Brody Scale Research Articles

Relationship of parameters of epicardial adipose tissue and cardiac fibrosis in patients with ischemic heart disease and visceral obesity

Evaluate the cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization in older adults over a four-year period.Four hundred five older adults (60–95 years; mean age: 70.62 ± 7.12 years), 57 % female. The frailty evaluation was performed using the clinical criteria of the Cardiovascular Health Study (CHS): weight loss, fatigue, weakness, slowness and low physical activity. Cognitive impairment was defined by cutoff scores of the Mini Mental State Examination (MMSE) based on schooling. Follow-up – functional decline was assessed using the Lawton&Brody scale of instrumental activities of daily living (IADL). An investigation was also performed of the occurrence of falls and admissions to the hospital in the previous twelve months.Cognitive impairment was associated with admissions to the hospital and declines in the IADL category of using a telephone. Frailty was associated with admissions to hospital. Cumulative effects were observed for hospitalization and the decline in using the telephone and shopping. Frailty and cognitive impairment increased the risk of being admitted to hospital by 557 % and increased the risk of a decline in using the phone by 262% and shopping by 208%. No conditions were associated with the risk of falls.The combination of the MMSE and the CHS criteria was adequate for measuring the cumulative effects of cognitive impairment and frailty. Shared physiological mechanisms may explain the relation between cognitive impairment and frailty, but further investigations are needed in Brazil and other low/middle-income countries.

Impact of cognitive impairment on the recovery of functional capacity, institutionalization and mortality of elderly patients following hip fracture intervention

ObjectivesTo determine whether the baseline cognitive state influences functional recovery 6 months after hip fracture.To discover the relationship of functional results with comorbidity and cognitive impairment (CI). MethodsThis was a prospective cohort study, performed in a hospital in the province of Cáceres, which included 184 patients over 65 years of age who underwent hip fracture between November 2016 and October 2017.We included clinical, sociodemographic, personal history, and functional dependence variables (Barthel Index, Lawton and Brody Scale) on admission and at 6 months. ResultsOf the total 184 patients, 50% knowingly had CI.The mean age was 85.48 years (SD: 5.82), 70.9% were women. There were no significant differences in age between the 2 groups (p=.081).In the pre-post study of each cohort, there were significant differences in all the functional variables studied referring to BADL and IADL at pre-fracture and at 6 months post-fracture (p<.05).Institutionalization after discharge was 35.3% in the group of patients without CI, compared to 75% of patients with CI. ConclusionsA significant decrease in BADL and IADL was observed in both groups. The greatest difference occurred in IADL and in patients with CI.Cognitive impairment prior to fracture seems to be an important predictor of functional and socio-familial outcomes of patients with hip fracture.

Impacto del deterioro cognitivo en la recuperación de la capacidad funcional, la institucionalización y la mortalidad de los ancianos intervenidos de fractura de cadera

ObjectivesTo determine whether the baseline cognitive state influences functional recovery 6 months after hip fracture.To discover the relationship of functional results with comorbidity and cognitive impairment (CI) MethodsThis was a prospective cohort study, performed in a hospital in the province of Cáceres, which included 184 patients over 65 years of age who underwent hip fracture between November 2016 and October 2017.We included clinical, sociodemographic, personal history, and functional dependence variables (Barthel Index, Lawton and Brody Scale) on admission and at 6 months. ResultsOf the total 184 patients, 50% knowingly had CI.The mean age was 85.48 years (SD: 5.82), 70.9% were women. There were no significant differences in age between the 2 groups (P=.081).In the pre-post study of each cohort, there were significant differences in all the functional variables studied referring to BADL and IADL at pre-fracture and at 6 months post-fracture (P<.05).Institutionalization after discharge was 35.3% in the group of patients without CI, compared to 75% of patients with CI. ConclusionsA significant decrease in BADL and IADL was observed in both groups. The greatest difference occurred in IADL and in patients with CI.Cognitive impairment prior to fracture seems to be an important predictor of functional and socio-familial outcomes of patients with hip fracture.

Assessment of functional status and daily life problems faced by elderly in a North Indian city.

