{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:31:56Z","timestamp":1771299116918,"version":"3.50.1"},"reference-count":56,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the European Regional Development Fund (ERDF) through the Program Interreg VA Espa\u00f1a\u2013Portugal (POCTEP) 2014\u20132020","award":["UIDP\/04923\/2020"],"award-info":[{"award-number":["UIDP\/04923\/2020"]}]},{"name":"the European Regional Development Fund (ERDF) through the Program Interreg VA Espa\u00f1a\u2013Portugal (POCTEP) 2014\u20132020","award":["0786_CAP4ie_4_P"],"award-info":[{"award-number":["0786_CAP4ie_4_P"]}]},{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","award":["UIDP\/04923\/2020"],"award-info":[{"award-number":["UIDP\/04923\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","award":["0786_CAP4ie_4_P"],"award-info":[{"award-number":["0786_CAP4ie_4_P"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"the International Institute for Research and Innovation in Aging\u2013Capitaliza","award":["UIDP\/04923\/2020"],"award-info":[{"award-number":["UIDP\/04923\/2020"]}]},{"name":"the International Institute for Research and Innovation in Aging\u2013Capitaliza","award":["0786_CAP4ie_4_P"],"award-info":[{"award-number":["0786_CAP4ie_4_P"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: The increasing number of institutionalized older individuals worldwide stresses the need to evaluate the association between the functional profile of institutionalized older adults and their quality of life (QoL), depressive symptoms and feelings of loneliness. Methods: A cross-sectional study was conducted in 19 residential facilities in Alentejo, Portugal. Between March and September 2023, all individuals aged \u226565 years were invited to complete a structured questionnaire (n = 1303). Sociodemographic and clinical data were collected, and validated scales for the Portuguese older population were used. Linear regression and unconditional binary logistic models were computed. Results: The highest level of dependence was observed in the self-care dimension (mean (SD) = 2.93 (1.21)), with 40% of participants exhibiting levels of dependence requiring daily care or total replacement. QoL was inversely associated with functionality in all dimensions, as well as with severe or complete dependence, even after adjusting for sex, age and education. Participants with depressive symptoms and feelings of loneliness were, respectively, three and two times more likely to be dependent on care (adjusted OR = 3.69, 95% CI: 1.80\u20137.52; adjusted OR = 2.04, 95% CI: 1.07\u20133.87). Conclusions: Public policies and interventions should include social and emotional support strategies alongside traditional medical interventions.<\/jats:p>","DOI":"10.3390\/nursrep14040229","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T06:00:52Z","timestamp":1729663252000},"page":"3150-3164","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Functional Capacity of Institutionalized Older People and Their Quality of Life, Depressive Symptoms and Feelings of Loneliness: A Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"given":"F\u00e1tima","family":"Cano","sequence":"first","affiliation":[{"name":"Local Health Unit of Baixo Alentejo, 7801-849 Beja, Portugal"},{"name":"Sa\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7000-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7738-0887","authenticated-orcid":false,"given":"Elisabete","family":"Alves","sequence":"additional","affiliation":[{"name":"Sa\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7000-811 \u00c9vora, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), 7000-811 \u00c9vora, Portugal"}]},{"given":"Lara","family":"Guedes de Pinho","sequence":"additional","affiliation":[{"name":"Sa\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7000-811 \u00c9vora, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), 7000-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6975-612X","authenticated-orcid":false,"given":"C\u00e9sar","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Sa\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7000-811 \u00c9vora, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), 7000-811 \u00c9vora, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1038\/s41514-024-00148-2","article-title":"Healthcare on the brink: Navigating the challenges of an aging society in the United States","volume":"10","author":"Jones","year":"2024","journal-title":"NPJ Aging"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"United Nations Department of Economic and Social Affairs (UNDESA) (2019). 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