Publications by authors named "Maria Lucia Lebrao"

Objective: To identify factors associated with a higher probability of survival for men aged 60 and over in the course of almost 15 years.

Methods: Prospective cohort study, where time zero is the year 2000 and deaths (final event) were measured until November 2014. The independent variables were obtained from personal characteristics, childhood life, educational status, lifestyle, social support, work history, socioeconomic situation, and health condition.

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The scope of this work was to identify the prevalence of domestic violence against non-institutionalized elderly individuals, and to establish if violence is an independent factor associated with the Physical Component (PC) and Mental Component (MC) scores of the Health-Related Quality of Life (HRQOL) of these elderly individuals. It is a cross-sectional epidemiologic and population-based investigation that is part of the SABE (Wellbeing, Health and Aging) study. A sample of 1,126 elderly individuals filled out the Short-Form 12 (SF-12) Health Survey, namely a generic instrument that assesses HRQOL through the Physical and Mental components.

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Article Synopsis
  • The study aimed to quantitatively analyze brain volume changes in elderly individuals using MRI scans from a sample of 525 participants aged 60 to 103 in São Paulo, Brazil.
  • Results showed that total brain volume decreases by approximately 2.4% every decade post-60, with both gray and white matter experiencing reductions.
  • The findings support previous research from the U.S. and Europe, revealing gender differences in brain volume ratios, which could bias assessments of brain atrophy based on cerebrospinal fluid space evaluations.
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Introduction: Frailty is a preventable and reversible syndrome characterized by a cumulative decline of physiological systems, causing greater vulnerability to adverse conditions.

Objective: To describe the prevalence of frailty among older adults and analyze its associated factors and progression.

Method: This is a longitudinal study that used the Health, Well-being, and Aging Study (Saúde, Bem-Estar e Envelhecimento - SABE) database of 2006 and 2010.

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Introduction: Multiple illness and injury classes can cause a functional disability of the elderly, or the right to seek help from another person. Caregiving can be generated without the caregiver functions, leading to burden.

Objective: to describe the sociodemographic and care profile of caregivers of the elderly and to analyze the factors associated with excessive stress regarding care.

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Introduction: Functionality in aging is associated with the autonomy and independence of older people.

Objective: To identify and hierarchize the difficulties reported by older adults in performing activities of daily living.

Method: This is a cross-sectional, descriptive, household-based study that used the Health, Well-being, and Aging Study (Saúde, Bem-Estar e Envelhecimento - SABE) database of 2000, 2006, and 2010.

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Article Synopsis
  • * In a sample of 1,334 seniors, nearly 45% reported experiencing sleep disturbances, with higher rates among women and those aged 75 to 79 years.
  • * The findings suggest that factors such as gender and health issues like joint pain and urinary problems are significant contributors to sleep difficulties in older adults, indicating that these disturbances are not solely age-related.
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Objective: To evaluate whether the occurrence of falls in the year preceding the interview is associated with frailty components after a four-year period.

Methods: Data were obtained from the second round of the Health, Well-being and Aging SABE Study, conducted in 2006, when 1,413 elderly people were interviewed. Individuals considered weak according to the Fried model were excluded, resulting in 1,207 elderly at the study entry.

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Objective: To analyze the influence of demographic, health condition, and lifestyle factors on body balance disorders among elderly subjects living in the city of São Paulo, Brazil, in 2006.

Methods: Thestudy was developed based on information provided by the Health, Well-being, and Aging (SABE) Study. Itincluded 60-year-old subjects, both men and women, or those over this age.

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Objective: To estimate the prevalence of depressive symptoms in the elderly in São Paulo city, Brazil (SABE Study), in 2006 and to identify risk factors associated with the 2006 prevalence and protective factors among those who did not have depressive symptoms in the assessments conducted in 2000 and 2006.

Methods: In this cross-sectional and longitudinal study, the Geriatric Depression Scale was used for inclusion in the cohort in 2000 and also in 2006.

Results: The prevalence of depressive symptoms in 2006 was 14.

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Objectives: The concomitance of smoking and poor dietary habits represents a worsened prognosis of health and quality of life for elderly. The aim of this study was to characterize the nutritional status of elderly who were smokers and former smokers and residents of São Paulo city.

Methods: A cross-sectional study was conducted in 2010 with a representative sample of 1,345 individuals aged 60 years and over, who were part of the elderly cohort monitored at the SABE Study.

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Introduction: The use of dental prosthesis and the tooth loss in elderly people are associated with significant impact on the overall health and quality of life. Continuous assessment of oral health profile in this population is important for planning the actions and policies of the area.

Objectives: The aims of this study were to assess the prevalence of tooth loss and use of dental prosthesis among the elderly people in different periods, to evaluate the association between functional dentition (20 teeth or more) and socioeconomic factors, and to evaluate the impact of tooth loss and use of dental prosthesis on self-rated oral health.

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Introduction: Childhood conditions can influence some aspects of development of an individual and thus affect health in adult life.

Objective: To evaluateassociations between early life conditions and health, as reported by the survey SABE in 2000, 2006, and 2010.