The increase in proportion of elderly implies that their problems demand more attention of the administrators. The current study was carried out to assess the functional status of the elderly and to explore the extent and pattern of routine daily life problems faced by them. An integrated qualitative and quantitative research design was employed. A stratified multistage random sampling technique was used to select the respondents from various areas of Chandigarh. The houses were selected randomly from where elderly persons (> 60 years) were identified. Katz Index of Independence in activities of daily living (ADL) was used to evaluate functional ability of the respondents. Instrumental ADLs (IADLs) were assessed using Lawton and Brody scale. Focus group discussions and in-depth interviews were conducted among the elderly to explore their problems using an interview guide. One thousand and eighty elderly were enrolled in the study. Their mean age was 67.22 ± 7.54 years. (range 60-102 years). The majority (70%) were independent in carrying out their daily life activities. Financially, around one-third were completely dependent and around half were partially dependent. Major dependence was in food preparation, housekeeping and laundry. From the qualitative data, four main themes were formulated, that is general personal problems of elderly; family problems; problems faced by elderly in hospitals and at public places. A feeling of purposelessness, financial insecurity, physical dependency, problems in hospitals and so on, emerged as the main problems. Majority of the elderly considered their lives as problematic because they were dependent physically as well as financially. The main domains of dependency were problems related to bowel continence, food preparation, housekeeping and laundry.

Functional and self-care capacity of people with multiple sclerosis.

Objective:describe the self-care and functionality levels of patients with multiple sclerosis and determine whether sociodemographic, clinical and functional variables interfere with self-care and/or functionality.Method:correlational, cross-sectional study with a quantitative approach performed with individuals in outpatient follow-up. We collected sociodemographic and clinical data and applied the Appraisal of Self-care Agency Scale, the Barthel index, the Lawtton and Brody Scale, and the instrument to investigate the performance in Advanced Activities of Daily Living. We performed descriptive and inferential analysis.Results:most patients were classified as “having self-care” (82.14%); with moderate dependence (51.19%) for the basic activities of daily living, partial dependence for the instrumental activities of daily living (55.95%), and more active for the advanced activities of daily living (85.71%). Patients with longer disease duration had a higher number of disabilities and, in those with better socioeconomic and educational profile, the functionality was better.Conclusion:disease duration was strongly correlated with a higher number of disabilities and better socioeconomic and educational profiles showed to be protective factors for functionality. Care planning should consider the needs observed by the multidisciplinary team, stimulating the development of self-care, functionality and sociability.

Prevalence of depressive symptoms and associated factors among older adults treated at a referral center

Abstract The present study aimed to estimate the prevalence of depressive symptoms and associated factors among older adults treated at a referral center. A cross-sectional study was carried out with a sample of 360 older adults treated at a Referral Center for the Health of Older Adults in the north of Minas Gerais, Brazil. The following data were collected in 2017: demographic, socioeconomic, morbidity, hospital admission in the last year, frailty (Edmonton Frail Scale), functional capacity (Katz Index, Lawton and Brody Scale) and presence of depressive symptoms (Geriatric Depression Scale - GDS-15). Multiple analysis was performed through logistic regression. A prevalence of depressive symptoms was observed in 37.2% of the sample. The variables associated with depressive symptoms were: negative perception about one’s own health (OR=1.9, 95% CI 1.34-2.70); frailty (OR=1.94, 95% CI 1.41-2.66); having suffered falls (OR=1.24, 95% CI 1.01-1.61); having been hospitalized in the last year (OR=1.56, 95% CI, 1.11-2.27); (OR=2.56, 95% CI 1.38-4.77) and residing alone (OR=1.66, 95% CI 1.09-2.53). Thus, a high prevalence of depressive symptoms was identified among the older adults, evidencing the need for an effective and immediate approach by health professionals.

