1
|
Keomma K, Bousquat A, César CLG. Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital. Rev Saude Publica 2022; 56:69. [PMID: 35894406 PMCID: PMC9337848 DOI: 10.11606/s1518-8787.2022056004252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 10/04/2021] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of multimorbidity in older adults in São Paulo, Brazil. METHODS A cross-sectional study based on the 2015 ISA-Capital population-based survey, with a subsample of 1,019 older adults aged ≥ 60 years old. Multimorbidity was categorized considering two or more chronic diseases, based on a previously defined list. The data were analyzed in univariate and multiple models with Poisson regression. RESULTS The prevalence of multimorbidity was 40% (95%CI: 36.6–43.8), being higher in women (PR a = 1.95 [compared to men]; 95%CI: 1.58–2.40), in individuals aged ≥ 75 years old (PR a = 1.25 [compared to individuals aged ≥ 60 to 64 years old]; 95%CI: 1.01–1.60), in Black people (PR a = 1.28 [compared to White people]; 95%CI: 1.04–1.59), in high-income people (PR a = 1.27 [compared to low income]; 95%CI: 1.09–1.50) and in former smokers (PR a = 1.30 [compared to those who never smoked]; 95%CI: 1.05–1.60), and lower in smokers (PR a = 0.72 [compared to those who never smoked]; 95%CI: 1.09–1.50). CONCLUSION The prevalence of multimorbidity was lower than that reported in most of the reviewed studies, but consistently associated with gender, age, race/skin color, smoking habit and socioeconomic status. The standardization of conceptual and methodological criteria for estimation is a challenge to relieve problems in the planning and management of health care systems for older populations.
Collapse
Affiliation(s)
- Kaio Keomma
- Universidade de São Paulo . Faculdade de Saúde Pública . Programa de Pós-Graduação em Saúde Pública . São Paulo , SP , Brasil
| | - Aylene Bousquat
- Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Política, Gestão e Saúde . São Paulo , SP , Brasil
| | - Chester Luiz Galvão César
- Universidade de São Paulo . Faculdade de Saúde Pública . Departamento de Epidemiologia . São Paulo , SP , Brasil
| |
Collapse
|
2
|
Paula TCS, Chagas C, Henrique AEG, Vargas RC, Noto AR, Ferri CP. Late-life drinking and smoking in primary care users in Brazil. Aging Ment Health 2022; 27:797-802. [PMID: 35189752 DOI: 10.1080/13607863.2022.2040002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
To estimate the prevalence of at-risk drinking and smoking and associated factors among older adults in primary care in Brazil. A cross-sectional study carried out in seven primary care units with 503 older adults (60+), in a city in the state of Sao Paulo, Brazil. At-risk drinking was defined by AUDIT-C and by consumption of units per week. Poisson regression was used to assess the association between the sociodemographic and health characteristics and smoking and at-risk drinking. The median age of the 503 participants was 69.6 (SD ± 6.7; range:60-93). One third of participants (33.6%) were current drinkers, 16% were at-risk drinkers (AUDIT-C), 4% at-risk drinkers (units per week), and 13% of the sample were regular smokers. The prevalence of at-risk drinking (AUDIT-C) was higher for males (RP: 4.89; 95% CI: 2.52-9.49) and for those with higher levels of education (RP: 1,861.85 95% CI: 1.08-3.14), and lower for those over the age of 70 (RP: 0.50; 95% CI: 0.30-0.84). The prevalence of smoking was higher for those with depressive symptoms (RP: 1.95; 95% CI: 1.03-3.66), and lower for those over age 70 (RP: 0.52; 95% CI: 0.29-0.94). The results point to a set of factors associated with at-risk drinking (being male, younger and having a higher education), and with smoking (being younger and having depressive symptoms). Our findings could help health professionals to identify at-risk drinkers and smokers, as well as support strategies for future interventions by the identification of the groups most vulnerable to these behaviors.
Collapse
Affiliation(s)
- Tassiane C S Paula
- Department of Psychobiology, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil.,Universidade Anhembi Morumbi - UAM, São Jose dos Campos, Brazil
| | - Camila Chagas
- Department of Psychobiology, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil
| | - Amanda E G Henrique
- Department of Psychobiology, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil.,Universidade do Vale do Paraíba - UNIVAP, College of Education and Arts, Psychology Graduation, Sao Jose dos Campos, Brazil
| | - Rafael C Vargas
- Department of Psychobiology, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil.,Universidade Anhembi Morumbi - UAM, São Jose dos Campos, Brazil
| | - Ana Regina Noto
- Department of Psychobiology, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil
| | - Cleusa P Ferri
- Health Technology Assesment Unit, Hospital Alemão Oswaldo Cruz - HAOC, Sao Paulo, Brazil.,Department of Psychiatry, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo, Brazil
| |
Collapse
|
3
|
Ribeiro TCS, Barros MBDA, Lima MG. Smoking and loneliness in older adults: a population-based study in Campinas, São Paulo State, Brazil. CAD SAUDE PUBLICA 2022; 38:e00093621. [DOI: 10.1590/0102-311x00093621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 10/15/2021] [Indexed: 11/21/2022] Open
Abstract
This study aims to analyze the relationship between social isolation and loneliness with smoking in older adults. This is a cross-sectional, population-based study performed with 986 individuals aged 60 years or older. Data were collected from the Health Survey of the Municipality of Campinas (ISACamp 2014/2015), state of São Paulo, Brazil. We estimated the prevalence of smoking and smoking cessation according to independent variables and tested the associations using the chi-square test, considering a 5% significance level. Adjusted prevalence ratios were calculated using simple and multiple Poisson regression. Smoking and smoking cessation were not associated with most variables that indicate objective social isolation. “Often or always” loneliness was related to a higher prevalence of smoking (PR = 2.25; 95%CI: 1.38-3.66) whereas loneliness accompanied of self-reported emotional problems or common mental disorders was strongly associated with smoking and with lower smoking cessation (PR = 6.24; 95%CI: 1.37-28.47 and PR = 0.46; 95%CI: 0.28-0.77, respectively). These findings indicate that loneliness is a psychosocial aspect related to tobacco use which hinders smoking cessation in older adults, emphasizing the importance of emotional problems in this association.
