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Benatti de Oliveira G, Vilar Fernandes L, Summer Chen X, Drumond Andrade FC, Scarlazzari Costa L, Junqueira Vasques AC, Pires Corona L. Intra- and inter-rater reliability of muscle and fat thickness measurements obtained using portable ultrasonography in older adults. Clin Nutr ESPEN 2024; 60:65-72. [PMID: 38479941 DOI: 10.1016/j.clnesp.2024.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 12/29/2023] [Accepted: 01/08/2024] [Indexed: 04/13/2024]
Abstract
BACKGROUND & AIMS Ultrasonography (US) is a promising tool for assessing body composition, offering accuracy and accessibility. However, technician skills and equipment characteristics can impact measurement reliability. We aimed to evaluate the intra- and inter-rater reliability of two evaluators using A-mode Portable Ultrasound to measure muscle and fat thickness in Brazilian older adults. METHODS Quantitative cross-sectional study carried out with 150 community-dwelling older adults of Campinas-SP-Brazil, recruited in a retirement preparation program and a geriatric outpatient care unit. Scans of nine anatomical points were performed using the portable ultrasound in A-mode (BodyMetrix Pro System BX2000; Livermore, CA), with 6 scans per location and 3 measurements taken by each evaluator. After the selection and analysis of the generated images, muscle and fat thickness were measured. Reliability estimates between measures of the same evaluator (intra-rater) and between evaluators (inter-rater) were assessed using intraclass correlation coefficients (ICC), and differences within and between technicians were assessed using one-way ANOVA. Analyses were carried out for the overall sample and stratified by sex and by nutritional status. RESULTS Excellent ICC values (>0.90) were found for subcutaneous fat thickness in intra- and inter-rater reliability analyses. The lowest ICC values were observed for deep abdominal fat thickness measured by evaluator 1 (ICC = 0.90) and evaluator 2 (ICC = 0.87), as well as in the inter-rater analysis (ICC = 0.85). Muscle thickness measurements had satisfactory ICC values for triceps, biceps, anterior thigh, and calf, ranging from moderate to good (ICC 0.50-0.90). CONCLUSION A portable A-mode ultrasound demonstrates excellent reliability among both intra- and inter-raters for assessing fat thickness but only moderate for muscle thickness in older adults. Hence, this could prompt inquiries regarding the sole reliance on this tool for quantifying muscle mass and examining sarcopenia in older adults. To our knowledge, this study represents the first assessment of reliability for a portable A-mode ultrasound device conducted with older adults.
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Affiliation(s)
| | | | - Xiayu Summer Chen
- School of Social Work, University of Illinois at Urbana-Champaign, United States
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Zeminian LB, Corona LP, da Silva MC, Batista IDN, da Cunha DT. Do Primary Health Professionals in Brazil Have a Misperception about Food? The Role of Food Literacy as a Positive Predictor. Nutrients 2024; 16:302. [PMID: 38276539 PMCID: PMC10821131 DOI: 10.3390/nu16020302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 01/15/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024] Open
Abstract
Risk perception is socially constructed; psychological elements control people's reactions to a hazard, and even health professionals may have difficulty determining what healthy food is. This work aimed to measure food literacy and food risk perceptions among primary healthcare professionals in a Brazilian city. In the first phase, 280 health professionals working in primary care in Rio Claro, Brazil, were studied. The Short Food Literacy Questionnaire (SFLQ-Br) and scales of risk and benefit perception of 50 foods were used. In the second phase, 20 professionals were interviewed to investigate the responses to different foods observed in the first phase. In this second phase, 16 users of the health system were also enrolled to understand their perceptions and how the nutrition messages conveyed by the health team reached them. Professionals scored an average of 34.5 on food literacy (for which there is a maximum score of 52). They showed difficulty with dietary guidelines and their interpretation. Food's risk and benefit perception were generally consistent with the recommendations of the Food Guide for the Brazilian Population. However, some processed foods or those with no proven health benefits were considered healthy by the study participants, indicating a biased perception (e.g., gelatin, processed turkey breast, cream crackers, and cereal bars). Less misperception was observed when food literacy was higher, which positively predicted risk perception. The reasons for identifying benefits of these foods ranged from the false impression that they are natural and nutritious foods to the comparative claim that they are better for health than similar foods. The results indicate the need to educate health professionals based on current references to avoid bias in population counseling.
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Affiliation(s)
- Larissa Baungartner Zeminian
- Laboratório Multidisciplinar em Alimentos e Saúde, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas—UNICAMP, Rua Pedro Zaccaria n° 1300, Limeira 13484-350, SP, Brazil; (L.B.Z.); (M.C.d.S.); (I.d.N.B.)
| | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas—UNICAMP, Rua Pedro Zaccaria n° 1300, Limeira 13484-350, SP, Brazil;
| | - Marcela Chagas da Silva
- Laboratório Multidisciplinar em Alimentos e Saúde, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas—UNICAMP, Rua Pedro Zaccaria n° 1300, Limeira 13484-350, SP, Brazil; (L.B.Z.); (M.C.d.S.); (I.d.N.B.)
| | - Isabelle do Nascimento Batista
- Laboratório Multidisciplinar em Alimentos e Saúde, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas—UNICAMP, Rua Pedro Zaccaria n° 1300, Limeira 13484-350, SP, Brazil; (L.B.Z.); (M.C.d.S.); (I.d.N.B.)
| | - Diogo Thimoteo da Cunha
- Laboratório Multidisciplinar em Alimentos e Saúde, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas—UNICAMP, Rua Pedro Zaccaria n° 1300, Limeira 13484-350, SP, Brazil; (L.B.Z.); (M.C.d.S.); (I.d.N.B.)
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Neves Freiria C, Arikawa A, Van Horn LT, Pires Corona L, Wright LY. Food Insecurity Among Older Adults Living in Low- and Middle-Income Countries: A Scoping Review. Gerontologist 2024; 64:gnac161. [PMID: 36306201 DOI: 10.1093/geront/gnac161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Indexed: 12/22/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Food insecurity is considered an increasing public health problem worldwide with adverse effects, especially among older adults. Although the literature related to food insecurity among older adults in low- and middle-income countries (LMIC) are expanding, little is known about existing patterns and knowledge gaps in these settings. This scoping review aims to provide a comprehensive overview of the current research related to food insecurity among older adults in LMIC. RESEARCH DESIGN AND METHODS A systematic search was conducted in November 2021 and revised in July 2022 on six databases using terms related to food insecurity and older adults. Data were extracted, and the emerging themes from the main findings were summarized using a social-ecological model (SEM). RESULTS Forty-one studies met the inclusion criteria. Almost half (48.8%) were published in the last 2 years and utilized a quantitative approach (n = 38). Only one study was conducted in a low-income country. Using the SEM, most studies included in this review focused on addressing the relationship between food insecurity with intrapersonal factors. DISCUSSION AND IMPLICATIONS Several gaps in the current literature were identified. There is a lack of longitudinal and qualitative studies available on this topic. Also, only 15 LMIC were represented in the literature. A critical point in this review is that only a few studies addressed the relationship between food insecurity and the policy/social structure, institutional, community, and interpersonal levels. These identified gaps can serve as a guide for future research on this topic.
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Affiliation(s)
| | - Andrea Arikawa
- Department of Nutrition and Dietetics, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | - Leslie T Van Horn
- Department of Nutrition and Dietetics, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
| | | | - Lauri Y Wright
- Department of Nutrition and Dietetics, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA
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da Silva GM, de Assumpção D, Freiria CN, Borim FSA, de Brito TRP, Corona LP. Association of Food Consumption According to the Degree of Processing and Sociodemographic Conditions in Older Adults. Foods 2023; 12:4108. [PMID: 38002166 PMCID: PMC10670687 DOI: 10.3390/foods12224108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/07/2023] [Accepted: 10/10/2023] [Indexed: 11/26/2023] Open
Abstract
Several factors can impact food consumption in older adults, including those of sociodemographic, physiological, and chronic non-communicable diseases. This study aimed to evaluate the association of food consumption according to its degree of processing with sociodemographic conditions in community-dwelling older adults. Food intake was evaluated from 24-h recall data. All food items were classified according to the degree of processing into four groups as follows: in natura or minimally processed, culinary ingredients, processed, and ultra-processed foods. Food groups were considered dependent variables in a quantile regression model, adjusting for sex, age, schooling, ethnicity, and number of residents. Women and individuals with higher levels of education had lower consumption of in natura or minimally processed foods and higher consumption of ultra-processed foods. The yellow or indigenous ethnicity presented the lowest consumption of processed foods; older people who lived with three or more individuals had the highest consumption of culinary ingredients, whereas the older people who lived with one to two people had the highest consumption of processed foods and the lowest consumption of ultra-processed. These groups may be the target of educational and public policies to improve diet quality and contribute to quality of life in older ages.