Evaluation of functional disability and associated factors in the elderly

Abstract Objective: To estimate the prevalence and self-reported socio-demographic and health factors associated with functional disability in basic and instrumental activities of daily living among the elderly. Method: A cross-sectional study was carried out, based on a representative sample of elderly people receiving care at a reference unit in the north of the state of Minas Gerais. The data were collected in 2015. Demographic and socioeconomic variables, morbidity, hospitalizations in the previous year, frailty (Edmonton Frail Scale), geriatric depression (GDS-15), and functional disability (Katz Index, Lawton and Brody Scales) were analyzed. Multiple analysis was performed using Poisson regression with robust variance. Results: 360 elderly people aged 65 years and over participated in the study. The prevalence of functional disability for Basic Activities of Daily Living was 21.4% while for instrumental activities it was 78.3%. Functional disability in basic activities was higher among elderly males (p=0.03) who had suffered strokes (p=0.00) and were frail (p=0.00), while for instrumental activities it was higher among older elderly persons (p=0.04); who were illiterate (p=0.00), had less than five years of schooling (p=0.02); had depressive symptoms (p=0.00) and were frail (p=0.00). It was lower among elderly persons who lived alone. Conclusion: A high prevalence of functional disability was identified among the elderly for instrumental activities of daily living, demonstrating the need for an effective and immediate approach by health professionals, who should employ preventive care in order to tackle this problem.

A Call for Interfacing Measures of Instrumental Activities of Daily Living Across the Transition of Care

The ability to maintain functional status is an essential aspect of self-care for older adults. Instrumental activities of daily living (IADLs) decline within hours of hospitalization and are often overlooked, underassessed, and underreported. The aim of this integrative review was to examine and compare methods used to assess IADLs to determine the best measure for use across the care continuum, especially during transitions of care. A literature search without date restrictions was conducted using PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Embase databases. Twelve studies of moderate quality were included in this review. More than half (58%) of the studies utilized the Lawton and Brody Scale to measure IADL among home-based and hospitalized patients. Implementation of this scale as standard practice and sharing the results with healthcare providers would encourage continuity of care with the goal of supporting older adults aging in place and preventing rehospitalization. In turn, this communication process may improve the transition from the inpatient to home setting, where, since 1999, the Outcome and Assessment Information Set has been mandated.

Frailty syndrome among elderly and associated factors: comparison of two cities.

Objective to compare the frailty syndrome among elderly people living at home in two Brazilian cities and to identify factors related to sociodemographic and health-related variables.Method population-based cross-sectional study with 480 elderly individuals from the cities of Ribeirão Preto/SP and João Pessoa/PB, with application of the Mini Mental State Examination instruments and the Edmonton Frailty, Geriatric Depression and Lawton and Brody scales. Descriptive analysis, Chi-square test, Fisher’s test, Student’s t-test, Spermann’s correlation and Logistic regression were used. In all analyzes, the level of significance was set at p≤0.05.Results in relation to frailty, it was verified that living in Ribeirão Preto, presenting advanced age, low schooling, multiple chronic diseases, reduced cognitive status and functional capacity, besides depressive symptoms, are factors associated with the frailty syndrome, in both cities.Conclusion we identified that the frailty syndrome in the elderly of both cities has a relation with the place where the elderly person lives, age, schooling, number of diseases, reduction of cognitive status, functional capacity and presence of symptoms depressive.

Factors associated with frailty in older adults: a longitudinal study.

ABSTRACTOBJECTIVE To determine the demographic and health factors related to the frailty syndrome in older adults.METHODS This is a longitudinal quantitative study carried out with 262 older adults aged 65 years and older, of both sexes, living at home. Data collection was carried out in Period 1 between October 2007 and February 2008, and in Period 2 between July and December 2013. For data collection, we used the sociodemographic profile instrument, the Edmonton Frail Scale, the Mini-Mental State Examination, the number of falls in the last 12 months, the number of self-reported diseases and used drugs, the Functional Independence Measure, and the Lawton and Brody Scale. We used descriptive statistics for data analysis, in the comparison of the means between periods, the nonparametric Wilcoxon test, and the method of Generalized Estimating Equations, which is considered an extension of the Generalized Linear Models with p ≤ 0.05.RESULTS Of the 515 participants, 262 completed the follow-up, with a predominance of females, older individuals, and those who had no partner; there was an increase in frail older adults. In the Generalized Estimating Equations analysis, frailty score was related to sociodemographic (increase in age, no partner, and low education level) and health variables (more diseases, drugs, falls, and decrease in functional capacity). There was an association between the variables of age (older), marital status (no partner), and loss of functional capacity.CONCLUSIONS Frailty syndrome was associated with increasing age, having no partner, and decreased functional capacity over time, and investments are required to prevent this syndrome and promote quality in aging.

