TAILIEUCHUNG - Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study

After 40 the muscle fibbers shrink and replaced slowly with a tough fibrous changes often begin in the 40s in women. Lipofuscin (an age-related pigment) and fat are deposited in muscle tissue. This is most noticeable in the hands, which may appear thin and bony. Muscles may become rigid with age and may lose tone, even with regular exercise. Loss of muscle mass reduces strength which contributes to fatigue, weakness, and reduced activity tolerance. Exercise is one of the best ways to slow or prevent problems with the muscles, joints, and bones | Investigación original Original research Impact of chronic disease on quality of life among the elderly in the state of São Paulo Brazil a population-based study Margareth Guimarães Lima 1 Marilisa Berti de Azevedo Barros 1 Chester Luiz Galvão César 2 Moisés Goldbaum 3 Luana Carandina 4 and Rozana Mesquita Ciconelli5 Suggested citation Lima MG Barros MBA César CLG Goldbaum M Carandina L Ciconelli RM. Impact of chronic disease on quality of life among the elderly in the state of São Paulo Brazil a population-based study. Rev Panam Salud Publica. 2009 25 4 314 21. ABSTRACT Objectives. To assess the impact of chronic disease and the number of diseases on the various aspects of health-related quality of life HRQOL among the elderly in São Paulo Brazil. Methods. The SF-36 Health Survey was used to assess the impact of the most prevalent chronic diseases on HRQOL. A cross-sectional and population-based study was carried out with two-stage stratified cluster sampling. Data were obtained from a multicenter health survey administered through household interviews in several municipalities in the state of São Paulo. The study evaluated seven diseases arthritis back-pain depression anxiety diabetes hypertension osteoporosis and stroke and their effects on quality of life. Results. Among the 1 958 elderly individuals 60 years of age or older reported not having any of the illnesses whereas presented three or more chronic conditions. The presence of any of the seven chronic illnesses studied had a significant effect on the scores of nearly all the SF-36 scales. HRQOL achieved lower scores when related to depression anxiety osteoporosis and stroke. The higher the number of diseases the greater the negative effect on the SF-36 dimensions. The presence of three or more diseases significantly affected HRQOL in all areas. The bodily pain general health and vitality scales were the most affected by diseases. Conclusions. The study detected a high prevalence of chronic .

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