Sociodemographic and clinical characteristics associated with physical mobility in hospitalized aged individuals

Authors

Keywords:

Population Characteristics, Frail Elderly, Inpatients, Early Ambulation, Mobility Limitation

Abstract

Objective: To analyze the relationship between sociodemographic/clinical characteristics and physical mobility decline in hospitalized aged individuals.

Method: A cross-sectional analytical study conducted between March 2022 and July 2023 with a probability sample comprised by 547 aged individuals at wards from a public hospital in southern Brazil. A questionnaire with sociodemographic variables, morbidities, physical frailty, delirium (Confusion Assessment Method) and physical mobility (Perme Score) was applied. Descriptive statistics and multiple linear models were used to verify associations between the independent variables and the Perme Score, adopting 5% significance. All the analyses were performed in R 4.2.2.

Results: Mobility decline was associated with age between 70 and 80 years old (p=0.007) and >80 years old (p<0.001), widowhood (p=0.005), physical frailty (p<0.001), dementia (p<0.001), delirium (p<0.001), cancer (p=0.041) and schizophrenia (p=0.045).

Conclusion: Mobility decline is related to aging and to modifiable factors, whose management during hospitalization can prevent or attenuate functional losses in aged individuals.

Author Biographies

Tissiane Bona Zomer, Municipal Health Department. Curitiba, PR, Brazil.

Physiotherapist. Multiprofessional Residency in Elderly Health. Municipal Health Department, Curitiba, PR, Brazil.

Maria Helena Lenardt, Universidade Federal do Paraná

Nurse. PhD in Philosophy of Nursing. Senior Lecturer in the Postgraduate Nursing Program at the Federal University of Paraná, Curitiba, PR, Brazil.

Clovis Cechinel, Universidade Federal do Paraná

Physician. Doctor of Nursing. Postgraduate Program in Nursing. Federal University of Paraná, Curitiba, PR, Brazil.

João Alberto Martins Rodrigues, Federal University of Paraná, Curitiba, PR, Brazil.

Physician. Doctor of Nursing. Postgraduate Program in Nursing. Federal University of Paraná, Curitiba, PR, Brazil.

Larissa Teleginski Wardenski, Federal University of Paraná, Curitiba, PR, Brazil.

Speech-language pathologist. Master's degree in Nursing. Postgraduate Program in Nursing. Federal University of Paraná, Curitiba, PR, Brazil.

References

1. OMS - Organização Mundial da Saúde. CIF: Classificação internacional de funcionalidade, incapacidade e saúde. São Paulo: Editora da Universidade de São Paulo; 2022. 336 p.

2. Beauchamp MK, Hao Q, Kuspinar A, Thiyagarajan JA, Mikton C, Diaz T, et al. A unified framework for the measurement of mobility in older persons. Age Ageing [Internet]. 2023 [cited 2024 Jun 6];52(Suppl 4):iv82-iv85. Available from: https://doi.org/10.1093/ageing/afad125

3. Rantakokko M, Mänty M, Rantanen T. Mobility decline in old age. Exerc Sport Sci Rev [Internet]. 2013 [cited 2025 Jul 4];41(1):19-25. Available from: https://doi.org/10.1097/JES.0b013e3182556f1e

4. Musich S, Wang SS, Ruiz J, Hawkins K, Wicker E. The impact of mobility limitations on health outcomes among older adults. Geriatr Nurs [Internet]. 2018 [cited 2024 Aug 4];39(2):162-169. Available from: https://doi.org/10.1016/j.gerinurse.2017.08.002

5. de Andrade FB, Duarte YAO, de Souza Junior PRB, Torres JL, Lima-Costa MF, Andrade FCD. Inequalities in basic activities of daily living among older adults. Rev Saude Publica [Internet]. 2019 [cited 2025 Jan 4];52(Suppl 2):14s. Available from: https://doi.org/10.11606/S1518-8787.2018052000617

6. do Nascimento CF, Duarte YAO, Chiavegatto Filho ADP. Fatores associados à limitação da mobilidade funcional em idosos do Município de São Paulo, Brasil: análise comparativa ao longo de 15 anos. Cad Saude Publica [Internet]. 2022 [cited 2025 Feb 14];38(4):e00196821. Available from: https://doi.org/10.1590/0102-311X00196821

7. Loyd C, Markland AD, Zhang Y, Fowler M, Harper S, Wright NC, et al. Prevalence of hospital-associated disability in older adults: a meta-analysis. J Am Med Dir Assoc [Internet]. 2020 [cited 20254 Jun 8];21(4):e5. Available from: https://doi.org/10.1016/j.jamda.2019.09.015

8. Cuschieri S. The STROBE guidelines. Saudi J Anaesth [Internet]. 2019 [cited 2023 Jul 4];13(Suppl 1):S31-S34. Available from: https://doi.org/10.4103/sja.SJA_543_18

9. Instituto Brasileiro de Geografia e Estatística (IBGE). Curitiba (PR) | Cidades e Estados [Internet]. Rio de Janeiro: IBGE; 2023 [cited 2025 Nov 15]. Available from: https://www.ibge.gov.br/cidades-e-estados/pr/curitiba.html

10. Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr [Internet]. 1994 Mar [cited 2025 Apr 4];52(1):1-7. Available from: https://pubmed.ncbi.nlm.nih.gov/8002795/

11. Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2020: Questionário Básico [Internet]. Rio de Janeiro: IBGE; [2019] [cited 2025 Nov 16]. Available from: https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/ba7ebcb8ad1eb3d4d1e103c9033d5404.pdf

12. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci [Internet]. 2021;56(3):M146-56 [cited 2024 Apr 4]. Available from: https://doi.org/10.1093/gerona/56.3.m146

13. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method: a new method for detection of delirium. Ann Intern Med [Internet]. 1990 [cited 2025 Jul 4];113(12):941-8. Available from: https://doi.org/10.7326/0003-4819-113-12-941

14. Fabbri RMA, Moreira MA, Garrido R, Almeida OP. Validity and reliability of the portuguese version of the confusion assessment method (CAM) for the detection of delirium in the elderly. Arq Neuropsiquiatr [Internet]. 2001 [cited 2025 Jun 8];59(2A):175-9. Available from: https://doi.org/10.1590/S0004-282X2001000200004

15. Nawa RK, Lettvin C, Winkelman C, Evora PRB, Perme C. Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit. J Crit Care [Internet]. 2014 [cited 2024 Aug 15];29(3):475.e1-5.e5. Available from: https://doi.org/10.1016/j.jcrc.2014.01.019

16. Lenard MH, Cechinel C, Zomer TB, Rodrigues JAM, Binotto MA, Spoladore R. Evidence of the use of the perme intensive care unit mobility score in hospitalized adults: a scoping review. Rev Latino-Am Enferm [Internet]. 2025 [cited 2024 Aug 15];33:e4542. Available from: https://doi.org/10.1590/1518-8345.7491.4542

17. Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2022 [Internet]. Rio de Janeiro: IBGE; 2024 [cited 2025 Nov 16]. Available from: https://www.ibge.gov.br/estatisticas/sociais/populacao/9170-censo-demografico.html

18. Instituto Brasileiro de Geografia e Estatística (IBGE). IBGE, Diretoria de Pesquisas, Coordenação de Trabalho e Rendimento. Pesquisa Nacional de Saúde 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal no Brasil [Internet]. Rio de Janeiro: IBGE; 2020 [cited 2024 Apr 26]:4. Available from: https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/005355051927a647d3b01a5c8f735494.pdf

19. dos Santos BP, de Amorim JSC, Poltronieri BC, Hamdan AC. Association between functional disability and cognitive deficit in hospitalized elderly patients. Cad Bras Ter Ocup [Internet]. 2021 [cited 2024 Jan 24];29:e2101. Available from: https://doi.org/10.1590/2526-8910.ctoAO2101

20. Barrenetxea J, Yang Y, Markides KS, Pan A, Koh WP, Feng Q. Social support and health among older adults - The Singapore Chinese Health Study. Ageing Soc [Internet]. 2022 [cited 2025 Jun 14];42(8):1921-37. Available from: https://doi.org/10.1017/S0144686X20001944

21. Sakurai R, Kawai H, Suzuki H, Kim H, Watanabe Y, Hirano H, et al. Poor social network, not living alone, is associated with incidence of adverse health outcomes in older adults. J Am Med Dir Assoc [Internet]. 2019 [cited 2024 Feb 4];20(11):1438-43. Available from: https://doi.org/10.1016/j.jamda.2019.02.021

22. Kallin K, Gustafson Y, Sandman P, Karlsson S. Factors associated with falls among older, cognitively impaired people in geriatric care settings: a population-based study. Am J Geriatr Psychiatry [Internet]. 2005 [cited 2025 Jul 4];13(6):501-9. Available from: https://doi.org/10.1176/appi.ajgp.13.6.501

22. Bellelli G, Speciale S, Morghen S, Torpilliesi T, Turco R, Trabucchi M. Are fluctuations in motor performance a diagnostic sign of delirium? J Am Med Dir Assoc [Internet]. 2011 [cited 2025 Jul 1];12(8):578-83. Available from: https://doi.org/10.1016/j.jamda.2010.04.010

24. Gual N, Richardson SJ, Davis DHJ, Bellelli G, Hasemann W, Meagher D, et al. Impairments in balance and mobility identify delirium in patients with comorbid dementia. Int Psychogeriatr [Internet]. 2019 [cited 2024 Jul 9];31(5):749-53. Available from: https://doi.org/10.1017/S1041610218001345

25. Williams GR, Chen Y, Kenzik KM, McDonald A, Shachar S, Klepin HD, et al. Assessment of sarcopenia measures, survival, and disability in older adults before and after diagnosis with cancer. JAMA Netw Open [Internet]. 2020 [cited 2023 Sep 9];3(5):e204783. Available from: https://doi.org/10.1001/jamanetworkopen.2020.4783

26. Strassnig M, Signorile J, Gonzalez C, Harvey PD. Physical performance and disability in schizophrenia. Schizophr Res Cogn [Internet]. 2014 [cited 2025 Jul 4];1(2):112-1. Available from: https://doi.org/10.1016/j.scog.2014.06.002

Published

2026-02-11

How to Cite

Zomer, T. B., Lenardt, M. H., Cechinel, C., Rodrigues, J. A. M., & Wardenski, L. T. (2026). Sociodemographic and clinical characteristics associated with physical mobility in hospitalized aged individuals. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/99849

Issue

Section

ORIGINAL ARTICLE