Identifying early decline of daily function and its association with physical function in chronic kidney disease: performance-based and self-reported measures.

ObjectiveTo verify self-reported basic and instrumental activities of daily living (IADL) with a disability and the results of performance-based tests (namely the Taiwan performance-based IADL (TPIADL), the 2-minute step test (2MST), the 30-second chair-stand test (30-s CST), and handgrip dynamometer measurement) to identify disability early and assess the associations with functional fitness in patients with advanced chronic kidney disease (CKD).MethodsA cross-sectional study of 99 patients with stage 4–5 CKD and 57 healthy elderly adults were recruited. Self-reported measures were used to collect information on basic (Barthel Index) and IADL (Lawton–Brody scale). Objective measures of the TPIADL and functional fitness (2MST, 30-s CST, handgrip dynamometer) were also assessed.ResultsOnly IADL, as detected by the TPIADL, were impaired to a greater extent in the CKD patients than those of healthy elderly adults. Among all the patients with CKD, a greater impairment in the TPIADL remained statistically associated with a lower ability in the 2MST. A one step increase in the 2MST score was significantly associated with an improvement of 0.2 s in the total performance time of the TPIADL.ConclusionPerformance-based measures, such as the TPIADL, may detect a functional limitation before it becomes measurable by traditional self-reported basic and IADL scales; functional limitation is mainly associated with cardiac endurance for advanced CKD.

Intervención domiciliaria por terapia ocupacional postalta para prevenir la rehospitalización de personas mayores: protocolo de estudio de un ensayo clínico aleatorizado

Background and objectiveRe-admission to hospital by the elderly is a frequent event that is associated with complications. The aim of this article is to describe a randomised clinical trial protocol which has the aim of describing and comparing the impact of a home-based intervention by Occupational Therapists (OT) in the likelihood of re-admission at 6 months. Material and methodRandomised controlled trial conducted in medical units of the “Hospital Clínico de la Universidad de Chile” and “Hospital de la Fuerza Aérea de Chile”, with 217 patients aged 60 years or older admitted for acute or decompensated chronic disease, provided that they have a person of reference after hospital discharge. The control group consists of the usual care regarding post-discharge patients. This will be compared to the experimental group that includes a home visit from OT on two occasions over a six-month period, who will apply a multicomponent intervention. Informed consent will be requested with the sociodemographic and hospital admission information, functional (Barthel index; Lawton & Brody Scale) and cognitive performance (Short Portable Mental Status Questionnaire; Functional Activities Questionnaire; Confusion Assessment Method), and comorbidity (Cumulative Illness Rating Scale for Geriatrics). Both groups will receive a telephone follow-up at 4, 12 and 24 weeks after hospital discharge. ResultsThe intervention will reduce the rate of hospital re-admissions by at least 40% at 6 months compared with usual care. ConclusionIt will be useful to know the components that reduce the risk of hospital re-admissions and improve hospital discharge healthcare for elderly.

Prevalence and Severity of Postdialysis Fatigue Are Higher in Patients on Chronic Hemodialysis With Functional Disability.

The aim of the present study was to determine the intensity, duration, frequency and prevalence of postdialysis fatigue (PDF) in patients on chronic hemodialysis (PCD) with and without functional disability. Patients underwent assessment of functional ability by the Katz ADL (activity daily living) questionnaire and the Lawton and Brody scale for the instrumental activity daily living (IADL) fatigue using the SF-36 Vitality Subscale, comorbidity through the Charlson comorbidity score index (CDI), and time of recovery after hemodialysis (TIRD). We studied 271 PCD. ADL and IADL disabilities were present in 75 (27.6%) and 168 (62%) patients, respectively. Patients with ADL disability were significantly older and showed higher CDI scores, and lower levels of serum albumin and Kt/V. Prevalence of PDF was significantly higher in patients with ADL disability as well as its severity, intensity, duration and frequency. Patients with IADL disability were significantly older, had a higher CCI score, had lower levels of serum albumin and Kt/V, and had a higher severity, intensity, duration and frequency of PDF. At multivariate regression analysis, ADL disability was positively associated with age, prevalence and severity of PDF, and dialysate temperature and inversely associated with serum albumin levels. IADL disability was instead positively associated with age and dialysate temperature and inversely associated with serum albumin levels. In conclusion, prevalence and severity of PDF are significantly higher in PCD with ADL disability than in those without it. This knowledge may have important implications for the development of interventions to reduce PDF in PCD.