Collapse
|
4
|
Tabagismo em idosos. SCIENTIA MEDICA 2021. [DOI: 10.15448/1980-6108.2021.1.41007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Introdução: o tabagismo é um grave problema de saúde pública em âmbito mundial que afeta a todas as faixas etárias, causando altas taxas de morbimortalidade evitáveis.Objetivo: descrever o que vem sendo publicado sobre o tabagismo na população idosa nos últimos cinco anos na esfera internacional.Metodologia: trata-se de uma revisão integrativa da literatura, onde foram realizadas buscas de artigos nas seguintes bases de dados: PUBMED/MEDLINE, BVS/LILACS, SCOPUS e SCIELO, utilizando os seguintes Descritores em Ciências da Saúde em inglês: “Tobacco Use Cessation” OR “Tobacco Use Disorder” AND “Health of the Elderly” OR “Aged” OR “Aged, 80 and over”. O recorte temporal foi de 2016 a 2020.Resultados: dos 1.642 trabalhos recuperados das bases, houve o afunilamento para um número total de 18 artigos, com a seguinte categorização: mortalidade e outros desfechos clínicos negativos (5); o tabagismo, as síndromes geriátricas e outras patologias (4); políticas públicas para o controle do tabaco (3); qualidade de vida e tabagismo (3); e fatores preditores para cessação tabágica (3).Conclusões: apenas um estudo selecionado foi realizado no Brasil, ressaltando a necessidade de mais estudos brasileiros envolvendo o tabagismo na população idosa objetivando uma melhor compreensão dos aspectos envolvidos e futuras capacitações e otimização de políticas públicas específicas.
Collapse
|
5
|
Melo LAD, Lima KCD. Factors associated with the most frequent multimorbidities in Brazilian older adults. CIENCIA & SAUDE COLETIVA 2020; 25:3879-3888. [PMID: 32997020 DOI: 10.1590/1413-812320202510.35632018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 01/04/2019] [Indexed: 12/16/2022] Open
Abstract
This study aimed to identify an association between the most frequent multimorbidities in Brazilian older adults and socioeconomic and lifestyle variables. National Health Survey's data were used. The Chi-square test and the Poisson multiple regression were used to analyze data. A total of 5,575 older adults with multimorbidity and mean age of 70.3 years participated in the study. Most of them are female (66.3%), white (56.1%), are sedentary (75.3%), with low schooling (40%), no health plan (65.3%), did not consume alcohol (78.7%) and did not smoke (90.1%). The most prevalent multimorbidities were hypertension and high cholesterol (31.3%), hypertension and stroke (30.9%) and hypertension and diabetes (23.3%). There was an association of the first condition with females, younger adults and no tobacco use. On the other hand, the second condition was associated with females and low level of schooling. The third group was associated with low schooling, sedentary lifestyle and no tobacco use. We can conclude that multimorbidity in Brazilian older adults is a frequent condition in women, younger seniors and those socioeconomically disadvantaged. Also, socioeconomic conditions and lifestyle influenced the prevalence of primary multimorbidities.
Collapse
Affiliation(s)
- Laércio Almeida de Melo
- Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Av. Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.
| | - Kenio Costa de Lima
- Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Av. Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.
| |
Collapse
|
6
|
Evedove AUD, Loch MR. Health risk behaviors in elderly Brazilian widowers. Salud Colect 2020; 16:e2255. [PMID: 32222142 DOI: 10.18294/sc.2020.2255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Accepted: 12/17/2019] [Indexed: 11/24/2022] Open
Abstract
The objective of this study was to compare the prevalence of health risk behaviors among elderly widowers with that of elderly partnered males, as well as single or divorced/separated men. Additionally, we set out to examine the prevalence of risk behaviors in elderly widowered men according to age, education level, and race/skin color. A cross-sectional study was conducted with elderly men (≥ 60 years) who were interviewed through the Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel) in 2016 (n=5,384) and 2017 (n=5,801). The Vigitel survey includes representative samples of adults residing in the capitals of Brazilian states and the Federal District, and of those surveyed, 886 were widowers. Identified risk behaviors included physical inactivity during leisure time, irregular consumption of fruits, vegetables and legumes, smoking and alcohol abuse. The prevalence of smoking was lower among partnered elderly men [PR=0.68, CI95% (0.52-0.90)] than among widowers. There were no differences in the prevalence of other risk behaviors between widowers and other groups. When only widowers were taken into account, there was significant association of risk behaviors with age and educational level, but not with race/skin color.
