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Biomedical factors associated with hospitalization of older adults: The Bambuí Health and Aging Study (BHAS)
Guerra, Henrique L.;Vidigall, Pedro G.;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300015
Abstract: the objective of this study was to identify biomedical factors (body mass index, blood pressure, blood glucose, total cholesterol and fractions, triglycerides, and albumin) associated with hospitalization of older adults. all residents of the town of bambuí, minas gerais state, ages 3 60 years (n = 1,742) were selected for the study, of whom 1,494 (85.2%) participated. none of the biomedical factors studied was independently associated with occurrence of 1 hospitalization during the previous 12 months. body mass index < 20kg/m2 and total cholesterol = 200-263mg/dl and 3 264mg/dl were independently associated with 3 2 hospitalizations. the introduction of biomedical factors did not modify the previously identified associations between hospitalization and indicators constructed from information obtained in a questionnaire survey. the results show that data easily obtained through interviews can be useful both for identifying older adults at risk of hospitalization and thus for assisting in prevention.
Biomedical factors associated with hospitalization of older adults: The Bambuí Health and Aging Study (BHAS)  [cached]
Guerra Henrique L.,Vidigall Pedro G.,Lima-Costa Maria Fernanda
Cadernos de Saúde Pública , 2003,
Abstract: The objective of this study was to identify biomedical factors (body mass index, blood pressure, blood glucose, total cholesterol and fractions, triglycerides, and albumin) associated with hospitalization of older adults. All residents of the town of Bambuí, Minas Gerais State, ages superscript three 60 years (n = 1,742) were selected for the study, of whom 1,494 (85.2%) participated. None of the biomedical factors studied was independently associated with occurrence of 1 hospitalization during the previous 12 months. Body mass index < 20Kg/m2 and total cholesterol = 200-263mg/dl and superscript three 264mg/dl were independently associated with superscript three 2 hospitalizations. The introduction of biomedical factors did not modify the previously identified associations between hospitalization and indicators constructed from information obtained in a questionnaire survey. The results show that data easily obtained through interviews can be useful both for identifying older adults at risk of hospitalization and thus for assisting in prevention.
Socioeconomic position and health in a population of Brazilian elderly: the Bambuí Health and Aging Study (BHAS)
Lima-Costa,Maria Fernanda; Barreto,Sandhi M.; Firmo,Josélia O.A.; Uchoa,Elizabeth;
Revista Panamericana de Salud Pública , 2003, DOI: 10.1590/S1020-49892003000500007
Abstract: objective: despite the vast scientific literature on the social determinants of health, there is still a debate on the extent to which this relationship remains in old age. the objective of this study was to examine the association between socioeconomic circumstances and health among older adults in a small town in brazil. methods: the study was carried out in bambuí, a town of around 15 000 inhabitants that is located in the state of minas gerais, which is in southeastern brazil. from 1 177 residents aged 65 years or older, 1 074 of them (91.2%) were interviewed and 997 (84.7%) were examined (physical measurements and blood tests). those in the lowest third of the distribution of total household monthly income, with an income of less than us$ 240 per month, were compared with those who had an income above that level. results: lower family income was independently associated with: (1) some lifestyle risk factors (less consumption of fresh fruits or vegetables and less frequent exercise during leisure time in the preceding 30 days), (2) several indicators of worse health status (general health questionnaire score, self-rated health, self-rated visual acuity, level of difficulty in walking 300 meters, inability to perform routine activities because of a health problem in the preceding 2 weeks, and seropositivity for trypanosoma cruzi), (3) a higher number of nonprescribed medications used in the preceding 3 months, and (4) a higher number of hospitalizations in the preceding 12 months. obesity was more frequent in the higher-income group. conclusions: the results of this study do not confirm observations in some developed countries of a lack of association between socioeconomic status and health among the aged. our results showed that a small difference in monthly family income was sufficiently sensitive to identify elderly persons in worse health, even within a community that appears to be uniformly poor.
