Abstract：
UNLABELLED:Successful aging as a process of adaptation to the optimal state is little known in older people. OBJECTIVE:To describe successful aging and to analyze the factors associated with frailty in people aged 86 years. DESIGN:A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix Study). SETTING:Seven Primary Care Centers. PARTICIPANTS:Non-institutionalized subjects born in 1924. MAIN MEASUREMENTS:Data on sociodemographic, comorbidity and geriatric assessment scales were collected. Frailty was defined by the presence of 3 or more of the following criteria: muscle weakness, slow walking, weight loss, exhaustion, low physical activity. Successful aging was defined as: Barthel index >90/100 and Lobo test ≥ 24/35. Multiple regression analysis was performed. RESULTS:A total of 273 patients were evaluated, 39.2% men. The prevalence of successful aging was 47.2% (129). In the unsuccessful aging, the frailty prevalence was 34.7% (50). The frailty factors associated with unsuccessful aging were low activity (OR: 7.56; 95%CI: 3.8 -14.9), weakness (OR: 6.08; 95%CI: 2.5-14.7), slowness (OR: 5.1; 95%CI: 2.8-9.5), and exhaustion (OR: 3.6; 95%CI: 1.6-8.3). The prevalence of successful aging is high in 86-year-old community-dwelling subjects. The low physical activity multiplied by seven, and muscle weakness by 6, were the factors most associated with unsuccessful aging. Therefore, incorporating screening designed to detect these two factors could improve future interventions towards more optimal aging in the community, if these results are confirmed in future studies.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Ferrer A,Formiga F,Sanz H,Monserrate E,Verges D,Grupo Octabaix.doi
10.1016/j.aprim.2014.01.004subject
Has Abstractpub_date
2014-11-01 00:00:00pages
475-82issue
9eissn
0212-6567issn
1578-1275pii
S0212-6567(14)00067-5journal_volume
46pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79106-3
更新日期：2002-11-30 00:00:00
abstract：OBJECTIVE:To analyse the repercussions that caring for chronically sick patients at home can have on the health of the main carers. DESIGN:A descriptive crossover study. SETTING:"Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS:All the 336 chronically sick at home recorded in the home-care pro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-04-30 00:00:00
abstract：OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098275
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-03-15 00:00:00
abstract：OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78649-5
更新日期：2000-09-15 00:00:00
abstract：OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-09-15 00:00:00
abstract：OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78604-5
更新日期：2000-06-15 00:00:00
abstract：OBJECTIVE:A description of early diagnosis of cervical cancer in the Barbastro Hospital area. DESIGN:Descriptive and retrospective study on all the CIN III cases collected in the Tumor Hospital Registry from 1989 to 1998. To correlate the data to the population covered by the hospital. PARTICIPANTS AND METHODS:59 CIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70421-0
更新日期：2001-10-31 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：OBJECTIVE:To investigate whether there is a relationship between the quality of the clinical history (CH) in primary care and metabolic control of patients with diabetes (DM). DESIGN:Retrospective and observational. SETTING:15 health centres in the Segovia Area. PATIENTS:315 diabetic patients, selected at random fro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78749-x
更新日期：2000-12-01 00:00:00
abstract：OBJECTIVE:To describe a method of carrying out an early detection programme (EDP) for breast cancer in a health area, as a coordinated activity between the primary care teams (PCTs) and specialist care. DESIGN:A descriptive, longitudinal study. SETTING:Area II of the Principality of Asturias. This is a predominantly ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-31 00:00:00
abstract：:We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.02.008
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79482-2
更新日期：2004-07-01 00:00:00
abstract：AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-03-15 00:00:00
abstract：OBJECTIVE:To find out what urban low and middle class women think about the relationship between health and daily behaviours, their social and family situation and the setting in which they live. DESIGN:Qualitative methodology and the focus group technique. SETTING:Urban population. PARTICIPANTS:Low and middle class...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-15 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-30 00:00:00
abstract：OBJECTIVE:To analyse the impact of a formative / informative intervention on the treatment of non-oncological chronic pain in Primary Care. DESIGN:Quasi-experimental study before-after, and follow-up of the patient cohort. LOCATION:64 Primary Care teams/centres (770 physicians). PARTICIPANTS:Patients≥14 years withou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.09.001
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To describe short-term time off work procedures, its duration and the determining factors in an active population covered by health insurance at a health centre. DESIGN:Descriptive and observational study of prevalence. SETTING:Ribadeo Health Centre, Lugo, Spain. PARTICIPANTS:All sickness certificates issu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13083937
更新日期：2006-01-01 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-11-15 00:00:00
abstract：OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.12.016
更新日期：2012-01-01 00:00:00
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doi：
更新日期：1999-11-15 00:00:00
abstract：OBJECTIVE:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-03-15 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1157/13080299
更新日期：2005-10-31 00:00:00
abstract：OBJECTIVE:To describe the parental knowledge and care of fever in children under 2years. Relate this data with socio-demographic with characteristics. DESIGN:Cross-sectional and correlation multicenter study. LOCATION:Five teams of Primary Care in Barcelona. PARTICIPANTS:Parents of children under 2years attended to ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2016.11.011
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-15 00:00:00
abstract：OBJECTIVE:Epidemiological studies and interventions to reduce inequalities in community health require the assignation of exhaustive and easy-to-obtain social indicators. Occupation and education are two of the most often used. In this study we attempt to evaluate the association between education and occupation among ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78733-6
更新日期：2000-11-30 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:Information on pharmaceutical assistance in health care can be obtained from different sources: pharmacies, medical records, market studies, and family interviews. These allow to evaluate whether the consumed drugs were prescribed or directly purchased, if they are stored at home, and the relation between these facts ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-31 00:00:00
