Influence of multimorbidity patterns on the activities in the day-to-day lives of the elderly: nine-year follow-up of the Fibra Study

Author(s)

Diego Salvador Muniz da Silva ^[1] ; Marcela Fernandes Silva ^[2] ; Daniela de Assumpção ^[3] ; Priscila Maria Stolses Bergamo Francisco ^[4] ; Anita Liberalesso Neri ; Mônica Sanches Yassuda ; Flávia Silva Arbex Borim ^[7]

Affiliation

^[1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia - Brasil

^[2] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia - Brasil

^[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia - Brasil

^[4] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia - Brasil

^[7] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Gerontologia - Brasil

• Document type: Journal article
• Source: Ciênc. saúde coletiva; v. 28, n. 7, p. 2003-2014, 2023-07-07.

Abstract

Abstract The scope of this article was to evaluate the influence of multimorbidity and associated effects on the activities in the day-to-day lives of community-dwelling elderly individuals. It involved a cohort study with data from the FIBRA Study, the baseline (2008-2009) and follow-up (2016-2017). The basic activities in daily living (ADL) were evaluated using Katz’s index, and the chronic diseases were classified as: (1) multimorbidity and multimorbidity patterns; (2) cardiopulmonary; (3) vascular-metabolic; and (4) mental-musculoskeletal. The chi-square test and Poisson regression data were used for analysis. A total of 861 older adults with no functional dependency at baseline were analyzed. Elderly individuals with multimorbidity (RR = 1.58; 95%CI: 1.19-2.10) and classified according to cardiopulmonary (RR = 2.43; 95%CI: 1.77-3.33), vascular-metabolic (RR = 1.50; 95%CI: 1.19-1.89) and mental-musculoskeletal (RR = 1.30; 95%CI: 1.03-1.65) had a higher risk of presenting functional decline in ADL in the follow-up compared to those who didn’t have the same disease patterns. Multimorbidity and its patterns increased the risk of functional disability in older adults over the nine-year period. (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