老年人日常生活活动能力障碍与跌倒史：2013年国民健康调查分析
Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013.
作者信息
Drummond Adriano, Pimentel Wendel Rodrigo Teixeira, Pagotto Valéria, Menezes Ruth Losada de
机构信息
Universidade de Brasília - Brasília (DF), Brazil.
Centro Universitário Euro-Americano - Brasília (DF), Brazil.
出版信息
Rev Bras Epidemiol. 2020 Jun 5;23:e200055. doi: 10.1590/1980-549720200055. eCollection 2020.
OBJECTIVE
The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly.
METHODS
A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression.
RESULTS
There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities.
CONCLUSION
Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.
目的
本研究旨在验证老年人日常生活基本活动和工具性活动的依赖类型与跌倒发生之间的关联。
方法
一项基于人群的横断面研究，使用了2013年全国健康调查（NHS）中23815名老年人的数据。NHS由巴西地理与统计研究所（IBGE）和卫生部开展，呈现了在1600多个市的81767户家庭中收集的数据。通过多重和粗略分析、回归分析自变量（日常生活活动障碍）和因变量（跌倒史）之间的关联。
结果
使用厕所和转移（ABVD）与跌倒之间，以及购物和理财（IADL）与跌倒之间存在更强的关联。此外，日常生活基本活动与跌倒之间的关联在多达四项活动时更强，工具性日常生活活动在多达三项活动时更强。
结论
因此，在全国健康调查中获得的结果强化了考虑功能依赖的预防策略规划。
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