Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study

Introduction: As populations live longer, they also aim to live better. A crucial step for this is to improve the understanding about older adults’ physical and psychological health. Therefore, the aim of the present study was to characterise the Portuguese population over-65 regarding nutritional...

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Main Authors: Teresa Madeira, Catarina Peixoto-Plácido, Nuno Sousa-Santos, Osvaldo Santos, Violeta Alarcão, Paulo Jorge Nicola, Carla Lopes, João Gorjão Clara
Format: Article
Language:English
Published: Ordem dos Médicos 2020-07-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12832
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author Teresa Madeira
Catarina Peixoto-Plácido
Nuno Sousa-Santos
Osvaldo Santos
Violeta Alarcão
Paulo Jorge Nicola
Carla Lopes
João Gorjão Clara
author_facet Teresa Madeira
Catarina Peixoto-Plácido
Nuno Sousa-Santos
Osvaldo Santos
Violeta Alarcão
Paulo Jorge Nicola
Carla Lopes
João Gorjão Clara
author_sort Teresa Madeira
collection DOAJ
description Introduction: As populations live longer, they also aim to live better. A crucial step for this is to improve the understanding about older adults’ physical and psychological health. Therefore, the aim of the present study was to characterise the Portuguese population over-65 regarding nutritional status, cognitive function, functional status, symptoms of depression, and loneliness, by sex and age groups. Material and Methods: Cross-sectional study including a nationally representative sample of community-dwelling adults aged 65 and over. Trained interviewers collected data face-to-face on demographic and socioeconomic characteristics, health status, nutritional status, cognitive function, functional status for activities of daily living, symptoms of depression, and loneliness feelings. Complex sample procedures were used in the statistical analysis. Results: Overall, 1120 community-dwellers (49.0% women, 21.3% aged ≥ 85) participated in the study. The estimated prevalence of risk of malnutrition was 16.4% (95% confidence interval: 13.3 – 19.9), while 17.7% (95% confidence interval: 12.8 – 23.9) were cognitively impaired, and 28.5% (95% confidence interval: 23.7 – 33.8) presented limitations to perform daily living activities. Moreover, 23.5% (95% confidence interval: 19.7 – 27.7) presented symptoms of depression and 13.6% (95% confidence interval: 10.6 – 17.1) reported loneliness feelings. These conditions were more prevalent among women, and generally more frequent in the oldest individuals (≥ 85). Discussion: Risk of malnutrition, cognitive impairment, functional limitations, depression and loneliness were moderately frequent, which may justify screening and preventive actions at a community level. Conclusion: This study contributed to a national characterisation of the health of older adults, that may inform policies and interventions targeted at the needs of the Portuguese aging population.
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spelling doaj.art-0325ac5eef0b4c85bb46daf33e090a672022-12-22T03:54:36ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582020-07-01337-810.20344/amp.128325087Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S StudyTeresa Madeira0Catarina Peixoto-Plácido1Nuno Sousa-Santos2Osvaldo Santos3Violeta Alarcão4Paulo Jorge Nicola5Carla Lopes6João Gorjão Clara7Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Escola Superior de Saúde de Leiria. Instituto Politécnico de Leiria. Leiria.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Centro de Investigação e Estudos de Sociologia. Instituto Universitário de Lisboa. Lisboa.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa.Institute of Public Health. University of Porto. Porto. Department of Public Health and Forensic Sciences and Medical Education. Faculty of Medicine. University of Porto. Porto.Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Instituto de Saúde Ambiental. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Introduction: As populations live longer, they also aim to live better. A crucial step for this is to improve the understanding about older adults’ physical and psychological health. Therefore, the aim of the present study was to characterise the Portuguese population over-65 regarding nutritional status, cognitive function, functional status, symptoms of depression, and loneliness, by sex and age groups. Material and Methods: Cross-sectional study including a nationally representative sample of community-dwelling adults aged 65 and over. Trained interviewers collected data face-to-face on demographic and socioeconomic characteristics, health status, nutritional status, cognitive function, functional status for activities of daily living, symptoms of depression, and loneliness feelings. Complex sample procedures were used in the statistical analysis. Results: Overall, 1120 community-dwellers (49.0% women, 21.3% aged ≥ 85) participated in the study. The estimated prevalence of risk of malnutrition was 16.4% (95% confidence interval: 13.3 – 19.9), while 17.7% (95% confidence interval: 12.8 – 23.9) were cognitively impaired, and 28.5% (95% confidence interval: 23.7 – 33.8) presented limitations to perform daily living activities. Moreover, 23.5% (95% confidence interval: 19.7 – 27.7) presented symptoms of depression and 13.6% (95% confidence interval: 10.6 – 17.1) reported loneliness feelings. These conditions were more prevalent among women, and generally more frequent in the oldest individuals (≥ 85). Discussion: Risk of malnutrition, cognitive impairment, functional limitations, depression and loneliness were moderately frequent, which may justify screening and preventive actions at a community level. Conclusion: This study contributed to a national characterisation of the health of older adults, that may inform policies and interventions targeted at the needs of the Portuguese aging population. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12832Activities of Daily LivingAged80 and overDepressionGeriatric AssessmentLoneliness
spellingShingle Teresa Madeira
Catarina Peixoto-Plácido
Nuno Sousa-Santos
Osvaldo Santos
Violeta Alarcão
Paulo Jorge Nicola
Carla Lopes
João Gorjão Clara
Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
Acta Médica Portuguesa
Activities of Daily Living
Aged
80 and over
Depression
Geriatric Assessment
Loneliness
title Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
title_full Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
title_fullStr Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
title_full_unstemmed Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
title_short Geriatric Assessment of the Portuguese Population Aged 65 and Over Living in the Community: The PEN-3S Study
title_sort geriatric assessment of the portuguese population aged 65 and over living in the community the pen 3s study
topic Activities of Daily Living
Aged
80 and over
Depression
Geriatric Assessment
Loneliness
url https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12832
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