RT info:eu-repo/semantics/article T1 Functional Capacity Among Brazilian Older Adults 12 Months After COVID-19 Infection: A Cross-Sectional Study A1 de Souza, Flávia Cristina Sierra A1 Laranjeira, Carlos A1 Salci, Maria Aparecida A1 Höring, Carla Franciele A1 Góes, Herbert Leopoldo de Freitas A1 Baldissera, Vanessa Denardi Antoniassi A1 Moura, Débora A1 Meireles, Viviani Camboin A1 Prado, Maria Fernanda A1 Betiolli, Susanne Elero A1 Puente Alcaraz, Jesús A1 Fernandes, Carlos Alexandre Molena A1 Carreira, Lígia K1 Functional status K1 COVID-19 K1 Daily living activities K1 Older people K1 Brazil K1 Covid-19 K1 COVID-19 (Disease) K1 Salud pública K1 Public health K1 Ancianos K1 Older people AB Background/Objectives: Evidence suggests that older adults who survived COVID-19 were exposed to greater functional dependence in their daily living activities. This study aims to examine the prevalence of functional dependence and associated factors among Brazilian older people with functional dependence 12 months after COVID-19 infection. Methods: A cross-sectional study was carried out involving people aged 60 years or older in the state of Paraná, Brazil. One year after notification or hospital discharge due to COVID-19, between June 2021 and March 2022, participants responded to a questionnaire via telephone call about sociodemographic data and data on functionality using the Measure of Functional Independence (FIM). The outcome variable “assessment of functional capacity” was divided into functional dependence (FIM Total < 104) and functional independence (FIM Total ≥ 104). Results: A total of 768 older adults participated, with an average age of 68.03 ± 6.8 years (range between 60 and 100). A majority of them were female (50.3%), white (46%), with low education (37.4%), had a partner (56.3%), did not live alone (72.4%), and had their own home (52.2%). The prevalence of functional dependence was 7.2%. On average, participants scored 5.4 points lower on FIM one year after COVID-19 infection compared with those in the acute phase of COVID-19 (125.5 vs. 120.1; p < 0.001). Functional dependence was higher (p < 0.05) among women when compared to men (aOR = 2.28); in people who changed their work situation due to COVID-19 when compared to those with no change (aOR = 5.27); in people with fair/poor/bad self-reported health compared to those with excellent/good health (aOR = 2.97); in people with cardiovascular symptoms compared to those without cardiovascular symptoms (aOR = 3.37); and among the most severe cases of the disease (treatment in ICU) compared to mild cases (outpatient treatment) (aOR = 10.5). Conclusions: Most participants presented functional independence 12 months after COVID-19 infection. Cases of functional dependence were influenced by multidimensional factors, including physical health, economic, and psychosocial aspects. PB MDPI YR 2024 FD 2024-12 LK https://hdl.handle.net/10259/11362 UL https://hdl.handle.net/10259/11362 LA eng NO This work was funded by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)—grant number: 001/2023. It was also supported by FCT—Fundação para a Ciência e a Tecnologia; I.P. (UIDB/05704/2020 and UIDP/05704/2020); and by the Scientific Employment Stimulus—Institutional Call—(https://doi.org/10.54499/CEECINST/00051/2018/CP1566/CT0012, accessed on 20 December 2024). DS Repositorio Institucional de la Universidad de Burgos RD 28-abr-2026