31 results match your criteria: "Center for Studies in Public Health and Aging[Affiliation]"

Social support is considered a protective factor against depression, but there are inconsistent findings regarding social support and depression in older adults. We aimed to clarify the association between emotional and instrumental social support and depressive symptoms in older adults cross-sectionally and longitudinally (mean follow-up = 1.96 years).

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We aimed to develop a machine-learning model to predict all-cause mortality among Brazilians aged 50 and over, incorporating demographic, health, and lifestyle characteristics as predictors. We analyzed data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), waves 1 and 2 (2015-2021), a nationally representative sample from 70 municipalities across Brazil's five regions. Nine algorithms, including Random Forest, Gradient Boosting, XGBOOST, and Logistic Regression, were tested on 9412 participants (54.

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  • - The study aimed to explore how family characteristics, like having a partner or children, affect loneliness in Brazilians aged 50 and older, considering both the presence and severity of loneliness.
  • - Data was collected from over 7,000 participants in a national aging study, using a specific loneliness scale to measure loneliness alongside family dynamics such as marital status and living arrangements.
  • - Findings showed that family relationships with partners significantly impacted loneliness levels, with those cohabiting reporting lower loneliness; results suggest that enhancing social support for older adults with smaller family units is important.
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  • The study investigates how cardiometabolic multimorbidity (CMM) and depression affect cognitive function in older adults, aiming to understand their individual and combined impacts.
  • It harmonizes data from 14 international cohort studies and utilizes various scales to assess CMM and depression among participants who did not have dementia at the start of the study.
  • Findings include the analysis of over 30,000 older adults, revealing that both CMM and depression are linked to cognitive decline, with further validation through additional studies across different settings.
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Objectives: This study aimed to determine the median age at natural menopause and analyze lifestyle, anthropometric, and dietary characteristics associated with the age at natural menopause among Brazilian women.

Methods: This cross-sectional study involved 2,731 women 50 years and over, drawn from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil, 2015/16). Nonparametric Kaplan-Meier cumulative survivorship estimates were used to assess the median timing of natural menopause.

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The understanding of the prevalence of sleep problems in older adults can provide a broad and reliable perspective into the occurrence of such issues among older adults. This systematic review and meta-analysis aimed to estimate the worldwide prevalence of sleep problems in community-dwelling older adults. Studies that provide information on the prevalence of sleep problems in community-dwelling older adults (≥60 years) were screened between December 2022 and March 2023.

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Association between sleep problems and functional disability in community-dwelling older adults.

BMC Geriatr

March 2024

Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Campus Araranguá, Rod. Governador Jorge Lacerda, 3201, Urussanguinha, Araranguá, Santa Catarina, 88906-072, Brazil.

Background: Sleep problems are frequently observed in older adults. They can lead to changes in the individual's physical, occupational, cognitive, and social functioning, compromising the performance of activities of daily living and contributing to the occurrence of functional disability. This study evaluated the association between sleep problems and functional disability in community-dwelling older adults.

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Factors associated with fear of falling in older women with knee osteoarthritis: A cross-sectional study.

Geriatr Nurs

February 2024

Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil. Electronic address: alessandr

Knee instability in patients with knee osteoarthritis (KOA) is associated with fear of falling (FoF). This study aimed to investigate the prevalence and the factors associated with FoF in older women with KOA. A cross-sectional study was conducted with 93 older women with KOA.

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Association between sleep problems and multimorbidity patterns in older adults.

BMC Public Health

May 2023

Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina (UFSC), Campus Araranguá, Rod. Governador Jorge Lacerda, Urussanguinha, Araranguá, 3201, 88906-072, Santa Catarina, Brazil.

Background: Sleep problems are frequent in older adults and are associated with chronic diseases. However, the association with multimorbidity patterns is still unknown. Considering the negative impacts that multimorbidity patterns can have on older adults' life, knowledge of this association can help in the screening and early identification of older adults with sleep problems.

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  • Previous analyses indicated a link between social connections and cognitive health, but this study utilized individual data from a diverse international sample of over 39,000 participants to assess these impacts more comprehensively.
  • Findings showed that strong social connections—both in terms of structure (like marriage and community engagement) and quality (feeling connected)—are tied to reduced risks of mild cognitive impairment, dementia, and mortality.
  • Unique to Asian participants, being married or in a relationship significantly contributed to lower dementia risk, highlighting the varying importance of social factors across different cultures.
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  • The study investigated the prevalence of sarcopenia among older Brazilian women using diagnostic tools recommended by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2).
  • It found significant differences in sarcopenia prevalence rates based on various assessment methods, with some tools indicating rates as high as 40.6% while others showed much lower figures.
  • The results highlighted a lack of agreement between diagnostic instruments, emphasizing the need for clarity in assessing sarcopenia to improve identification and management in diverse populations.
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Is waist circumference associated with fear of falling in community-dwelling older adults? A cross-sectional study.

Geriatr Nurs

March 2023

Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Campus Araranguá, Rod. Governador Jorge Lacerda, Araranguá, Santa Catarina 88040-900, Brazil. Electronic address:

Introduction: Fear of falling (FOF) is a prevalent condition among older adults and several variables have been pointed out as risk factors.

Objectives: To identify the cut-off point on waist circumference (WC), capable of discriminating between older adults with and without FOF, and to test the association between WC and FOF.

Methods: A cross-sectional observational study was carried out with older adults of both sexes from Balneário Arroio do Silva, Brazil.

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Introduction: Sex differences in dementia risk, and risk factor (RF) associations with dementia, remain uncertain across diverse ethno-regional groups.