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Affiliation(s)
- Graziele Maria da Silva
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas, Street Pedro Zaccaria, 1300, Limeira 13484-350, São Paulo, Brazil;
| | - Daniela de Assumpção
- Faculdade de Ciências MédicasUniversidade Estadual de Campinas, Street Tessália Vieira de Camargo, 126-Cidade Universitária, Campinas 13083-887, São Paulo, Brazil; (D.d.A.); (C.N.F.); (F.S.A.B.)
| | - Carolina Neves Freiria
- Faculdade de Ciências MédicasUniversidade Estadual de Campinas, Street Tessália Vieira de Camargo, 126-Cidade Universitária, Campinas 13083-887, São Paulo, Brazil; (D.d.A.); (C.N.F.); (F.S.A.B.)
| | - Flávia Silva Arbex Borim
- Faculdade de Ciências MédicasUniversidade Estadual de Campinas, Street Tessália Vieira de Camargo, 126-Cidade Universitária, Campinas 13083-887, São Paulo, Brazil; (D.d.A.); (C.N.F.); (F.S.A.B.)
| | - Tábatta Renata Pereira de Brito
- School of Nutrition, Federal University of Alfenas, Street Nabor Toledo Lopes, 598-Parque das Nações, Alfenas 37130-000, Minas Gerais, Brazil;
| | - Ligiana Pires Corona
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas, Street Pedro Zaccaria, 1300, Limeira 13484-350, São Paulo, Brazil;
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Cipolli GC, de Assumpção D, Borim FSA, Aprahamian I, da Silva Falcão DV, Cachioni M, Batistoni SST, de Melo RC, Corona LP, Neri AL, Xue QL, Yassuda MS. Cognitive Impairment Predicts Sarcopenia 9 Years Later Among Older Adults. J Am Med Dir Assoc 2023:S1525-8610(23)00471-1. [PMID: 37311558 DOI: 10.1016/j.jamda.2023.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 05/03/2023] [Accepted: 05/07/2023] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To assess the longitudinal association between cognitive impairment and sarcopenia in a sample of Brazilian community-dwelling older adults. DESIGN Nine-year observational prospective study. SETTING AND PARTICIPANTS A total of 521 community-dwelling older adults from 2 Brazilian sites of the Frailty in Brazilian Older Adults (FIBRA in Portuguese) study. METHODS Sarcopenia was defined as low hand-grip strength and low muscle mass. Cognitive impairment was determined at baseline using the Mini-Mental State Examination, with education-adjusted cutoff scores. The logistic regression model was used to assess the association between cognitive impairment and incident sarcopenia after adjusting for gender, age, education, morbidities, physical activity, and body mass index. Inverse probability weighting was applied to correct for sample loss at follow-up. RESULTS The mean age of the study population was 72.7 (±5.6) years, and 365 were women (70.1%). Being 80 years and older (odds ratio [OR], 4.62; 95% CI, 1.38-15.48; P = .013), being under- and overweight (OR, 0.29; 95% CI, 0.11-0.76; P = .012, and OR, 5.12; 95% CI, 2.18-12.01; P < .001, respectively) and having cognitive impairment (OR, 2.44; 95% CI, 1.18-5.04; P = .016) at baseline predicted sarcopenia after 9 years. CONCLUSION AND IMPLICATIONS Cognitive impairment may predict sarcopenia in Brazilian older adults. More studies are necessary to identify the main mechanisms shared by sarcopenia and cognitive decline, which could support the development of prevention interventions.
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Affiliation(s)
| | - Daniela de Assumpção
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil
| | | | - Ivan Aprahamian
- Faculty of Medicine of Jundiaí, Department of Internal Medicine, Research Group on Multimorbidity and Mental Health in Aging, Jundiaí, SP, Brazil
| | | | - Meire Cachioni
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, SP, Brazil
| | - Samila Sathler Tavares Batistoni
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, SP, Brazil
| | - Ruth Caldeira de Melo
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, SP, Brazil
| | - Ligiana Pires Corona
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil
| | | | - Qian-Li Xue
- Division of Geriatric Medicine and Gerontology, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD, USA
| | - Mônica Sanches Yassuda
- State University of Campinas, Graduate Program in Gerontology, Campinas, SP, Brazil; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, SP, Brazil.
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Silva Júnior JNBD, Freiria CN, Silva GMD, Corona LP. Factors associated with added sugar consumption of older adults from the region of Campinas-SP, Brazil. Cien Saude Colet 2023; 28:1219-1228. [PMID: 37042901 DOI: 10.1590/1413-81232023284.13112022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 10/06/2022] [Indexed: 04/13/2023] Open
Abstract
Adequate nutrition has a profound impact on older adults' health. Therefore, special attention should be given to the dietetic intake of added sugars, which in excess is associated with poorer control of chronic diseases in this phase. The aim of the study was to evaluate the prevalence of consumption of added sugars in older adults in the Campinas-SP region, its associated factors, and its main dietary sources. A cross-sectional study was conducted in the region of Campinas-SP, with a convenience sample of 586 older individuals. Intake was obtained using two 24-hour food recalls, and values >5% of total energy consumption were considered inadequate. The contribution of the groups and foods in relation to the total content of sugars was also calculated. A critical level of p<0.05 was considered. The average intake of added sugars was higher than recommended (7.0%), and this inadequacy was observed in more than half of the sample, being table sugar and honey the main dietary sources. The prevalence of inadequate consumption was higher among women (69.8%; p=0.004) and individuals with low weight (83.7%; p=0.014), and lower in those with diabetes (47.8%; p<0.001). Results indicate that health and nutrition actions should be developed to ensure adequate sugar intake at this stage.
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Affiliation(s)
| | - Carolina Neves Freiria
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. R. Pedro Zaccaria 1300, Jardim Paulista. 13484-350 Limeira SP Brasil.
| | - Graziele Maria da Silva
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. R. Pedro Zaccaria 1300, Jardim Paulista. 13484-350 Limeira SP Brasil.
| | - Ligiana Pires Corona
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. R. Pedro Zaccaria 1300, Jardim Paulista. 13484-350 Limeira SP Brasil.
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Marinho JDS, Batista IB, Nobre RADS, Guimarães MSA, dos Santos-Orlandi AA, Brito TRP, Pagotto V, Saidel MGB, Fusco SDFB, Maia FDOM, Corona LP, Nunes DP. Burden, satisfaction caregiving, and family relations in informal caregivers of older adults. Front Med (Lausanne) 2022; 9:1059467. [PMID: 36619643 PMCID: PMC9813492 DOI: 10.3389/fmed.2022.1059467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 12/08/2022] [Indexed: 12/24/2022] Open
Abstract
Introduction Family caregivers of older persons devote much of their time and energy to caring for another person. This exposure may burden caregivers and compromise their health and quality of life. Objective To investigate the relationship between burden, sociodemographic, caregiving, and health characteristics of informal caregivers of dependent older adults. Methods Cross-sectional and analytical study carried out in Palmas, Tocantins, Brazil, with 52 informal caregivers of older persons who need full-time help for basic living activities. Caregivers' burden was assessed by Zarit Burden Interview (ZBI). Data were analyzed using a T-test, Pearson's correlation, and Multiple Linear Regression. Results The ZBI mean score of caregivers was 26.3 points (SD = 14.6; min = 0; max = 68). Burden scores were higher among caregivers who did not receive help from other people in care (p = 0.016), reported family dysfunction (p = 0.001), and had depression symptoms (p = 0.007). A correlation was found between the scores of burdens and satisfaction with care (r = 0.76; p < 0.001) and perceived material support (r = -0.30; p = 0.40). Satisfaction with care (β: 0.61; p < 0.001) and family dysfunction (β: 8.07; p = 0.033) were significantly associated with the burden score. Conclusion Caregivers with dysfunctional families and satisfaction with the care presented the highest-burden scores. The findings reveal the need for strategies to facilitate mediation and reduce caregiver burden by strengthening the family network support or providing professional assistance.
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Affiliation(s)
- Jéssica da Silva Marinho
- Postgraduate Science and Health Teaching Program, Federal University of Tocantins, Palmas, Tocantins, Brazil
| | - Ilaise Brilhante Batista
- Postgraduate Science and Health Teaching Program, Federal University of Tocantins, Palmas, Tocantins, Brazil
| | | | | | | | | | - Valéria Pagotto
- School of Nursing, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Maria Giovana Borges Saidel
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | - Suzimar de Fátima Benato Fusco
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | - Flavia de Oliveira Motta Maia
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
| | | | - Daniella Pires Nunes
- Graduate Program in Nursing, University of Campinas, São Paulo, Brazil
- School of Nursing, University of Campinas, São Paulo, Brazil
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Barbosa ARC, Nunes DP, Lima DB, Colombo FA, Nunes JB, Santos Orlandi AAD, Rocha GDS, Pereira DS, Corona LP, Brito TRPD. Association of Social Support Network with Telomere Length: A Cross-Sectional Study with Community-Dwelling Older Adults. Rejuvenation Res 2022; 25:253-259. [PMID: 36103374 DOI: 10.1089/rej.2022.0037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Considering that telomere length can be determined not only by issues related to cell biology but also by aspects related to social factors and environmental exposures, studies on the relationship between social aspects and telomere length can help to better understand the still scarcely known aspects of the human aging process. Thus, this research seeks to verify whether social support networks are associated with telomere length in older adults. This is a cross-sectional study conducted with 448 individuals aged at least 60 years living in the urban area of an inland Brazilian municipality. Relative quantification of telomere length was obtained through real-time qPCR. Social support was assessed through the Medical Outcomes Study Social Support Scale. Descriptive statistics and multiple logistic regression were used in data analysis. The evaluated social support networks for older adults consist in a mean of 16.4 people, and the percentage of older adults who reported up to five members in their network was 27.75%. Shorter telomere length was identified in 25% of the participants, and the older adults who reported having up to five members in their support network were more likely to have a shorter telomere length than those who reported more numerous networks (odds ratio: 1.89, p = 0.011) regardless of gender, age, household arrangement, cognitive decline, and dependence for basic and instrumental activities of daily living, which suggests that measures that stimulate the creation and maintenance of social support networks should be implemented to improve older adults' health.
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Gama ASM, Corona LP, Tavares BM, Secoli SR. [Patterns of food consumption in riverine communities in the mid-Solimões river region - Amazonas - Brazil]. Cien Saude Colet 2022; 27:2609-2620. [PMID: 35730832 DOI: 10.1590/1413-81232022277.20362021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 02/16/2022] [Indexed: 11/21/2022] Open
Abstract
This is a cross-sectional study conducted with 492 riverine residents in the rural area of Coari (AM) to identify food patterns in the mid-Solimões river region and associated factors. Food intake was evaluated using a brief Food Frequency Questionnaire (FFQ), and principal component analysis was used to identify dietary patterns. The association with socioeconomic variables was evaluated using generalized linear models. Four dietary patterns were identified: "vegetables" (vegetables, tubers, fruit); "Brazilian" (chicken, eggs, rice, beans); "traditional riverine" (fish, flour, milk); "meat and candies" (game and pork, candies). The "vegetable" pattern was associated with education (p = 0.001), number of rooms in the house (p = 0.005) and greater proximity to urban areas (p = 0.004). The "Brazilian" pattern was associated with the female sex (0.013), higher income (p < 0.001) and greater proximity to urban areas (p = 0.001). The "traditional riverine" pattern was associated with distance from the urban area (p < 0.001), and the "meat and candies" pattern was associated with age (p = 0.029), education (p < 0.001) and proximity to urban areas (p = 0.003). The extractive nature of riverine food intake is still present in more isolated communities, and consumption of other food items was associated with better social conditions.
