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      Análise da capacidade funcional em idosos do município de Avaré-SP: fatores associados Translated title: Analysis of elderly functional capacity in the municipality of Avaré, São Paulo: associated factors

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          Abstract

          Objetivo:Este estudo objetivou avaliar a influência da qualidade de vida e aspectos socioeconômicos na capacidade funcional em idosos moradores do município de Avaré-SP.Métodos:Trata-se de estudo transversal. A amostra foi composta por 365 idosos, moradores da zona urbana de Avaré-SP. Os instrumentos utilizados foram: questionário sociodemográfico, escala de Qualidade de Vida de Flanagan (EQVF), escala de Atividades Básicas da Vida Diária (ABVD) de Katz e Atividades Instrumentais da Vida Diária (AIVD) de Lawnton & Brody.Resultados:Foram encontradas associações positivas entre ABVD e AIVD para os idosos que referiram não ter qualidade de vida. O mesmo ocorreu com alguns aspectos da qualidade de vida, medida pela EQVF; entre os 15 itens, quatro influenciaram as ABVDs: saúde, autoconhecimento, trabalho e lazer. Para as AIVDs, sete itens, entre os 15, influenciaram mais a capacidade funcional: autoconhecimento, saúde, trabalho, participação na comunidade, reunir com os amigos, socialização (fazer amigos) e aprendizagem em cursos e palestras.Conclusão:Idosos com boa qualidade de vida e com condição socioeconômica melhor apresentam menos dependência funcional, e há aspectos específicos da qualidade de vida que influenciam mais a incapacidade funcional, tanto para as ABVDs como para as AIVDs.

          Translated abstract

          Objective: The aim of the present study was to evaluate the influence of quality of life and socio-economic aspects on the functional capacity of elderly residents in the town of Avaré, São Paulo.Methodology: A cross-sectional study of 365 elderly persons living in the urban area of Avaré was performed. A sociodemographic questionnaire, the Flanagan Quality of Life Scale (FQLS), the Katz Activities of Daily Living Scale (ADL) and the Lawton & Brody Instrumental Activities of Daily Living Scale (IADL) were used for data collection.Results: Positive associations were found between the ADL and IADL of elderly persons who reported having a poor quality of life. The same was found for certain aspects of quality of life as measured by the FQLS. Of the 15 items of this scale, four influenced ADL: health, self-awareness, work and leisure, while seven influenced IADL: self-awareness, health, work, community involvement, relations with friends, socializing (making friends) and learning through courses and lectures.Conclusion: Elderly people with a good quality of life and more elevated socio-economic status are less functionally dependent, and there are specific aspects of quality of life that most influence functional disability in the performance of ADL and IADL.

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          Most cited references24

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          Envelhecimentos e saúde da pessoa idosa

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            Measurement of quality of life: current state of the art.

            In recent years several investigators have developed procedures for measuring the quality of life of individuals. This paper focuses on an empirical approach to defining the main determinants of quality of life and the development and application of procedures for surveying the importance of each component in representative samples of 3 age groups of Americans. These age groups included those persons 30, 50, and 70 years of age. The survey also included reports by these persons concerning the extent to which their needs and wants were met with respect to each of these components. By using the critical incident technique it was found that there were 15 components that included all of the 6,500 activities and experiences reported by a wide variety of Americans from various geographic areas as contributing either positively or negatively to their quality of life. In the survey of 500 men and 500 women at each of the 3 age levels it was found that the 5 dimensions they most frequently described as important included: health, children, understanding yourself, work, and spouse. The 5 dimensions for which they reported their needs and wants were least well met were: participating in government, active recreation, learning and education, creative expression, and helping others. The 5 dimensions that correlated most highly with their reports of overall quality of life at present were: material comforts, work, health, active recreation, and learning and education. Suggestions are made for revising these procedures for use with persons with a disability to improve their quality of life.
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              Capacidade funcional e fatores associados em idosos do Sul do Brasil: um estudo de base populacional

              Estimar a prevalência de capacidade funcional inadequada e fatores associados na população idosa de Joaçaba, Santa Catarina, Brasil, entre 2003 e 2004. Realizou-se um inquérito populacional domiciliar (n = 345). Foram considerados com capacidade funcional inadequada indivíduos com dificuldade na realização de seis atividades, ou inabilidade para realizar três da escala proposta por Rikli & Jones. Foi aplicado um questionário contendo questões sobre variáveis sócio-econômicas, demográficas, tipo de moradia e percepção da própria situação econômica. Realizou-se a distribuição de freqüência simples das variáveis de interesse, teste de associação do qui-quadrado e análise de regressão logística múltipla não condicional. A taxa de resposta foi de 92,7%, prevalência de capacidade funcional inadequada de 37,1% (IC95%: 32,0-42,2). A idade média foi de 69,5 anos. Após ajustamento para fatores de confusão, permaneceram associadas à capacidade funcional inadequada ter 70 anos ou mais, ser do sexo feminino e apresentar autopercepção negativa de sua situação econômica. Muitos dos idosos de Joaçaba apresentam capacidade funcional inadequada, levando à dependência. Programas de saúde que retardem o aparecimento de incapacidades, bem como a realização de atividades sociais poderiam contribuir para um envelhecimento saudável.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rbgg
                Revista Brasileira de Geriatria e Gerontologia
                Rev. bras. geriatr. gerontol.
                Universidade do Estado do Rio Janeiro (Rio de Janeiro )
                1981-2256
                September 2015
                : 18
                : 3
                : 577-586
                Affiliations
                [1 ] Universidade Paulista Brazil
                [2 ] Universidade Estadual Paulista Brazil
                Article
                S1809-98232015000300577
                10.1590/1809-9823.2015.14140
                22433fce-561f-41f9-bfb1-74e707e67b24

                http://creativecommons.org/licenses/by/4.0/

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                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1809-9823&lng=en
                Categories
                GERIATRICS & GERONTOLOGY

                Geriatric medicine
                Elderly,Functional Capacity,Quality of Life,Idoso,Capacidade Funcional,Qualidade de Vida

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