Functional capacity, depressive symptoms and quality of life: A study with long-lived rural elderly in the Amazon context
DOI:
https://doi.org/10.62827/gb.v1i1.0003Keywords:
Activities of Daily Living; Physical Functional Performance; 80 and over; Depression; Quality of Life.Abstract
Introduction: Population aging is a global phenomenon that is becoming increasingly evident in Brazil and in the state of Amazonas. Understanding this process in different geographic and sociocultural contexts, such as rural areas, is essential to support public health actions aimed at the elderly population. Objective: To analyze the association between functional capacity, depressive symptoms, and quality of life in older elderly individuals living in the rural area of Manaus, AM. Methods: Cross-sectional, population-based study with a quantitative approach, involving 91 elderly individuals aged 80 years or older. The following instruments were applied: Katz Scale (ABVD), Lawton and Brody Scale (IADL), Geriatric Depression Scale (EDG-15), and EUROHIS-QOL. Data were analyzed using descriptive statistics and linear regression. Results: The mean age was 85.6 years, and most participants were male (49/ 53.8%), brown (65/ 71.4%), and widowed (40/ 44%). There was a predominance of independence in BADL, with greater female dependence in IADL. Depressive symptoms were present in 29.6% of the elderly (n=27). There was a significant association between IADL and quality of life, indicating that greater dependence is related to a worse perception of quality of life. No association was identified between functional capacity and depressive symptoms. Conclusion: Limitation in instrumental activities is associated with reduced quality of life of older elderly individuals in rural areas. The lack of association with depressive symptoms suggests the influence of contextual aspects. The findings reinforce the importance of public policies that promote functional autonomy and social support in old age in rural areas.
References
Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2022: População - Primeiros Resultados [Internet]. Rio de Janeiro: IBGE; 2022 [citado 2024 fev 8]. Available from: https://cidades.ibge.gov.br/brasil/am/panorama
Pereira JL, de Araujo FF, Santos KT. Capacidade funcional e qualidade de vida em idosos. Fisioter Bras. 2020;21(2):135–40. Available from: https://doi.org/10.33233/fb.v21i2.1310
Sant’Helena DP, Silva PC da, Gonçalves AK. Capacidade funcional e atividades da vida diária no envelhecimento. In: Envelhecimento Humano: Desafios Contemporâneos - Volume 1. [s.l.]: Editora Científica Digital; 2020. p. 204–18. Available from: https://doi.org/10.37885/200901493
De Jesus dos Santos A, Fuga da Silva D, Gatti AL, Lima AMS de Aquino RC de C. Sintomas de depressão, risco nutricional e capacidade funcional em idosos longevos. Estudos Interdisciplinares em Psicologia. 2021;12(3):3–21. Available from: https://doi.org/10.5433/2236-6407.2021v12n3p03
Antunes R, et al. Quality of life, vitality and handgrip strength in elderly practitioners of physical exercise [Internet]. [S.l.]: [s.n.]; [citado 2024 abr 25]. Available from: https://dx.doi.org/10.6018/cpd.467011
Santos RC, et al. Factors associated with depressive symptoms and cognition in elderly victims of violence. Rev Bras Enferm. 2020;73. Available from: https://doi.org/10.1590/0034-7167-2019-0383 .
GIL AC. Métodos e Técnicas e Pesquisa Social. 7. ed. Editora Atlas SA, 2019. Available from: https://ayanrafael.com/wp-content/uploads/2011/08/gil-a-c-mc3a9todos-e-tc3a9cnicas-de-pesquisa-social.pdf
IBGE – INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. Panorama Amazonas. Pesquisa Nacional por Amostra de domicílios Contínua. Brasil: IBGE: 2022. Available from: https://cidades.ibge.gov.br/brasil/am/panorama.
Katz S. et al. Studies of Illness in the Aged The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. 1963. JAMA. 1963;185(12):914-919. Available from: 10.1001/jama.1963.03060120024016
Lawton MP.; Brody E.M. Assessment of Older People: Self-maintaining and Instrumental Activities of Daily Living. Gerontologist 1969; 9: 179-186. Available from: https://doi.org/10.1093/geront/9.3_Part_1.179
Almeida OP, Almeida EA. Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Revista Internacional de Psiquiatria Geriátrica. [S.l.]: [s.n.]; [s.d.]. Available from: https://doi.org/10.1002/(SICI)1099-1166(199910)14:10<858::AID-GPS35>3.0.CO;2-8
Paradela EMP, Lourenço RA, Veras RP. Validação da escala de depressão geriátrica em um ambulatório geral. Rev Saúde Pública. 2005;39(6):918–23. Available from: https://doi.org/10.1590/S0034-89102005000600008
Romero SS, et al. Validity and reliability of the 8-item EUROHIS-QOL to assess Brazilian adults’ quality of life. Cadernos de Saúde Pública, v. 38, n. 11, 2022. Available from: https://doi.org/10.1590/0102-311XPT200921
Ceccon RF, Vieira LJES, Brasil CCP, Soares KG, Portes VM, Garcia Júnior CAS, Schneider IJC, Carioca AAF. Aging and dependence in Brazil: sociodemographic and care characteristics of older adults and caregivers. Cien Saude Colet. 2021 Jan;26(1):17-26. Portuguese, English. Available from: https://doi.org/10.1590/1413-81232020261.30352020
Scherrer G. et al. Atividades de vida diária, sintomas depressivos e qualidade de vida de idosos. Acta Paulista de Enfermagem, v. 35, 17 maio 2022. Available from: https://doi.org/10.37689/acta-ape/2022AO0237345
Frutuoso CA, Aguiar Silva W, Furtado BS. Avaliação da capacidade funcional de idosos urbanos para atividades instrumentais de vida diária. Anais V CIEH. Campina Grande: Realize Editora, 2017. Available from: https://www.editorarealize.com.br/artigo/visualizar/34192
Okuno MFP, Costa AF, da Belasco AGSS. Satisfação com a vida, qualidade de vida e capacidade funcional de octogenários hospitalizados. REME. Rev Min Enferm. 2020;24: e-1314. Available from: https://doi.org/10.5935/1415.2762.20200068
Pereira JL, de Araujo FF, Santos KT. Capacidade funcional e qualidade de vida em idosos. Fisioter Bras. 2020; 21(2):135–40. Available from: https://doi.org/10.33233/fb.v21i2.1310.
De Oliveira ACA, Bueno Perina KC, Machado PMM. Avaliação da capacidade funcional e prevalência de sintomas depressivos em idosos institucionalizados. REAS [Internet]. 2jul.2020 [citado 27abr.2025];(52):e3473. Available from: https://doi.org/10.25248/reas.e3473.2020
Lino TS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades da Vida Diária (Escala de Katz). Cad Saúde Pública. 2008;24(10):2296–302. Available from: https://doi.org/10.1590/S0102-311X2008000100010
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Letícia Karen Lima Gomes de Sousa, Jander Phillipe Diniz Figueiredo, Gessica dos Santos da Silva, Milenna Thâmyres Alves do Nascimento, Mayele Tavares Pacheco, Jandre Santiago Amorim de Araujo, Carlos Giovanny Rivas Dugarte, Inês Amanda Streit (Autor)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
