Follow-up evaluation of the Fibra Study: sociodemographic, cognitive, and frailty characterization of older adults in Campinas and Ermelino Matarazzo, SP

Author(s)

Anita Liberalesso Neri ^[1] ; Ruth Caldeira de Melo ^[2] ; Flávia Silva Arbex Borim ^[3] ; Daniela de Assumpção ^[4] ; Gabriela Cabett Cipolli ^[5] ; Mônica Sanches Yassuda ^[6]

Affiliation

^[1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[2] Universidade de São Paulo. Escola de Artes - Brasil

^[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[4] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[5] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[6] Universidade de São Paulo. Escola de Artes - Brasil

• Document type: Journal article
• Source: Rev. bras. geriatr. gerontol.; v. 25, n. 5 2022-06-06.

Abstract

Abstract Objective To investigate and compare the sociodemographic, cognitive and frailty profile of participants from the Frailty in Brazilian Older Adults (Fibra) study regarding follow-up (FW) and baseline (BL) measurements carried out in 2016-2017 and 2008-2009, respectively. Methods A total of 1,284 older adults living in Campinas and Ermelino Matarazzo (SP), Brazil, participated in the BL, comprising a pooled sample. At FW, 549 older adults (42.7%) were interviewed again; 192 had died (14.9%) and 543 were lost to follow-up (42.4%). Sex, age, education, marital status, family income, housing arrangement, cognitive status (Mini-Mental State Examination) and frailty phenotype (score ≥3 out of 5) were evaluated at both timepoints. Intergroup and intragroup differences were verified by Pearson's chi-square and McNemar's tests. Statistical significant level was set at p<0.05 Results The survivors were younger (72.2±5.3 years) than the deceased (75.5±6.8 years) and individuals included in the FW were mostly married, higher educated, cognitively unimpaired and pre-frail. Between BL and FW there was an increase in the number of participants who lived alone (17.1% vs. 22.0%), had no partner (46.4% vs. 55.4%), a family income <3 minimum wages (52.2% vs. 62.2%), cognitive impairment (17.7% vs. 23.5%) and frailty (9.8% vs. 24.5%). Conclusion Between BL and FW there was an increase in the physical, cognitive and social vulnerability of the older adults. These results reinforce the importance of public policies that favor the quality of life of older people and a reduction in health inequities throughout life. (AU)

• FAPESP's process: 16/00084-8 - Longitudinal study of the Campinas and Ermelino Matarazzo cohorts of the FIBRA study: predictors and outcomes of frailty among the elderly in Brazil
• Grantee: Monica Sanches Yassuda
• Support Opportunities: Research Projects - Thematic Grants