Depressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the bambuí (brazil) cohort study of aging

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dc.creatorJuliana Lustosatorres
dc.creatorErico Castro-costa
dc.creatorJuliana Vaz de Melo Mambrini
dc.creatorSergio William Viana Peixoto
dc.creatorBreno Satler de Oliveira Diniz
dc.creatorCesar de Oliveira
dc.creatorMaria Fernanda Lima-costa
dc.date.accessioned2024-01-25T19:07:53Z
dc.date.accessioned2025-09-08T23:34:39Z
dc.date.available2024-01-25T19:07:53Z
dc.date.issued2018
dc.format.mimetypepdf
dc.identifier.doi10.1590/0102-311x00141917
dc.identifier.issn16784464
dc.identifier.urihttps://hdl.handle.net/1843/63383
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofCadernos de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectActivities of Daily Living
dc.subjectDepression
dc.subjectSocial Support
dc.subjectAged
dc.subjectCohort Studies
dc.subject.otherActivities of Daily Living
dc.subject.otherDepression
dc.subject.otherSocial Support
dc.subject.otherAged
dc.subject.otherCohort Studies
dc.titleDepressive symptoms, emotional support and activities of daily living disability onset: 15-year follow-up of the bambuí (brazil) cohort study of aging
dc.title.alternativeSintomas depressivos, apoio emocional e início do comprometimento das atividades da vida diária: seguimento de 15 anos do Estudo de Coorte de Idosos de Bambuí, Minas Gerais, Brasil
dc.typeArtigo de periódico
local.citation.epage11
local.citation.issue7
local.citation.spage1
local.citation.volume34
local.description.resumoPsychosocial 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 dis ability. In a population of older Brazilian adults, lower emotional support and depressive symptoms have independent predictive value for subsequent disability in very long term.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/0102-311X00141917

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