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Affiliation(s)
| | - Ligiana Pires Corona
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. R. Pedro Zaccaria 1300. 13484-35 Limeira SP Brasil.
| | - Bruno Mendes Tavares
- Departamento de Ciências Fisiológicas, Instituto de Ciências Biológicas, Universidade Federal do Amazonas. Manaus AM Brasil
| | - Silvia Regina Secoli
- Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo. São Paulo SP Brasil
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Marchetti MF, Silva GMD, Freiria CN, Borim FSA, Brito TRPD, Milanski M, Corona LP. Association between zinc deficiency and cognitive decline in community-dwelling older adults. Cien Saude Colet 2022; 27:2805-2816. [PMID: 35730848 DOI: 10.1590/1413-81232022277.19932021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 02/16/2022] [Indexed: 11/22/2022] Open
Abstract
This is a cross-sectional study evaluating the association between zinc deficiency and cognitive decline in 591 community-dwelling older adults living in the cities of Campinas, Limeira, and Piracicaba-SP. Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores <23 for those aged 60-69 and <20 for those aged ≥70 years. Among the evaluated cognitive domains, older adults with zinc deficiency had significantly lower mean scores on the memory test (p=0.018). For zinc deficiency, values below 70 µg/dL were considered for women and 74 µg/dL for men. The prevalence of zinc deficiency was 3.9%, and cognitive deficit was 9.4%, being significantly higher in those with zinc deficiency compared with those with normal serum zinc concentrations. In adjusted multiple logistic regression analysis, the factors that remained associated with cognitive decline were zinc deficiency (OR=3.80; 95%CI=1.30-11.12), low schooling level (OR=3.12; 95%CI=1.49-6.50), lack of a partner (OR=1.88; 95%CI=1.04-3.42), risk of malnutrition (OR=3.98; 95%CI=2.36-6.71), and a history of encephalic vascular accident (OR=2.70; 95%CI=1.04-6.98). Zinc deficiency was associated with the presence of cognitive decline in older adults. Actions in primary health care are necessary to prevent the deficiency of this nutrient.
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Affiliation(s)
- Maísa Furlanetto Marchetti
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (Unicamp). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | - Graziele Maria da Silva
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (Unicamp). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | - Carolina Neves Freiria
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (Unicamp). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | | | | | - Marciane Milanski
- Laboratório de Distúrbios do Metabolismo, Faculdade de Ciências Aplicadas, Unicamp. Limeira SP Brasil
| | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (Unicamp). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
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Assumpção DD, Caivano S, Corona LP, Barros MBDA, Barros Filho ADA, Domene SMÁ. Diet quality among older adults: What the Index Associated with the Digital Food Guide and the Brazilian Healthy Eating Index-Revised Reveal. Cien Saude Colet 2022; 27:1477-1490. [PMID: 35475828 DOI: 10.1590/1413-81232022274.00932021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 06/01/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to compare the Diet Quality Index-Digital Food Guide (DQI-DFG) to a more widely used measure in the literature: the Brazilian Healthy Eating Index-Revised (BHEI-R). A cross-sectional population-based study was conducted with 822 older adults (≥ 60 years) from the city of Campinas/SP, Brazil. The BHEI-R resulted in a higher overall score compared to DQI-DFG (62.9 vs. 47.7). For the BHEI-R, mean scores increased with age and were worse among smokers and individuals with a higher level of schooling. Regarding the DQI-DFG scores, no significant associations with age, schooling or smoking were detected; however, scores were higher in higher income segments. The components with the worst scores were whole grains, sodium and milk (BHEI-R); fruits, whole grains, roots/tubers, milk, refined cereals and red meat/processed (DQI-DFG). Divergences were found in the global scores and components of the indicators, reflecting important methodological differences. Studies of this nature constitute an opportunity to increase awareness regarding indicators of particular aspects of diet.
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Affiliation(s)
- Daniela de Assumpção
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
| | - Simone Caivano
- Curso de Nutrição, Universidade Federal de São Paulo. Santos SP Brasil
| | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. Limeira SP Brasil
| | - Marilisa Berti de Azevedo Barros
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
| | - Antonio de Azevedo Barros Filho
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-887. Campinas SP Brasil.
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Corona LP, Andrade FCD, da Silva Alexandre T, de Brito TRP, Nunes DP, de Oliveira Duarte YA. Higher hemoglobin levels are associated with better physical performance among older adults without anemia: a longitudinal analysis. BMC Geriatr 2022; 22:233. [PMID: 35313814 PMCID: PMC8939094 DOI: 10.1186/s12877-022-02937-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 02/21/2022] [Indexed: 01/17/2023] Open
Abstract
Background Anemia is the most common hematological abnormality among older adults, and it is associated with decreased physical performance. But the role of hemoglobin in the absence of anemia remains unclear. Thus, this study aimed to assess the impact of hemoglobin levels on physical performance in Brazilian older adults without anemia. Methods The study is longitudinal in that it relies on two waves of the Saúde, Bem-Estar e Envelhecimento (SABE; Health, Well-being, and Aging) study: 2010 and 2015-2016. Mixed-effects linear regression was used to determine the effects of the hemoglobin concentrations on the Short Physical Performance Battery-SPPB over time among the 1,023 who had complete data and did not have anemia in 2010. In the follow-up, there were 567 without anemia. Results In analyses adjusted for age, education, comorbidities, body mass index, and physical inactivity, we found a differential association between hemoglobin concentration and SBBP by sex, with a positive interaction (β Hb*female= 0.20, 95% CI 0.04,0.37). At lower levels of hemoglobin, women have lower levels of SPPB than men, but at higher levels of hemoglobin concentration, there are no sex differences in physical performance. In addition, higher age was negatively associated with SPPB levels and cardiometabolic diseases, other diseases, and physical inactivity. Education was positively associated with physical performance. Conclusion Our study demonstrates that higher hemoglobin levels were associated with better physical performance among older adults without anemia in Brazil. However, there were sex differences in this association. This finding is important because, in clinical practice, most health professionals focus on the World Health Organization definition of anemia. Our study suggests the importance of hemoglobin levels among older adults, even those without anemia, and highlights sex differences. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-02937-4.
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Affiliation(s)
- Ligiana Pires Corona
- Faculty of Applied Sciences, University of Campinas (UNICAMP), R. Pedro Zaccaria, 1300 - 13484-350, Limeira, SP, Brazil.
| | - Flavia Cristina Drumond Andrade
- School of Social Work, University of Illinois at Urbana-Champaign, 1010 W. Nevada St, Urbana, IL, 61801, United States of America
| | - Tiago da Silva Alexandre
- Gerontology Department, Federal University of Sao Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP, Brazil
| | | | - Daniella Pires Nunes
- Medical-surgical Nursing Area, Faculty of Nursing, University of Campinas (UNICAMP), R. Tessália Vieira de Camargo, 126, Campinas, SP, Brazil
| | - Yeda Aparecida de Oliveira Duarte
- Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 419, São Paulo, SP, Brazil
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Rolizola PMD, Freiria CN, Silva GMD, Brito TRPD, Borim FSA, Corona LP. Insuficiência de vitamina D e fatores associados: um estudo com idosos assistidos por serviços de atenção básica à saúde. Ciênc saúde coletiva 2022; 27:653-663. [DOI: 10.1590/1413-81232022272.37532020] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 01/07/2021] [Indexed: 11/21/2022] Open
Abstract
Resumo O objetivo deste artigo é analisar a insuficiência de vitamina D e fatores associados em idosos assistidos na atenção primária à saúde. Trata-se de um estudo transversal que avaliou 533 idosos (≥ 60 anos) em três cidades do estado de São Paulo, Brasil. Foi avaliada a 25-hidroxivitamina D (25 OH D) sérica por quimioluminescência. Os fatores avaliados foram condições sociodemográficas (sexo, faixa etária, etnia, escolaridade, renda, estado civil), de saúde (doenças referidas), composição corporal (IMC, circunferência da cintura), estilo de vida (atividade física e tabagismo) e exposição solar (finalidade, duração, frequência e horário de exposição, partes expostas, uso de protetor solar, tipo de pele). A prevalência de insuficiência foi de 64,5%, com associação para sexo feminino, etnia não brancos/não declarados, baixo peso, circunferência da cintura elevada (risco para DCV) e inatividade física. Houve associação negativa para exposição solar habitual de mãos, braços e pernas, durante atividade de lazer, deslocamentos diários e atividade física e entre as 9h e 15h. Os achados mostram a relevância de fatores como sexo, etnia, composição corporal, atividade física e hábitos de exposição solar na alta prevalência de níveis inadequados de vitamina D em idosos.
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Marchetti MF, Silva GMD, Freiria CN, Borim FSA, Brito TRPD, Milanski M, Corona LP. Association between zinc deficiency and cognitive decline in community-dwelling older adults. Ciênc saúde coletiva 2022. [DOI: 10.1590/1413-81232022277.19932021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract This is a cross-sectional study evaluating the association between zinc deficiency and cognitive decline in 591 community-dwelling older adults living in the cities of Campinas, Limeira, and Piracicaba-SP. Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores <23 for those aged 60-69 and <20 for those aged ≥70 years. Among the evaluated cognitive domains, older adults with zinc deficiency had significantly lower mean scores on the memory test (p=0.018). For zinc deficiency, values below 70 µg/dL were considered for women and 74 µg/dL for men. The prevalence of zinc deficiency was 3.9%, and cognitive deficit was 9.4%, being significantly higher in those with zinc deficiency compared with those with normal serum zinc concentrations. In adjusted multiple logistic regression analysis, the factors that remained associated with cognitive decline were zinc deficiency (OR=3.80; 95%CI=1.30-11.12), low schooling level (OR=3.12; 95%CI=1.49-6.50), lack of a partner (OR=1.88; 95%CI=1.04-3.42), risk of malnutrition (OR=3.98; 95%CI=2.36-6.71), and a history of encephalic vascular accident (OR=2.70; 95%CI=1.04-6.98). Zinc deficiency was associated with the presence of cognitive decline in older adults. Actions in primary health care are necessary to prevent the deficiency of this nutrient.