Collapse
Affiliation(s)
- André Ulian Dall Evedove
- Magíster en Salud Colectiva. Programa de Saúde Coletiva, Universidade Estadual de Londrina, Londrina, Brasil.
| | - Mathias Roberto Loch
- Doctor en Salud Colectiva. Programa de Pós Graduação em Saúde Coletiva, Universidade Estadual de Londrina, Londrina, Brasil.
| |
Collapse
|
7
|
Vasconcelos ACDSE, Marques APDO, Leite VMM, Carvalho JC, Costa MLGD. Prevalência de fragilidade e fatores associados em idosos pós-acidente vascular cerebral. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.200322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo avaliar a prevalência da fragilidade e fatores associados em idosos acometidos por acidente vascular cerebral (AVC). Método estudo transversal, com pacientes de idade igual ou maior que 60 anos, assistidos em ambulatório de neurologia. A coleta de dados foi realizada por questionário contendo dados sociodemográficos, clínicos, hábitos de vida e assistência na área de reabilitação e pelos instrumentos Mini Exame do Estado Mental e Escala de Fragilidade de Edmonton. Resultados a população do estudo foi composta por 69 pessoas idosas, com média de idade de 72 (±7,4) anos. Entre os frágeis estavam os indivíduos mais longevos (90,9%), do sexo feminino (92,3%), com estado civil que representasse ter tido companheiro em algum momento da vida (separado, divorciado ou viúvo) (94,4%), que não moravam sozinhos (80,3%), sem nenhuma escolaridade (80,6%) e renda (100%), que se declararam da cor negra (100%) e de religião espírita (100%). A maioria não apresentou comorbidades ou hábitos de vida deletérios, a exceção da hipertensão arterial sistêmica. Houve ainda, baixa assistência na área de reabilitação. A avaliação pelo MEEM indicou estado mental alterado para 83,7% dos idosos frágeis. Foram encontradas associações significativas entre a fragilidade e o estado civil (p=0,042), com a presença da diabetes mellitus (p=0,002), e ausência de infarto agudo do miocárdio (p=0,030). Conclusão Sugere-se a realização de estudos que possam acompanhar esse tipo de população acometida pelo AVC, desde a hospitalização até a alta da reabilitação, com vistas a esclarecer o processo de declínio funcional e cognitivo e sua relação com a fragilidade.
Collapse
|
8
|
Francisco PMSB, Assumpção DD, Borim FSA, Malta DC. Prevalence and factors associated with underweight among Brazilian older adults. CIENCIA & SAUDE COLETIVA 2019; 24:2443-2452. [PMID: 31340263 DOI: 10.1590/1413-81232018247.21512017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Accepted: 09/30/2017] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to estimate the prevalence of underweight among older adults according to socio-demographic characteristics in different regions of Brazil as well as determine associated contextual and individual factors. Cross-sectional population-based study with older adults (≥ 65 years) interviewed by telephone survey in 2014. The body mass index was calculated based on weight and height. Associations were determined using Pearson's chi-square test, considering a 5% significance level. Adjusted prevalence ratios were estimated using multilevel Poisson regression. Mean age was 73.3 years and the prevalence of underweight was 15.6% (95%CI: 14.1-17.1%). Higher prevalence rates of underweight were found among women, individuals aged ≥ 80 years, smokers and those who reported the regular consumption of beans. The prevalence rate of underweight was lower among those who reported abusive alcohol intake and those with a medical diagnosis of hypertension. The northern region of the country had the highest prevalence of underweight after adjusting for associated individual factors. The findings demonstrate the subgroups with higher prevalence rates of underweight that demand greater attention from the health services in terms of recovering of an adequate nutritional status.
Collapse
Affiliation(s)
- Priscila Maria Stolses Bergamo Francisco
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas. Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | - Daniela de Assumpção
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas. Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | - Flávia Silva Arbex Borim
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas. Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | | |
Collapse
|
9
|
Kock KDS, da Silva JBF, Marques JLB. Comparison of the ankle-brachial index with parameters of stiffness and peripheral arterial resistance assessed by photoplethysmography in elderly patients. J Vasc Bras 2019; 18:e20180084. [PMID: 31320878 PMCID: PMC6634263 DOI: 10.1590/1677-5449.180084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2018] [Accepted: 03/01/2019] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND The ankle-brachial index (ABI) uses the ratio between systolic blood pressures at the ankle and the arm to diagnose peripheral arterial disease (PAD) noninvasively. Photoplethysmography (PPG) measures and records changes to the blood volume in the human body using optical techniques. OBJECTIVES The objective of this study was to compare ABI with arterial stiffness and peripheral resistance parameters assessed using PPG in elderly patients and to propose a model for prediction of ABI. METHODS A cross-sectional, quantitative study was conducted. The sample comprised elderly patients seen at a medical specialties clinic at the Universidade do Sul de Santa Catarina (UNISUL), Brazil. Age, sex, body mass index (BMI), comorbidities, smoking, and physical activity were recorded. The variables obtained using PPG and ABI were compared using bivariate and multivariate linear regression, with an α error of 0.05. RESULTS A total of 93 elderly patients were assessed, 63.4% of whom were women. In 98.9% of cases, ABI was within normal limits. Comparison of ABI with variables acquired by PPG revealed significant associations with age. However, no significant associations were observed between ABI and PPG. The multivariate model indicated that only age, sex, and smoking were associated with ABI. CONCLUSIONS In conclusion, ABI and PPG exhibited associations with arterial aging, considering its correlation with age. However, ABI was only related to age, sex, and smoking. More studies are needed to evaluate the potential uses of PPG for screening for vascular diseases in ambulatory settings.
