Hierarchical Linear Model Approach to the Determinants of Activities of Daily Living of Chinese Oldest Old at Both Individual and Regional levels

2007 ◽  
Vol 5 (4) ◽  
pp. 31-41
Author(s):  
Yin Deting ◽  
Lu Jiehua
Keyword(s):  
Activities Of Daily Living ◽  
Linear Model ◽  
Daily Living ◽  
Oldest Old ◽  
Hierarchical Linear Model ◽  
Model Approach

A Longitudinal Study of Cognitive and Instrumental Activities of Daily Living Disablement Among the Oldest Mexican Americans

2021 ◽  
pp. 089826432110375
Author(s):  
Jiwon Kim ◽  
Jacqueline L. Angel ◽  
Sunshine M. Rote
Keyword(s):  
Activities Of Daily Living ◽  
Cognitive Decline ◽  
Mexican Americans ◽  
Daily Living ◽  
Oldest Old ◽  
Epidemiologic Study ◽  
Mobility Limitations ◽  
Limited Mobility ◽  
Community Activities ◽  
Instrumental Activities

Objectives Mexican Americans live longer on average than other ethnic groups, but often with protracted cognitive and physical disability. Little is known, however, about the role of cognitive decline for transitions in instrumental activities of daily living (IADL) disability and tertiary outcomes of the IADL disablement for the oldest old (after 80 years old). Methods We employ the Hispanic Established Populations for the Epidemiologic Study of the Elderly (2010–2011, 2012–2013, and 2016, N = 1,078) to investigate the longitudinal patterns of IADL decline using latent transition analysis. Results Three IADL groups were identified: independent (developing mobility limitations), emerging dependence (limited mobility and community activities), and dependent (limited mobility and household and community activities). Declines in cognitive function were a consistent predictor of greater IADL disablement, and loneliness was a particularly salient distal outcome for emerging dependence. Discussion These results highlight the social consequences of cognitive decline and dependency as well as underscore important areas of intervention at each stage of the disablement process.

scholarly journals Age, Period, and Cohort Effects on Activities of Daily Living, Physical Performance, and Cognitive Functioning Impairment Among the Oldest-Old in China

2019 ◽  
Vol 75 (6) ◽  
pp. 1214-1221 ◽  
Author(s):  
Pei-Dong Zhang ◽  
Yue-Bin Lv ◽  
Zhi-Hao Li ◽  
Zhao-Xue Yin ◽  
Fu-Rong Li ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Activities Of Daily Living ◽  
Physical Performance ◽  
Functional Impairment ◽  
Daily Living ◽  
Oldest Old ◽  
Cohort Effects ◽  
Birth Cohorts ◽  
Function Impairment

Abstract Background The aim of this study was to examine the trends in impairment regarding activities of daily living (ADL), physical performance, and cognitive function among the oldest-old (those aged 80 and older) in China between 1998 and 2014. Methods We used data on 34,297 oldest-old individuals from the seven waves of the Chinese Longitudinal Healthy Longevity Study. We estimated age, period, and cohort effects on the prevalence of self-reported ADL impairment, tested physical performance and cognitive function impairment using the age–period–cohort model. Results Regarding age, the prevalence of ADL, physical performance, and cognitive function impairment were highest in the centenarians, but they did not increase with age in this population. Among the literate subgroup, the prevalence of cognitive impairment increased more rapidly with age than that in the illiterate subgroup. Regarding period, the prevalence of self-reported and tested physical impairment slowly increased between 1998 and 2014, but cognitive impairment remained stable. Regarding cohort, ADL impairment continuously decreased. However, physical and cognitive impairment remained stable after a brief decline in the early birth cohorts. Conclusions The results suggest that the age effect is still the most obvious effect regarding several types of functional impairment. The likelihood of a younger person experiencing functional impairment may not change significantly, but ADL is likely to be amenable to improvement resulting from improved medical and social care. Therefore, increased care for the oldest-old may considerably improve their quality of life, particularly regarding their basic ADL.

scholarly journals Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China: a cohort study

The Lancet ◽  
2017 ◽  
Vol 389 (10079) ◽  
pp. 1619-1629 ◽  
Author(s):  
Yi Zeng ◽  
Qiushi Feng ◽  
Therese Hesketh ◽  
Kaare Christensen ◽  
James W Vaupel
Keyword(s):  
Cohort Study ◽  
Activities Of Daily Living ◽  
Cognitive Functioning ◽  
Daily Living ◽  
Oldest Old

The Influence of Rural/Urban Residence on Health in the Oldest-Old

1994 ◽  
Vol 38 (1) ◽  
pp. 65-89 ◽  
Author(s):  
Gloria M. Clayton ◽  
William N. Dudley ◽  
William D. Patterson ◽  
Leslie A. Lawhorn ◽  
Leonard W. Poon ◽  
...  
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Activities Of Daily Living ◽  
Physical Health ◽  
Daily Living ◽  
Qualitative Data ◽  
Oldest Old ◽  
Functional Health ◽  
Urban Residence ◽  
Rural And Urban

Differences between rural ( n = 18) and urban ( n = 66) centenarians are examined across the following variables: physical health, activities of daily living, mental health, and life satisfaction. Results demonstrate higher levels of morale in rural residents and higher levels of functional health as exhibited by urban elders. Qualitative data support trends of increased degrees of independence among the rural participants. The absence of robust differences in rural and urban centenarians is discussed in terms of a leveling-off effect.

scholarly journals Hospital- and patient-related characteristics determining maternity length of stay: a hierarchical linear model approach.

1998 ◽  
Vol 88 (3) ◽  
pp. 377-381 ◽  
Author(s):  
K M Leung ◽  
R M Elashoff ◽  
K S Rees ◽  
M M Hasan ◽  
A P Legorreta
Keyword(s):  
Length Of Stay ◽  
Linear Model ◽  
Hierarchical Linear Model ◽  
Model Approach
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