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Araujo TAD, Corona LP, Andrade FCD, Roediger MDA, Duarte YADO. Factors associated with body mass index changes among older adults: a ten-year follow-up. CAD SAUDE PUBLICA 2021; 37:e00081320. [PMID: 34909928 DOI: 10.1590/0102-311x00081320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 03/02/2021] [Indexed: 11/22/2022] Open
Abstract
To examine changes in body mass index (BMI) among older Brazilian adults and associated factors. Longitudinal, population-based study, conducted in São Paulo, Brazil. Adults aged 60 years or over (n = 1,796) from the first wave of data collection from the Health, Well-Being, and Aging Study (SABE Project) conducted from 2000 to 2010. Repeated mixed-effects linear regression was used to analyze longitudinal changes in BMI and to examine whether sociodemographic characteristics, health conditions, and social behaviors were associated with these changes. Mean BMI decreased after 70 years. Men had lower BMI than women (β = -1.86, 95%CI: -2.35; -1.37). Older adults who consumed alcohol (β = 0.30, 95%CI: 0.06; 0.54), had more than one chronic disease (β = 0.19, 95%CI: 0.26; 0.72) and who did not perform physical activity (β = 0.56, 95%CI: 0.38; 0.74) had higher BMI. Subjects who smoked (β = -0.40, 95%CI: -0.76; -0.04) and who reported having eaten less food in recent months (β = -0.48, 95%CI: -0.71; -0.24) had lower BMI. In older Brazilians, several sociodemographic characteristics, health conditions, and behaviors predict BMI. Increasing prevalence of chronic diseases and growing sedentary behaviors in Brazil may have detrimental effects on BMI at older ages.
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Affiliation(s)
- Tânia Aparecida de Araujo
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.,Centro Universitário de Patos de Minas, Pato de Minas, Brasil
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Silva GMD, Assumpção DD, Barros MBDA, Barros Filho ADA, Corona LP. [Low intake of dietary fibers among the elderly: 2014/2015 ISACAMP population-based study]. Cien Saude Colet 2021; 26:3865-3874. [PMID: 34468679 DOI: 10.1590/1413-81232021269.2.28252019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 12/04/2019] [Indexed: 12/12/2022] Open
Abstract
The scope of this article is to evaluate the prevalence of inadequate dietary fiber intake and associated factors among elderly adults. A cross-sectional population-based study evaluating participants from the Health Survey of the City of Campinas (ISACAMP) was conducted in 2014/2015, with 1,074 elderly individuals (≥60 years). Dietary fiber intake was obtained using a 24-hour recall, and the prevalence of inadequate fibers was estimated according to the cut-off point of the Institute of Medicine (30 g/day for men and 21 g/day for women). The factors evaluated were sociodemographic conditions (sex, age, schooling, income, marital status), health (number of reported diseases) and lifestyle (physical activity, smoking and alcohol consumption). The prevalence of inadequate dietary fiber intake was 86.6%, being higher in men (RP=1.10), single or divorced (RP=1.09) and physically inactive (PR=1.07). Elderly adults with higher incomes and who reported having 1 to 2 chronic non-communicable diseases had a higher intake of fibers. The high prevalence of inadequate dietary fiber intake in the elderly adults indicates that health and nutrition actions should be developed to ensure adequate dietary intake of these compounds.
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Affiliation(s)
- Graziele Maria da Silva
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | - Daniela de Assumpção
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, UNICAMP. Campinas SP Brasil
| | | | | | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
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Baratieri T, Lentsck MH, Corona LP, Almeida KPD, Kluthcovsky ACGC, Natal S. Factors associated to inappropriate use of emergency services. Cien Saude Colet 2021; 26:2281-2290. [PMID: 34231738 DOI: 10.1590/1413-81232021266.18532019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 08/11/2019] [Indexed: 11/22/2022] Open
Abstract
The increase in the demand for Emergency Services is a worldwide phenomenon, and its inappropriate use is one of the main problems. Factors related to the inappropriate use must be investigated to guide improvement in the quality of services. This article aims at analyzing factors associated with the inappropriate use of emergency services. This is a cross-sectional study with secondary data from 384 medical records from two emergency services in a city in central-southern region of the state of Paraná, Brazil, in 2013. A descriptive, bivariate using Pearson's chi-squared test was performed to verify associations between inappropriate use and independent variables. Multiple Logistic Regression was also performed. The proportion of inappropriate use of Emergency Services was 73.4% and was associated with people with some primary health care sensitive conditions, residents in areas without primary care coverage, people between 0 and 11 years old, and 12 to 17 years old, care in the first trimester of the year, respiratory diseases, lesions and poisonings and diseases of the musculoskeletal system. Primary care must be strengthened to reduce the inappropriate use of care, especially in the attention to primary health care sensitive conditions and to increase the socio-organizational accessibility.
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Affiliation(s)
- Tatiane Baratieri
- Departamento de Enfermagem, Universidade Estadual do Centro-Oeste. Rua Alameda Élio Antonio Dalla Vecchia 838. Vila Carli. 85040-167 Guarapuava PR Brasil.
| | | | - Ligiana Pires Corona
- Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas. Campinas SP Brasil
| | | | | | - Sônia Natal
- Departamento de Saúde Pública, Universidade Federal de Santa Catarina. Florianópolis SC Brasil
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Marincolo JCS, Aprahamian I, Corona LP, Neri AL, Yassuda MS, Borim FSA. Three definitions of probable sarcopenia and associations with falls and functional disability among community-dwelling older adults. Osteoporos Sarcopenia 2021; 7:69-74. [PMID: 34278002 PMCID: PMC8261724 DOI: 10.1016/j.afos.2021.05.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 04/18/2021] [Accepted: 05/01/2021] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES To assess the prevalence of probable sarcopenia according to 3 different definitions ("strength, assistance with walking, rise from a chair, climb stairs, falls"- SARC-F score, low grip strength, and the guidelines indicated by the European Working Group on Sarcopenia in Older People 2 - EWGSOP2) and assess the association of probable sarcopenia with functional disability and falls among community-dwelling older adults. METHODS Cross-sectional study with 419 older adults. Probable sarcopenia was assessed by 3 definitions: a SARC-F ≥ 4, low grip strength (< 27 kg for men and < 16 kg for women), and the EWGSOP2 criteria. Associations were investigated using Pearson's chi-square test and prevalence ratios were estimated by Poisson regression (P < 0.05). RESULTS Of the total, probable sarcopenia was identified in 23.0% of participants (SARC-F ≥ 4 score), 33.7% (low grip strength), and 10.4% (EWGSOP2) according to each different definition. In adjusted regression models, having at least 1 instrumental activities of daily living (IADL) disability and having fallen in the last 12 months were significantly associated with a SARC-F ≥ 4 (prevalence ratio, PR = 1.60; and PR = 2.50, respectively) and EWGSOP2 (PR = 1.78; and PR = 2.19, respectively). CONCLUSIONS IADL disability and falls were associated with a SARC-F ≥ 4 and the EWGSOP2 criteria (SARC-F ≥ 4 and low grip strength). Probable sarcopenia may be used in clinical practice in order to facilitate the diagnosis of definite sarcopenia and to implement early interventions that could prevent functional decline and falls in older people.
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Affiliation(s)
| | - Ivan Aprahamian
- Group of Investigation on Multimorbidity and Mental Health in Aging (GIMMA), Geriatrics Division, Jundiaí Medical School (FMJ), Jundiaí, Brazil
- University of Groningen, University Medical Center Groningen, Department of Psychiatry, Groningen, the Netherlands
| | - Ligiana Pires Corona
- Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil
| | | | - Mônica Sanches Yassuda
- Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil
- School of Arts, Sciences and Humanities (EACH) – University of São Paulo (USP), São Paulo, Brazil
| | - Flávia Silva Arbex Borim
- Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil
- Department of Collective Health, School of Health Sciences, University of Brasilia – Brasília (DF), Brazil
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Yamashita LM, Corona LP, Dantas da Silva E, Monteiro de Mendonça AP, de Assumpção D, Barros Filho ADA, Barrett JS, Geloneze B, Vasques ACJ. FODMAP project: Development, validation and reproducibility of a short food frequency questionnaire to estimate consumption of fermentable carbohydrates. Clin Nutr 2021; 40:3409-3420. [DOI: 10.1016/j.clnu.2020.11.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 10/05/2020] [Accepted: 11/15/2020] [Indexed: 12/13/2022]
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de Castro MM, Pascoal LB, Steigleder KM, Siqueira BP, Corona LP, Ayrizono MDLS, Milanski M, Leal RF. Role of diet and nutrition in inflammatory bowel disease. World J Exp Med 2021; 11:1-16. [PMID: 33585174 PMCID: PMC7852575 DOI: 10.5493/wjem.v11.i1.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 11/02/2020] [Accepted: 11/12/2020] [Indexed: 02/06/2023] Open
Abstract
Inflammatory bowel diseases (IBDs) are closely linked to nutrition. The latest research indicates that diet and nutrition are significantly involved in the etiopathogenesis of the disease, although their specific role throughout its clinical course still remains unclear. This study reviewed how diet and nutrition are associated with IBD development and management. Even though specific diets have been shown to bring about positive outcomes, there is currently no scientific consensus regarding an appropriate diet that would benefit all IBD patients. We suggest that individualized dietary recommendations are of the greatest importance and that diets should be planned to provide individual IBD patients with specific nutrient requirements while keeping all the clinical aspects of the patients in mind. Further research is clearly necessary to investigate nutritional factors involved in IBD development and, especially, to evaluate the applications of the diets during the course of the disease.
