD, Moreira MA, Câmara SMAD, Maciel ÁCC. Relationship between strength and muscle mass in middle-aged and elderly women: a cross-sectional study. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2017. [DOI: 10.1590/1981-22562017020.170021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Abstract Objective: to analyze the relationship between handgrip strength and lower limb strength and the amount of segmental skeletal muscle mass in middle-aged and elderly women. Methods: an observational, cross-sectional, observational study of 540 women aged between 40 and 80 years in the cities of Parnamirim and Santa Cruz, Rio Grande do Norte, was performed. Sociodemographic data, anthropometric measurements, handgrip dynamometry, knee flexors and extensors of the dominant limbs, as well as the segmental muscle mass of the limbs were evaluated. Data were analyzed using Student's t-Test, Chi-square test, Effect Size and Pearson's Correlation (CI 95%). Results: there were statistically significant weak and moderate correlations between handgrip strength and upper limb muscle mass, knee flexion strength and lower limb muscle mass, and between knee extension strength and lower limb muscle mass for the age groups 40-59 years and 60 years or more (p<0.05). Conclusions: muscle strength correlates with skeletal muscle mass. It could therefore be an indicator of the decrease in strength. It is not the only such indicator, however, as correlations were weak and moderate, which suggests the need for more studies on this theme to elucidate which components may also influence the loss of strength with aging.
Collapse
|
16
|
Does body image perception relate to quality of life in middle-aged women? PLoS One 2017; 12:e0184031. [PMID: 28926575 PMCID: PMC5604940 DOI: 10.1371/journal.pone.0184031] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Accepted: 08/16/2017] [Indexed: 12/26/2022] Open
Abstract
Objective In Brazil, information about the influence of body image on the various life domains of women in menopausal transition is scarce. Thus, the objective of the study was to analyze the relationship between body image and quality of life in middle-aged Brazilian women. Methods This was a cross-sectional study of 250 women between 40 and 65 years old, living in Parnamirim/RN, Brazil, who were evaluated in relation to body image and quality of life. For body image, women were classified as: dissatisfied due to low weight, satisfied (with their body weight) and dissatisfied due to being overweight. Quality of life was assessed through a questionnaire in which higher values indicate higher quality of life. Multiple linear regression was performed to analyze the relationship between body image and quality of life, adjusted for covariates that presented p<0.20 in the bivariate analysis. Results The average age was 52.1 (± 5.6) years, 82% of the women reported being dissatisfied due to being overweight, and 4.4% were dissatisfied due to having low weight. After multiple linear regression analyzes, body image remained associated with health (p<0.001), emotional (p = 0.016), and sexual (p = 0.048) domains of quality of life, as well as total score of the questionnaire (p<0.001). Conclusion Women who reported being dissatisfied with their body image due to having low weight or overweight had worse quality of life in comparison to those who were satisfied (with their body weight).
Collapse
|
17
|
Holmquist S, Mattsson S, Schele I, Nordström P, Nordström A. Low physical activity as a key differentiating factor in the potential high-risk profile for depressive symptoms in older adults. Depress Anxiety 2017; 34:817-825. [PMID: 28489319 DOI: 10.1002/da.22638] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 03/26/2017] [Accepted: 04/04/2017] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The identification of potential high-risk groups for depression is of importance. The purpose of the present study was to identify high-risk profiles for depressive symptoms in older individuals, with a focus on functional performance. METHODS The population-based Healthy Ageing Initiative included 2,084 community-dwelling individuals (49% women) aged 70. Explorative cluster analysis was used to group participants according to functional performance level, using measures of basic mobility skills, gait variability, and grip strength. Intercluster differences in depressive symptoms (measured by the Geriatric Depression Scale [GDS]-15), physical activity (PA; measured objectively with the ActiGraph GT3X+), and a rich set of covariates were examined. RESULTS The cluster analysis yielded a seven-cluster solution. One potential high-risk cluster was identified, with overrepresentation of individuals with GDS scores >5 (15.1 vs. 2.7% expected; relative risk = 6.99, P < .001); the prevalence of depressive symptoms was significantly lower in the other clusters (all P < .01). The potential high-risk cluster had significant overrepresentations of obese individuals (39.7 vs. 17.4% expected) and those with type 2 diabetes (24.7 vs. 8.5% expected), and underrepresentation of individuals who fulfilled the World Health Organization's PA recommendations (15.6 vs. 59.1% expected; all P < .01), as well as low levels of functional performance. CONCLUSIONS The present study provided a potential high-risk profile for depressive symptoms among elderly community-dwelling individuals, which included low levels functional performance combined with low levels of PA. Including PA in medical screening of the elderly may aid in identification of potential high-risk individuals for depressive symptoms.
