Detalhes do Documento

A reduction in social activities can result in incapacities and worsening of quality of life. The present study aimed to characterize elderly subjects, describe their level of advanced activities of daily living and identify the change between activity levels (improvement, stability, worsening) and the predictors of change in advanced activities of daily living levels. This is a longitudinal study carried out with 353 elderly subjects. The following were used: Mini Exam of Mental State; socioeconomic and morbidity data; frailty phenotype and questions on advanced activities of daily living. Descriptive analysis was carried out with a multinomial regression model (p<0.05). It was identified that there was a higher percentage of females, from 60 to 69 years old in the group at the worst level of advanced activities of daily living (41.1%). Improvement in advanced activities of daily living was associated with income of up to one minimum salary (p=0.004), non-frailty (p=0.006) and pre-frailty (p=0.028) while worsening was associated with living alone (p=0.038). Identification of predictors of change in advanced activities of daily living and of the characteristics in the groups that were worsening or showing improvement may direct early interventions in health care.

A reduc?a?o de atividades sociais pode resultar em incapacidades e piora da qualidade de vida. Objetivou-se caracterizar os idosos e descrever o ni?vel nas atividades avanc?adas de vida dia?ria; identificar a mudanc?a entre os ni?veis de atividade (melhora, estabilidade, piora) e identificar os preditores de mudanc?as nos ni?veis de atividades avanc?adas de vida dia?ria. Inque?rito longitudinal, realizado com 353 idosos. Utilizou-se: Mini Exame de Estado Mental; dados socioecono?micos e morbidades; feno?tipo de fragilidade; e questo?es das atividades avanc?adas de vida dia?ria. Realizou-se ana?lise descritiva e modelo de regressa?o multinomial (p<0,05). Identificou-se maior percentual do sexo feminino, 60 a 69 anos e no grupo de piora do ni?vel de atividades avanc?adas de vida dia?ria (41,1%). A melhora nas atividades avanc?adas de vida dia?ria associou-se a? renda de ate? um sala?rio mi?nimo (p=0,004), na?o fragilidade (p=0,006) e pre?- fragilidade (p=0,028); e na piora, residir so? (p=0,038). A identificac?a?o dos preditores de mudanc?a nas atividades avanc?adas de vida dia?ria e das caracteri?sticas dos grupos de piora e melhora podem direcionar intervenc?o?es precoces em sau?de.