Capacidade intrínseca e fatores associados em pessoas idosas participantes de grupos de convivência

Abstract

Introduction: Intrinsic capacity (IC) is defined as the set of individual physical and mental abilities, the preservation of which will influence functional skills throughout aging, and therefore it is important that its assessment be incorporated into healthcare services to support the adoption of preventive approaches in the field of gerontology. Objective: To evaluate the association of IC with socioeconomic, health, mobility in the living space, balance and history of falls in a group of elderly people residing in the community who attend a living center in Manaus-Am. Methods: This is a cross-sectional study of a descriptive and analytical nature, for which the participants provided demographic, socioeconomic, health conditions and history of falls, through an interview, and were evaluated for mobility in the space of life and balance. IC was assessed in its five domains: cognition, psychological, sensory, locomotion and vitality through validated instruments, and the total CI score was then calculated, and associations analyzed. Results: This study counted as a sample size of 170 subjects with a mean age of 72.3 (SD 8.0) years, mostly female, brown, widowed, amazonensian, who reside in the Central-South zone of Manaus, performing one or more regular physical activities, whether or not associated with cognitive or artistic/recreational activity. Half of the subjects had preserved IC, and all domains were preserved in most of the evaluated. The factors negatively associated with IC were income below a salary (OR 0,026 [0,002-0,296]) and number of comorbidities (OR 0,691 [0,536-0,890]), while the number of surgeries (OR 1,326 [1,058-1,661]) and good balance (OR 1,417 [1,216-1,651]) were positively associated with IC. Conclusion: These results enable the adoption of specific strategies for the demands of this audience in the pursuit of IC preservation, being able to contribute to the maintenance of functionality and successful aging.