Sebastião Emerson
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, IL, USA.
Geriatr Gerontol Int. 2016 Nov;16(11):1196-1203. doi: 10.1111/ggi.12614. Epub 2015 Oct 13.
The oldest old are in most need of help. The present study examined the association between perceived health, physical functioning and diagnosed chronic disease in a sample of Brazilian nonagenarians and centenarians.
The 2008 Brazilian Household Survey dataset was used. The 2008 Brazilian Household Survey interviewed 292 553 individuals aged 14 years and older from the 26 Brazilian states plus the Federal District, selected in a multistage procedure. Our analytical sample focused on those aged 90 years and older. This yielded a final sample of 819 individuals. Logistic regression was used to examine the association between self-reported health and health conditions.
Nearly 7% (n = 56) of the total sample were centenarians. High rates of physical limitations and chronic disease were reported by the participants. Participants reporting their health as poor were, on average, twofold more likely to report limitations in activities of daily living, and 1.7-fold more likely to report a chronic disease.
Perceived poor health was positively associated with physical limitations and chronic disease in Brazilian oldest-old. These findings highlight the need for feasible interventions aiming to improve health and quality of life in this population, especially because this is the fastest growing age group worldwide. Geriatr Gerontol Int 2016; 16: 1196-1203.
高龄老人最需要帮助。本研究调查了巴西非agenarians和百岁老人样本中自我感知健康、身体功能与确诊慢性病之间的关联。
使用2008年巴西家庭调查数据集。2008年巴西家庭调查对来自巴西26个州加联邦区的292553名14岁及以上的个体进行了访谈，采用多阶段程序进行选择。我们的分析样本聚焦于90岁及以上的人群。最终样本为819人。采用逻辑回归分析自我报告的健康状况与健康条件之间的关联。
总样本中近7%（n = 56）为百岁老人。参与者报告的身体限制和慢性病发生率较高。将自身健康报告为较差的参与者，平均而言，报告日常生活活动受限的可能性高出两倍，报告患慢性病的可能性高出1.7倍。
在巴西高龄老人中，自我感知的健康状况不佳与身体限制和慢性病呈正相关。这些发现凸显了需要采取可行的干预措施来改善该人群的健康和生活质量，特别是因为这是全球增长最快的年龄组。《老年医学与老年病学国际杂志》2016年；16: 1196 - 1203。
