Nutritional status and risk for disability in instrumental activities of daily living in older Brazilians

Bibliographic Data

ID15092086
AuthorsLigiana Pires Corona (0000-0001-5298-7714, Universidade de São Paulo, corresponding author), Tábatta Renata Pereira De Brito (0000-0001-9466-2993, Universidade de São Paulo), Daniella Pires Nunes (0000-0002-4679-0373, Universidade de São Paulo), Tiago Da Silva Alexandre (0000-0003-3791-9793, Universidade de São Paulo), Jair Lício Ferreira Santos (0000-0001-7367-4418, Universidade de São Paulo), Yeda Aparecida Oliveira Duarte (0000-0003-3933-2179), Yeda Aparecida De Oliveira Duarte (Universidade de São Paulo), Maria Lúcia Lebrão (0000-0002-2650-8684, Universidade de São Paulo)
Year2014
Volume17
Issue2
Pages390-395
Publication date2014-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980012005319
PMID23237425
OpenAlexW2152577472
LanguageEN
Citations received3
References cited26

Objective The aim of the present study was to examine the association between nutritional status and the incidence of disability regarding instrumental activities of daily living (IADL) among older adults. Design The study is part of the longitudinal SABE (Saúde, Bem-Estar e Envelhecimento; Health, Wellbeing and Ageing) Study that began in 2000 (first wave) with a multistage, clustered, probabilistic sample ( n 2143) of older adults (≥60 years). The second wave was carried out in 2006, when 1115 elders were re-interviewed. The dependent variable was the occurrence of disability in 2006 (report of difficulty on ≥1 IADL). Nutritional status (measured at baseline) was classified on the basis of BMI: ≤23·0 kg/m 2 (underweight); >23·0 and 2 (ideal range – reference); ≥28·0 and 2 (overweight); and ≥30·0 kg/m 2 (obesity). Setting São Paulo, Brazil. Subjects One thousand and thirty-four individuals without difficulties regarding IADL in 2000 were selected, 611 of whom were re-interviewed in 2006. Results In the multiple logistic regression analysis adjusted for baseline variables (gender, age, number of chronic diseases, stroke, osteoarthritis and cognitive status), underweight (OR = 2·03; P = 0·034) and obesity (OR = 1·79; P = 0·022) remained associated with disability. Conclusions Both underweight and obesity are associated with an increased risk of developing disability regarding IADL among older adults, in an independent fashion of other risk factors. Thus, adequate nutritional status is a key point to consider in the establishment of preventive measures

Activities of daily living · Environmental health · Psychiatry · Balance, Gait, and Falls Prevention · Health, Nursing, Elderly Care · Medicine · Nutrition and Health in Aging · Psychology · Gerontology

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