Google Scholar | Citations: 16429| h-index: 32 | i10-index: 482
Artigos Originais
Vol. 25 No. 9 (2025), Artigos Originais
Vol. 25 No. 9 (2025)

Impact on the functionality of elderly people living in long-term care facilities during the COVID-19 pandemic in the State of Ceará, Brazil

Published 2025-09-09
Juliana Rodrigues Teixeira
Carina Bandeira Bezerra
Rosina Ribeiro Gabriele
Ianna Lacerda Sampaio Braga
Siulmara Cristina Galera
João Macedo Coelho Filho
Geraldo Bezerra da Silva Junior
Priscila Pinheiro Silvestre Nogueira
Maria Auxiliadora Bezerra Barroso
Maria Vieira de Lima Saintrain
PDF (Portuguese (Brazil))

Keywords

Covid-19
Functionality
Elderly
Long-term care institution for the elderly

How to Cite

Impact on the functionality of elderly people living in long-term care facilities during the COVID-19 pandemic in the State of Ceará, Brazil. (2025). Electronic Journal Collection Health, 25(9), e21162. https://doi.org/10.25248/reas.e21162.2025
ABNT ACM ACS AMA APA Chicago Harvard IEEE MLA Turabian Vancouver

Download Citation

Endnote/Zotero/Mendeley (RIS) BibTeX

Copyright © | All rights reserved.

The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.

Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.

Total reproduction
It is expressly prohibited and must be authorized by the journal.

Abstract

Objective: To characterize the effects of the COVID-19 pandemic on the functional capacity of institutionalized elderly individuals. Methods: This is a retrospective cohort study conducted with 204 elderly individuals from a Long-Term Care Facility for the Elderly (LTCF) during the COVID-19 pandemic. Variables such as the Katz Index were used to assess Basic Activities of Daily Living (BADL) and the Pfeffer questionnaire to measure Instrumental Activities of Daily Living (IADL) during the post-first wave of the pandemic (June to October 2020). Data related to the instruments applied in the pre-pandemic period remained as secondary indicators collected from the elderly individuals' medical records. The data were processed and analyzed using SPSS. Results: The investigation included 153 participants evaluated for BADL and 137 for IADL. Functional decline was observed in participants who presented the symptomatic form of the disease, both in the evaluation for BADL (p=0.010) and IADL (p=0.010). There was also functional worsening with increasing age, for BADL, standing out in the oldest old (p=0.039). Conclusion: The impact of the first wave of the pandemic on the functionality of institutionalized elderly people is relevant when evaluated due to the COVID-19 disease in its symptomatic form in addition to the consequences of the necessary social restriction measures.

PDF (Portuguese (Brazil))

References

ANDRADE FLJP, et al. Cognitive impairment and associated factors among institution alized elderly persons in Natal, Rio Grande do Norte, Brazil. Rev Bras Geriatr e Gerontol, 2017; 20(2): 186–96.

BRASIL. MINISTÉRIO DA SAÚDE. Doença pelo Coronovírus COVID-19. Bol Epidemiológico Espec, 2020; 1–76.

BRASIL. MINISTÉRIO DA SAÚDE. Guia para uso do antiviral nirmatrelvi/ ritonavir em pacientes não hospitalizados e de com covid-19, alto risco, 2022.

CHAVES D, et al. Análise de citocinas e quimiocinas no plasma de pacientes com covid-19 e doadores de sangue assintomáticos infectados com Sars-Cov-2. Hematol Transfus CellTher, 2021; 43: 508.

CRAY HV e VAHIA IV. Two years of covid-19: understanding impact and implications for the mental health of older adults. am j geriatr psychiatry, 2022; 30(4): 444–7.

DA FONSECA LEJ, et al. Vaccines for covid-19 - state of the art. Rev Bras Saude Matern Infant, 2021; 21: 21–7.

FEDECOSTANTE M, et al. Predictors of functional decline in nursing home residents: The Shelter project. Journals Gerontol - Ser A Biol Sci Med Sci, 2021; 75(8): 1600–5.

FERNANDES DS, et al. Atuação de movimentos sociais e entidades na pandemia da COVID-19 no Brasil: O cuidado à pessoa idosa em Instituições de Longa Permanência. Rev Bras Geriatr e Gerontol, 2021; 24(2).

