Functional capacity and sensory loss in a group of elderly users of a health plan
DOI:
https://doi.org/10.33448/rsd-v10i2.12287Keywords:
Old Age Assistance; Hearing Loss; Blindness; Double Sensory Loss; Disabled persons.Abstract
This is an exploratory, cross-sectional study carried out with 314 non-institutionalized elderly people linked to a chronic disease management program sponsored by a health plan operator located in the city of São Paulo, where these people live, during between the second semester of 2018 and the first of 2019. The objective, after comparing groups of elderly people with and without sensory losses - visual, auditory and double loss -, is to verify their interaction with variables related to functional capacity and detect which factors influence the presence of double loss. Data was collected related to which and how many chronic diseases were present, the number of medications of continuous use normally taken, the presence of visual and / or hearing loss diagnosed and constant monitoring by a doctor or speech therapist. Were applied scales to assess the functional capacity of these people. After descriptive analysis, the group was segmented in order to achieve the research objectives, using the Chi-Square, Fisher's Exact and t-Student tests. Afterwards, logistic regression was performed, which made it possible to examine the variables with the greatest influence in relation to isolated sensory losses and DPS (Odds ratio). Sensory losses proved to be significant in compromising functional capacity, affecting performance for basic activities and restricting mobility. Widowhood associated with the double loss was an unprecedented finding. For this group, advanced age was an important predictive factor for the appearance of sensory losses, especially Double Sensory Loss and having a previous hearing or visual loss increases the risk for their development.
References
Amieva, H. & Ouvrard, C. (2020). Does Treating Hearing Loss in Older Adults Improve Cognitive Outcomes? A Review. Journal of clinical medicine. 9(3), 805. https://doi.org/10.3390/jcm9030805
Agência Nacional de Saúde Suplementar. (2016). Idosos na Saúde Suplementar: uma urgência para a saúde da sociedade e sustentabilidade do setor. Rio de Janeiro: ANS. http://www.ans.gov.br/images/stories/Materiais_para_pesquisa/Materiais_por_assunto/
Dias, A. L., & Rodrigues, T. C. (2015). Avaliação da Capacidade Funcional. In: Manso, M. E. G. & Biffi, E. C. A. (Orgs.). Geriatria, Manual da Liga de Estudos do Processo de Envelhecimento. São Paulo, SP: Martinari.
Fernandes, J. S. G, & Andrade, M. S. (2017). Revisão sobre a Doença de Alzheimer: diagnóstico, evolução e cuidados. Psic., Saúde & Doenças.18(1):131-140. Epub. http://dx.doi.org/10.15309/17psd180111
Gomes, L. M. C., & Martins, L. N. S. L. (2015). Avaliação Cognitiva e do Humor. In: Manso, M. E. G., & Biffi, E. C. A. (Orgs.). Geriatria, Manual da Liga de Estudos do Processo de Envelhecimento. Martinari.
Gopinath, B., McMahon, C. M., Burlutsky, G., & Mitchell, P. (2016). Hearing and vision impairment and the 5-year incidence of falls in older adults. Age and ageing, 45(3), 409–414. https://doi.org/10.1093/ageing/afw022
Guthrie, D. M., Declercq, A., Finne-Soveri, H., Fries, B. E., & Hirdes J. P. (2016). The Health and Well-Being of Older Adults with Dual Sensory Impairment (DSI) in Four Countries. PloS one.11(5). https://doi.org/10.1371/journal.pone.0155073
Haanes, G.G., Kirkevold, M., Horgen, G., Hofoss, D., & Eilertsen, G. (2014). Sensory impairments in community health care: a descriptive study of hearing and vision among elderly Norwegians living at home. J Multidiscip Healthc. 7:217-25.
Instituto de Estudos de Saúde Suplementar. IESS. (2020). NAB 53 Data base: novembro/2020 Nota de Acompanhamento de Beneficiários.
Kricos, P. B. (2007). Hearing Assistive Technology Considerations for Older Individuals With Dual Sensory Loss.Trends in Amplification . 11(4): 273–80.
Leis, D. F., & Manso, M. E. G. (2015). Avaliação da Marcha, Equilíbrio e Atividade Física no idoso. In: Manso, M. E. G., & Biffi, E. C. A. (Orgs.). Geriatria, Manual da Liga de Estudos do Processo de Envelhecimento. Martinari.
Manso, M. E. G, Osti, A. V., Borrozino, N. F., & Maresti, L. T. P. (2019). Avaliação Multidimensional do Idoso: resultados em um grupo de indivíduos vinculados a uma operadora de planos de saúde. Revista Kairós: Gerontologia. 21(1): 191-211.
Manso, M. E. G, Osti, R. F. I., Fé, D. S. M., Souza, F. C. B., Pimenta, I. F., & Netto, L. T. R. (2021). Relação entre níveis de atividade física, variáveis relacionadas à multidimensionalidade da saúde e presença de estresse percebido em um grupo de idosos na cidade de São Paulo. Research, Society and Development, 10 (1): e12710111612, 2021. DOI: http://dx.doi.org/10.33448/rsd-v10i1.11612
Manso, M. E. G. (2017). Envelhecimento, saúde do idoso e o setor de planos de saúde no Brasil Revista Kairos Gerontologia. 20(4): 135-151.