MP87-14 RELATIONSHIP BETWEEN COGNITIVE IMPAIRMENT AND BRAIN MORPHOLOGICAL-FUNCTIONAL FEATURES IN PROSTATE CANCER PATIENTS TREATED WITH ADT

You have accessJournal of UrologyProstate Cancer: Advanced (including Drug Therapy) IV1 Apr 2018MP87-14 RELATIONSHIP BETWEEN COGNITIVE IMPAIRMENT AND BRAIN MORPHOLOGICAL-FUNCTIONAL FEATURES IN PROSTATE CANCER PATIENTS TREATED WITH ADT Ana Plata Bello, Yaiza Pérez Martín, Tomas Concepcion Masip, Jose María Pérez González, Jose Luis González Mora, and Julio Plata Bello Ana Plata BelloAna Plata Bello More articles by this author , Yaiza Pérez MartínYaiza Pérez Martín More articles by this author , Tomas Concepcion MasipTomas Concepcion Masip More articles by this author , Jose María Pérez GonzálezJose María Pérez González More articles by this author , Jose Luis González MoraJose Luis González Mora More articles by this author , and Julio Plata BelloJulio Plata Bello More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2914AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES ADT is an essential therapy in some PC patients. However, ADT has been associated with cognitive impairment, although the effect in the brain is unknown. The aim is to describebrain morphological features in PC patients with chronic ADT and the relationship between brain morphology, functional connectivity (FC), cognitive impairment and ADT. METHODS 27 PC patients with chronic ADT (LHRH agonists) were included. MRI of the brain including a T1, FLAIR sequences and EPI sequence was performed. Preprocess and analysis of images was performed using SPM 12 software. FC analysis was performed using the left and right hippocampus, medial prefrontal cortex (mPFC) and precentral gyrus as regions of interest (previously reported as hotspots during ADT). A complete neuropsychological assessment was performed and patients were classified in terms of dependency (Lawton&Brody scale) and educational level. RESULTS Mean period of ADT was 35.1 months (SD=38.97) and all patients had low levels of testosterone (<0.2 ng/ml) during all treatment period. Mean volume of white matter lesion was 8.6 cc (SD=13.68); mean grey matter volume was 593.6 cc (SD=54.08) and mean white matter volume was 504.8 cc (SD=66.87). There was a positive correlation between the lesion volume and the period with ADT (correlation coefficient=0.5; p=0.014). This finding agrees with previous studies that have confirmed a neuroprotective effect of testosterone in neurodegenerative diseases. FC analysis showed a positive relationship with time to ADT exposure between the FC of the left and right hippocampus and right posterior parietal regions (associated to visuospatial functions). Also FC of the mPFC showed a positive correlation with ADT in the right superior temporal lobe (associated to language functions). Finally, 25% of patients had a high degree of dependency in the performance of activities of daily living and presented a worse cognitive status than others. Visuo spatial/perceptive abilities, excutive functions, attention, processing speed and language were the most affected cognitive domains and were more impaired in patients who had a low education level. CONCLUSIONS The longer the exposure time to ADT the higher volume of white matter lesions and is also associated with changes in the FC of cognitive hotspot regions. However, functional and morphological changes of the brain related to ADT have a variable clinical expression depending on the educational level of the patients. Low educational level seem to be more susceptible to develop cognitive impairment. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1193 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Ana Plata Bello More articles by this author Yaiza Pérez Martín More articles by this author Tomas Concepcion Masip More articles by this author Jose María Pérez González More articles by this author Jose Luis González Mora More articles by this author Julio Plata Bello More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Sobrecarga y salud percibida en cuidadores informales de pacientes con enfermedad mental