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Affiliation(s)
- Marina Moreira de Castro
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
- Laboratory of Metabolic Disorders, School of Applied Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
| | - Lívia Bitencourt Pascoal
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
| | - Karine Mariane Steigleder
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
| | - Beatriz Piatezzi Siqueira
- Laboratory of Metabolic Disorders, School of Applied Sciences, University of Campinas (UNICAMP), Limeira 13484-350, São Paulo, Brazil
| | - Ligiana Pires Corona
- Laboratory of Nutritional Epidemiology, School of Applied Sciences, University of Campinas (UNICAMP), Limeira 13484-350, São Paulo, Brazil
| | - Maria de Lourdes Setsuko Ayrizono
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
| | - Marciane Milanski
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
- Laboratory of Metabolic Disorders, School of Applied Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
| | - Raquel Franco Leal
- IBD Research Laboratory, Colorectal Surgery Unit, School of Medical Sciences, University of Campinas (UNICAMP), Campinas 13083-878, São Paulo, Brazil
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de Castro MM, Corona LP, Pascoal LB, Miyamoto JÉ, Ignacio-Souza LM, de Lourdes Setsuko Ayrizono M, Torsoni MA, Torsoni AS, Leal RF, Milanski M. Dietary Patterns Associated to Clinical Aspects in Crohn's Disease Patients. Sci Rep 2020; 10:7033. [PMID: 32341416 PMCID: PMC7184619 DOI: 10.1038/s41598-020-64024-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Accepted: 03/16/2020] [Indexed: 02/07/2023] Open
Abstract
Diet is an important factor in both the pathogenesis and in the clinical course of Crohn's disease (CD). However, data on dietary patterns of CD patients are rather limited in the literature. This cross-sectional study included 60 patients with CD, aged 18-60 years. Dietary intake was assessed using a validated food frequency questionnaire to measure food consumption patterns by principal component analysis (PCA). Multiple regression analysis was performed to investigate the association between dietary patterns and clinical and demographic variables. Three dietary patterns were identified: "Traditional + FODMAP" was associated with symptoms, gender, previous surgeries, and duration of the disease. "Fitness style" was positively associated with physical activity and negatively associated with body mass index and smoking. "Snacks and processed foods" was positively associated with duration of the disease and negatively associated with age. According to the weekly food consumption analysis, patients with active disease consumed less coffee and tea. We found significant associations between the three dietary patterns and the variables, but not with the stage of the disease. Prospective studies are necessary to determine the effects of food consumption patterns on the clinical course of CD.
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Affiliation(s)
- Marina Moreira de Castro
- School of Applied Sciences, University of Campinas (UNICAMP), Limeira, Brazil
- School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil
| | - Ligiana Pires Corona
- School of Applied Sciences, University of Campinas (UNICAMP), Limeira, Brazil
- School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil
| | | | | | | | | | | | | | - Raquel Franco Leal
- School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil
| | - Marciane Milanski
- School of Applied Sciences, University of Campinas (UNICAMP), Limeira, Brazil.
- School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil.
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Lentsck MH, Oliveira RRD, Corona LP, Mathias TADF. Risk factors for death of trauma patients admitted to an Intensive Care Unit. Rev Lat Am Enfermagem 2020; 28:e3236. [PMID: 32074207 PMCID: PMC7021481 DOI: 10.1590/1518-8345.3482.3236] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 09/23/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the risk factors for death of trauma patients admitted to the intensive care unit (ICU). METHOD Retrospective cohort study with data from medical records of adults hospitalized for trauma in a general intensive care unit. We included patients 18 years of age and older and admitted for injuries. The variables were grouped into levels in a hierarchical manner. The distal level included sociodemographic variables, hospitalization, cause of trauma and comorbidities; the intermediate, the characteristics of trauma and prehospital care; the proximal, the variables of prognostic indices, intensive admission, procedures and complications. Multiple logistic regression analysis was performed. RESULTS The risk factors associated with death at the distal level were age 60 years or older and comorbidities; at intermediate level, severity of trauma and proximal level, severe circulatory complications, vasoactive drug use, mechanical ventilation, renal dysfunction, failure to perform blood culture on admission and Acute Physiology and Chronic Health Evaluation II. CONCLUSION The identified factors are useful to compose a clinical profile and to plan intensive care to avoid complications and deaths of traumatized patients.
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Affiliation(s)
- Maicon Henrique Lentsck
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brazil.,Universidade Estadual do Centro-Oeste, Departamento de Enfermagem, Guarapuava, PR, Brazil
| | - Rosana Rosseto de Oliveira
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brazil.,Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Ligiana Pires Corona
- Universidade Estadual de Campinas, Faculdade de Ciências Aplicadas, Campinas, SP, Brazil
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Alves LC, Andrade FCD, Corona LP, Santos JLF, Duarte YADO. Inequalities in Life Expectancy With Frailty Among Brazilian Older Adults: A Multistate Approach. Innov Aging 2019; 3:igz032. [PMID: 31528717 PMCID: PMC6736330 DOI: 10.1093/geroni/igz032] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Indexed: 01/05/2023] Open
Abstract
Background and Objectives Frailty is considered one of the major conditions faced by aging societies. Little has been reported about the effect of becoming frail on life expectancy among older adults in developing countries. The aim was to estimate total life expectancy and life expectancy with or without frailty by age, sex, and education among older adults in Brazil. Data and Methods: The study was developed based on information provided by the Health, Well-being, and Aging (SABE) Study. The sample included 1,399 older adults (≥60 years old) followed up from 2006 to 2010. Frailty status was classified according to the Fried criteria. Additional variables include age (in years), gender, and years of education. Estimates of total life expectancy, frailty-free life expectancy, and frailty life expectancy were obtained using the multistate life table method. Results At the baseline, the proportion of individuals with frailty was 13.7% and participants had, on average, 4.0 years of education. Men had more years of education than women (4.6 vs. 3.7, p < .001). Older adults with higher education live fewer years with frailty. Compared with older adults with no education, those with 6 years of education have higher frailty-free life expectancy. At age 70, men with no education expect to live 9.1 years (95% confidence interval [CI] = 7.8, 10.4) without frailty compared with 10.6 years (95% CI = 9.4, 11.8) among those with 6 years of education. Among women age 70, frailty-free life expectancy reaches 11.7 years (95% CI = 10.6, 12.8) among those with no education, but 13.9 years (95% CI = 12.5, 15.3) among those with 6 years. Implications Given the recent changes in educational achievement in Brazil, we believe that educational policies are powerful ways in addressing inequalities in healthy life expectancy. Public health policies aimed at avoiding the development of frailty among elderly at risk should be encouraged.
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Affiliation(s)
- Luciana Correia Alves
- Department of Demography, Institute of Philosophy and Human Sciences (IFCH), University of Campinas (UNICAMP), Brazil
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Braz VL, Duarte YADO, Corona LP. A associação entre anemia e alguns aspectos da funcionalidade em idosos. Ciênc saúde coletiva 2019; 24:3257-3264. [DOI: 10.1590/1413-81232018249.21142017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 01/29/2018] [Indexed: 11/21/2022] Open
Abstract
Resumo O objetivo deste artigo é avaliar a associação entre a anemia e algumas atividades de vida diária associadas à alimentação e o relato de dificuldade de mastigação e deglutição. Estudo transversal, que analisou 1.256 indivíduos de 60 anos ou mais, que fizeram parte da terceira coleta do Estudo SABE (Saúde, Bem-estar e Envelhecimento). Considerou-se anêmicos homens com hemoglobina sanguínea ≤ 13g/dL e mulheres com valores ≤ 12g/dL. Houve prevalência de anemia maior nos indivíduos que relataram redução no consumo alimentar devido a queixas de mastigação e deglutição, naqueles com dificuldade de mastigação e nos que relataram dificuldade em alimentar-se devido queixas de mastigação e deglutição. A prevalência também foi maior nos indivíduos com dificuldade de alimentar-se sozinho e de fazer compras de alimentos. Nas análises, a presença de uma queixa de mastigação e deglutição foi associada à chance de anemia quase 2 vezes maior que aqueles indivíduos sem queixas, e a presença de 2 ou 3 queixas de mastigação e deglutição foi associada à chance de 2,7. Os idosos com dificuldades de deglutição e mastigação apresentaram maior prevalência de anemia, mesmo após ajuste de outros fatores associados, com efeito dose-resposta, evidenciando a importância de um trabalho multidisciplinar com o idoso.
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de Castro APRB, da Cunha DT, Antunes AEC, Corona LP, Bezerra RMN. Effect of Freeze-Dried Red Beet (Beta vulgaris L.) Leaf Supplementation on Biochemical and Anthropometrical Parameters in Overweight and Obese Individuals: a Pilot Study. Plant Foods Hum Nutr 2019; 74:232-234. [PMID: 30993531 DOI: 10.1007/s11130-019-00730-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Obesity is an important public health concern and is directly related with chronic noncommunicable diseases that affect the health of millions of people around the world. This study was held to verify the short-term effects related to the consumption of freeze-dried red beet leaves on biochemical and anthropometrical parameters of volunteers with overweight/obesity and dyslipidemia. Participants (n = 36) were divided at random into two groups. The control group (CG) received nutritional guidance only, and the intervention group (IG) received nutritional guidance and consumed 2.8 g of freeze-dried red beet leaves for four weeks. Biochemical tests and anthropometric measurements were collected, before and after intervention. The distribution of the characteristics between groups was similar. Parameters related to body weight and body mass index (BMI) had a significant reduction in the two groups (p = 0.05). Significant reduction on LDL-cholesterol was found only for the IG (p < 0.01). These data suggest a potential effect of consumption of red beet leaves on the health of individuals with overweight or obesity.
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Affiliation(s)
| | - Diogo Thimoteo da Cunha
- School of Applied Sciences, Universidade Estadual de Campinas, Rua Pedro Zaccaria, 1300, Limeira, São Paulo, 13484-350, Brazil
| | - Adriane Elisabete Costa Antunes
- School of Applied Sciences, Universidade Estadual de Campinas, Rua Pedro Zaccaria, 1300, Limeira, São Paulo, 13484-350, Brazil
| | - Ligiana Pires Corona
- School of Applied Sciences, Universidade Estadual de Campinas, Rua Pedro Zaccaria, 1300, Limeira, São Paulo, 13484-350, Brazil
| | - Rosângela Maria Neves Bezerra
- School of Applied Sciences, Universidade Estadual de Campinas, Rua Pedro Zaccaria, 1300, Limeira, São Paulo, 13484-350, Brazil.