Socioeconomic position and health in a population of Brazilian elderly: the Bambuí Health and Aging Study (BHAS)  [cached]
Lima-Costa Maria Fernanda,Barreto Sandhi M.,Firmo Josélia O.A.,Uchoa Elizabeth
Revista Panamericana de Salud Pública , 2003,
Abstract: OBJECTIVE: Despite the vast scientific literature on the social determinants of health, there is still a debate on the extent to which this relationship remains in old age. The objective of this study was to examine the association between socioeconomic circumstances and health among older adults in a small town in Brazil. METHODS: The study was carried out in Bambuí, a town of around 15 000 inhabitants that is located in the state of Minas Gerais, which is in southeastern Brazil. From 1 177 residents aged 65 years or older, 1 074 of them (91.2%) were interviewed and 997 (84.7%) were examined (physical measurements and blood tests). Those in the lowest third of the distribution of total household monthly income, with an income of less than US$ 240 per month, were compared with those who had an income above that level. RESULTS: Lower family income was independently associated with: (1) some lifestyle risk factors (less consumption of fresh fruits or vegetables and less frequent exercise during leisure time in the preceding 30 days), (2) several indicators of worse health status (General Health Questionnaire score, self-rated health, self-rated visual acuity, level of difficulty in walking 300 meters, inability to perform routine activities because of a health problem in the preceding 2 weeks, and seropositivity for Trypanosoma cruzi), (3) a higher number of nonprescribed medications used in the preceding 3 months, and (4) a higher number of hospitalizations in the preceding 12 months. Obesity was more frequent in the higher-income group. CONCLUSIONS: The results of this study do not confirm observations in some developed countries of a lack of association between socioeconomic status and health among the aged. Our results showed that a small difference in monthly family income was sufficiently sensitive to identify elderly persons in worse health, even within a community that appears to be uniformly poor.
The Bambuí health and aging study (BHAS). Prevalence of intermittent claudication in the aged population of the community of Bambuí and its associated factors
Passos, Valéria Maria de Azeredo;Barreto, Sandhi Maria;Guerra, Henrique Leonardo;Firmo, Josélia Oliveira Araújo;Vidigal, Pedro Guatimosim;Lima-Costa, Maria Fernanda Furtado;
Arquivos Brasileiros de Cardiologia , 2001, DOI: 10.1590/S0066-782X2001001100006
Abstract: objective: to assess the prevalence of intermittent claudication in the aged population of bambuí, brazil, and to identify the factors associated with this disease. methods: population-based cross-sectional study of the aged population (3 60 years of age) of bambuí. participants were interviewed and examined, after written consent. intermittent claudication was defined based on a standardized questionnaire. analysis was performed using multiple logistic regression. results: of the 1,742 elderly living in bambuí, 1,485 (85.2%) were enrolled in the study. thirty-seven individuals (2.5%) with intermittent claudication were identified: 28 (1.9%) males and 9 (0.6%) females. their age brackets were: 16 (1.08%) individuals between 60 and 69 years of age, 17 (1.15%) between 70 and 79 years, and 4 (0.27%) 3 80 years. a significant association between intermittent claudication and the following characteristics was found: male sex (or=5.1; ci 2.4-11.0), smokers (or=3.1; ci 1.2-8.5), ex-smokers (or=3.4; ci 1.3-8.7), and more than 2 hospital admissions in the last 12 months (or=2.8; ci 1.1-7.2). conclusion: disease prevalence was similar to that of other countries. the association between intermittent claudication and smoking strengthens the significance of tobacco in peripheral artery disease pathogenesis. the association of intermittent claudication and a higher number of hospital admissions suggests greater morbidity in the elderly affected.
The Bambui Health and Aging Study (BHAS): factors associated with the treatment of hypertension in older adults in the community
Firmo, Josélia Oliveira Araújo;Barreto, Sandhi Maria;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300014
Abstract: the objective of this study was to investigate the factors associated with the treatment of hypertension among older adults living in the community. all residents (n = 1,742) of bambuí, minas gerais state, brazil (15,000 inhabitants) aged 3 60 years were selected, and 1494 (85.8%) were interviewed and examined. of these, 919 (61.5%) were hypertensive, 704 were aware of their condition (study population), and 578 were under treatment. only 38.8% of the individuals under treatment presented controlled systolic and diastolic pressures (< 140 and < 90mmhg, respectively). independent associations with treatment of hypertension were found for, in decreasing order of magnitude: less time elapsed since the last blood pressure measurement, greater number of physician visits in the past 12 months, higher body mass index, female gender, history of coronary disease, changes in diet due to arterial hypertension, and higher family income. our results show that the factors most strongly associated with treatment of hypertension (use of health services) could be modified through adequate health policies for older adults.
