How our population is aging. Factors associated with the functional capacity of older adults in Bucaramanga-Colombia: The ARENA Study
Abstract
Introduction. As a demographic aging result, societies have experienced effects such as the increase of functional limitations in older adults and high demand for social and health care. The objective is to analyze factors associated with the functional level of daily life activities and socio-family risk factors of older adults in an urban population in Bucaramanga-Colombia. Methodology. Analytical cross-sectional secondary data study. 196 older adults were studied after excluding individuals with incomplete records. The Barthel and the Lawton Index were used for functional status, and Socio-Family Assessment Scale for social risk. The STATA software was used for doing the logistic regression that helped to determine association between variables. Results. Above half of older adults presented functional limitations when performing daily life activities (59.69%). The prevalence of a socio-family risk was 47.45%. Functional limitation was associated with age, cognitive dysfunction and falls risk. Discussion. The study demonstrated lower scores in the Barthel Index and high scores in risk and social problematic situations compared to other studies. Moreover, results support that high blood pressure is a risk factor for functional limitations situations. Conclusion. It is important to continue interventions about health status in older people to identify risk factors, such as cognitive dysfunction, high Falls risk and chronic diseases control.
References
Cafagna G, Aranco N, Ibarrarán P, Oliveri ML, Medellín N, Stampini M. Age with Care, Long-term Care in Latin America and the Caribbean. [Internet] United States;IDB:2019. Available from: https://publications.iadb.org/en/age-care-long-term-care-latin-america-and-caribbean
Departamento Administrativo Nacional de Estadística. Resultados Censo Nacional de Población Nacional y Vivienda 2018. ¿Cuántos somos? ¿Dónde estamos? ¿Cómo vivimos? [Internet]. Colombia:DANE;2018. Available from: https://www.dane.gov.co/files/censo2018/informacion-tecnica/cnpv-2018-presentacion-3ra-entrega.pdf
Hessel P, Rodríguez-Lesmes P, Torres D. Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study. PLoS One [Internet]. 2020;15(6):e0234326. doi: https://doi.org/10.1371/journal.pone.0234326
Paredes-Arturo YV, Yarce-Pinzón E, Aguirre-Acevedo DC. Funcionalidad y factores asociados en el adulto mayor de la ciudad San Juan de Pasto, Colombia. Rev. Cienc. Salud [Internet]. 2018;16(1):114-28. doi: https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6494
Ocampo-Chaparro JM, Reyes-Ortiz CA, Castro-Flórez X, Gómez F. Frailty in older adults and their association with social determinants of Health. The SABE Colombia Study. Colomb Med [Internet]. 2019;50(2):89-101. doi: https://doi.org/10.25100/cm.v50i2.4121
Gómez F, Osorio-García D, Panesso L, Curcio CL. Healthy aging determinants and disability among older adults: SABE Colombia. Rev Panam Salud Publica [Internet]. 2021;45:e98. doi: https://doi.org/10.26633/RPSP.2021.98
Gladyshev VN. The Ground Zero of Organismal Life and Aging. Trends Mol Med [Internet]. 2021;27(1):11-19. doi: https://doi.org/10.1016/j.molmed.2020.08.012
Guttmann D. Life events and decision making by older adults. Gerontologist [Internet]. 1978;18(5 Pt 1):462-467. doi: https://doi.org/10.1093/geront/18.5_Part_1.462
Nóbrega-Leite JC, Medeiros-Barbosa J, Gomes-da Silva Freitas JL, Silva JMM, Mariz-Simões RF, Olinda R, et al. Psychosocial aspects and support networks associated with disability in two longevous populations in Brazil: a cross-sectional study. BMC Geriatr [Internet]. 2022;22(1):110. doi: https://doi.org/10.1186/s12877-022-02810-4
Jaul E, Barron J. Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population. Front Public Health [Internet]. 2017;5:335. doi: https://doi.org/10.3389/fpubh.2017.00335
Lane NE, Boyd CM, Stukel TA, Wodchis WP. Operationalizing the Disablement Process for Research on Older Adults: A Critical Review. Can J Aging [Internet]. 2020;39(4):600-613. doi: https://doi.org/10.1017/S0714980819000758
Verbrugge LM, Jette AM. The disablement process. Soc Sci Med [Internet]. 1994;38(1):1-14. doi: https://doi.org/10.1016/0277-9536(94)90294-1
Schure MB, Goins RT. An Examination of the Disablement Process Among Older American Indians: The Native Elder Care Study. Gerontologist [Internet]. 2016;56(5):948-955. doi: https://doi.org/10.1093/geront/gnv001
Baracaldo-Campo HA, Naranjo-García AS, Medina-Vargas VA. Nivel de dependencia funcional de adultos mayores institucionalizados en centros de bienestar de Floridablanca (Santander, Colombia). Gerokomos. 2019;30(4):163-166. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2019000400163