Collapse
Affiliation(s)
| | - Sabina Mattsson
- Department of Psychology, Umeå University, Umeå, Sweden.,School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Ingrid Schele
- Department of Psychology, Umeå University, Umeå, Sweden
| | - Peter Nordström
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden
| | - Anna Nordström
- Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden
| |
Collapse
|
18
|
Zamora-Mur A, Nabal-Vicuña M, Zamora-Catevilla A, García-Foncillas R, Calderero-Aragón V, Aubí-Catevilla Ó, Lostalé-Latorre F. [Functional decline and presence of symptoms in palliative care: Cause or consequence?]. Rev Esp Geriatr Gerontol 2017; 52:142-145. [PMID: 28038782 DOI: 10.1016/j.regg.2016.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 10/10/2016] [Accepted: 10/14/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Several publications have related functional decline to the appearance of symptoms, especially psychiatric or psychological ones, such as anxiety and depression. Moreover, an initial depressive disorder or prior to functional decline usually worsens it. It was decided to investigate the relationship between the presence of functional decline, measured by a decrease in the Barthel index (BI), and the presence of symptoms. MATERIAL AND METHODS A prospective analytical study conducted on patients referred to a Home Care Support Team (HCST). RESULTS The study included 638 cases, of which 53.9% (N=344) were male, 56% (N=357) with cancer and 44% (N=281) geriatric. The mean age was 79.64 years+- 10.8. Significant differences (P<.001) were found in functional decline measured by mean decline in the BI between cancer (34.4) and non-cancer patients (12.12). Significant differences (P<.001) were also found in all recorded symptoms (pain, dyspnoea, anorexia, nausea, anxiety, depression, and insomnia), more frequently in cancer patients, except psychomotor agitation. A higher presence of symptoms was detected in patients with greater functional decline, with decreases in BI above 20 points. There were no differences in previous treatments, except in certain analgesics. Differences were found in the different treatments prescribed by HCST. CONCLUSIONS The presence of functional decline and its level may be related to the appearance of symptoms, especially in cancer patients.
Collapse
Affiliation(s)
- Alfredo Zamora-Mur
- Unidad de Valoración Sociosanitaria y Equipo de Soporte Hospitalario de Cuidados Paliativos, Servicio de Geriatría, Hospital de Barbastro, Huesca, España.
| | - María Nabal-Vicuña
- Equipo de Soporte Hospitalario de Cuidados Paliativos, Hospital Arnau de Vilanova, Lérida, España
| | | | - Rafael García-Foncillas
- Departamento de Microbiología, Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España
| | | | | | - Fernando Lostalé-Latorre
- Departamento de Anatomía e Histología Humanas, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España
| |
Collapse
|
19
|
Ylli A, Miszkurka M, Phillips SP, Guralnik J, Deshpande N, Zunzunegui MV. Clinically relevant depression in old age: An international study with populations from Canada, Latin America and Eastern Europe. Psychiatry Res 2016; 241:236-41. [PMID: 27183110 DOI: 10.1016/j.psychres.2016.04.096] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 02/15/2016] [Accepted: 04/25/2016] [Indexed: 10/21/2022]
Abstract
Our aim is to assess cross-national variations in prevalence of clinically relevant depression and to examine the relationships of social and health factors with depression in five diverse populations of older adults, from Canada, Brazil, Colombia and Albania. We used the data from the International Mobility in Aging Study. Clinically relevant depression was defined as a score of ≥16 on the Center for Epidemiologic Study Depression Scale (CES-D). Poisson regressions with robust covariance correction were used to estimate prevalence ratios associated with potential risk factors. Prevalence of clinically relevant depression across research sites varied widely, being consistently higher in women than in men. It was lowest in men from Brazil (6.3%) and highest in women from Albania (46.6%). Low education and insufficient income, living alone, multiple chronic conditions, and poor physical performance were all significantly associated with depression prevalence. Poor physical performance was more strongly associated with depression in men than in women. Similar factors are associated with clinically relevant depression among men and women and across research sites. The large variation in depression prevalence population rates is unexplained by the classical individual factors considered in the study suggesting the impact of country characteristics on depression among older populations.