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Secoli SR, Marquesini EA, Fabretti SDC, Corona LP, Romano-Lieber NS. Self-medication practice trend among the Brazilian elderly between 2006 and 2010: SABE Study. Rev Bras Epidemiol 2019; 21Suppl 02:e180007. [PMID: 30726352 DOI: 10.1590/1980-549720180007.supl.2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 10/15/2014] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Self-medication involves the concept of the spontaneous search by the individual for some drug that he or she considers appropriate to solve a health problem. Self-medication practice is little explored by the elderly according to other studies based in population data. OBJECTIVE To examine the trends in self-medication practice among the Brazilian elderly between 2006 and 2010. METHODS This is a population-based study whose data were obtained from the Health, Well-being and Ageing Study (SABE Study). Thesample consisted of 1,257 elderly people in 2006 and 865 in 2010, who used drugs. RESULTS The findings showed self-medication reduction from 42.3% in 2006 to 18.2% in 2010. In both periods, predominant utilized therapeutic classes were those acting on the nervous system (27.9% in 2006, and 29.6% in 2010) and on the alimentary tract and metabolism (25.5% in 2006, and 35.9% in 2010). The most commonly used medicines in 2006 and 2010 were analgesics, anti-inflammatories, and vitamins. There was a tendency to decrease the use of potentially inappropriate medicines between 2006 (26.4%) and 2010 (18.1%). The elderly themselves were the main responsible for the decision about the drug use in 2006 (62.5%) and 2010 (66.5%). CONCLUSION Theextent of self-medication practice among the elderly who participated in the study decreased between 2006 and 2010, but the use of medicines that offer risks to health was still reported. Thus, the findings reinforce the importance of monitoring, evaluating, and continuously educating the elderly about risks and benefits of drug consumption, particularly over-the-counter medicines.
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Affiliation(s)
- Silvia Regina Secoli
- Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo - São Paulo (SP), Brasil
| | | | - Sandra de Carvalho Fabretti
- Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Ligiana Pires Corona
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Nicolina Silvana Romano-Lieber
- Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
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Romano-Lieber NS, Corona LP, Marques LFG, Secoli SR. Survival of the elderly and exposition to polypharmacy in the city of São Paulo, Brazil: SABE Study. Rev Bras Epidemiol 2019; 21Suppl 02:e180006. [PMID: 30726351 DOI: 10.1590/1980-549720180006.supl.2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 10/15/2014] [Indexed: 12/22/2022] Open
Abstract
INTRODUCTION The use of polypharmacy may be due to the concomitant presence of chronic conditions, medical care by several doctors simultaneously and self-medication. Combined with the vulnerability of the elderly to the effects of drugs due to pharmacokinetic and pharmacodynamic changes, polypharmacy makes this population more susceptible to adverse outcomes. In Brazil, studies show that polypharmacy is a common problem among elderly people. However, few information is available on the association between polypharmacy and mortality. OBJECTIVE It was assessed the survival of the elderly from São Paulo city exposed to the use of polypharmacy (five or more medications). METHODS That was a population-based cohort, the Health, Well-Being and Aging Study (SABE Study), conducted from 2006 to 2010. The sample was composed of 1,258 individuals aged 60 years or more. The Kaplan-Meier method and Cox proportional risks model were used to examine the association between polypharmacy and mortality. RESULTS The probability of survival after five years of the users of polypharmacy at baseline was 77.2%, while among the non-users was 85.5%. Polypharmacy remained as a risk factor for death even after adjustment in other conditions associated with mortality, such as age, gender, income, chronic diseases and hospitalization. CONCLUSION The results point polypharmacy as an indicator of mortality in elderly people. The use of multiple medications by the elderly should be carefully assessed to avoid or minimize the damage to this population.
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Affiliation(s)
- Nicolina Silvana Romano-Lieber
- Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Ligiana Pires Corona
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Liete Fatima Gouveia Marques
- Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Silvia Regina Secoli
- Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo - São Paulo (SP), Brasil
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Andrade FCD, Corona LP, Oliveira Duarte YA. Educational Differences in Cognitive Life Expectancy Among Older Adults in Brazil. J Am Geriatr Soc 2019; 67:1218-1225. [DOI: 10.1111/jgs.15811] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 12/18/2018] [Accepted: 01/08/2019] [Indexed: 11/29/2022]
Affiliation(s)
| | - Ligiana Pires Corona
- Department of Nutrition, School of Applied SciencesUniversity of Campinas Campinas Brazil
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Duarte YADO, Nunes DP, Andrade FBD, Corona LP, Brito TRPD, Santos JLFD, Lebrão ML. Frailty in older adults in the city of São Paulo: Prevalence and associated factors. Rev Bras Epidemiol 2019; 21Suppl 02:e180021. [PMID: 30726366 DOI: 10.1590/1980-549720180021.supl.2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Accepted: 09/10/2018] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Frailty is a preventable and reversible syndrome characterized by a cumulative decline of physiological systems, causing greater vulnerability to adverse conditions. OBJECTIVE To describe the prevalence of frailty among older adults and analyze its associated factors and progression. METHOD This is a longitudinal study that used the Health, Well-being, and Aging Study (Saúde, Bem-Estar e Envelhecimento - SABE) database of 2006 and 2010. Five components identified the frailty syndrome: weight loss; fatigue; decreased strength, low physical activity, and reduced walking speed. Older adults were classified as "pre-frail" (1-2 components) and "frail" (3 or more). We used a hierarchical multiple multinomial regression to analyze associated factors. RESULTS Out of the total number of older adults (n = 1,399), 8.5% were frail, and the associated factors were age, functional impairment, cognitive decline, hospitalization, and multimorbidity. In four years, 3.3% of non-frail and 14.7% of pre-frail older adults became frail. CONCLUSION Identifying the prevalence of frailty and its associated factors can help to implement adequate interventions early to improve the quality of life of older adults.
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Affiliation(s)
| | | | | | | | | | | | - Maria Lúcia Lebrão
- Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
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Abstract
This study evaluated the association between anorexia of aging and nutrients intake. It was a cross-sectional study with 130 individuals aged 60 years or older, undergoing outpatient care in the city of Campinas, São Paulo. Anorexia of Aging (AA) was assessed using the Simplified Nutrition Appetite Questionnaire (SNAQ), and food consumption was evaluated using the 24-hour recall (24HR). The prevalence of AA was 27.7%, in which 66.7% were women and 38.9% were older than 80 years. Elderly with AA presented lower intake of calories (1172.6 kcal vs 1477.9 kcal; p = 0.003), carbohydrates (158.5 g vs 194.1 g; p = 0.015), proteins (49.9 g vs 68.5 g; p = 0.004) and lipids (34.6 g vs 46.1 g; p = 0.006). They also had lower intake of fibers (12.6 g vs 19.4 g; p < 0.001), iron (6.4 mg vs 8.9 mg; p < 0.001) and zinc (6.0 mg vs 8.5 mg; p = 0.004). Our results show that intake of most nutrients is significantly lower in AA elderly, except carbohydrates, which may point to worse-quality diets. The diagnosis of AA, as well as the evaluation of elderly food intake, are essential to prevent undernutrition, vulnerabilities, and increased morbidity and mortality.
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Affiliation(s)
- L M Hara
- L. M. Hara, School of Applied Sciences, University of Campinas, St. Pedro Zaccaria, 1300, ZIP code 13484-350, Limeira, SP, Brazil, Tel.: +55 (19) 3701-6758, E-mail:
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Silva GMD, Durante ÉB, Assumpção DD, Barros MBDA, Corona LP. Elevada prevalência de inadequação do consumo de fibras alimentares em idosos e fatores associados: um estudo de base populacional. Rev bras epidemiol 2019; 22:e190044. [DOI: 10.1590/1980-549720190044] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 06/11/2018] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Introdução: Vários fatores podem gerar mudanças nas práticas alimentares dos idosos, contribuindo para que as recomendações nutricionais não sejam atendidas. Objetivo: Estimar a prevalência de inadequação do consumo de fibras alimentares e seus fatores associados. Metodologia: Estudo transversal de base populacional que utilizou dados do Inquérito de Saúde no Município de Campinas, realizado em 2008/2009, no qual foram analisados 1.509 indivíduos ≥ 60 anos. O consumo alimentar foi estimado por meio do recordatório de 24 horas, e foi calculada a prevalência de inadequação de acordo com o ponto de corte para fibras totais do Institute of Medicine de 30 g/dia para homens e 21 g/dia para mulheres. Os fatores associados foram identificados utilizando modelo hierárquico de regressão de Poisson para estimativa das razões de prevalência, ajustados por variáveis de bloco distal (sociodemográficos) e bloco proximal (condições de saúde e indicadores de estilo de vida). Resultados: A inadequação do consumo de fibras alimentares foi observada em 90,1% da população, significantemente maior no sexo masculino (RP = 1,06), em idosos com parceiro (RP = 1,05), de menor renda (RP = 0,95), inativos fisicamente (RP = 1,05) e naqueles que não gostariam de mudar o peso corporal (RP = 1,05). Conclusão: Considerando que a inadequação de fibras alimentares foi muito elevada, toda a população de 60 anos ou mais deve ser alvo de intervenção nutricional para garantir o aporte adequado desse nutriente.
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Nunes DP, Brito TRPD, Corona LP, Alexandre TDS, Duarte YADO. Elderly and caregiver demand: proposal for a care need classification. Rev Bras Enferm 2018; 71 Suppl 2:844-850. [PMID: 29791633 DOI: 10.1590/0034-7167-2017-0123] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 06/11/2017] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To propose a care need classification for elderly people by identifying their functional demands. METHOD Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE - Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly. RESULTS The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver). CONCLUSION This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of care.