The Bambui Health and Aging Study (BHAS): factors associated with the treatment of hypertension in older adults in the community  [cached]
Firmo Josélia Oliveira Araújo,Barreto Sandhi Maria,Lima-Costa Maria Fernanda
Cadernos de Saúde Pública , 2003,
Abstract: The objective of this study was to investigate the factors associated with the treatment of hypertension among older adults living in the community. All residents (n = 1,742) of Bambuí, Minas Gerais State, Brazil (15,000 inhabitants) aged superscript three 60 years were selected, and 1494 (85.8%) were interviewed and examined. Of these, 919 (61.5%) were hypertensive, 704 were aware of their condition (study population), and 578 were under treatment. Only 38.8% of the individuals under treatment presented controlled systolic and diastolic pressures (< 140 and < 90mmHg, respectively). Independent associations with treatment of hypertension were found for, in decreasing order of magnitude: less time elapsed since the last blood pressure measurement, greater number of physician visits in the past 12 months, higher body mass index, female gender, history of coronary disease, changes in diet due to arterial hypertension, and higher family income. Our results show that the factors most strongly associated with treatment of hypertension (use of health services) could be modified through adequate health policies for older adults.
The Bambuí Health and Aging study (BHAS): prevalence of risk factors and use of preventive health care services  [cached]
Lima-Costa Maria Fernanda,Barreto Sandhi M.,Uch?a Elizabeth,Firmo Josélia O. A.
Revista Panamericana de Salud Pública , 2001,
Abstract: Objective. To describe, for the first time in Brazil, the prevalence of risk factors and the use of preventive health care services among adults 60 years and older. Methods. This population-based study was conducted during 1996-1997 in the state of Minas Gerais, in the town of Bambuí, which is located in the municipality of the same name. In 1996 the town had 14 950 inhabitants. For the study, all the town's residents aged > or = 60 years were selected, along with a comparison sample of persons aged 18-59 years. Data were gathered using interviews and physical examinations. Results. Of the 1 742 inhabitants of the town of Bambuí aged > or = 60 years, 1 606 (92.2%) participated in the interview and 1 495 (85.8%) were examined (blood pressure, anthropometric measurements, and blood tests). Among the 1 020 younger adults selected for the survey, 909 of them (89.1%) participated in the interview, and 820 of them (80.4%) underwent the physical examination. The prevalence of the following risk factors was higher among older adults than among younger adults: physical inactivity (47.7% vs. 28.0%); blood pressure 140-159 mmHg (systolic) or 90-99 mmHg (diastolic) (25.8% vs. 8.7%); blood pressure > or = 160 mmHg (systolic) or > or = 100 mmHg (diastolic) (19.1% vs. 4.1%); total cholesterol > or = 240 mg/dL (40.6% vs. 9.8%); and blood glucose > or = 126 mg/dL (12.4% vs. 2.2%). The daily consumption of fruits and vegetables was similar among the older adults and the younger ones (51.9% and 51.7%), as was also body mass index > or = 25 kg/m2 (51.6% and 56.2%). Smoking was lower among the older adults (18.7%) than among the younger ones (31.1%). The proportion of participants whose blood pressure had been checked in the preceding year was high (86.8% among the older adults and 61.2% among the younger ones), suggesting that the high prevalence of uncontrolled hypertension was not due to limited access to health care. Conclusions. For a long time it was believed that the kinds of risk factors that we found in the urban section of the municipality of Bambuí were public health problems only in large Brazilian cities. Around 72% of the municipalities in Brazil have<= 20 000 inhabitants, and these smaller municipalities contain some 19% of the country's entire population. The high prevalence of various risk factors among the older and younger adults in Bambuí indicates a great need for health promotion and disease prevention actions. More research is needed to find out whether our results in Bambuí reflect the reality of other small towns in Brazil.