Methods: A total of 29,850 participants (58% women) from 21 cohorts across six continents were included in an individual participant data meta-analysis. Sex-specific hazard ratios (HRs), and women-to-men ratio of hazard ratios (RHRs) for associations between RFs and all-cause dementia were derived from mixed-effect Cox models.

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A nationwide study on pain manifestations and sleep problems in community-dwelling older adults: findings from ELSI-Brazil.

Eur Geriatr Med

April 2023

Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Campus Araranguá, Rod. Governador Jorge Lacerda, Urussanguinha, 320188906-072, Araranguá, Santa Catarina, Brazil.

Purpose: Sleep problems are common and affect approximately 36-70% of older adults worldwide and can be associated with negative outcomes such as pain. There is believed to be a bidirectional relationship between sleep problems and pain, modulated by inflammation and stress. The objective was to investigate the association between self-reported sleep problems and pain manifestations.

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Objective: To describe, within the Human Rights to Water and Sanitation (HRWS) framework, the access to water supply services and the incidence of waterborne diseases in the communities affected by the dam disaster in Brumadinho (MG), Brazil.

Methods: A quantitative and qualitative methodology was used, having as variables information on access to water supply services and waterborne diseases. The primary data were extracted from the "Brumadinho Health Project", using a sample stratum with 981 people interviewed, totaling 92.

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End-of-life perspectives according to family caregivers of older adults with dementia: A qualitative study.

Dementia (London)

February 2023

Occupational Therapy Department, Graduate Program in Rehabilitation Sciences, 28114Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Background: Family caregivers are primarily responsible for the care of older adults with dementia, and the demands of this care increase as the end of life approaches. Experiencing the end of a family member's life can be stressful, and caregivers consider important to know how to identify when their loved one is approaching the end of life in order to prepare for this moment. Thus, as the family is primarily responsible for the older adult with dementia, it is essential to know the meanings of the end of life attributed by family caregivers.

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  • - The study aimed to understand the impact of a dam rupture in Brumadinho, Brazil, on asthma, COPD, and respiratory symptoms among adults by analyzing various demographic and lifestyle factors.
  • - Findings revealed a prevalence of asthma (7.2%), COPD (3.5%), wheezing (8.8%), dry cough (23.6%), and nose irritation (31.8%), highlighting increased risks for women, smokers, and those living in affected areas.
  • - The research indicated that education level inversely correlated with wheezing and dry cough, emphasizing the need for targeted interventions to address respiratory health in vulnerable populations.
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Objective: To evaluate the prevalence of multimorbidity and sociodemographic and residential factors associated with this condition among adults living in Brumadinho, Minas Gerais.

Methods: Cross-sectional study with baseline data from the Brumadinho Health Project, conducted in 2021 and comprising 2,777 individuals aged 18 years and over. The outcome variable was multimorbidity, defined by the existence of two or more of 20 chronic diseases.

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  • Poor social connections, such as small social networks and feelings of loneliness, are linked to cognitive decline and this study investigates their impact on cognitive health over time while considering sex differences.
  • The researchers analyzed data from 13 global longitudinal studies, focusing on individuals without dementia at baseline, and assessed the relationship between social connections and changes in cognitive performance across various domains.
  • The findings suggest that stronger social connections can positively influence cognitive health, particularly in relation to maintaining cognitive function as people age.
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Background: There are many factors associated with functioning and disability in older adults and these relationships are not clear.

Objective: To explore the factors associated with functional capacity of older adults using the framework of the International Classification of Functioning, Disability, and Health (ICF).

Methods: This is a cross-sectional study with a dataset from a survey of 1 377 community-dwelling older adults (≥ 65 years) in a middle-income country.

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Death and Other Losses in the COVID-19 Pandemic in Long-Term Care Facilities for Older Adults in the Perception of Occupational Therapists: A Qualitative Study.

Omega (Westport)

June 2024

Occupational Therapy Department, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Long-term care facilities for older adults (LTCFs) were directly affected by the COVID-19 pandemic. This study aimed to discuss the perceptions of occupational therapists about deaths and other losses in LTCFs during the pandemic. This qualitative study is anchored in social phenomenology, and conducted in-depth interviews with eight occupational therapists who worked in LTCFs.

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  • Physical activity appears to help delay the onset of dementia, but the specific amount and duration needed are not fully established.
  • A study analyzing data from nearly 12,000 older adults found that engaging in 3.1 to 6.0 hours of physical activity per week significantly lowers dementia risk.
  • The findings suggest that people may benefit from 9.1 to 18.0 MET-hours of activity weekly, but beyond this threshold, further activity does not significantly decrease risk.
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Cognitive Frailty is Associated With Elevated Proinflammatory Markers and a Higher Risk of Mortality.

Am J Geriatr Psychiatry

July 2022

Center for Studies in Public Health and Aging (NESPE) (MFLC, SVP, JOAF, ECC), Rene Rachou Research Center, Oswaldo Cruz Foundation, Belo Horizonte, Minas Gerais, Brazil.

Background: Cognitive impairment and physical frailty are common among older adults and associated with a higher likelihood of adverse health outcomes. These two conditions frequently coexist in the same individual as cognitive frailty, yet few studies have examined the impact of such comorbidity on clinical outcomes or underlying biological mechanisms.

Methods: A total of 1,340 older adults (age ≥60 years old) from the Bambui Cohort Study of Ageing, with a total follow-up of 10 years, were included in this study.

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Objective: To investigate the association of contextual and individual variables with systemic arterial hypertension (SAH) among elderly Brazilians.

Methods: Cross-sectional study with data from the National Health Survey (2013) and the Atlas of Human Development in Brazil. SAH was defined by direct measurement of blood pressure and/or the use of medications for this condition.

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