Collapse
|
10
|
Gonçalves IB, Lebrão ML, Duarte YADO, Wagner GA, Zanetta DMT. Nutrition status of elderly smokers and former smokers of São Paulo City, Brazil. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2019; 21Suppl 02:e180013. [PMID: 30726358 DOI: 10.1590/1980-549720180013.supl.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Accepted: 03/31/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES The concomitance of smoking and poor dietary habits represents a worsened prognosis of health and quality of life for elderly. The aim of this study was to characterize the nutritional status of elderly who were smokers and former smokers and residents of São Paulo city. METHODS A cross-sectional study was conducted in 2010 with a representative sample of 1,345 individuals aged 60 years and over, who were part of the elderly cohort monitored at the SABE Study. Sociodemographic, health, and nutritional aspects of the elderly were described, according to their tobacco use in life. RESULTS The proportion of smokers and former smokers was 12.9 and 54.7%, 11.0 and 25.2%, and 11.8 and 37.2% for male, female, and total population, respectively. For both genders, increasing age decreased the proportion of smokers. The proportion of proper fruit intake was smaller for female smokers. Poorer nutritional status was observed in smokers, who had fewer meals per day and greater frequency of underweight compared with elderly nonsmokers. CONCLUSION Considering the impact of inappropriate eating habits and smoking on health, elderly smokers deserve special attention on their nutritional status.
Collapse
Affiliation(s)
- Isis Bonfitto Gonçalves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Maria Lúcia Lebrão
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | | | - Gabriela Arantes Wagner
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo - São Paulo (SP), Brasil
| | | |
Collapse
|
11
|
Francisco PMSB, Segri NJ, Borim FSA, Malta DC. Prevalência simultânea de hipertensão e diabetes em idosos brasileiros: desigualdades individuais e contextuais. CIENCIA & SAUDE COLETIVA 2018; 23:3829-3840. [DOI: 10.1590/1413-812320182311.29662016] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Accepted: 11/09/2016] [Indexed: 11/22/2022] Open
Abstract
Resumo A prevalência da simultaneidade de doenças específicas nos idosos ainda é pouco descrita na literatura. O objetivo do estudo foi estimar a prevalência simultânea de hipertensão arterial e diabetes mellitus em idosos brasileiros, e os fatores contextuais e individuais a ela associados. Estudo transversal de base populacional com idosos (≥ 60 anos) entrevistados pelo Vigitel em 2012 (n = 10.991). As análises foram realizadas por meio de regressão de Poisson multinível no Stata 12. A média de idade dos idosos foi de 69,4 anos e a prevalência simultânea das doenças foi de 16,2% com variação nas capitais brasileiras. Em São Paulo e Curitiba as prevalências foram mais elevadas do que em Boa Vista e Manaus. Maiores prevalências foram observadas nas capitais das regiões Sul/Sudeste/Centro-Oeste, nos idosos de cor preta e parda, naqueles com escolaridade ≤ 8 anos de estudo, nos não fumantes e ex-fumantes, e com excesso de peso. Verificou-se o efeito da região geográfica na prevalência simultânea pela elevação de 23,5% na magnitude da razão de prevalencia, após ajuste para todas as variáveis individuais. Por meio do estudo, foi possível dimensionar o efeito do contexto onde estão inseridos os idosos (região de residência) sobre a prevalência das principais doenças que acometem e relacionam-se à mortalidade na população idosa na atualidade.
Collapse
|
12
|
Assumpção DD, Borim FSA, Francisco PMSB, Neri AL. [Factors associated with being underweight among elderly community-dwellers from seven Brazilian cities: the FIBRA Study]. CIENCIA & SAUDE COLETIVA 2018; 23:1143-1150. [PMID: 29694568 DOI: 10.1590/1413-81232018234.17422016] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Accepted: 07/06/2016] [Indexed: 12/19/2022] Open
Abstract
The aim of this study was to assess the prevalence of being underweight among the elderly according to demographic and socioeconomic characteristics, health-related behaviors, diseases and health status. This was a cross-sectional multi-center study with 3,478 community-dwelling elders (≥ 65 years). The dependent variable was the prevalence of being underweight, classified by Body Mass Index < 22kg/m2. Adjusted prevalence rate ratios were estimated using multivariable Poisson regression. The mean age was 72.9 years and 12.0% of the elderly were underweight (CI95%:10.9-13.1). Aged elderly ≥ 80 years, former and current smokers, those who reported appetite loss and those classified as pre-frail or frail (PR=1.41; CI95%:1.09-1.82) presented a higher prevalence of being underweight. Individuals who received medical diagnosis of hypertension, diabetes and rheumatism had the lowest underweight prevalence observed. The results highlight the importance of nutritional status assessment and monitoring among the elderly, with emphasis on the most vulnerable subgroups, particularly the frail elderly, taking into account the health consequences of low weight.
Collapse
Affiliation(s)
- Daniela de Assumpção
- Programa de Pós-Graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil,
| | - Flávia Silva Arbex Borim
- Programa de Pós-Graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil,
| | | | - Anita Liberalesso Neri
- Programa de Pós-Graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil,
| |
Collapse
|
13
|
Sarges NDA, Santos MIPDO, Chaves EC. Evaluation of the safety of hospitalized older adults as for the risk of falls. Rev Bras Enferm 2017; 70:860-867. [DOI: 10.1590/0034-7167-2017-0098] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Accepted: 04/19/2017] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To evaluate the safety of hospitalized older adults as for the risk of falls according to the parameters of the Morse Fall Scale. Method: Epidemiological, cross-sectional, prospective and descriptive study with n=75. Results: Average age of 71.3 years (SD±8.2); 58.7% male; 44% with low educational level; 38.7% hospitalized for cardiovascular diseases; average hospitalization of 10 days (SD±9.38); 78.7% with comorbidities; 61.3% with the calf circumference ≥ 31 cm; 62.7% were former smokers for more than 10 years; 65% did not drink alcohol; 100% did not have identification bracelet; 22.7% had similar names in the infirmary; 48% took up to five medicines; and 93.3% received some invasive procedure, especially the vessel puncture (65.3%). There was a high risk of falls in 52% of older adults. Conclusion: The results pointed to imminent risk of breach of patient safety, emphasizing the need for implementation of protocols and predictive scales such as the Morse scale.