The Bambuí Health and Aging study (BHAS): prevalence of risk factors and use of preventive health care services
Lima-Costa,Maria Fernanda; Barreto,Sandhi M.; Uch?a,Elizabeth; Firmo,Josélia O. A.; Vidigal,Pedro G.; Guerra,Henrique L.;
Revista Panamericana de Salud Pública , 2001, DOI: 10.1590/S1020-49892001000400003
Abstract: objective. to describe, for the first time in brazil, the prevalence of risk factors and the use of preventive health care services among adults 60 years and older. methods. this population-based study was conducted during 1996-1997 in the state of minas gerais, in the town of bambuí, which is located in the municipality of the same name. in 1996 the town had 14 950 inhabitants. for the study, all the town's residents aged 3 60 years were selected, along with a comparison sample of persons aged 18-59 years. data were gathered using interviews and physical examinations. results. of the 1 742 inhabitants of the town of bambuí aged 3 60 years, 1 606 (92.2%) participated in the interview and 1 495 (85.8%) were examined (blood pressure, anthropometric measurements, and blood tests). among the 1 020 younger adults selected for the survey, 909 of them (89.1%) participated in the interview, and 820 of them (80.4%) underwent the physical examination. the prevalence of the following risk factors was higher among older adults than among younger adults: physical inactivity (47.7% vs. 28.0%); blood pressure 140-159 mmhg (systolic) or 90-99 mmhg (diastolic) (25.8% vs. 8.7%); blood pressure 3 160 mmhg (systolic) or 3 100 mmhg (diastolic) (19.1% vs. 4.1%); total cholesterol 3 240 mg/dl (40.6% vs. 9.8%); and blood glucose3 126 mg/dl (12.4% vs. 2.2%). the daily consumption of fruits and vegetables was similar among the older adults and the younger ones (51.9% and 51.7%), as was also body mass index 3 25 kg/m2 (51.6% and 56.2%). smoking was lower among the older adults (18.7%) than among the younger ones (31.1%). the proportion of participants whose blood pressure had been checked in the preceding year was high (86.8% among the older adults and 61.2% among the younger ones), suggesting that the high prevalence of uncontrolled hypertension was not due to limited access to health care. conclusions. for a long time it was believed that the kinds of risk factors that we found in the urban
Factors associated with the successful aging of the socially-active elderly in the metropolitan region of Porto Alegre
Moraes, Jo?o Feliz Duarte de;Souza, Valdemarina Bidone de Azevedo e;
Revista Brasileira de Psiquiatria , 2005, DOI: 10.1590/S1516-44462005000400009
Abstract: objective: to identify the factors associated with aging of the socially-active elderly in the metropolitan region of porto alegre. methods: a cross-sectional study was conducted involving a sample of 400 elderly subjects. through a conglomerate analysis using the combined results of the flanagan scale and the quality of life assessment instrument developed by the world health organization (whoqol-100), the subjects classified as presenting a higher quality of life were considered to have aged successfully. results: after having been adjusted for the variables gender, age, level of depression, despair, perceived health status, meaning that personal beliefs give to life, satisfaction with social activities and relations, the following factors maintained their independent and meaningful effect on successful aging: family relations and friendships (or = 4.93; 95% ci: 2.83-8.60), health and perceived well being (or = 1.66; 95% ci: 1.07-2.59), functional capacity (or = 23.70; 95% ci: 10.98-51.06) and psychosocial support (or = 7.36; 95% ci: 4.00-13.54). conclusions: independence in performing daily life activities and autonomy, as well as satisfaction with family relations and friendships, were independent predictive factors of successful aging for both men and women. for women in particular, there were various predictive factors: material comfort; feeling physically well; body image and appearance; self-esteem; positive feelings; interpersonal relationships; social support; participation in recreational activities; sexuality; spirituality; and beliefs. the elderly maintain a relationship with themselves, with others and with their beliefs. family is the main social support system.
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