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Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina...

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Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues (EERP/SP)
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Page 1: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Yeda A. O. Duarte  (EEUSP/SP)Rosalina A. P. Rodrigues  (EERP/SP)

Page 2: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 3: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

GRADUATE PROGRAM IN ADULT HEALTH NURSING

AGING RESEARCH

Page 4: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 5: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 6: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

.

Health,well-being and agingSalud, Bienestar y Envejecimiento

Saude, Bem estar e Envelhecimento

Longitudinal and Multiple Cohort Study aboutelderly health and life conditions

Page 7: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 8: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Began in 2000 multicenterstudy coordinated by PAHO toevaluate life and healthconditions of elderly people inseven cities of Latin Americaand the Caribbean (urbanarea):

• Buenos Aires (Argentina)• Bridgetown (Barbados) • São Paulo (Brasil) • Santiago (Chile)• Habana (Cuba) • México city (México) • Montevideu (Uruguai)

Page 9: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 10: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

SIXTH LARGEST CITY IN THE WORLD

Page 11: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

11,253,500 inhabitants

Page 12: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

11,253,500 inhabitants

47.4%men

52.6% women

Page 13: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

1,253,503 elderlypeople (≥ 60 years)

(11.9%)

Page 14: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

1,253,503 elderlypeople (≥ 60 years)

(11.9%)

204.475 veryold(≥ 80 years)

(1.8%)

Page 15: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 16: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

.

C. GRANDE

PEDREIRA

C. ADEMAR

CAMPOGRANDE

J. SÃO LUIZ

SOCORRO

C. REDONDO

J. ÃNGELA CIDADE DUTRA

GRAJAÚ

PARELHEIROS

MARSILAC

S

.

V. MARIA

VISTA

B

JOSÉ

J

JAGUARA

ARI-

CANDIVA

S. MATEUS

TREMEMBÉ

MOEMA

CONS

LAÇÃO

RE-

PUBL

ICA

CECÍLI

ANHANGUERA

SÃO

DOMINGOS FREGUESIADO Ó

MAN-

DA-

QUI

JAÇANÃ

V. MEDEIROS

CACHO-

EIRINHA

PERUS

JARAGUÁ

PIRITUBA

BRASILÂNDIA

LIMÃO

CASA

VERDE

TUCURUVI

SANTANA

V. GUI-

LHERMEBARRAFUNDA

PARB. RETIRO

SÉ BRÁS

LIBER

DADE

CAM-

BUCI

PONTE RASA

J. HELENA

V. CURUÇA

LAJEADOARTUR

ALVIM

BONIFÁ

CIO

C.

TIRADENTE

PARQUE DO

CARMO

IGUATEMI

CIDADE LÍDER

S. RAFAEL

SÃO

MIGUELITAIM

PAULISTA

ITAQUERA

GUAIANAS

S. LUCAS

ÁGUA

RASA

JABAQUARA

V.MARIANA

SAÚDE

BELEM

MOÓCA

IPIRANGA

TATUAPÉ

CANGAÍBA

PENHA

VILA MATILDE

SAPOPEMBA

VILA

PRUDENT

FORMOS

VILA

CARRÃO

CUR-

SINOSACOMÃ

LAPA

PERDIZES

V.

LEOPOLDINA

ajaguaraALTO DE

PINHIERO

PINHEIROSRIO

PEQUENO

BUTANTÃ

RAPOSO TAVARES VILA SÔNIA MORUMBI

ITAIM

BIBI

JD.

PAULISTA

C. BELO

SANTO AMARO

V. ANDRADE

C. LIMPO

ERMELINO

MATARAZZO

V. JACUÍ

JAGUARÉ

Socioeconomic status of municipal districts

São PauloVILAMARIA

1. Very low

2. Low

3. Medium

4. High medium

5. High

Page 17: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

until 9%

between 9% and 18%

more than 18%

Proportion of older adults population(≥ 60 years = 11,9%)São Paulo City – 2010

Page 18: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

SABE STUDY PROBABILISTIC SAMPLE DISTRIBUTION, SÃO PAULO CITY .

Page 19: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Sections:A. Demographic and social characteristicsB. Cognition and depressionC. Health conditionsD. Functional statusE. MedicationsF. Access and use of health servicesG. Network of family and social supportH. Work history and incomesJ. Household characteristicsK. Anthropometry (weight, height, etc)L. Mobility and flexibility

Elder abuse Sexuality Caregiver burdenFamily APGARSpirituality

Page 20: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

2000 2006 2010 2015 2020 ...A00 A06 A10 A15 A20

B06 B10 B15 B20

C10 C15 C20

D15 D20

2,143 1,115

298

400

274

859

E20

60 to 64 years

60 to 64 years

Page 21: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

collect information about heathand living conditions of elderlyresidents in urban areas and,

assess differential cohort, genderand socioeconomic status inrelation to health, access and useof health care.

Page 22: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 23: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Frailty is an important health

problem associated with high risk for

adverse health outcomes including

mortality, institutionalization, falls,

decrease of functional capacity and

hospitalization.

Page 24: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

All of these outcomes (except

mortality) compromise elderly quality

of life and increase, a lot, health

system costs.

Page 25: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

The public health implications of

these statistics command

increasing attention, particularly

because frailty has been

documented not be inevitable and it

can be reversible by active

intervention strategies.

Page 26: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

A00 A06 A10 A15 A20

B06 B10 B15 B20

C10 C15 C20

D15 D20

FRAILTY

≥≥ 75 years

2008/2009

Page 27: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

A06 A08

Monitoring six/six months. Interview by phone. Interview at home 

A09

Page 28: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

2006 (%)

NO FRAIL 35,4PRE FRAIL 49,2FRAIL 15,4

Page 29: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

2006 2008NO FRAIL 23,8 5,6PRE FRAIL 51,5 49,1FRAIL 24,7 45,3

Page 30: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

fallls

hospita

liatio

n

Disab

ility

ADL

Disab

ility

IADL

NO FRAIL 19,9 11,6 12,2 11,2

PRE FRAIL 57,4 38,8 43,2 48,3

FRAIL 22,7 49,6 44,6 40,5

Page 31: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

KAPLAN MEIER SURVIVAL ESTIMATES FOR FRAILTY

Page 32: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Our main interest now 

is….

Page 33: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

How to improve the care for the very old people (≥ 80 years)?

Page 34: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

Khim Horton Sara Arber

Page 35: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista
Page 36: Yeda A. O. Duarte (EEUSP/SP) Rosalina A. P. Rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues (eerp/sp) graduate ... vila sÔnia morumbi itaim bibi jd. paulista

www.fsp.usp.br/sabe


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