Collapse
|
14
|
Dalazen CE, De Carli AD, Bomfim RA, dos Santos MLM. Contextual and Individual Factors Influencing Periodontal Treatment Needs by Elderly Brazilians: A Multilevel Analysis. PLoS One 2016; 11:e0156231. [PMID: 27249677 PMCID: PMC4889082 DOI: 10.1371/journal.pone.0156231] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Accepted: 05/11/2016] [Indexed: 01/08/2023] Open
Abstract
Objective To assess the relationship between periodontal treatment needs by elderly Brazilians and contextual as well as individual variables. Methods A cross-sectional study was carried out to assess the need for clinical periodontal treatment, based on National Oral Health Survey (SB Brasil 2010) data on the presence of dental calculus, shallow (3–5 mm) and deep (≥ 6 mm) periodontal pockets, and gingival bleeding in elderly people (n = 7,619). The contextual variables included the Municipal Human Development Index (MHDI), income inequality (Gini Index) and coverage of the municipal population by the Family Health Strategy (FHS) program oral health teams.<0} The individual variables were sex, income, education level and self-reported skin color. Multilevel logistic regression models were used to calculate the odds ratio (OR) and 95% confidence intervals (CI95%) between periodontal treatment needs and the contextual as well as individual variables. Results Gingival bleeding was found in 20.7% of the elderly analyzed (n = 1,577), dental calculus in 34% (n = 2,590), shallow periodontal pockets in 15.6% (n = 1,189), and deep periodontal pockets in 4.2% (n = 320). Individual factors were correlated with all the outcomes assessed. Sex was a protective factor in regard to gingival bleeding (OR = 0.87; CI95% 0.76–1.00), dental calculus (OR = 0.86; CI95% 0.75–0.99), shallow periodontal pockets (OR = 0.69; CI95% 0.60–0.80) and deep periodontal pockets (OR = 0.58; CI95% 0.45–0.74). It was found that fewer women needed treatment. Elderly people who self-reported having nonwhite skin had higher chances of needing periodontal treatment. Skin color was a risk factor for gingival bleeding (OR = 1.32; CI95% 1.14–1.53), dental calculus (OR = 1.32; CI95%1.14–1.54) and shallow periodontal pockets (OR = 1.27; CI95% 1.09–1.49). Education level was associated with the presence of dental calculus (OR = 0.77; CI95% 0.66–0.89), shallow periodontal pockets (OR = 0.86; CI95% 0.73–1.00) and deep periodontal pockets (OR = 0.74; CI95% 0.57–0.97), thus acting as a risk factor for undereducated elderly people. There was a correlation between population coverage by the Family Health Strategy (FHS) program oral health teams and the presence of gingival bleeding (OR = 0.67; CI95% 0.52–0.88), shallow periodontal pockets (OR = 0.76; CI95% 0.58–0.98) and deep periodontal pockets (OR = 0.62; CI95% 0.44–0.89), making these teams act as a protective factor. Conclusions This study showed evidence of the sociocontextual as well as individual sociodemographic characteristics influencing periodontal treatment needed by elderly Brazilians, based on the clinical features of periodontal disease. The results suggest the existence of inequality related to periodontal treatment needs among elderly Brazilians, especially in regard to sex and ethnicity, in addition to a potentially positive impact from the expansion of the Family Health Strategy (FHS) program oral health teams.
Collapse
Affiliation(s)
- Chaiane Emilia Dalazen
- Faculdade de Odontologia “Prof Albino Coimbra Filho”, Saúde Coletiva, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil
- * E-mail:
| | - Alessandro Diogo De Carli
- Faculdade de Odontologia “Prof Albino Coimbra Filho”, Saúde Coletiva, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Rafael Aiello Bomfim
- Faculdade de Odontologia “Prof Albino Coimbra Filho”, Saúde Coletiva, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Mara Lisiane Moraes dos Santos
- Departamento de Tecnologia de Alimentos e Saúde Coletiva, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil
| |
Collapse
|
15
|
Santana JDO, Ramalho JRDO, Firmo JOA, Lima-Costa MF, Peixoto SV. [Physical activity and Framingham risk score in older adults: the Bambuí Health and Aging Study]. CAD SAUDE PUBLICA 2016; 31:2235-40. [PMID: 26735389 DOI: 10.1590/0102-311x00056915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 08/27/2015] [Indexed: 11/21/2022] Open
Abstract
This study explored the association between energy expenditure during physical activity and the Framingham risk score in the elderly. This was a cross-sectional study with a sample of 1,473 older adults. The dependent variable was level of physical activity, estimated by the metabolic equivalents in tertiles. The exploratory variables were the components of the Framingham risk score and the Framingham risk score itself. The force of associations was estimated by odds ratios and confidence intervals using ordinal logistic regression. Higher physical activity was associated with lower Framingham risk score, younger age, lower proportion of diabetes, and higher mean HDL levels. Higher energy expenditure was also associated with lower odds of smoking in men. The findings suggest that the adoption of a physically active lifestyle can reduce coronary risk, and that the promotion of physical activity is a universal strategy to fight chronic noncommunicable diseases.
