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. 2024 Dec 16:27:e240070.
doi: 10.1590/1980-549720240070. eCollection 2024.

Prevalence of participation of Brazilian aged people in Advanced Activities of Daily Living and associated factors

[Article in English, Portuguese]
Affiliations

Prevalence of participation of Brazilian aged people in Advanced Activities of Daily Living and associated factors

[Article in English, Portuguese]
Vanessa de Barros E Silva Mazer et al. Rev Bras Epidemiol. .

Abstract

Objective: To estimate the prevalence of participation of aged Brazilians in Advanced Activities of Daily Living and associated factors.

Methods: Cross-sectional study developed with secondary data from the National Health Survey. Aged people (60 years old or older) were included. The dependent variable consisted of questions from the National Health Survey regarding the performance of Advanced Activities of Daily Living, related to work, leisure, and social participation. Descriptive analysis, Rao-Scott test, and standardized residual analysis were performed. Effect measures were calculated using simple and multiple multinominal logistic regression models.

Results: The majority of Brazilian aged people have low participation in Advanced Activities of Daily Living. Aged males, between 60 and 69 years old, white, from the Southeast, South and Central-West regions, with higher educational levels, absence of chronic diseases, monthly alcohol consumption, regular physical activity, frequent intake of vegetables, use of glasses and independence when moving, were more likely to perform Advanced Activities of Daily Living.

Conclusion: These results reinforce the significant influence of demographic, socioeconomic, clinical factors, linked to lifestyle and intrinsic capacity in the execution of Advanced Activities of Daily Living. In a broader sense, such discoveries can strengthen public policies for active and healthy aging.

Objetivo:: Estimar a prevalência da participação de pessoas idosas brasileiras em Atividades Avançadas da Vida Diária e fatores associados.

Métodos:: Estudo transversal desenvolvido com dados secundários da Pesquisa Nacional de Saúde (PNS). Foram incluídas pessoas idosas (60 anos ou mais). A variável dependente foi composta pelas questões da PNS referentes à realização de Atividades Avançadas da Vida Diária relacionadas a trabalho, lazer e participação social. Foram realizados análise descritiva, teste de Rao-Scott e análise de resíduo padronizado. As medidas de efeito foram calculadas por modelos simples e múltiplos de regressão logística multinominal.

Resultados:: A maioria das pessoas idosas brasileiras apresenta baixa participação para as Atividades Avançadas da Vida Diária. As pessoas idosas do sexo masculino, entre 60 e 69 anos, brancas, das regiões Sudeste, Sul e Centro-Oeste, com níveis educacionais mais elevados, ausência de doenças crônicas, consumo mensal de álcool, prática de atividade física regular, ingestão frequente de verduras ou legumes, uso de óculos e independência no deslocamento estavam mais propensas a executar Atividades Avançadas da Vida Diária.

Conclusão:: Esses resultados reforçam a influência significativa dos fatores demográficos, socioeconômicos e clínicos ligados ao estilo de vida e à capacidade intrínseca na execução das Atividades Avançadas da Vida Diária. No âmbito mais amplo, tais descobertas podem fortalecer as políticas públicas de envelhecimento ativo e saudável.

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Conflict of interest statement

CONFLICT OF INTERESTS: nothing to declare.

Figures

Figure 1
Figure 1. Final model of the multinomial logistic regression variables of factors associated with the performance of Advanced Activities of Daily Living in Brazilian aged individuals, 2023.
Figura 1
Figura 1. Modelo final das variáveis da regressão logística multinominal dos fatores associados à realização das Atividades Avançadas de Vida Diária em pessoas idosas brasileiras, 2023.

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