medigraphic.com

2006, Number 5

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2006; 44 (5)

Prevalence and Functional Impact of Arthropathies in Elderly Adults

Álvarez-Nemegyei J, Esperón-Hernández RI, Herrera-Correa GM, Nuño-Gutiérrez BL

Language: Spanish
References: 18
Page: 403-407
PDF size: 91.75 Kb.


ABSTRACT

Introduction: musculoskeletal disorders are public health issues in the entire the world; their impact seems to be higher on elderly people.
Objective: to establish the prevalence and the functional impact of arthropathies on the elderly people from Mérida, Yucatán, México.
Material and methods: the SABE-PAHO survey was administered to a random sample of people older than 60 from Mérida, Yucatán, México. Arthropathy was evaluated by self report; on the other hand, physical function was evaluated using the modified Katz’s scale (basic activities of daily living, BADL) and the Lawton’s scale (instrumental activities of daily living, IADL).
Results: 1747 patients (68.6 % females, 31.4 % males), aged 71.5 ± 8.5 years old, were studied; 498 (28.5 %; 95 % CI = 26.4 to 30.6) had arthropathy. After logistic regression and adjustment for chronic obstructive lung disease, ischemic cardiopathy, and stroke presence or to be older than 80 were performed, arthropathy was found associated to BADL (p = 0.03) as well to IADL (p = 0.04) impairment.
Conclusions: the prevalence of arthropathy in elderly people from Mérida, México, was 28.5 %, it was found to be independently associated to impairment for BADL and IADL.


REFERENCES

  1. Sangha O. Epidemiology of the rheumatic diseases. Rheumatology 2000;39(Suppl 2):3-12.

  2. Centers for Disease Control. Prevalence and impact of arthritis among women. MMWR Morb Mortal Wkly Rep 1995:44:329-334.

  3. Bennett K, Cardiel MH, Ferraz MB, Riedemann P, Goldsmith CH, Tugwell P. Community screening for rheumatic disorder: cross cultural adaptation and screening characteristics of the COPCORD Core Questionnaire in Brazil, Chile, and Mexico. J Rheumatol 1997;24:160-168.

  4. Darmawan J, Muirden KD. WHO-ILAR COPCORD perspectives past, present, and future. J Rheumatol 2003;30:2312-2314.

  5. Laiho K, Tuomilehto J, Tilvis R. Prevalence of rheumatoid arthritis and musculoskeletal diseases in the elderly population. Rheumatol Int 2001;20: 85-87.

  6. Jenkinson ML, Bliss MR, Brain AT, Scott DL. Peripheral arthritis in the elderly: a hospital study. Ann Rheum Dis 1989;48:227-231.

  7. Demlow LL, Liang MH, Eaton HM. Impact of chronic arthritis in the elderly. Clin Rheum Dis 1986;12:329-335.

  8. Valderrame E, Pérez-del Molino J. Una visión crítica de las escalas de valoración funcional traducidas al castellano. Rev Esp Geriatr Gerontol 1997;32:297-306.

  9. Instituto Nacional de Geografía y Estadística. Censo general de población y vivienda. Disponible en: http://www.gob.mx/est/librerias/tabulados.

  10. Yelin EH, Katz PP. Transitions in health status among community-dwelling elderly people with arthritis. A national, longitudinal study. Arthritis Rheum 1990;33:1205-1215.

  11. van Schaardenburg D, van den Brande KJ, Ligthart GJ, Breedveld FC, Hazes JM. Musculoskeletal disorders and disability in persons aged 85 and over: a community survey. Ann Rheum Dis 1994;53: 807-811.

  12. al Snih S, Markides KS, Ray L, Freeman JL, Goodwin JS. Prevalence of arthritis in older Mexican Americans. Arthritis Care Res 2000;13: 409-416.

  13. Dunlop DD, Manheim LM, Sohn MW, Liu X, Chang RW. Incidence of functional limitation in older adults: the impact of gender, race, and chronic conditions. Arch Phys Med Rehab 2002;83:964-971.

  14. BlueCross BlueShield Association, American Geriatrics Society. Modules in Clinical Geriatrics. BlueCross BlueShield Association; 1998.

  15. NIH Consensus Conference. Geriatric assessment methods for clinical decision-making. J Am Geriatrics Soc 1998;36:342-347.

  16. Katz S, Downs TV, Cush J, Grotz RC. Progress in the development of the index of ADL. Gerontologist 1970;10:20-30.

  17. Lawton MP, Brody EM. Assessment of older people: self maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-186.

  18. Markides KS, Stroup-Benham CA, Goodwin JS, Perkowski LC, Lichtenstein M, Ray LA. The effect of medical conditions on the functional limitations of Mexican-American elderly. Ann Epidemiol 1996;6:386-391.




2020     |     www.medigraphic.com