Collapse
Affiliation(s)
| | | | | | | | - Sérgio Viana Peixoto
- Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| |
Collapse
|
16
|
Carvalho Filho MAM, Saintrain MVDL, Dos Anjos REDS, Pinheiro SS, Cardoso LDCP, Moizan JAH, de Aguiar ASW. Prevalence of Oral and Maxillofacial Trauma in Elders Admitted to a Reference Hospital in Northeastern Brazil. PLoS One 2015; 10:e0135813. [PMID: 26288229 PMCID: PMC4545414 DOI: 10.1371/journal.pone.0135813] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 07/27/2015] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To know the prevalence and etiology of oral and maxillofacial trauma in elders. METHODS Analytical quantitative cross-sectional study conducted at a public trauma hospital located in Fortaleza-Ceará, Brazil. The study population comprised patients with trauma who were hospitalized from April to August 2014. Of these patients, patients with oral and maxillofacial trauma were chosen to be included in the research. A questionnaire was administered in order to obtain information on socio-demographics, systemic comorbidities, use of medication, deleterious habits (smoking and alcohol consumption), etiology of oral and maxillofacial trauma and type of pre-hospital care. RESULTS Of the 280 elderly hospitalized with trauma, 47 had oral and maxillofacial trauma, with a prevalence of 16.8%. In this group, the age ranged from 60 to 88 years, with a mean age of 72.4 years (SD± 8.38). The elderly were mostly women (55.3%), self-declared pardos (53.2%), who presented with cardiovascular disorders (48.9%), and who received formal pre-hospital care (70.2%). Elderly who were in the 60-69 years age group, spent 6-9 years at school and drank alcohol were 2.64, 3.75, and 1.97, respectively, more likely to suffer oral and maxillofacial trauma. The main causes of trauma were physical aggression, traffic accidents, falls and domestic accidents. All of the physical aggressions resulted in oral and maxillofacial traumas, and the elderly who suffered traffic accidents were four times more likely to have oral and maxillofacial trauma. CONCLUSION The prevalence of 16.8% and the lack of research on oral and maxillofacial traumas in the elderly is worrisome and should be included in the oral health indicators for the elderly population to support the importance of oral health.
Collapse
Affiliation(s)
| | | | | | - Solange Sousa Pinheiro
- University of Fortaleza (UNIFOR), Collective Health Master’s Degree Program, Center of Health Sciences, Fortaleza, Brazil
| | | | | | | |
Collapse
|
17
|
Ramos GCF, Carneiro JA, Barbosa ATF, Mendonça JMG, Caldeira AP. Prevalência de sintomas depressivos e fatores associados em idosos no norte de Minas Gerais: um estudo de base populacional. JORNAL BRASILEIRO DE PSIQUIATRIA 2015. [DOI: 10.1590/0047-2085000000067] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Objetivo Avaliar a prevalência e os fatores associados aos sintomas depressivos em idosos não institucionalizados. Métodos Estudo transversal, analítico, de base populacional, cujos dados foram coletados entre maio e julho de 2013, em visitas domiciliares. Foi aplicado um questionário com variáveis sociodemográficas, comorbidades, utilização de serviços de saúde, escala de fragilidade (Edmonton Frail Scale), teste Timed Get Up and Go e a Escala de Depressão Geriátrica (Geriatric Depression Scale – GDS-15). Para análise estatística, as variáveis foram dicotomizadas. Conduziram-se análises bivariadas (teste qui-quadrado de Pearson) adotando-se nível de significância menor que 0,20 para inclusão das variáveis independentes no modelo múltiplo. O modelo final foi gerado por meio de análise de regressão logística múltipla e as variáveis mantidas apresentaram associação com sintomas depressivos em um nível de significância de 0,05 (p < 0,05). Resultados A prevalência de sintomas depressivos foi de 27,5%. As variáveis independentes associadas a sintomas depressivos foram: não ter companheiro (a) (OR = 1,81; IC 95% 1,214-2,713), não saber ler (OR = 1,84; IC 95% 1,19-2,836), percepção negativa sobre a própria saúde (OR = 2,12; IC 95% 1,373-3,256), tabagismo (OR = 2,31; IC 95% 1,208-4,431), alto risco de quedas (OR = 1,78; IC 95% 1,000-3,184) e fragilidade (OR = 2,38; IC 95% 1,510-3,754). Conclusões A alta prevalência de sintomas depressivos identificada entre idosos comunitários alerta para a necessidade de maiores cuidados com a população idosa.
Collapse
|
18
|
Stival MM, Lima LRD, Karnikowski MGDO. Relações hipotéticas entre os determinantes sociais da saúde que influenciam na obesidade em idosos. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2015. [DOI: 10.1590/1809-9823.2015.14023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Os elevados índices de prevalência de obesidade em idosos suscitam a necessidade de compreender os fatores envolvidos nesta desordem nutricional, por meio de métodos quantitativos que permitam uma análise relacional desses determinantes. O objetivo deste estudo foi propor um modelo hipotético que estabeleça as relações entre os determinantes sociais da saúde associados à obesidade em idosos. Para a construção do modelo hipotético, foram delineadas as variáveis latentes e observadas de acordo com a análise de 45 artigos nacionais e internacionais e em concordância com o referencial da Modelagem de Equações Estruturais. Foi construído um diagrama representativo para evidenciar as correlações entre os 11 determinantes sociais da saúde relacionados à obesidade no idoso: atividade física, tabagismo, etilismo, consumo alimentar, contato social, ocupação, renda, escolaridade, idade, sexo e estado civil. Espera-se que as relações hipotéticas estabelecidas no estudo contribuam para a compreensão das relações dos fatores que estão envolvidos nesse contexto visando ao desenvolvimento de estratégias para a saúde da pessoa idosa.