Collapse
Affiliation(s)
- Alban Ylli
- Institute of Public Health, Tirana, Albania; University of Medicine, Tirana, Albania.
| | - Malgorzata Miszkurka
- Institut de recherche en Santé Publique de l'Université de Montréal (IRSPUM), Montréal, Canada
| | - Susan P Phillips
- Department of Family Medicine, Queens University, Kingston, Ontario, Canada
| | - Jack Guralnik
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, USA
| | - Nandini Deshpande
- School of Rehabilitation Therapy, Queens University, Kingston, Ontario, Canada
| | | |
Collapse
|
20
|
Gonçalves Silva A, Queirós A, Pacheco Rocha N. Generic self-reported and performance based instruments: How to capture pain associated disability. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.rpsp.2016.03.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
21
|
Cabrera MAS, Bortoletto MASS, de Souza RKT, Prina DMC, Vieira MCU, Silva AMR. Cognitive and Functional Decline among Individuals 50 Years of Age or Older in Cambé, Paraná, Brazil: A Population-Based Study. Dement Geriatr Cogn Dis Extra 2016; 6:185-93. [PMID: 27350779 PMCID: PMC4913766 DOI: 10.1159/000444705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
AIMS To identify the frequency of cognitive and functional decline (CFD) among adults 50 years of age and older by a population-based study. METHODS Cognitive function was analyzed by the Mini-Mental State Examination, and the functional conditions were based on instrumental activities of daily living (IADL). Cases of CFD included individuals with cognitive decline and 2 or more compromised IADL. RESULTS A total of 693 individuals were studied. The frequency of CFD was 16.3%. A low socioeconomic profile was associated with greater CFD independent of gender, age, education, and presence of depression (OR = 2.46; 95% CI: 1.53-3.97). CONCLUSIONS These data show a high frequency of CFD among adults 50 years and older. Individuals with less education and a lower socioeconomic level exhibited poorer cognitive and functional conditions.
Collapse
Affiliation(s)
| | | | | | | | | | - Ana Maria Rigo Silva
- Department of Public Health, Universidade Estadual de Londrina, Londrina, Brazil
| |
Collapse
|
22
|
Sánchez-Martínez M, Castell M, González-Montalvo J, De la Cruz J, Banegas J, Otero Á. Transitions in functional status of community dwelling older adults: Impact of physical performance, depression and cognition. Eur Geriatr Med 2016. [DOI: 10.1016/j.eurger.2016.01.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
23
|
Yang YT, Wang YH, Chiu HT, Wu CR, Handa Y, Liao YL, Hsu YHE. Functional limitations and somatic diseases are independent predictors for incident depressive disorders in seniors: Findings from a nationwide longitudinal study. Arch Gerontol Geriatr 2015; 61:371-7. [DOI: 10.1016/j.archger.2015.07.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Revised: 07/17/2015] [Accepted: 07/31/2015] [Indexed: 10/23/2022]
|
24
|
Câmara SMA, Pirkle C, Moreira MA, Vieira MCA, Vafaei A, Maciel ÁCC. Early maternal age and multiparity are associated to poor physical performance in middle-aged women from Northeast Brazil: a cross-sectional community based study. BMC WOMENS HEALTH 2015; 15:56. [PMID: 26243283 PMCID: PMC4526418 DOI: 10.1186/s12905-015-0214-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Accepted: 07/23/2015] [Indexed: 11/10/2022]
Abstract
Background Adolescent childbirth and elevated parity are relatively common in middle and low-income countries and they may be related to the higher prevalence and earlier onset of physical decline documented in these settings, especially in women. The aim of this paper is to investigate whether reproductive history is associated with physical function in middle-aged women from Northeast Brazil. Methods The relationship between poor physical performance (grip strength, gait speed and chair stand), early maternal age at first birth (<18 years old), and multiparity (≥3 children) was evaluated in a community sample of 473 women living in Parnamirim (Northeast Brazil). Linear regression models were used to examine the relationship of interest; in addition, mediation analyses were employed to assess indirect effects of obesity and family income. Results Women who gave birth at less than 18 years of age took approximately 0.50 s longer to complete the chair stand test compared to women who gave birth at 18 years or older. Moreover, women who gave birth to < 3 children completed the chair stand test 0.42 s faster compared to those who had ≥ 3 children. The relation between reproductive history and physical performance was mediated by BMI. Reproductive history was not associated with performance in gait speed. Conclusions This study provides evidence that adolescent childbirth and multiparity are related to worse physical performance in middle-aged women from a low income setting. Reproductive history may partially account for earlier physical decline and greater disability in women from lower income settings.
