WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?

OBJECTIVE: To identify the factors related to clinical-functional vulnerability in older people. METHODS: This cross-sectional quantitative study was conducted in 2018/2019 with 492 older adults registered in Family Health Strategy units in the city of Três Lagoas, MS, Brazil. Sociodemographic data...

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Main Authors: Aline Martins Alves, Nathália de Oliveira Andrade, Maria Eduarda Leite Facina, Beatriz Rodrigues de Souza Melo, Aline Cristina Martins Gratão, Tatiana Carvalho Reis Martins, Bruna Moretti Luchesi
Format: Article
Language:English
Published: Brazilian Society of Geriatrics and Gerontology 2021-08-01
Series:Geriatrics, Gerontology and Aging
Subjects:
Online Access:https://ggaging.com/details/1685/en-US/which-older-people-in-the-community-have-the-highest-clinical-functional-vulnerability-
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author Aline Martins Alves
Nathália de Oliveira Andrade
Maria Eduarda Leite Facina
Beatriz Rodrigues de Souza Melo
Aline Cristina Martins Gratão
Tatiana Carvalho Reis Martins
Bruna Moretti Luchesi
author_facet Aline Martins Alves
Nathália de Oliveira Andrade
Maria Eduarda Leite Facina
Beatriz Rodrigues de Souza Melo
Aline Cristina Martins Gratão
Tatiana Carvalho Reis Martins
Bruna Moretti Luchesi
author_sort Aline Martins Alves
collection DOAJ
description OBJECTIVE: To identify the factors related to clinical-functional vulnerability in older people. METHODS: This cross-sectional quantitative study was conducted in 2018/2019 with 492 older adults registered in Family Health Strategy units in the city of Três Lagoas, MS, Brazil. Sociodemographic data were collected and the Clinical-Functional Vulnerability Index (CFVI-20) was applied (possible score 0-40; higher scores indicate greater vulnerability). A multinomial logistic regression was performed to identify the risk factors for clinical-functional vulnerability. RESULTS: The sample's mean age was 70.80 years (SD, 7.82) and the mean CFVI-20 score was 9.25 (SD, 7.09), with 17.07% at high risk of clinical-functional vulnerability, 38.82% at moderate risk, and 44.11% at low risk. Low education, social isolation, difficulty sleeping, and being female were risk factors for moderate vulnerability. On the other hand, low education, social isolation, difficulty sleeping, physical inactivity, being female, not using alcohol, and not participating in social groups were risk factors for high vulnerability. CONCLUSIONS: The CFVI-20 is convenient for primary health care contexts, since it is fast and easy to apply. By recognizing factors related to vulnerability, specific preventive actions can be planned.
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spelling doaj.art-5431c104e4404871b600e09b7c56a0882023-10-30T20:27:23ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232021-08-01151710.53886/gga.e0210027WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?Aline Martins Alves0https://orcid.org/0000-0002-8722-399XNathália de Oliveira Andrade1https://orcid.org/0000-0003-1277-5551Maria Eduarda Leite Facina2https://orcid.org/0000-0002-0078-4146Beatriz Rodrigues de Souza Melo3https://orcid.org/0000-0001-9525-4932Aline Cristina Martins Gratão4https://orcid.org/0000-0002-8508-0251Tatiana Carvalho Reis Martins5https://orcid.org/0000-0001-9436-8970Bruna Moretti Luchesi6https://orcid.org/0000-0002-0508-0818Universidade Federal de Mato Grosso do Sul - Três Lagoas (MS), Brazil.Universidade Federal de Mato Grosso do Sul - Três Lagoas (MS), Brazil.Universidade Federal de Mato Grosso do Sul - Três Lagoas (MS), Brazil.Universidade Federal de São Carlos - São Carlos (SP), Brazil.Universidade Federal de São Carlos - São Carlos (SP), Brazil.Universidade Federal de Mato Grosso do Sul - Três Lagoas (MS), Brazil.Universidade Federal de Mato Grosso do Sul - Três Lagoas (MS), Brazil.OBJECTIVE: To identify the factors related to clinical-functional vulnerability in older people. METHODS: This cross-sectional quantitative study was conducted in 2018/2019 with 492 older adults registered in Family Health Strategy units in the city of Três Lagoas, MS, Brazil. Sociodemographic data were collected and the Clinical-Functional Vulnerability Index (CFVI-20) was applied (possible score 0-40; higher scores indicate greater vulnerability). A multinomial logistic regression was performed to identify the risk factors for clinical-functional vulnerability. RESULTS: The sample's mean age was 70.80 years (SD, 7.82) and the mean CFVI-20 score was 9.25 (SD, 7.09), with 17.07% at high risk of clinical-functional vulnerability, 38.82% at moderate risk, and 44.11% at low risk. Low education, social isolation, difficulty sleeping, and being female were risk factors for moderate vulnerability. On the other hand, low education, social isolation, difficulty sleeping, physical inactivity, being female, not using alcohol, and not participating in social groups were risk factors for high vulnerability. CONCLUSIONS: The CFVI-20 is convenient for primary health care contexts, since it is fast and easy to apply. By recognizing factors related to vulnerability, specific preventive actions can be planned.https://ggaging.com/details/1685/en-US/which-older-people-in-the-community-have-the-highest-clinical-functional-vulnerability-frail elderlyprimary health carefamily health strategyhealth vulnerability
spellingShingle Aline Martins Alves
Nathália de Oliveira Andrade
Maria Eduarda Leite Facina
Beatriz Rodrigues de Souza Melo
Aline Cristina Martins Gratão
Tatiana Carvalho Reis Martins
Bruna Moretti Luchesi
WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
Geriatrics, Gerontology and Aging
frail elderly
primary health care
family health strategy
health vulnerability
title WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
title_full WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
title_fullStr WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
title_full_unstemmed WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
title_short WHICH OLDER PEOPLE IN THE COMMUNITY HAVE THE HIGHEST CLINICAL-FUNCTIONAL VULNERABILITY?
title_sort which older people in the community have the highest clinical functional vulnerability
topic frail elderly
primary health care
family health strategy
health vulnerability
url https://ggaging.com/details/1685/en-US/which-older-people-in-the-community-have-the-highest-clinical-functional-vulnerability-
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