Collapse
|
19
|
Martinez BP, Batista AKMS, Gomes IB, Olivieri FM, Camelier FWR, Camelier AA. Frequency of sarcopenia and associated factors among hospitalized elderly patients. BMC Musculoskelet Disord 2015; 16:108. [PMID: 25943762 PMCID: PMC4425884 DOI: 10.1186/s12891-015-0570-x] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 04/29/2015] [Indexed: 12/25/2022] Open
Abstract
Background Sarcopenia is an important public health problem that affects mainly elders, and has negative consequences, such as disability and even death. Due to the lack of studies evaluating sarcopenia in elderly persons hospitalized in Brazil, the aim of the present study was to describe the frequency of sarcopenia and associated factors among elders in a hospital in the city of Salvador - Brazil. Methods This cross-sectional study included 110 hospitalized elderly patients in a multi-specialty hospital in Salvador-BA, Brazil. Inclusion criteria: were elders aged ≥60 years between the first and fifth day of hospitalization; who were able to walk without external assistance; with medical permission to walk, and who did not take vasoactive and inotropic drugs. The diagnosis of sarcopenia was determined by combining the reduction in skeletal muscle mass with muscle weakness (women, <20 kg; men, <30 kg) and/or poor physical performance (gait speed ≤0.8 m/s). To obtain reduced skeletal muscle mass, the skeletal muscle mass index ≤6.37 kg/m2 for women and ≤8.90 kg/m2 for men was used. Cognitive function, Charlson index, admission profile (clinical and surgical), smoking, falls suffered in the last year and physical inactivity prior to admission were also evaluated. The frequency of sarcopenia was described in percentages with their respective confidence intervals and logistic regression was performed for multivariate analysis of factors associated with sarcopenia. Results Among the 110 patients included, the frequency of sarcopenia was 21.8%, with 10.0% being of the severe type. There was a predominance of clinical profile (59.1%), such as heart disease (20.0%), pneumonia (13.6%) and skin infections (9.1%), with a Charlson index of 5.4 ± 1.8. The factors associated with sarcopenia were age (OR = 1.14; 95% CI = 1.06 to 1.23), clinical profile on admission (OR = 5.15; 95% CI = 1.16–22.9) and smoking (OR = 7.8; 95% CI = 1.53–39.9). Conclusions The frequency of sarcopenia in elderly hospitalized patients was high (1 in 5 elderly) and anthropometric equation can be a viable and inexpensive alternative to screening and programming intervention in this population.
Collapse
Affiliation(s)
- Bruno Prata Martinez
- Bahia School of Medicine and Public Health, Av. Dom João VI, n° 275, Brotas, Salvador, Bahia, Brazil. .,State University of Bahia, Salvador, Bahia, Brazil.
| | | | | | | | | | - Aquiles Assunção Camelier
- Bahia School of Medicine and Public Health, Av. Dom João VI, n° 275, Brotas, Salvador, Bahia, Brazil. .,State University of Bahia, Salvador, Bahia, Brazil.
| |
Collapse
|
20
|
Wagner GA, Rocha FMMD, Lebrão ML, Duarte YADO, Zanetta DMT. Trends in tobacco consumption in three different birth cohorts of elderly of São Paulo, Brazil. Drug Alcohol Depend 2015; 147:53-9. [PMID: 25575653 DOI: 10.1016/j.drugalcdep.2014.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Revised: 11/26/2014] [Accepted: 12/11/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND The effects of birth cohorts reflect the historical differences in physical and social environments. The objectives of the present study were to describe the tobacco consumption and to evaluate the behavioral trends with respect to smoking in three different birth cohorts of a population-based sample of elderly individuals. METHODS A series of three cross-sectional studies conducted with elderly individuals of 60-64 years of age interviewed in 2000 (birth cohort 1936-1940; n=427), 2006 (birth cohort 1942-1946; n=298) and 2011 (birth cohort 1947-1951; n=355) in a population-based sample from the city of São Paulo, Brazil. The interviewees were participating in a prospective cohort study entitled Health, Well-Being and Aging (Saúde, Bem-Estar e Envelhecimento [SABE]). Data on tobacco consumption were self-reported and interviewees were then classified as never smokers, former smokers or current smokers. Linear model for categorical data was used to test differences on tobacco consumption between three birth elderly cohorts. FINDINGS Men were more likely than women to be smokers. Being evangelical and having more schooling constituted protective factors against smoking. Regarding trends, the tobacco consumption of the men did not change in any of the three cohorts studied (p=0.7454), whereas there was an increase in the number of women smokers, principally former smokers, over the periods evaluated (p=0.0189). CONCLUSIONS These results suggest that the anti-smoking policies implemented in Brazil were effective in women of this age group; however, different prevention strategies are required to target elderly men.
