| Author | Nascimento, Clarissa de Mattos | |
| Author | Oliveira, Cesar de | |
| Author | Firmo, Josélia Oliveira Araújo | |
| Author | Costa, Maria Fernanda Lima | |
| Author | Peixoto, Sérgio William Viana | |
| Access date | 2018-03-13T16:10:53Z | |
| Available date | 2018-03-13T16:10:53Z | |
| Document date | 2018 | |
| Citation | NASCIMENTO, Clarissa de Mattos et al. Prognostic value of disability on mortality: 15-year follow-up of the Bambuí cohort study of aging. Arch Gerontol Geriatr. , v. 74, p. 112-117, 2018 | pt_BR |
| ISSN | 0167-4943 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/25283 | |
| Language | eng | pt_BR |
| Publisher | Elsevier | pt_BR |
| Rights | restricted access | pt_BR |
| Subject in Portuguese | idoso | pt_BR |
| Subject in Portuguese | mortalidade | pt_BR |
| Subject in Portuguese | estudo de coorte | pt_BR |
| Title | Prognostic value of disability on mortality: 15-year follow-up of the Bambuí cohort study of aging | pt_BR |
| Type | Article | |
| DOI | 10.1016/j.archger.2017.10.011 | |
| Abstract | Background: Disability is a concern in the context of population ageing. The extent of an individual’s disability is a major determinant of whether or not they require long-term care or survival time. We investigated the effect of three disability domains as predictors of all-cause mortality over 15-year follow-up in a Brazilian socioeconomically disadvantaged and multiracial older adult population.
Methods: We estimated Cox proportional hazards models using data from 1333 community-dwelling individuals aged 60 and older from the Bambuí Cohort Study of Ageing. Disability was defined as a great difficulty or not being able to perform one and two or more activities in each domain: mobility, instrumental activities of daily living (IADL) and basic activities of daily living (BADL).
Results: The overall mortality rate was 46.1 per 1000 person-years at risk (pyrs) and it was higher in men. Among men, the fully adjusted Hazard Ratios (HRs) were 1.92 (95%CI: 1.43-2.58), 2.07 (95%CI: 1.53-2.79) and 1.65 (95%CI: 1.11-2.45), and among women 1.75 (95%CI: 1.38-2.21), 1.43 (95%CI: 1.11-1.84) and 1.43 (95%CI: 1.05-1.95), for two or more disability in mobility tasks, IADLs and BADLs, respectively, compared to those with no difficulty or some difficulty to perform all the tasks.
Conclusion: A similar risk of death for mobility, IADL and BADL in both genders was found, suggesting that any of these domains can be used to identify risk of all-cause mortality among older adults. The number of activities with limitations in each domain was an important factor. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | University College London. Department of Epidemiology and Public Health. London, UK | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, Brazil | pt_BR |
| Subject | Mortality | pt_BR |
| Subject | Disability | pt_BR |
| Subject | Cohort studies | pt_BR |
| Subject | Brazil | pt_BR |
| Embargo date | 2025-01-01 | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