Margutti, P., & Momensohn-Santos, T. M. (2019). Associação entre risco de queda e dupla perda sensorial em idosos ativos. Dissertação de Mestrado em Fonoaudiologia. Pontifícia Universidade Católica de São Paulo, PUC SP.
Ministério da Saúde (2018). Vigitel Brasil 2018: Saúde Suplementar: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2020.
National Center for Health Statistics (2017). National Health Interview Survey, Early Release of Selected Estimates Based on Data from the January-June 2017. State of the States in Developmental Disabilities. American Association on Intellectual and Developmental Disabilities.https://www.cdc.gov/nchs/data/nhis/earlyrelease/earlyrelease201712_01.pdf
Neto, J. A. C. et al. (2018). Percepção sobre queda e exposição de idosos a fatores de risco domiciliares. Ciênc. saúde coletiva, 23 (4). https://doi.org/10.1590/1413-81232018234.09252016
OMS. (2015). Organização Mundial de Saúde. Relatório Mundial de Envelhecimento e Saúde. Genebra, Suíça: OMS. http://apps.who.int/iris/bitstream/106 65/1 86463/1/ 9789240694811_eng.pdf.
OPAS. (2012). Organização Pan-Americana de Saúde. Atenção à Saúde do Idoso: Aspectos Conceituais. Brasília, DF: Organização Pan-Americana de Saúde. http://apsredes.org/pdf/Saude-do-Idoso-WEB1.pdf.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018) Licenciatura em computação. Metodologia da pesquisa científica.https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Pichora-Fuller, M. K., Mick, P., & Reed, M. (2015) Hearing, Cognition, and Healthy Aging: Social and Public Health Implications of the Links between Age-Related Declines in Hearing and Cognition. Seminars in Hearing. 36(3):122–139.
Pinto, A. M., Veríssimo, M., & Malva, J. (2019). Manual do Cuidador. Coimbra University Press.
Ribeiro, E. G., Matozinhos, F. P., Guimarães, G. L., Couto, A. M., Azevedo, R. S., & Mendoza, I. Y. Q. (2018). Self-perceived health and clinical functional vulnerability of the elderly in Belo Horizonte/Minas Gerais. Revista Brasileira de Enfermagem, 71(suppl 2):860-7.
Shih-Wei, L. Y. S., Weng, S. F., & Chou, C. W. (2012). Risk of Developing Sudden Sensorineural Hearing Loss in Diabetic Patients: A Population-Based Cohort Study, Otology & Neurotology. 33 (9): 1482-88.
Shukla, A., Harper, M., Pedersen, E., Goman, A., Suen, J. J., Price, C., Applebaum, J., Hoyer, M., Lin, F. R., & Reed, N. S. (2020). Hearing Loss, Loneliness, and Social Isolation: A Systematic Review. Otolaryngology–Head and Neck Surgery, 162(5), 622–633. https://doi.org/10.1177/0194599820910377
Silva, L. G. C., Oliveira, F. S. O., Martins, I. S., Martins, F. E. S., Garcia, T. F. M., & Souza, A. C. P. A. (2019). Avaliação da funcionalidade e mobilidade de idosos comunitários na atenção primária à saúde. Revista Brasileira de Geriatria e Gerontologia. 22 (5): Epub https://doi.org/10.1590/1981-22562019022.190086
Tan, B., Man, R., Gan, A., Fenwick, E. K., Varadaraj, V., Swenor, B. K., Gupta, P., Wong, T. Y., Trevisan, C., Lorenzo-López, L., Millán-Calenti, J. C., Schwanke, C., Liljas, A., Al Snih, S., Tokuda, Y., & Lamoureux, E. L. (2020). Is Sensory Loss an Understudied Risk Factor for Frailty? A Systematic Review and Meta-analysis. The journals of gerontology. 75(12), 2461–2470. https://doi.org/10.1093/gerona/glaa171
The Lancet Commissions. (2017). Dementia prevention and care. http://www.thelancet.com.
Vaal, J., Gussekloo, J., De Klerk, M. ,Frijters, D., et al. (2007). Acquired dual sensory impairment: In an estimated 30,000-35,000 people aged 55 years or over in the Netherlands. https://www.researchgate.net/publication/6204364_Acquired_dual_sensory_impairment_In_an_estimated_30000-35000_people_aged_55_years_or_over_in_the_Netherlands
Viljanen, A., Tormäkangas, T., & Vestergaard, S. (2014). Dual sensory loss and social participation in older Europeans. Eur J Ageing. 11 (2)155–67.
Vreeken, H. L.,Van Rens, G. H., Kramer, S. E., Knol, D. L., Van Nispen, R. M. (2015). Effects of a dual sensory loss protocol on hearing aid outcomes: a randomized controlled trial. Ear Hear. doi:10.1097/AUD.0000000000000153
Wittich, W., & Gagné, J. (2016). Perceptual Aspects of Gerontechnology. https://www.researchgate.net/publication/307925988_Perc eptual_Aspects_of_Gerontechnology
Wittich, W., Watanabe, D. H., & Gagne, J. (2012). Sensory and demographic characteristics of deaf blindness rehabilitation clients in Montreal, Canada. Ophthalmic Physiol Opt. 32:242–251.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Ana Carla Oliveira Garcia; Teresa M. Momensohn dos Santos; Maria Elisa Gonzalez Manso
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.