Ruelas-González MG, Obando-Guerrero LM, Betancourth-Zambrano S, Monterrubio-Flores E, Ojeda-Rosero E, Saturno-Hernández PJ. Adaptation and validation of the Screening Questionnaire for Family Abuse of the Elderly in the sociocultural context of Colombia. Health Soc Care Community [Internet]. 2021;29(6):e359-e367. doi: https://doi.org/10.1111/hsc.13360
Mahal A, McPake B. Health Systems for Aging Societies in Asia and the Pacific. Health Syst Reform [Internet]. 2017;3(3):149-153. doi: https://doi.org/10.1080/23288604.2017.1356429
Carmona-Torres JM, Rodríguez-Borrego MA, Laredo-Aguilera JA, López-Soto PJ, Santacruz-Salas E, Cobo-Cuenca AI. Disability for basic and instrumental activities of daily living in older individuals. PLoS One. [Internet]. 2019;14(7):e0220157. doi: https://doi.org/10.1371/journal.pone.0220157
García-González JV, Díaz-Palacios E, Salamea-García A, Cabrera-González D, Menéndez-Caicoya A, Fernández-Sánchez A, et al. Evaluación de la fiabilidad y validez de una escala de valoración social en el anciano. Aten Primaria. [Internet]. 1999;23(7):434-40. Available from: https://pubmed.ncbi.nlm.nih.gov/10363397/
Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Hooper L, Kiesswetter E. et al. ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr [Internet]. 2022;41(4):958-989. doi: https://doi.org/10.1016/j.clnu.2022.01.024
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. [Internet]. 1991;39(2):142-148. doi: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Borda-Borda M, Cano C, Ruiz C, Gutiérrez S, Ortiz A, Samper-Ternet R. Relationship between cognitive impairment and instrumental activities of daily living (IADL): SABE Bogotá, Colombia Study. J Neurol Sci [Internet]. 2015;357(Suppl1):e121. doi: https://doi.org/10.1016/j.jns.2015.08.390
Carvalho-Malta D, Ivata-Bernal RT, Saar-Gomes C, Santos de-Magalhães Cardoso L, Guimarães-Lima M, de-Azevedo Barros MB. Inequalities in the use of health services by adults and elderly people with and without non-communicable diseases in Brazil, 2019 National Health Survey. Rev Bras Epidemiol [Internet]. 2021;24(suppl2):e210003. doi: https://doi.org/10.1590/1980-549720210003.supl.2
Whitesides L, Lynn J. The Psychosocial Effects of Frailty on Women. Clin Geriatr Med [Internet]. 2021;37(4):543-552. doi: https://doi.org/10.1016/j.cger.2021.05.003
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, et al. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol [Internet]. 2019;43(2):99-107. doi: https://doi.org/10.1002/clc.23303
Kilander L, Nyman H, Boberg M, Hansson L, Lithell H. Hypertension is related to cognitive impairment: a 20-year follow-up of 999 men. Hypertension [Internet]. 1998;31(3):780-786. doi: https://doi.org/10.1161/01.HYP.31.3.780
Velasco-Hernandez BX, Salamanca-Ramos E, Velasco-Páez ZJ. Funcionalidad de los adultos mayores de los Centros Vida de Villavicencio–Colombia. Rev. cienc. Cuidad [Internet]. 2019;16(3):70-9. doi: https://doi.org/10.22463/17949831.1556
Zhang W, Zhang S, Deng Y, Wu S, Ren J, Sun G, et al. Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension. N Engl J Med [Internet]. 2021;385(14):1268-1279. doi: https://doi.org/10.1056/NEJMoa2111437
Canavan M, Smyth A, Bosch J, Jensen M, McGrath ER, Mulkerrin EC, et al. Does lowering blood pressure with antihypertensive therapy preserve independence in activities of daily living? A systematic review. Am J Hypertens [Internet]. 2015;28(2):273-279. doi: https://doi.org/10.1093/ajh/hpu131
Moghtadaei M, Jansen HJ, Mackasey M, Rafferty SA, Bogachev O, Sapp JL, et al. The impacts of age and frailty on heart rate and sinoatrial node function. J Physiol [Internet]. 2016;594(23):7105-7126. doi: https://doi.org/10.1113/JP272979
Fernández A, Gómez F, Curcio CL, Pineda E, Fernandes de-Souza J. Prevalence and impact of potentially inappropriate medication on community-dwelling older adults. Biomedica [Internet]. 2021;41(1):111-122. doi: https://doi.org/10.7705/biomedica.5787
Ie K, Chou E, Boyce RD, Albert SM. Fall Risk-Increasing Drugs, Polypharmacy, and Falls Among Low-Income Community-Dwelling Older Adults. Innov Aging [Internet]. 2021;5(1):igab001. doi: https://doi.org/10.1093/geroni/igab001
González-Zapata LI, Restrepo-Mesa SL, Mancilla-López L, Sepúlveda-Herrera D, Estrada-Restrepo A. Inequalities in food consumption the Colombian households: Results from the National Survey of Nutritional Status. Hacia Promoc Salud [Internet]. 2021;26(1):98-117. doi: https://doi.org/10.17151/hpsal.2021.26.1.9
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Funding data
-
Universidad Autónoma de Bucaramanga
Grant numbers [2021/00003/001/001/002] -
Universidad Industrial de Santander