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Affiliation(s)
| | | | | | - Tiago da Silva Alexandre
- Gerontology Department, Biological and Health Sciences Center, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil
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Alexandre TDS, Aubertin-Leheudre M, Carvalho LP, Máximo RDO, Corona LP, Brito TRPD, Nunes DP, Santos JLF, Duarte YADO, Lebrão ML. Dynapenic obesity as an associated factor to lipid and glucose metabolism disorders and metabolic syndrome in older adults – Findings from SABE Study. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2017.06.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Corona LP, de Oliveira Duarte YA, Lebrão ML. Markers of nutritional status and mortality in older adults: The role of anemia and hypoalbuminemia. Geriatr Gerontol Int 2017; 18:177-182. [PMID: 28782162 DOI: 10.1111/ggi.13137] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 03/27/2017] [Accepted: 06/13/2017] [Indexed: 11/28/2022]
Abstract
AIM The aim of the present study was to analyze the impact of anemia and hypoalbuminemia on mortality in a 5-year period. METHODS This was longitudinal population-based observational survey part of the Saúde, Bem-Estar e Envelhecimento study (Health, Well-being and Aging), carried out with 1256 older adults from the third wave of the cohort, followed for 5 years, when they were contacted for the fourth wave, in Sao Paulo, Brazil. Anemia was defined when hemoglobin was <12 g/dL for women and <13 g/dL for men, and hypoalbuminemia when serum albumin was <3.5 g/dL. Survival functions were estimated according to nutritional status in four groups: (i) without nutritional alteration; (ii) anemia only; (iii) hypoalbuminemia only; and (iv) anemia and hypoalbuminemia. Hazard ratios were calculated, following the Cox proportional hazards model, controlling for baseline covariates. All analyses considered sample weights, and were carried out using the Stata 12. RESULTS After the 5-year period, 12.3% of the participants died, and 8.2% were lost to follow up. Those who died had lower hemoglobin and albumin concentrations (13.4 g/dL and 3.7 g/dL) compared with survivors (14.3d/dL and 3.9 g/dL; P < 0.001). The crude death rate was 27.6/1000 person-years for participants in group i, 124.3 in group ii, 116.0 in group iii and 222.8 in group iv (P < 0.001). In the final Cox models, group 2 and 3 had a similar effect (hazard ratio 2.23, P = 0.020; 2.53, P = 0.005; respectively) and group 4 had a higher risk (hazard ratio 3.36; P = 0.004). CONCLUSIONS Anemia and hypoalbuminemia are important markers for death in older adults, and have an additive effect on mortality. Because they are common and cost-effective biomarkers, their use should be encouraged in geriatric evaluation for all health professionals and in population settings, such as primary care. Geriatr Gerontol Int 2018; 18: 177-182.
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Affiliation(s)
| | | | - Maria Lúcia Lebrão
- Department of Epidemiology, School of Public Health, University of Sao Paulo, São Paulo, SP, Brazil
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de Brito TRP, Nunes DP, Corona LP, da Silva Alexandre T, de Oliveira Duarte YA. Low supply of social support as risk factor for mortality in the older adults. Arch Gerontol Geriatr 2017; 73:77-81. [PMID: 28783514 DOI: 10.1016/j.archger.2017.07.016] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Revised: 07/08/2017] [Accepted: 07/21/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVES To determine the relationship between social support and mortality in older adults, independent of other health conditions. METHOD This was a longitudinal study using the database of the 2006 SABE Study (Heath, Well-being and Aging), composed of 1413 individuals aged 60 years and over, living in São Paulo/Brazil. The present study used a questionnaire constructed for the SABE Study, which was reviewed by experts of Latin America and the Caribbean. The social network was evaluated using the variables: social support received; social support offered; number of members in the social network. The covariates included were age, gender, living arrangements, marital status, income, education, comorbidity, depressive symptoms, cognition and functional difficulties. Death as an outcome was evaluated after four years of follow-up. RESULTS From a total of 1413 older adults at baseline, 268 died in a mean follow-up period of 3,9 years (SE=0,03). In the model adjusted offering social support and having networks composed of 9 or more members reduced the risk of death in the older adults. CONCLUSIONS This study suggest that older adult who are offered support can benefit from mutual exchanges since reciprocity in relationships improves psychological well-being and is indicative of the quality of relationships. Thus, the older adults are part of a group of people whose role is not only to receive, but also to provide help to others, and the support offered seems to be as important as that received.
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Affiliation(s)
| | - Daniella Pires Nunes
- Department of Nursing, Federal University of Tocantins, Quadra 109 Norte, Avenida NS-15, ALCNO-14, Plano Diretor Norte, Palmas 77001-090, Brazil.
| | - Ligiana Pires Corona
- University of Campinas, R. Pedro Zaccaria, 1300, Caixa Postal 1068, Limeira, SP, CEP 13484-350, Brazil.
| | - Tiago da Silva Alexandre
- Departament of Gerontology, Federal University of São Carlos, Rod. Washington Luís. km 235, SP-310, São Carlos, SP, CEP 13565-905, Brazil.
| | - Yeda Aparecida de Oliveira Duarte
- Department of Medical Surgical Nursing, School of Nursing University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 419 - 05403-000, São Paulo, SP, Brazil.
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Corona LP, Duarte YADO, Lebrão ML. Prevalence of anemia and associated factors in older adults: evidence from the SABE Study. Rev Saude Publica 2015; 48:723-431. [PMID: 25372162 PMCID: PMC4211575 DOI: 10.1590/s0034-8910.2014048005039] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2013] [Accepted: 03/21/2014] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To assess the prevalence of anemia and associated factors in older adults. METHODS The prevalence and factors associated with anemia in older adults were studied on the basis of the results of the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Welfare and Aging) study. A group of 1,256 individuals were interviewed during the third wave of the SABE study performed in Sao Paulo, SP, in 2010. The study included 60.4% females; the mean age of the participants was 70.4 years, and their average education was 5.3 years. The dependent variable was the presence of anemia (hemoglobin levels: 12 g/dL in women and 13 g/dL in men). Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: a) demographics: gender, age, and education and b) clinical characteristics: self-reported chronic diseases, presence of cognitive decline and depression symptoms, and body mass index. RESULTS The prevalence of anemia was 7.7% and was found to be higher in oldest adults. There was no difference between genders, although the hemoglobin distribution curve in women showed a displacement toward lower values in comparison with the distribution curve in men. Advanced age (OR = 1.07; 95%CI 0.57;1.64; p < 0.001), presence of diabetes (OR = 2.30; 95%CI 1.33;4.00; p = 0.003), cancer (OR = 2.72; 95%CI 1.2;6.11; p = 0.016), and presence of depression symptoms (OR = 1.75; 95%CI 1.06;2.88; p = 0.028) remained significant even after multiple analyses. CONCLUSIONS The prevalence of anemia in older adults was 7.7% and was mainly associated with advanced age and presence of chronic diseases. Thus, anemia can be an important marker in the investigation of health in older adults because it can be easily diagnosed and markedly affects the quality of life of older adults.
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Alexandre TDS, Corona LP, Nunes DP, Santos JLF, Duarte YADO, Lebrão ML. Disability in instrumental activities of daily living among older adults: gender differences. Rev Saude Publica 2015; 48:379-89. [PMID: 25119933 PMCID: PMC4203076 DOI: 10.1590/s0034-8910.2014048004754] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2013] [Accepted: 01/21/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze gender differences in the incidence and determinants of disability regarding instrumental activities of daily living among older adults. METHODS The data were extracted from the Saúde, Bem-Estar e Envelhecimento (SABE - Health, Wellbeing and Ageing) study. In 2000, 1,034 older adults without difficulty in regarding instrumental activities of daily living were selected. The following characteristics were evaluated at the baseline: sociodemographic and behavioral variables, health status, falls, fractures, hospitalizations, depressive symptoms, cognition, strength, mobility, balance and perception of vision and hearing. Instrumental activities of daily living such as shopping and managing own money and medication, using transportation and using the telephone were reassessed in 2006, with incident cases of disability considered as the outcome. RESULTS The incidence density of disability in instrumental activities of daily living was 44.7/1,000 person/years for women and 25.2/1,000 person/years for men. The incidence rate ratio between women and men was 1.77 (95%CI 1.75;1.80). After controlling for socioeconomic status and clinical conditions, the incidence rate ratio was 1.81 (95%CI 1.77;1.84), demonstrating that women with chronic disease and greater social vulnerability have a greater incidence density of disability in instrumental activities of daily living. The following were determinants of the incidence of disability: age ≥ 80 and worse perception of hearing in both genders; stroke in men; and being aged 70 to 79 in women. Better cognitive performance was a protective factor in both genders and better balance was a protective factor in women. CONCLUSIONS The higher incidence density of disability in older women remained even after controlling for adverse social and clinical conditions. In addition to age, poorer cognitive performance and conditions that adversely affect communication disable both genders. Acute events, such as a stroke, disables elderly men more, whereas early deficits regarding balance disable women more.
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Affiliation(s)
| | - Ligiana Pires Corona
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil
| | | | - Jair Lício Ferreira Santos
- Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | | | - Maria Lúcia Lebrão
- Departamento de Gerontologia, Universidade Federal de São Carlos, São Carlos, SP, Brasil
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Gimenez Verotti CC, de Miranda Torrinhas RSM, Pires Corona L, Waitzberg DL. Design of quality indicators for oral nutritional therapy. NUTR HOSP 2015; 31:2692-5. [PMID: 26040383 DOI: 10.3305/nh.2015.31.6.8735] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
OBJECTIVE Quality indicators in nutritional therapy (NT) have been proposed as useful tools to improve clinical NT. This study was conducted to develop feasible quality indicators in oral nutritional therapy (QIONTs) to aid quality control. METHODS A Clinical Nutrition Task Force composed of Brazilian NT experts from the International Life Science Institute (ILSI) developed QIONTs. In an internet-based psychometric survey, 40 independent Brazilian NT practitioners assessed four attributes (simplicity, utility, objectivity, and low cost) of each QIONT using a five-point Likert scale. RESULTS Independent NT experts consistently classified all 12 QIONTs developed by the ILSI team as good (mean Cronbach's alpha = 0.84). In ranked order, the QIONTs enable assessment of the frequency of nutritional screening, oral nutritional supplementation (ONS) prescription to malnourished patients receiving an oral diet, ONS prescription to patients receiving an oral diet but at risk of malnutrition, nutritional assessment, adhesion to ONS regime, hospitalized patients with insufficient oral dietary intake and ONS prescription, ICU patients with insufficient oral dietary intake and ONS prescription, oral intake assessment in ICU patients, oral intake assessment in ward patients, oral supplement volume intolerance due to inappropriate offering time, ONS flavor intolerance, and ONS volume intolerance. CONCLUSION Twelve potentially feasible new QIONTs were developed and approved for clinical practice by experts.
