Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais
Introduction In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. Objective determine whether physical impairment from leprosy is associated with d...
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ftdoajarticles:oai:doaj.org/article:b397393dc7374593a50ff1b6e29600d1 2023-05-15T15:11:44+02:00 Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais Alisson da Costa Silva Raquel Conceição Ferreira Maria Aparecida Alves Ferreira Marco Túlio de Freitas Ribeiro 2014-04-01T00:00:00Z https://doi.org/10.1590/0037-8682-0012-2014 https://doaj.org/article/b397393dc7374593a50ff1b6e29600d1 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000200212&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0012-2014 https://doaj.org/article/b397393dc7374593a50ff1b6e29600d1 Revista da Sociedade Brasileira de Medicina Tropical, Vol 47, Iss 2, Pp 212-217 (2014) Leprosy (Hansen's disease) Elderly Dependence Arctic medicine. Tropical medicine RC955-962 article 2014 ftdoajarticles https://doi.org/10.1590/0037-8682-0012-2014 2022-12-30T21:27:11Z Introduction In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. Objective determine whether physical impairment from leprosy is associated with dependence among the elderly. Methods An analytical cross-sectional study of elderly individuals with a history of leprosy and no signs of cognitive impairment was conducted using a database from a former leprosy colony-hospital. The patients were evaluated for dependence in the basic activities of daily living (BADL) and instrumental activities of daily living (IADL), respectively) and subjected to standard leprosy physical disability grading. Subsequently, descriptive and univariate analyses were conducted, the latter using Pearson's chi-squared test. Results A total of 186 elderly persons were included in the study. Of these individuals, 53.8% were women, 49.5% were older than 75 years of age, 93% had four or less years of formal education, 24.2% lived in an institution for the long-term care of the elderly (ILTC), and 18.3% had lower limb amputations. Among those evaluated, 79.8% had visible physical impairments from leprosy (grade 2), 83.3% were independent in BADL, and 10.2% were independent in IADL. There was a higher impairment grade among those patients who were IADL dependent (p=0.038). Conclusion s: The leprosy physical impairment grade is associated with dependence for IADL, creating the need for greater social support and systematic monitoring by a multidisciplinary team. The results highlight the importance of early diagnosis and treatment of leprosy to prevent physical impairment and dependence in later years. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 47 2 212 217 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Leprosy (Hansen's disease) Elderly Dependence Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Leprosy (Hansen's disease) Elderly Dependence Arctic medicine. Tropical medicine RC955-962 Alisson da Costa Silva Raquel Conceição Ferreira Maria Aparecida Alves Ferreira Marco Túlio de Freitas Ribeiro Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
topic_facet |
Leprosy (Hansen's disease) Elderly Dependence Arctic medicine. Tropical medicine RC955-962 |
description |
Introduction In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. Objective determine whether physical impairment from leprosy is associated with dependence among the elderly. Methods An analytical cross-sectional study of elderly individuals with a history of leprosy and no signs of cognitive impairment was conducted using a database from a former leprosy colony-hospital. The patients were evaluated for dependence in the basic activities of daily living (BADL) and instrumental activities of daily living (IADL), respectively) and subjected to standard leprosy physical disability grading. Subsequently, descriptive and univariate analyses were conducted, the latter using Pearson's chi-squared test. Results A total of 186 elderly persons were included in the study. Of these individuals, 53.8% were women, 49.5% were older than 75 years of age, 93% had four or less years of formal education, 24.2% lived in an institution for the long-term care of the elderly (ILTC), and 18.3% had lower limb amputations. Among those evaluated, 79.8% had visible physical impairments from leprosy (grade 2), 83.3% were independent in BADL, and 10.2% were independent in IADL. There was a higher impairment grade among those patients who were IADL dependent (p=0.038). Conclusion s: The leprosy physical impairment grade is associated with dependence for IADL, creating the need for greater social support and systematic monitoring by a multidisciplinary team. The results highlight the importance of early diagnosis and treatment of leprosy to prevent physical impairment and dependence in later years. |
format |
Article in Journal/Newspaper |
author |
Alisson da Costa Silva Raquel Conceição Ferreira Maria Aparecida Alves Ferreira Marco Túlio de Freitas Ribeiro |
author_facet |
Alisson da Costa Silva Raquel Conceição Ferreira Maria Aparecida Alves Ferreira Marco Túlio de Freitas Ribeiro |
author_sort |
Alisson da Costa Silva |
title |
Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
title_short |
Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
title_full |
Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
title_fullStr |
Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
title_full_unstemmed |
Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais |
title_sort |
association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the state of minas gerais |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2014 |
url |
https://doi.org/10.1590/0037-8682-0012-2014 https://doaj.org/article/b397393dc7374593a50ff1b6e29600d1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 47, Iss 2, Pp 212-217 (2014) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000200212&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0012-2014 https://doaj.org/article/b397393dc7374593a50ff1b6e29600d1 |
op_doi |
https://doi.org/10.1590/0037-8682-0012-2014 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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47 |
container_issue |
2 |
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212 |
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