La enfermedad mental puede provocar a la persona que la padece una gran dependencia, impidiéndole continuar de forma autónoma con su vida y provocándole la necesidad de ayuda y cuidados por parte de otras personas. Este cuidado es asumido de forma principal por un familiar próximo que generalmente es mujer y madre del afectado/a. Esta situación provoca en la cuidadora una sobrecarga. El objetivo del estudio es conocer el nivel de sobrecarga y de salud percibida de una muestra de 30 cuidadores de personas con deterioro mental grave y comprobar si existen diferencias, con respecto a una serie de variables como el apoyo externo recibido, los servicios de ayuda utilizados, el tiempo y grado de dependencia de la persona cuidada, entre otras. Para evaluar la salud percibida se ha utilizado el Cuestionario de Salud General de Goldberg; se emplea la Escala de Sobrecarga del cuidador de Zarit; y la Escala de Lawton y Brody para las actividades instrumentales de la vida diaria. Los resultados evidencian que más de la mitad de los cuidadores de la muestra no manifestaron percepción de sobrecarga; sin embargo, la mayoría sí afirmaron tener una mala salud general percibida. Los niveles más altos de sobrecarga se corresponden con las peores percepciones de salud.

Factors associated with the functional capacity of older adults with leprosy.

to investigate the association between socio-demographic and clinical factors and the functional capacity of older adults with leprosy. cross-sectional analytical study conducted in Fortaleza, Ceará, Brazil, with 77 older adult patients with leprosy in a referral service, through interview, medical records and application of the Katz Index and the Lawton and Brody Scale. the mean age was 68.23 years, with prevalence of men, in stable union/married, with mean monthly family income of 2.04 minimum wages, positive bacillary index, clinical dimorphic form and grade zero disability. In the Lawton and Brody scale, independence (58.5%) was predominant and associated to the variables "living arrangement" and "educational attainment". Total independence (87.0%) was predominant in the Katz Index and statistically associated to the variable monthly family income. most of the participants were classified as independent in the instruments used. Furthermore, the instruments pointed to a greater number of associations with socio-demographic and clinical factors not related to leprosy. investigar a associação de fatores sociodemográficos e clínicos à capacidade funcional de idosos com hanseníase. estudo transversal, analítico realizado em Fortaleza, Ceará, com 77 idosos com hanseníase acompanhados em serviço de referência, através de entrevista, consulta ao prontuário e aplicação do Índice de Katz e Escala de Lawton e Brody. a média de idade foi de 68,23 anos, com prevalência de sexo masculino, união estável/casado, renda familiar mensal média de 2,04 salários mínimos, índice baciloscópico positivo, forma clínica dimorfa e Grau de Incapacidade Física zero. Na escala de Lawton e Brody prevaleceu a independência (58,5%) com associação às variáveis "com quem reside" e "escolaridade". Destacou-se a independência total (87,0%) no índice de Katz, associando-se estatisticamente a variável renda familiar mensal. a maioria dos participantes mostrou-se independente nos instrumentos utilizados. Ademais, os instrumentos apontaram mais associações a fatores sociodemográficos e clínicos não relacionados com a hanseníase.

Quality of life in the senior population of Cartagena, Colombia

To determine factors associated with the quality of life of the elderly in Cartagena in 2015. Cross-sectional study on a population of 107 604 senior adults, with a sample of 660 people. Two-stage sampling was carried out using the Pfeiffer test, socio-demographic survey, Yesavage depression scale, self-perceived health questionnaire, Barthel Lawton and Brody scale, Multicultural Quality of Life Index, and Duke Questionnaire. Descriptive statistics and a multivariate logistic regression model were used. The ethical aspects of human studies were considered. 657 people participated, with an average age of 71 years, predominantly female (55.7 %), with a stable partner (62.6 %), primary schooling (49.6 %), household occupation (52.8 %), residing in strata 2 and 3 (66.7 %), and living with an average of 4 people in the same household. Findings include high prevalence of adequate social support (89.5 %), no depressive symptoms of clinical significance (86.9 %), independence to perform basic activities (86.3 %) and instrumental activities of daily living (60.8%). Additionally, their health was perceived as good (51.4 %), and the quality of life related to health as excellent (87.4 %). The most frequent pathologies were cardiovascular (26.1 %). Quality of life was positively associated to the perception of adequate social support and independence to perform instrumental activities of daily living, and negatively to working or having a pension.

