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Functional Capacity Among Brazilian Older Adults 12 Months After COVID-19 Infection: A Cross-Sectional Study

2024-12Journal article Open access
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorSouza, Flávia Cristina Sierra de
dc.contributor.authorLaranjeira, Carlos
dc.contributor.authorSalci, Maria Aparecida
dc.contributor.authorHöring, Carla Franciele
dc.contributor.authorGóes, Herbert Leopoldo de Freitas
dc.contributor.authorBaldissera, Vanessa Denardi Antoniassi
dc.contributor.authorMoura, Débora
dc.contributor.authorMeireles, Viviani Camboin
dc.contributor.authorPrado, Maria Fernanda
dc.contributor.authorBetiolli, Susanne Elero
dc.contributor.authorAlcaraz, Jesús Puente
dc.contributor.authorFernandes, Carlos Alexandre Molena
dc.contributor.authorCarreira, Lígia
dc.date.accessioned2025-10-02T10:42:35Z
dc.date.available2025-10-02T10:42:35Z
dc.date.issued2024-12
dc.descriptionThis article belongs to the Special Issue Clinical Consequences of COVID-19: 2nd Edition We acknowledge all the volunteers who made this study possible.
dc.descriptionArticle number - 9
dc.description.abstractBackground/Objectives: Evidence suggests that older adults who survived COVID-19 were exposed to greater functional dependence in their daily living activities. This study aims to examine the prevalence of functional dependence and associated factors among Brazilian older people with functional dependence 12 months after COVID-19 infection. Methods: A cross-sectional study was carried out involving people aged 60 years or older in the state of Paraná, Brazil. One year after notification or hospital discharge due to COVID-19, between June 2021 and March 2022, participants responded to a questionnaire via telephone call about sociodemographic data and data on functionality using the Measure of Functional Independence (FIM). The outcome variable “assessment of functional capacity” was divided into functional dependence (FIM Total < 104) and functional independence (FIM Total ≥ 104). Results: A total of 768 older adults participated, with an average age of 68.03 ± 6.8 years (range between 60 and 100). A majority of them were female (50.3%), white (46%), with low education (37.4%), had a partner (56.3%), did not live alone (72.4%), and had their own home (52.2%). The prevalence of functional dependence was 7.2%. On average, participants scored 5.4 points lower on FIM one year after COVID-19 infection compared with those in the acute phase of COVID-19 (125.5 vs. 120.1; p < 0.001). Functional dependence was higher (p < 0.05) among women when compared to men (aOR = 2.28); in people who changed their work situation due to COVID-19 when compared to those with no change (aOR = 5.27); in people with fair/poor/bad self-reported health compared to those with excellent/good health (aOR = 2.97); in people with cardiovascular symptoms compared to those without cardiovascular symptoms (aOR = 3.37); and among the most severe cases of the disease (treatment in ICU) compared to mild cases (outpatient treatment) (aOR = 10.5). Conclusions: Most participants presented functional independence 12 months after COVID-19 infection. Cases of functional dependence were influenced by multidimensional factors, including physical health, economic, and psychosocial aspects.eng
dc.description.sponsorshipThis work was funded by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)—grant number: 001/2023. It was also supported by FCT—Fundação para a Ciência e a Tecnologia; I.P. (UIDB/05704/2020 and UIDP/05704/2020); and by the Scientific Employment Stimulus—Institutional Call—(https://doi.org/10.54499/CEECINST/00051/2018/CP1566/CT0012, accessed on 20 December 2024).
dc.identifier.citationde Souza, F.C.S.; Laranjeira, C.; Salci, M.A.; Höring, C.F.; Góes, H.L.d.F.; Baldissera, V.D.A.; Moura, D.; Meireles, V.C.; Prado, M.F.; Betiolli, S.E.; et al. Functional Capacity Among Brazilian Older Adults 12 Months After COVID-19 Infection: A Cross-Sectional Study. J. Clin. Med. 2025, 14, 9. https://doi.org/10.3390/jcm14010009
dc.identifier.doi10.3390/jcm14010009
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10400.8/14184
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationCenter for Innovative Care and Health Technology
dc.relation.hasversionhttps://www.mdpi.com/2077-0383/14/1/9
dc.relation.ispartofJournal of Clinical Medicine
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBrazil
dc.subjectCOVID-19
dc.subjectDaily living activities
dc.subjectFunctional status
dc.subjectOlder people
dc.titleFunctional Capacity Among Brazilian Older Adults 12 Months After COVID-19 Infection: A Cross-Sectional Studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.citation.issue1
oaire.citation.titleJournal of Clinical Medicine
oaire.citation.volume14
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLaranjeira
person.givenNameCarlos
person.identifier.orcid0000-0003-1080-9535
person.identifier.scopus-author-id22957802900
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublication7c2157d8-cac9-4004-9438-e92fec260842
relation.isAuthorOfPublication.latestForDiscovery7c2157d8-cac9-4004-9438-e92fec260842
relation.isProjectOfPublicationd421b07d-3471-4026-aa43-def80b8e142b
relation.isProjectOfPublication.latestForDiscoveryd421b07d-3471-4026-aa43-def80b8e142b

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