ATIVIDADE FÍSICA E ATIVIDADES DIÁRIAS DE GRUPOS DE IDOSOS DE IRATI – PR, 2016

Abstract

Objectives: To identify the level of physical activity (PA), activities of daily living (ADL) and daily life and instrumental activities of daily living (IADL), according to sociodemographic, behavioral and health-related variables in institutionalized elderly, and elderly participants in programs for Third Age in Irati, Paraná State; identify the main factors associated with the level of PA, ADL and IADL. Methods: A cross - sectional, quantitative, ex post facto study was carried out. The sample calculation was performed for each group evaluated: Santa Rita - Home for the Aged (35 participants), Rio Bonito Community Center (37 participants), Open University of the Third Age - UNICENTRO/Irati (UATI) (20 participants). A draw for the study population was chosen, except to the Coexistence Center group, which consisted of convenience due to discrepancies in the registries of participants of this group. The following instruments were used to evaluate the respective outcomes: IPAQ - short version for physical activity; Barthel Index for ADL; and Lawton and Brody Scale for IADL. Descriptive statistics of the variables and, to identify the factors associated with the practice of PA, to the ADL and the AIVD, the Poisson Regression models were constructed, obtaining the prevalence ratios in univariate and multivariate models that were estimated by points and at intervals with 95% confidence. This statistical technique was used because the PA, ADL and IADL variables had no normal distribution. Univariate models were constructed, containing each of the independent variables and the response variable. In these models, the variables for which they obtained values p <0,25 (Wald Test) were candidates for multivariate models, in which the variables that presented values p <0,05 remained. Results: In relation to the practice of PA, Cohexistence Center (81.1%) and UATI (85%) had a greater representation of the elderly sufficiently active, and for the Home for the Aged was 31.4%. There was a higher prevalence of women in the Cohexistence Center (89.2%) and UATI (100%) groups, as well as in the sufficiently active condition. The number of older adults with ADL was higher in the UATI group (85%), compared to the Cohabitation Center (50%) and Home for the Aged (42.9%). As for the AIVDs, 100% of the UATI population and 97.3% of the Coexistence Center were found to be independent. In the Home for the Agend group, all the elderly who participated in the study were considered dependent. It was verified that the nutritional status, as it was associated with ADL dependence, in the Home for the Aged group (PR: 0.22, 95% CI: 0.08-0.66. In the present study, we did not identify variables related to the outcome of PA, ADL and IADL, for the Living and Cohabitation groups, as well as for the PA and IADL outcomes for the Home for the Aged group. Final Considerations: In relation to the practice of PA, coexistence groups (Cohabitation Center and UATI) had a greater representation of sufficiently active elders, as well as a higher prevalence of women. The UATI group presented, in general, better results regarding both the practice of PA and the performance of ADL and IADL, probably because it is a context that offers its users the practice of PA. Regarding the Home for the Aged group, it is considered that the elderly can be institucionalized because they do not have the conditions to assume an independent life. Also, the context can be a barrier to achieve PA and make elderly dependent for IADL, because the structure of the institutional environment itself does not favor the performance of this kind of activities.