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Affiliation(s)
| | | | | | - Dan Linetzky Waitzberg
- University of São Paulo Medical School, Department of Gastroenterology - Digestive Surgery Discipline (LIM 35)..
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Cassoni TCJ, Corona LP, Romano-Lieber NS, Secoli SR, Duarte YADO, Lebrão ML. Uso de medicamentos potencialmente inapropriados por idosos do Município de São Paulo, Brasil: Estudo SABE. CAD SAUDE PUBLICA 2014; 30:1708-20. [DOI: 10.1590/0102-311x00055613] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2013] [Accepted: 02/07/2014] [Indexed: 12/23/2022] Open
Abstract
Alguns medicamentos são considerados impróprios para o idoso, devido a alterações na farmacocinética e farmacodinâmica, por falta de eficácia terapêutica ou por um risco aumentado de efeitos adversos superando seus benefícios. Verificou-se a prevalência do uso de medicamentos potencialmente inapropriados, segundo os critérios de Beers, por idosos do Município de São Paulo, Brasil, participantes do Estudo SABE. Trata-se de um estudo transversal, de base populacional, cuja amostra de 1.254 indivíduos com 60 anos ou mais representava a população idosa do município no ano de 2006. Verificou-se a prevalência de 28% de uso de medicamentos potencialmente inapropriados. No modelo de regressão logística múltipla, as variáveis associadas ao uso foram uso de cinco medicamentos ou mais (p = 0,001), presença de duas ou mais doenças (p = 0,011) e sexo feminino (p = 0,007). Identificou-se o uso de 36 medicamentos potencialmente inapropriados, a maioria de venda sob prescrição. São necessários critérios específicos para a população brasileira e ampla divulgação da farmacologia clínica do idoso. Protocolos ou softwares para prescrição também podem auxiliar a prescrição racional para esse grupo.
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Corona LP, Pereira de Brito TR, Nunes DP, da Silva Alexandre T, Ferreira Santos JL, de Oliveira Duarte YA, Lebrão ML. Nutritional status and risk for disability in instrumental activities of daily living in older Brazilians. Public Health Nutr 2014; 17:390-5. [PMID: 23237425 PMCID: PMC10282404 DOI: 10.1017/s1368980012005319] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2012] [Revised: 11/04/2012] [Accepted: 11/12/2012] [Indexed: 11/07/2022]
Abstract
OBJECTIVE The aim of the present study was to examine the association between nutritional status and the incidence of disability regarding instrumental activities of daily living (IADL) among older adults. DESIGN The study is part of the longitudinal SABE (Saúde, Bem-Estar e Envelhecimento; Health, Wellbeing and Ageing) Study that began in 2000 (first wave) with a multistage, clustered, probabilistic sample (n 2143) of older adults (≥60 years). The second wave was carried out in 2006, when 1115 elders were re-interviewed. The dependent variable was the occurrence of disability in 2006 (report of difficulty on ≥1 IADL). Nutritional status (measured at baseline) was classified on the basis of BMI: ≤23·0 kg/m2 (underweight); >23·0 and <28·0 kg/m2 (ideal range - reference); ≥28·0 and <30·0 kg/m2 (overweight); and ≥30·0 kg/m2 (obesity). SETTING São Paulo, Brazil. SUBJECTS One thousand and thirty-four individuals without difficulties regarding IADL in 2000 were selected, 611 of whom were re-interviewed in 2006. RESULTS In the multiple logistic regression analysis adjusted for baseline variables (gender, age, number of chronic diseases, stroke, osteoarthritis and cognitive status), underweight (OR = 2·03; P = 0·034) and obesity (OR = 1·79; P = 0·022) remained associated with disability. CONCLUSIONS Both underweight and obesity are associated with an increased risk of developing disability regarding IADL among older adults, in an independent fashion of other risk factors. Thus, adequate nutritional status is a key point to consider in the establishment of preventive measures.
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Affiliation(s)
- Ligiana Pires Corona
- Department of Epidemiology, Faculty of Public Health, University of São Paulo, Avenida Doutor Arnaldo 715, 1 andar, CEP 01246-904, São Paulo, SP, Brazil
| | | | - Daniella Pires Nunes
- Department of Medical Surgical Nursing, School of Nursing, University of São Paulo, São Paulo, SP, Brazil
| | - Tiago da Silva Alexandre
- Department of Epidemiology, Faculty of Public Health, University of São Paulo, Avenida Doutor Arnaldo 715, 1 andar, CEP 01246-904, São Paulo, SP, Brazil
| | - Jair Lício Ferreira Santos
- Department of Social Medicine, Faculty of Medicine of Ribeirao Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Maria Lúcia Lebrão
- Department of Epidemiology, Faculty of Public Health, University of São Paulo, Avenida Doutor Arnaldo 715, 1 andar, CEP 01246-904, São Paulo, SP, Brazil
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Andrade FCD, Corona LP, Lebrão ML, Duarte YADO. Life expectancy with and without cognitive impairment among Brazilian older adults. Arch Gerontol Geriatr 2013; 58:219-25. [PMID: 24246301 DOI: 10.1016/j.archger.2013.10.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 10/18/2013] [Accepted: 10/21/2013] [Indexed: 12/01/2022]
Abstract
Estimating the life expectancy with and without cognitive impairment in an older adult population is critical for understanding the burden of illness on individuals and their families, the health care system, and society at large. This paper presents and compares estimates of life expectancy with and without cognitive impairment for the noninstitutionalized population ages 60 years and older in São Paulo, Brazil, for the years 2000 and 2010. Life expectancy with and without cognitive impairment was calculated using the Sullivan method and prevalence estimates from data collection at two points (2000 and 2010) of the Health, Well-Being, and Aging (SABE) Study. Results indicate that 60-year-old men in São Paulo in 2000 could expect to live 14.8 years and women 17.9 years without cognitive impairment. By 2010, life expectancy without cognitive impairment had increased to 17.1 years for men and 20.0 years for women. Length of life with cognitive impairment differed by gender (2.3 years for men and 3.7 years for women at age 60 in 2010). However, the absolute number of years with cognitive impairment remained relatively constant with age. The results indicate a trend for improvements in life expectancy without cognitive impairment over time in São Paulo. Adults in Brazil still face many years of cognitive impairment in their older years, particularly when compared with estimates from developed countries.
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Affiliation(s)
- Flávia Cristina Drumond Andrade
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois, 1206 S. 4th Street, Champaign, IL 61820, USA.
| | - Ligiana Pires Corona
- Department of Epidemiology, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 71, São Paulo, SP, Brazil
| | - Maria Lúcia Lebrão
- Department of Epidemiology, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 71, São Paulo, SP, Brazil
| | - Yeda Aparecida de Oliveira Duarte
- Medical-Surgical Nursing Department, School of Nursing, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 419, São Paulo, SP, Brazil
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Corona LP, Nunes DP, Alexandre TDS, Santos JLF, Duarte YADO, Lebrão ML. Weight gain among elderly women as risk factor for disability: Health, Well-being and Aging Study (SABE Study). J Aging Health 2012; 25:119-35. [PMID: 23277332 DOI: 10.1177/0898264312466261] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To examine the association between weight change and the incidence of disability in activities of daily living (ADL) among elderly women. METHOD In 2006, 227 women aged ≥75 years and independent in ADL were selected from SABE Study (Health, Well-being, and Aging) in Sao Paulo, Brazil. The dependent variable was the report of difficulty on ≥1 ADL in 2009. Differences in weight were calculated between baseline and second interview, and converted to percentage change in relation to initial weight. A change (gain or loss) ≥5% was considered significant. A logistic regression analysis was performed including sociodemographic and health-related variables. RESULTS After adjusting, weight gain remained associated to disability (OR = 2.42; p = .027), whereas weigh loss lost significance (OR = 1.66; p = .384). DISCUSSION Weight loss is generally considered more worrisome than weight gain in elderly. However, weight loss alone was not a risk factor for disability in our study.
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Affiliation(s)
- Ligiana Pires Corona
- Department of Epidemiology, Faculty of Public Health, University of Sao Paulo, São Paulo, SP, Brazil.
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Alexandre TDS, Corona LP, Nunes DP, Santos JLF, Duarte YADO, Lebrão ML. Gender differences in incidence and determinants of disability in activities of daily living among elderly individuals: SABE study. Arch Gerontol Geriatr 2012; 55:431-7. [PMID: 22546518 DOI: 10.1016/j.archger.2012.04.001] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2011] [Revised: 04/01/2012] [Accepted: 04/02/2012] [Indexed: 11/30/2022]
Abstract
Determining the groups that are most susceptible to developing disability is essential to establishing effective prevention and rehabilitation strategies. The aim of the present study was to determine gender differences in the incidence of disability regarding activities of daily living (ADL) and determinants among elderly residents of Sao Paulo, Brazil. In 2000, 1634 elderly with no difficulties regarding ADL (modified Katz Index) were selected. These activities were reassessed in 2006 and disability was the outcome for the analysis of determinants. The following characteristics were analyzed at baseline: socio-demographic, behavioral, health status, medications, falls, hospitalizations, depressive symptoms, cognition, handgrip, mobility and balance. The incidence density was 42.4/1000 women/year and 17.5/1000 men/year. After adjusting for socioeconomic status and health conditions, women with chronic diseases and social vulnerability continued to have a greater incidence of disability. The following were determinants of the incidence of disability: age and depressive symptoms in both genders; stroke and slowness on the sit-and-stand test among men; and osteoarthritis and sedentary lifestyle among women. Better cognitive performance and handgrip strength were protective factors among men and women, respectively. Adverse clinical and social conditions determine differences between genders regarding the incidence of disability. Decreased mobility and balance and health conditions that affect the central nervous system or lead to impaired cognition disable men more, whereas a sedentary lifestyle, reduction in muscle strength and conditions that affect the osteoarticular system disable women more.
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Affiliation(s)
- Tiago da Silva Alexandre
- Public Health School, Epidemiology Department, São Paulo University, Sao Paulo, Sao Paulo, Brazil.
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