title: Activity Limitations in Brazilian Institutionalized Older Adults.
abstract: OBJECTIVE
  Although functional assessments and programs to prevent activity limitations are fundamental for efficient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people.
  
  
  METHODS
  A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index.
  
  
  CONCLUSIONS
  The prevalence of activity limitations was 72.9% (95% confidence interval: 67.8-77.5) and the most affected activity was "bathing" (71.6%), followed by "dressing" (65.4%) and "toileting" (62.0%). The final model revealed associations with private (for-profit) institutions (odds ratio [OR] = 3.33; P < .001), age ≥ 83 years (OR = 2.34; P = .003), institutionalization due to lack of caregiver (OR = 1.80; P = .033), and presence of osteoporosis (OR = 2.94; P = .045), adjusted by sex.
  
  
  CONCLUSIONS
  Activity limitations affected almost 73% of institutionalized older people in this sample and were associated with private nursing homes, age, osteoporosis, and institutionalization due to lack of caregiver. Activity limitations exact high socioeconomic impacts and affect the quality of life of older people. The results obtained herein emphasized the importance of planning strategies for their prevention and treatment, directed to reduce the prevalence of this health issue.
authors.affiliation: 1Graduate Program in Collective Health, Odontology Department, Federal University of Rio Grande do Norte (UFRN), Lagoa Nova, Natal-RN, Brazil. 2Physiotherapy Department, Federal University of Rio Grande do Norte (UFRN), Campus Universitário, Natal-RN, Brazil. 3Health Science College of Trairi (FACISA), Federal University of Rio Grande do Norte (UFRN), Santa Cruz-RN, Brazil. 4Collective Health Department, Federal University of Rio Grande do Norte (UFRN), Campus Universitário, Lagoa Nova, Natal-RN, Brazil.
authors.forename: Javier
authors.initials: J
authors.lastname: Jerez-Roig
authors.forename: Jéssica Fernandes
authors.initials: JF
authors.lastname: de Medeiros
authors.forename: Kalyne
authors.initials: K
authors.lastname: do Nascimento Moreira Fidélis
authors.forename: Bartolomeu Fagundes
authors.initials: BF
authors.lastname: de Lima Filho
authors.forename: Nayara Priscila Dantas
authors.initials: NPD
authors.lastname: de Oliveira
authors.forename: Fabienne Louise Juvêncio
authors.initials: FLJ
authors.lastname: Paes de Andrade
authors.forename: Lidiane Maria
authors.initials: LM
authors.lastname: de Brito Macedo Ferreira
authors.forename: Dyego
authors.initials: D
authors.lastname: Leandro Bezerra Souza
authors.forename: Kenio
authors.initials: K
authors.lastname: Costa Lima
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D015897:Comorbidity; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D015995:Prevalence; D011788:Quality of Life; D012648:Self Care; D012959:Socioeconomic Factors