Affordable Access

Access to the full text

Robust older adults in primary care: factors associated with successful aging

Authors
  • Maia, Luciana Colares1
  • Colares, Thomaz de Figueiredo Braga2
  • de Moraes, Edgar Nunes3
  • Costa, Simone de Melo4
  • Caldeira, Antônio Prates5
  • 1 Universidade Estadual de Montes Claros - Unimontes. Centro de Ciências Biológicas e da Saúde (CCBS). Departamento de Clínica Médica. Montes Claros, MG, Brasil, Montes Claros MG , (Brazil)
  • 2 Universidade Estadual de Montes Claros - Unimontes. Centro Mais Vida Eny Faria de Oliveira (CRASI-EFO). Montes Claros, MG, Brasil, Montes Claros MG , (Brazil)
  • 3 Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Clínica Médica. Belo Horizonte, MG, Brasil, Belo Horizonte MG , (Brazil)
  • 4 Universidade Estadual de Montes Claros - Unimontes. Centro de Ciências Biológicas e da Saúde (CCBS). Departamento de Odontologia. Montes Claros, MG, Brasil, Montes Claros MG , (Brazil)
  • 5 Universidade Estadual de Montes Claros - Unimontes. Centro de Ciências Biológicas e da Saúde (CCBS). Departamento de Saúde da Mulher e da Criança. Montes Claros, MG, Brasil, Montes Claros MG , (Brazil)
Type
Published Article
Journal
Revista de Saúde Pública
Publisher
Universidade de Sao Paulo Sistema Integrado de Bibliotecas - SIBiUSP
Publication Date
Mar 30, 2020
Volume
54
Identifiers
DOI: 10.11606/s1518-8787.2020054001735
PMID: 32267369
PMCID: PMC7112742
Source
PubMed Central
Keywords
License
Green

Abstract

OBJECTIVE To estimate the prevalence of robustness among older adults assisted in primary health care and identify factors in successful aging. METHODS This is a cross-sectional study conducted with older adults in Northern Minas Gerais, Brazil. Two questionnaires were used for data collection: the Brazilian Older Americans Resources and Services Multidimensional Function Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index IVCF-20). The adjusted prevalence ratios were obtained by robust Poisson regression. Statistical analysis was performed for older adults in general (60 to 107 years) and stratified by age: from 60 to 79 years and 80 years or more. RESULTS A total of 1,750 older adults aged 60 to 107 years participated; between them, 48.7% were robust. Older adults aged 60 to 79 years (n = 1,421) and 80 years or more (n = 329) had a prevalence of robustness of 55.4% and 19.3%, respectively. Some factors associated with successful aging were: positive self-perception of health, dancing habits, walking habits, absence of cognitive impairment, absence of depressive symptoms and polypathology, as well as daily life independence. After adjustment by age, the absence of polypathology and independence for activities of daily living stand out for robustness between 60 and 79 years; in those aged 80 years and over, independence for activities of daily living and dance practice presented greater strength of association. CONCLUSION The prevalence of robust older adults in primary care is considered satisfactory for the older population in general but decreases with age and is associated with the absence of diseases and disabilities. These results denote the need to redesign the health care system, focusing on promoting and preventing clinical-functional vulnerability.

Report this publication

Statistics

Seen <100 times