Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro
Aim: To evaluate the applicability of the Clinical-Functional Vulnerability Index (IVCF-20) in monitoring the health of older people in primary health care (PHC), estimate the prevalence of functional decline and identify associated factors. Methods: Cross-sectional descriptive study, with individua...
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Elsevier
2024-12-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950307824000547 |
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| author | Felipe Gonçalves Martins Lívia Maria Santiago |
| author_facet | Felipe Gonçalves Martins Lívia Maria Santiago |
| author_sort | Felipe Gonçalves Martins |
| collection | DOAJ |
| description | Aim: To evaluate the applicability of the Clinical-Functional Vulnerability Index (IVCF-20) in monitoring the health of older people in primary health care (PHC), estimate the prevalence of functional decline and identify associated factors. Methods: Cross-sectional descriptive study, with individuals aged 60 or over, from a PHC unit in Rio de Janeiro. The instrument included sociodemographic, health and lifestyle variables and the IVCF-20. A descriptive analysis was carried out, prevalence ratios (PR) were calculated, and Poisson multiple analysis was performed. Results: The sample consisted of 120 individuals, mean age of 72.9 years (SD= 0.75), the majority were female. According to IVCF-20, 61 (50.8 %) of the individuals were robust, 41 (34.2 %) were in potential functional decline and 18 (15.0 %) were in established functional decline. In the bivariate analysis, not performing regular physical activity (RP 2.60 CI95 % 1.21–5.57), not believing that you live a healthy life (RP 4.39 CI95 % 1.92–10.06), not being satisfied with the way you live (RP 6.74 IC95 % 2.51–18.11) and reference to chronic illness (RP 4.57 IC95 % 1.22–17.14) showed an association with functional decline. In the Poisson model, the variables age (RP 1.37 95 % CI 1.07–1.75), not believing that you live a healthy life (RP 1.54 95 % CI 1.01–2.33) and lack of satisfaction with the way you live (RP 1.75 CI95 % 1.18–2.60) remained associated. Conclusion: The study made possible to draw a profile of the older adults accompanied by a team at PHC, contributing to discussions on care proposals for the older people with a focus on preventing functional decline. |
| format | Article |
| id | doaj-art-6d18a7ce42a54934ac8a28d2e2bbf802 |
| institution | OA Journals |
| issn | 2950-3078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-6d18a7ce42a54934ac8a28d2e2bbf8022025-08-20T01:55:32ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782024-12-011410005710.1016/j.aggp.2024.100057Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de JaneiroFelipe Gonçalves Martins0Lívia Maria Santiago1PhD student in the Postgraduate Program in Public Health, National School of Public Health, Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, Brazil; Family and Community Physician of the Municipal Health Department of Rio de Janeiro, RJ, BraziDepartment of Speech and Hearing Therapy, Professor at School of Medicine, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro (UFRJ), Rua: Prof. Rodolpho Paulo Rocco, 255, room 9E11, 9th floor - Cidade Universitária, Rio de Janeiro, RJ 21941-617, Brazil; Corresponding author.Aim: To evaluate the applicability of the Clinical-Functional Vulnerability Index (IVCF-20) in monitoring the health of older people in primary health care (PHC), estimate the prevalence of functional decline and identify associated factors. Methods: Cross-sectional descriptive study, with individuals aged 60 or over, from a PHC unit in Rio de Janeiro. The instrument included sociodemographic, health and lifestyle variables and the IVCF-20. A descriptive analysis was carried out, prevalence ratios (PR) were calculated, and Poisson multiple analysis was performed. Results: The sample consisted of 120 individuals, mean age of 72.9 years (SD= 0.75), the majority were female. According to IVCF-20, 61 (50.8 %) of the individuals were robust, 41 (34.2 %) were in potential functional decline and 18 (15.0 %) were in established functional decline. In the bivariate analysis, not performing regular physical activity (RP 2.60 CI95 % 1.21–5.57), not believing that you live a healthy life (RP 4.39 CI95 % 1.92–10.06), not being satisfied with the way you live (RP 6.74 IC95 % 2.51–18.11) and reference to chronic illness (RP 4.57 IC95 % 1.22–17.14) showed an association with functional decline. In the Poisson model, the variables age (RP 1.37 95 % CI 1.07–1.75), not believing that you live a healthy life (RP 1.54 95 % CI 1.01–2.33) and lack of satisfaction with the way you live (RP 1.75 CI95 % 1.18–2.60) remained associated. Conclusion: The study made possible to draw a profile of the older adults accompanied by a team at PHC, contributing to discussions on care proposals for the older people with a focus on preventing functional decline.http://www.sciencedirect.com/science/article/pii/S2950307824000547EvaluationFunctionalityHealthOlder people |
| spellingShingle | Felipe Gonçalves Martins Lívia Maria Santiago Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro Archives of Gerontology and Geriatrics Plus Evaluation Functionality Health Older people |
| title | Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro |
| title_full | Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro |
| title_fullStr | Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro |
| title_full_unstemmed | Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro |
| title_short | Clinical-functional vulnerability index in older people of a family health strategy team in the central zone of Rio de Janeiro |
| title_sort | clinical functional vulnerability index in older people of a family health strategy team in the central zone of rio de janeiro |
| topic | Evaluation Functionality Health Older people |
| url | http://www.sciencedirect.com/science/article/pii/S2950307824000547 |
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