Abstract
Abstract Objective : To evaluate the functional capacity and mobility of older adults treated in primary health care and the association between adverse outcomes (functional dependence and reduced mobility) and sociodemographic and health conditions. Method : A cross-sectional and analytical epidemiological study was carried out in the municipal region of Caicó, Rio Grande do Norte, Brazil. Sociodemographic variables, presence of comorbidities, practice of physical activity, functional capacity (Lawton Scale) and mobility (Timed Up and Go Test) were investigated. Data analysis was performed using descriptive statistics, followed by bivariate analysis to investigate association variables and multivariate analysis (logistic regression). Results : Among the 109 elderly people evaluated, 29.4% were dependent in instrumental activities of daily living (IADL) and 67.9% had reduced mobility. The present study found a significant association between dependence in IADL and age equal to or greater than 75 years; while not practicing physical activity remained a factor of association with reduced mobility, regardless of sex, age and presence of co-morbidities. Conclusion : The findings emphasize the importance of the practice of physical activity, which was associated with better mobility, the construction of spaces of health promotion and disease prevention to encourage active aging for older adults, as well as a multi and interprofessional approach to comprehensive health care for older adults, with the use of functionality assessment tools.
Highlights
The importance of the present study is based on aspects related to health planning in accordancePopulation aging in Brazil is accelerating, with the current reality, health surveillance and resulting in repercussions for the public health comprehensive care of older adults, and it is system, with the increased prevalence of chronic committed to encouraging the use of validated non-communicable and/or disabling diseases[1]
The National Health Policy for Older Adults describes older adults as a group of greater and the association between adverse outcomes vulnerability and suggests the incorporation, and in primary care, of tools that improve the quality and sociodemographic aspects and health conditions
The policy advocates a multidimensional approach to older adults, encouraging the use of technical instruments METHOD
Summary
The importance of the present study is based on aspects related to health planning in accordance. Population aging in Brazil is accelerating, with the current reality, health surveillance and resulting in repercussions for the public health comprehensive care of older adults, and it is system, with the increased prevalence of chronic committed to encouraging the use of validated non-communicable and/or disabling diseases[1] This and reliable instruments for the evaluation of such scenario challenges professionals and researchers to individuals by members of primary health care teams. Functional capacity is an important evaluation and intervention parameter in the quest for active aging[4,5] This is because functional disability of a physical and/or mental nature has great impacts on the life of older adults in terms of increased morbidity and mortality and the risk of hospitalization and permanence in long-term care facilities, resulting in social and economic burden for the older adults themselves, their families and the health system[6]. Practiced any kind of physical exercise and/or sport in the previous three months, and how often
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