Functional capacity as a factor promoting the quality of life of the elderly

Objective: To evaluate the functional capacity of the elderly and their association with quality of life.&#x0D; Method: A transversal, descriptive and analytical study was carried out by an individual and anonymous interview to 247 elderly people. A structured questionnaire was used, composed of sociodemographic characterization, Katz Index, Lawton &amp; Brody Scale and MOS SF-36 - Medical Outcome Study Short Form - 36.&#x0D; Results: It was found that 80.6% of the elderly were independent in the ADL and 79.8% were independent in the IADL. On the whole, they show a reasonable quality of life. The study of the correlation between the results of the perception of the quality of life and the levels of independence in the ADL and the IADL revealed that the more independent elderly people tend to perceive a better quality of life.&#x0D; Conclusion: These results can contribute to the nurses developing intervention measures that promote the maintenance or recovery of the functional capacity of the elderly and, consequently, improve their quality of life.&#x0D; Keywords: Aged; Quality of Life; Activities of Daily Living; Nursing; Aging.&#x0D;

Impact of insomnia on self-perceived health in the elderly.

To investigate the association between self-perceived health, and sociodemographic and clinical factors in a sample of elderly outpatients in Rio de Janeiro. A sample of 345 elderly patients was assessed with an anamnesis, Lawton and Brody's Scale, Katz Index, Geriatric Depression Scale, Timed Up and Go Test, and Study of Osteoporotic Fracture Index. Logistic regression analyses were performed to investigate the predictors of self-perceived health. Risk of falls, frailty, functional performance on the Instrumental Activities of Daily Living, insomnia, and familial support were related to self-perceived health. Insomnia was the variable that strongly influenced self-perceived health (OR = 0.47, CI 95%: 0.28-0.80, p = 0.01) in our sample. The investigation of insomnia in the elderly should be routinely performed in primary care, because of the negative impact it imposes on the health of this population.

Factores asociados a la desnutrición o al riesgo de desnutrición en adultos mayores de San Juan de Pasto, Colombia: Un estudio transversal

Introducción. La desnutrición es un problema común en los adultos mayores relacionada tanto con los cambios propios del envejecimiento como con otros factores de salud, sociales y económicos. El objetivo de este estudio fue determinar la frecuencia de desnutrición o riesgo de desnutrición y los factores asociados, en adultos mayores de San Juan de Pasto, Nariño, Colombia.Material y métodos. Estudio transversal en una muestra de 261 adultos mayores. Para valorar el estado nutricional se utilizó el Mini Nutritional Assessment (MNA) y para la evaluación cognitiva se aplicó el Mini-Mental State Examination (MMSE). Los síntomas depresivos se determinaron a través de la escala Yesavage y el grado de independencia funcional con la escala de Lawton y Brody. Para establecer la asociación entre los factores sociodemográficos y clínicos con el MNA, se realizó un modelo de regresión logística y se calculó la Odds Ratio (OR) crudo y ajustado con su respectivo intervalo de confianza del 95% (IC95%).Resultados. El 60,1% de los adultos mayores presentó riesgo de desnutrición y el 6,5% desnutrición. Quienes pertenecían a niveles socioeconómicos bajos (OR=2,07; IC95%: 1,18-3,64), con nivel de dependencia funcional (OR=2,74; IC95%: 1,07-5,53) y sintomatología depresiva (OR=7,02; IC95%: 2,08-23,74), presentaron mayor desnutrición o riesgo de desnutrición.Conclusiones. Estos hallazgos muestran un alto porcentaje de adultos mayores con desnutrición o riesgo de desnutrición asociados a un nivel socioeconómico bajo, implicación o dependencia funcional y sintomatología depresiva. Se requiere un manejo integral orientado hacia la valoración e intervención planificada, teniendo en cuenta los factores asociados a esta condición nutricional.