Methods: Early or previous conditions refer to the situations before 15 years of age of the interviewees, such as economic condition, famine, health assessment, medical conditions, and having lived in the countryside for over 5 years.

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Objective: To describe the prevalence of the self-rated poor and very poor health status among elderly people who were not in nursing homes and were living in São Paulo, Brazil, in 2010, and to identify whether the social inequalities previously reported for this condition persist.

Methods: We carried out a cross-sectional study, with a representative sample of 1,344 people aged 60 years or more living in the city, who participated in the SABE Study (Health, Well-Being, and Aging). We applied a questionnaire about sociodemographic characteristics, which included three questions on self-rated health status: a direct question about the current condition, a comparison with the condition of the other people of the same age, and a comparison with oneself a year before.

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Objectives: To estimate the prevalence of sarcopenia, dynapenia, and sarcodynapenia and associated factors in older adults in the city of São Paulo, Brazil.

Methods: A population-based, cross-sectional study was conducted with 1,168 older adults who participated in the third wave of the Health, Well-being, and Aging study in 2010 (SABE study). Men and women with skeletal muscle mass ≤ 8.

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Introduction: Cardiometabolic diseases are prevalent in populations and are among the leading causes of death. Objective: This sub-study of the Health, Well-being and Aging (SABE) study describes the self-reported prevalence of diabetes mellitus (DM), hypertension, and atherosclerotic cardiovascular disease (CVD) for its three waves (2000, 2006, and 2010). It also analyses the associations with selected risk factors.

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Introduction: The city of São Paulo has the largest community of Japanese descendants outside of Japan.

Objectives: To compare the demographic, economic, functional, and health conditions of non-Japanese, Japanese, and their descendants; and to analyze comparatively the functional and health conditions of older adults born in Japan and their descendants born in Brazil.

Methods: A cross-sectional study was carried out in the city of São Paulo, in 2010, with 1,345 older adults (≥ 60 years) participants in the SABE Study (Health, Welfare and Aging).

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Introduction: Understanding racial disparities in Brazil has been very complex and poorly investigated in some population segments, such as the elderly individuals.

Objective: This study aimed to present descriptively a comparative analysis in a racial perspective of sociodemographic profile, health conditions, and health service use by older people in the city of São Paulo.

Methods: This is a cross-sectional analysis of the Health, Welfare and Aging Study (SABE).

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Introduction: Possessing active social networks seems to positively influence the functional performance of elderly people.

Objective: To verify the association between the characteristics of social networks of the elderly people and the emergence of functional impairment.

Methods: This is a longitudinal population-based study, which used the 2006 (n = 1,413) and 2010 (n = 990) cohorts of the Health, Well-Being, and Aging (SABE) Study.

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The Health, Wellbeing and Aging Study (SABE) began in 2000 under the coordination of the Pan American Health Organization as a multicenter study developed in seven urban centers of Latin America and the Caribbean, to determine the health and living conditions of elderly in this region. In Brazil, the study was developed in the city of São Paulo, where 2,143 individuals (cohort A) aged 60 years or older were selected through probabilistic sampling. In 2006, 1,115 of these individuals were interviewed a second time, and a new probabilistic cohort of individuals aged 60 to 64 years was added (cohort B; n=298).

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To verify the association between the incidence of DM and predictors, in a cohort of elderly people. Elderly people (≥ 60 y) were analyzed, of both genders, participants of the SABE Survey, carried out in the city of São Paulo, Brazil, in 2000 (n = 2,143) and 2006 (n = 1,115). The study variables were: DM; demographic (gender, age group, education level, companionship in the residence), nutritional status (risk for obesity, body obesity, and high abdominal fat), clinical (number of reported diseases), and lifestyle (alcohol consumption, smoking, intake of meat and fruit and vegetables).

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Background: Although a reduced glomerular filtration rate (GFR) in old people has been attributed to physiologic aging, it may be associated with kidney disease or superimposed comorbidities. This study aims to assess the prevalence of decreased GFR in a geriatric population in a developing country and its prevalence in the absence of simultaneous diseases.

Study Design And Methods: This is a cross-sectional study of data from the Saúde, Bem-Estar e Envelhecimento cohort study (SABE study[Health, Well-Being and Aging]), a multiple cohorts study.

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: The objective was to identify predictors of pain in the elderly. This was a longitudinal population-based study using home interviews with elderly residing in the city of São Paulo, Brazil, and participating in the SABE Study in 2006 and 2010. Analysis of predictors of pain used hierarchical logistic regression, based on a theoretical-conceptual model with distal, intermediate, and proximal variables.

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Aim: The aim of the present study was to analyze the impact of anemia and hypoalbuminemia on mortality in a 5-year period.

Methods: This was longitudinal population-based observational survey part of the Saúde, Bem-Estar e Envelhecimento study (Health, Well-being and Aging), carried out with 1256 older adults from the third wave of the cohort, followed for 5 years, when they were contacted for the fourth wave, in Sao Paulo, Brazil. Anemia was defined when hemoglobin was <12 g/dL for women and <13 g/dL for men, and hypoalbuminemia when serum albumin was <3.

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Background & Aims: There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo.

Methods: This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010.

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