Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging
Psychosocial factors appear to be associated with increased risk of disability in later life. However, there is a lack of evidence based on long-term longitudinal data from Western low-middle income countries. We investigated whether psychosocial factors at baseline predict new-onset disability in l...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2018-08-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000705010&lng=en&tlng=en |
| _version_ | 1830415013197643776 |
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| author | Juliana Lustosa Torres Erico Castro-Costa Juliana Vaz de Melo Mambrini Sérgio William Viana Peixoto Breno Satler de Oliveira Diniz Cesar de Oliveira Maria Fernanda Lima-Costa |
| author_facet | Juliana Lustosa Torres Erico Castro-Costa Juliana Vaz de Melo Mambrini Sérgio William Viana Peixoto Breno Satler de Oliveira Diniz Cesar de Oliveira Maria Fernanda Lima-Costa |
| author_sort | Juliana Lustosa Torres |
| collection | DOAJ |
| description | Psychosocial factors appear to be associated with increased risk of disability in later life. However, there is a lack of evidence based on long-term longitudinal data from Western low-middle income countries. We investigated whether psychosocial factors at baseline predict new-onset disability in long term in a population-based cohort of older Brazilians adults. We used 15-year follow-up data from 1,014 participants aged 60 years and older of the Bambuí (Brazil) Cohort Study of Aging. Limitations on activities of daily living (ADL) were measured annually, comprising 9,252 measures. Psychosocial factors included depressive symptoms, social support and social network. Potential covariates included sociodemographic characteristics, lifestyle, cognitive function and a physical health score based on 10 self-reported and objectively measured medical conditions. Statistical analysis was based on competitive-risk framework, having death as the competing risk event. Baseline depressive symptoms and emotional support from the closest person were both associated with future ADL disability, independently of potential covariates wide range. The findings showed a clear graded association, in that the risk gradually increased from low emotional support alone (sub-hazard ratio - SHR = 1.11; 95%CI: 1.01; 1.45) to depressive symptoms alone (SHR = 1.52; 95%CI: 1.13; 2.01) and then to both factors combined (SHR = 1.61; 95%CI: 1.18; 2.18). Marital status and social network size were not associated with incident disability. In a population of older Brazilian adults, lower emotional support and depressive symptoms have independent predictive value for subsequent disability in very long term. |
| first_indexed | 2024-12-20T20:56:59Z |
| format | Article |
| id | doaj.art-ad42db6276ef42d4a3f700e852cc2add |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-20T20:56:59Z |
| publishDate | 2018-08-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-ad42db6276ef42d4a3f700e852cc2add2022-12-21T19:26:49ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642018-08-0134710.1590/0102-311x00141917S0102-311X2018000705010Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of AgingJuliana Lustosa TorresErico Castro-CostaJuliana Vaz de Melo MambriniSérgio William Viana PeixotoBreno Satler de Oliveira DinizCesar de OliveiraMaria Fernanda Lima-CostaPsychosocial factors appear to be associated with increased risk of disability in later life. However, there is a lack of evidence based on long-term longitudinal data from Western low-middle income countries. We investigated whether psychosocial factors at baseline predict new-onset disability in long term in a population-based cohort of older Brazilians adults. We used 15-year follow-up data from 1,014 participants aged 60 years and older of the Bambuí (Brazil) Cohort Study of Aging. Limitations on activities of daily living (ADL) were measured annually, comprising 9,252 measures. Psychosocial factors included depressive symptoms, social support and social network. Potential covariates included sociodemographic characteristics, lifestyle, cognitive function and a physical health score based on 10 self-reported and objectively measured medical conditions. Statistical analysis was based on competitive-risk framework, having death as the competing risk event. Baseline depressive symptoms and emotional support from the closest person were both associated with future ADL disability, independently of potential covariates wide range. The findings showed a clear graded association, in that the risk gradually increased from low emotional support alone (sub-hazard ratio - SHR = 1.11; 95%CI: 1.01; 1.45) to depressive symptoms alone (SHR = 1.52; 95%CI: 1.13; 2.01) and then to both factors combined (SHR = 1.61; 95%CI: 1.18; 2.18). Marital status and social network size were not associated with incident disability. In a population of older Brazilian adults, lower emotional support and depressive symptoms have independent predictive value for subsequent disability in very long term.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000705010&lng=en&tlng=enActivities of Daily LivingDepressionSocial SupportAgedCohort Studies |
| spellingShingle | Juliana Lustosa Torres Erico Castro-Costa Juliana Vaz de Melo Mambrini Sérgio William Viana Peixoto Breno Satler de Oliveira Diniz Cesar de Oliveira Maria Fernanda Lima-Costa Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging Cadernos de Saúde Pública Activities of Daily Living Depression Social Support Aged Cohort Studies |
| title | Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging |
| title_full | Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging |
| title_fullStr | Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging |
| title_full_unstemmed | Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging |
| title_short | Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the Bambuí (Brazil) Cohort Study of Aging |
| title_sort | depressive symptoms emotional support and activities of daily living disability onset 15 year follow up of the bambui brazil cohort study of aging |
| topic | Activities of Daily Living Depression Social Support Aged Cohort Studies |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000705010&lng=en&tlng=en |
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