FREITAS EV e PY L. Tratado de geriatria e gerontologia- 2016. 2022; 95(4).

GONZÁLEZ DA, et al. Comprehensive evaluation of the Functional Activities Questionnaire (FAQ) and Its reliability and validity. Assessment, 2022; 29(4): 748–63.

GUTIÉRREZ-ROBLEDOLM, et al. Screening intrinsic capacity and its epidemiological characterization: A secondary analysis of the Mexican health and aging study. Rev Panam Salud Publica/Pan Am J Public Heal, 2021; 45: 1–9.

HUANG C, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 2020; 395(10223): 497–506.

KATZS e AKPOM CA. 12. Index of ADL. Med Care, 1976; 14: 116–8.

LAI CC, et al. COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored. J Microbiol Immunol Infect. 2020; 53(3): 444–6.

LEI H, et al. Acupuncture benefits a pregnant patient who has Bell’s Palsy: A case study. J Altern Complement Med. 2010; 16(9): 1011–4.

LI C, et al. Laboratory diagnosis of coronavirus disease-2019 (COVID-19). Clin Chim Acta, 2020; 510: 35–46.

LIMA N, et al. COVID-19 em instituições de longa permanência para idosos: um inquérito epidemiológico. SciELO Prepr, 2021; 1: 1–15.

MACHADO CJ, et al. Estimates of the impact of COVID-19 on mortality of institutionalized elderly in Brazil. Cienc e Saude Coletiva, 2020; 25(9): 3437–44.

MAHASE E. Covid-19: What do wek now about “long covid”? BMJ, 2020; 370: 9–10.

MASNOON N, et al. What is polypharmacy? A systematic review of definitions. BMC Geriatr, 2017; 17(1): 1–10.

MATTOS IE, et al. Factors associated with functional incapacity in elders living in long stay institutions in Brazil: A cross-sectional study. BMC Geriatr, 2014; 14(1): 1–9.

MATUS-LOPEZ M e CHAVERRI-CARVAJAL A. Population with long-term care needs in six latin american countries: Estimation of older adults who need help performing adls. Int J Environ Res Public Health, 2021; 18(15).

MENEGUCI CAG, et al. Incapacidade funcional em idosos brasileiros: uma revisão sistemática e metanálise. Rev Bras Ciências do Envelhec Hum, 2019; 16(3): 98–124.

MORENO-MARTIN P, et al. Incidence and predictive factors of functional decline in older people living in nursing homes: A Systematic Review. J Am Med Dir Assoc, 2022; 23(11): 1815-1829.

PFEFFER RI, et al. Measurement of functional activities in older adults in the community. Journals Gerontol, 1982; 37(3): 323–9.

PRAMPART S, et al. Functional decline, long term symptoms and course of frailtyat 3-months follow-up in COVID-19 older survivors, a prospective observational cohortstudy. BMC Geriatr, 2022; 22(1): 1–11.

SAINTRAIN MVDL, et al. Idosos com depressão: uma análise dos fatores de institucionalização e apoio familiar. Rev Bras em Promoção da Saúde, 2018; 31(4): 1–7.

SIDNEY K, et al. Studies of illness in the aged the index of adl: a standardized measure of biological and psychosocial function table 1. Index of Independence in Activities of Daily Living. Jama, 1963; 185(12): 94–9.

SKOU ST, et al. Europe PMC Funders Group Multimorbidity, 2023; 8(1): 1–54.

SOUZA CC, et al. Mobilidade funcional em idosos institucionalizados e não institucionalizados TT - Functionalmobility in institutionalized and non-institutionalized elderly. Rev Bras Geriatr e Gerontol, 2013; 16(2): 285–93.

SUIJKER JJ, et al. Minimal important change and minimal detectable change in activities of daily living in community-living older people. J Nutr Heal Aging, 2017; 21(2): 165–72.

WACHHOLZ PA, et al. Impacto do tamanho das instituições de longa permanência na adesão às orientações de prevenção de infecções por COVID-19. Rev Lat Am Enfermagem, 2022; 30: 3557.

WHO. WORLD HEALTH ORGANIZATION. COVID-19 Weekly Epidemiological Update. World Heal Organ, 2022; 1–33.