Collapse
Affiliation(s)
- Gabriela Arantes Wagner
- Department of Epidemiology, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, Cerqueira Cesar, 01246-904 São Paulo, SP, Brazil.
| | - Francisco Marcelo Monteiro da Rocha
- School of Politics, Economy and Business, Federal University of São Paulo, Rua Angélica 100, Jardim das Flores, 06110-295 Osasco, SP, Brazil
| | - Maria Lúcia Lebrão
- Department of Epidemiology, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, Cerqueira Cesar, 01246-904 São Paulo, SP, Brazil
| | - Yeda Aparecida de Oliveira Duarte
- Department of Epidemiology, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, Cerqueira Cesar, 01246-904 São Paulo, SP, Brazil; Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, Avenida Doutor Enéas de Carvalho Aguiar 419, Cerqueira César, 05403-000 São Paulo, SP, Brazil
| | - Dirce Maria Trevisan Zanetta
- Department of Epidemiology, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, Cerqueira Cesar, 01246-904 São Paulo, SP, Brazil
| |
Collapse
|
21
|
Viana DA, Rodrigues LR, Tavares DMDS. Fatores sociodemográficos e econômicos associados ao tabagismo na população idosa. JORNAL BRASILEIRO DE PSIQUIATRIA 2014. [DOI: 10.1590/0047-2085000000029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Objetivos Identificar a condição tabágica dos idosos e verificar os fatores sociodemográficos e econômicos associados ao hábito de fumar nessa população. Métodos Trata-se de um estudo quantitativo, transversal, observacional e analítico, com 980 idosos da zona urbana do município de Uberaba-MG. Utilizaram-se os instrumentos Miniexame do Estado Mental (MEEM) e Questionário Brasileiro de Avaliação Funcional e Multidimensional (BOMFAQ). Os idosos foram classificados como tabagistas, ex-tabagistas e não tabagistas de acordo com as Diretrizes para Cessação do Tabagismo. As análises procederam por meio do software SPSS-17. A condição tabágica dos idosos foi descrita por meio de frequências simples e absolutas. Aplicou-se o teste Cramer’s V (p ≤ 0,05) na análise bivariada e em seguida a Regressão Logística Multinomial Múltipla (p ≤ 0,05) ajustados para sexo e faixa etária de acordo com a classificação tabágica. Resultados Encontraram-se 122 (12,4%) idosos tabagistas, 320 (32,7%) ex-tabagistas e 538 (54,9%) não tabagistas. Os idosos tabagistas apresentaram-se com 3,57, 2,36 e 1,82 mais riscos de chances de ser do sexo masculino (p < 0,001), estar na faixa etária de 60 a 69 anos (p = 0,004) e não ter companheiro(a) (p = 0,008), respectivamente. Para os idosos ex-tabagistas, também foi encontrada maior chance de risco (5,34) para o sexo masculino (p < 0,001). Conclusão Os resultados evidenciam que o sexo, a faixa etária e a situação conjugal são fatores associados ao tabagismo na população idosa.
Collapse
|
22
|
Patterns of smoking prevalence among the elderly in Europe. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:4418-31. [PMID: 24048208 PMCID: PMC3799502 DOI: 10.3390/ijerph10094418] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2013] [Revised: 09/06/2013] [Accepted: 09/13/2013] [Indexed: 11/17/2022]
Abstract
Scant information is available on determinants of smoking prevalence in the vulnerable population of the elderly, particularly in Europe. Therefore, we analyzed smoking patterns among older adults (≥65 years old), using data from a representative survey based on 3,071 elderly, conducted in 17 European countries in 2010, within the Pricing Policies And Control of Tobacco in Europe (PPACTE) project. Overall smoking prevalence in 17 European countries was 11.5% (15.3% in men and 8.6% in women). An inverse relation with level of education was observed among men, while no specific pattern was evident among women. Smoking prevalence was highest in eastern/central Europe for men (20.3%) and northern Europe for women (13.1%). In both sexes combined, smokers were more frequent in countries with low implementation of tobacco control activities (14.9%). Anti-tobacco campaigns and smoking cessation interventions specifically targeted to the elderly are urgently needed in Europe.
Collapse
|
23
|
Bernardo AFB, Fernandes RA, da Silva AKF, Valenti VE, Pastre CM, Vanderlei LCM. Influence of risk behavior aggregation in different categories of physical activity on the occurrence of cardiovascular risk factors. Int Arch Med 2013; 6:26. [PMID: 23800219 PMCID: PMC3702485 DOI: 10.1186/1755-7682-6-26] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2013] [Accepted: 04/30/2013] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND We aimed to verify the association of risk behavior aggregation in different categories of physical activity (PA) with the presence of cardiovascular risk factors (RF) employees at a public university. METHOD We analyzed data of 376 employees, which were visited in their workplace for measurement of weight, height and questionnaires to identify the risk behaviors and risk factors. Chi-square test was used to analyze the association between the dependent and independent variables and binary logistic regression was used to construct a multivariate model for the observed associations. RESULTS Associations were found between the aggregation of following risk behaviors: smoking, alcohol consumption and physical inactivity, considered in different categories of PA, and the increase in RF, except for the presence of hypertriglyceridemia. Individuals with two or more risk behaviors in occupational PA category are more likely to be hypertensive (3.04 times) and diabetes (3.44 times). For the free time PA category, these individuals were 3.18 times more likely to have hypercholesterolemia and for locomotion PA, more likely to be hypertensive (2.42 times) and obese (2.51 times). CONCLUSION There are association between the aggregation of two or more risk behaviors and the presence of cardiovascular RF.
Collapse
Affiliation(s)
- Aline Fernanda Barbosa Bernardo
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| | - Rômulo Araújo Fernandes
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| | - Anne Kastelianne França da Silva
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| | - Vitor Engrácia Valenti
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| | - Carlos Marcelo Pastre
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| | - Luiz Carlos Marques Vanderlei
- Faculdade de Ciências e Tecnologia. Programa de Pós-Graduação em Fisioterapia. UNESP, Universidade Estadual Paulista. R. Roberto Simonsen, 305.19060-900, Presidente Prudente, SP, Brazil
| |
Collapse
|