Collapse
Affiliation(s)
- Saionara Maria Aires Câmara
- Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, S/N Caixa Postal 1524 - Campus Universitário - Lagoa Nova CEP, Natal, RN, 59072-970, Brazil.
| | - Catherine Pirkle
- Office of Public Health Studies, University of Hawaii-Manoa, 1960 East-West Road, Biomedical D104H, Honolulu, HI, 96822-2319, USA.
| | - Mayle Andrade Moreira
- Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, S/N Caixa Postal 1524 - Campus Universitário - Lagoa Nova CEP, Natal, RN, 59072-970, Brazil.
| | - Mariana Carmem Apolinário Vieira
- Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, S/N Caixa Postal 1524 - Campus Universitário - Lagoa Nova CEP, Natal, RN, 59072-970, Brazil.
| | - Afshin Vafaei
- Department of Public Health Sciences, Carruthers Hall, Queen's University, Kingston, Canada.
| | - Álvaro Campos Cavalcanti Maciel
- Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, S/N Caixa Postal 1524 - Campus Universitário - Lagoa Nova CEP, Natal, RN, 59072-970, Brazil.
| |
Collapse
|
25
|
Menopausal status and physical performance in middle aged women: a cross-sectional community-based study in Northeast Brazil. PLoS One 2015; 10:e0119480. [PMID: 25822526 PMCID: PMC4378898 DOI: 10.1371/journal.pone.0119480] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Accepted: 01/14/2015] [Indexed: 11/30/2022] Open
Abstract
Objective To examine associations between menopausal status and physical performance in middle-aged women from the Northeast region of Brazil. Methods Cross-sectional study of women between 40 to 65 years old living in Parnamirim. Women were recruited by advertisements in primary care neighborhood centers across the city. Physical performance was assessed by grip strength, gait speed and chair stands. Menopausal status was determined using the Stages of Reproductive Aging Workshop classification and women were classified in: premenopausal, perimenopausal or postmenopausal. Multiple linear regression analyses were performed to model the effect of menopausal status on each physical performance measure, adjusting for covariates (age, family income, education, body mass index, parity and age at first birth). Results The premenopausal women were significantly stronger and performed better in chair stands than perimenopausal and postmenopausal women. Gait speed did not vary significantly by menopausal status. In multivariate analyses, menopausal status remained statistically significant only for grip strength. In fully adjusted analyses, premenopausal women had grip strength mean of 2.226 Kgf (95% CI: 0.361 – 4.091) higher than the postmenopausal group. Conclusions This study provides further evidence for the associations between menopause and physical performance in middle-aged women, since grip strength is weaker in peri and postmenopausal women compared to premenopausal, even adjusted for age and other covariates.
Collapse
|
26
|
Pain intensity is associated with both performance-based disability and self-reported disability in a sample of older adults attending primary health care centers. Disabil Health J 2014; 7:457-65. [DOI: 10.1016/j.dhjo.2014.05.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2013] [Revised: 04/14/2014] [Accepted: 05/01/2014] [Indexed: 11/22/2022]
|