Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)

Background: The rapid increase in life expectancy in Chile, with obesity as the main nutritional problem in all age groups, makes it necessary to ask whether the years gained are healthy. Aim: To study the trajectories of disability associated with obesity in Chilean elderly groups from different so...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Albala,Cecilia, Sánchez,Hugo, Lera,Lydia, Angel,Bárbara, Cea,Ximena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Disability evaluation Life expectancy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000005
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872011001000005
record_format	dspace
spelling	oai:scielo:S0034-988720110010000052012-01-03Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)Albala,CeciliaSánchez,HugoLera,LydiaAngel,BárbaraCea,Ximena Disability evaluation Life expectancy Background: The rapid increase in life expectancy in Chile, with obesity as the main nutritional problem in all age groups, makes it necessary to ask whether the years gained are healthy. Aim: To study the trajectories of disability associated with obesity in Chilean elderly groups from different socio-economic and demographic backgrounds. Material and Methods: Longitudinal study of 3 cohorts of older adults from Santiago: the SABE cohort including 1235 people born before 1940; the Alexandros cohort including 950 people born between 1940 and 1948 from Primary Health Care centers and the ISAPRES cohort of 266 people from private health insurance registries (ISAPRES) born before 1947. An interview yielded socio demographic data and history of diseases. Anthropometric measurements and hand dynamometry were performed. Cognitive status was assessed by the mini mental state examination, depressive symptoms through the geriatric depression socore-5 and functional limitations through self-reporting of basic (ADL), instrumental (IADL) and advanced daily living (AADL) activities. Results: We report here baseline results from ISAPRES and SABE cohorts. Important social and gender differentials were observed. After adjustment by age and gender, a significant lower frequency of limitations in ADL (odds ratio (OR) = 0.17; 95% confidence intervals (CI): 0.079-0.343), IADL (OR = 0.27; 95%CI: 0.159-0.452), and AADL (OR = 0.42; 95%CI: 0.298-0.599) persisted in the ISAPRE cohort, compared to the SABE cohort. Obesity was associated with functional limitations only in AADL (OR = 1.65; 95%CI: 1.18-2.31) and hand dynamometry was associated with lower functional limitation in ADL, IADL and AADL. Conclusions: This study demonstrates profound socio-economic and gender inequalities in older people, thus showing that the years of healthy life gained are not the same for the whole society.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.10 20112011-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000005es10.4067/S0034-98872011001000005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Disability evaluation Life expectancy
spellingShingle	Disability evaluation Life expectancy Albala,Cecilia Sánchez,Hugo Lera,Lydia Angel,Bárbara Cea,Ximena Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
description	Background: The rapid increase in life expectancy in Chile, with obesity as the main nutritional problem in all age groups, makes it necessary to ask whether the years gained are healthy. Aim: To study the trajectories of disability associated with obesity in Chilean elderly groups from different socio-economic and demographic backgrounds. Material and Methods: Longitudinal study of 3 cohorts of older adults from Santiago: the SABE cohort including 1235 people born before 1940; the Alexandros cohort including 950 people born between 1940 and 1948 from Primary Health Care centers and the ISAPRES cohort of 266 people from private health insurance registries (ISAPRES) born before 1947. An interview yielded socio demographic data and history of diseases. Anthropometric measurements and hand dynamometry were performed. Cognitive status was assessed by the mini mental state examination, depressive symptoms through the geriatric depression socore-5 and functional limitations through self-reporting of basic (ADL), instrumental (IADL) and advanced daily living (AADL) activities. Results: We report here baseline results from ISAPRES and SABE cohorts. Important social and gender differentials were observed. After adjustment by age and gender, a significant lower frequency of limitations in ADL (odds ratio (OR) = 0.17; 95% confidence intervals (CI): 0.079-0.343), IADL (OR = 0.27; 95%CI: 0.159-0.452), and AADL (OR = 0.42; 95%CI: 0.298-0.599) persisted in the ISAPRE cohort, compared to the SABE cohort. Obesity was associated with functional limitations only in AADL (OR = 1.65; 95%CI: 1.18-2.31) and hand dynamometry was associated with lower functional limitation in ADL, IADL and AADL. Conclusions: This study demonstrates profound socio-economic and gender inequalities in older people, thus showing that the years of healthy life gained are not the same for the whole society.
author	Albala,Cecilia Sánchez,Hugo Lera,Lydia Angel,Bárbara Cea,Ximena
author_facet	Albala,Cecilia Sánchez,Hugo Lera,Lydia Angel,Bárbara Cea,Ximena
author_sort	Albala,Cecilia
title	Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
title_short	Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
title_full	Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
title_fullStr	Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
title_full_unstemmed	Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)
title_sort	efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (alexandros)
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000005
work_keys_str_mv	AT albalacecilia efectosobrelasaluddelasdesigualdadessocioeconomicaseneladultomayorresultadosbasalesdelestudioexpectativadevidasaludableydiscapacidadrelacionadaconlaobesidadalexandros AT sanchezhugo efectosobrelasaluddelasdesigualdadessocioeconomicaseneladultomayorresultadosbasalesdelestudioexpectativadevidasaludableydiscapacidadrelacionadaconlaobesidadalexandros AT leralydia efectosobrelasaluddelasdesigualdadessocioeconomicaseneladultomayorresultadosbasalesdelestudioexpectativadevidasaludableydiscapacidadrelacionadaconlaobesidadalexandros AT angelbarbara efectosobrelasaluddelasdesigualdadessocioeconomicaseneladultomayorresultadosbasalesdelestudioexpectativadevidasaludableydiscapacidadrelacionadaconlaobesidadalexandros AT ceaximena efectosobrelasaluddelasdesigualdadessocioeconomicaseneladultomayorresultadosbasalesdelestudioexpectativadevidasaludableydiscapacidadrelacionadaconlaobesidadalexandros
_version_	1718436590975451136

Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor: Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)

Ejemplares similares