scholarly journals Limitations in physical functioning among older people as a predictor of subsequent disability in instrumental activities of daily living

2011 ◽  
Vol 40 (4) ◽  
pp. 463-469 ◽  
Author(s):  
D. Seidel ◽  
C. Brayne ◽  
C. Jagger
2012 ◽  
Vol 24 (5) ◽  
pp. 784-793 ◽  
Author(s):  
Pedro Fonseca Zuccolo ◽  
Renata Ávila ◽  
Eduardo Y. Nakano ◽  
Júlio Litvoc ◽  
Marcos A. Lopes ◽  
...  

ABSTRACTBackground: Studies on functional capacity in community-dwelling older people have shown associations between declines in instrumental activities of daily living (IADL) and several factors. Among these, age has been the most consistently related to functional capacity independent of other variables. We aimed at evaluating the performance of a sample of healthy and cognitively intact Brazilian older people on activities of daily living and to analyze its relation to social-demographic variables.Methods: We conducted a secondary analysis of data collected for previous epidemiological studies with community-dwelling subjects aged 60 years or more. We selected subjects who did not have dementia or depression, and with no history of neurological diseases, heart attack, HIV, hepatitis or arthritis (n = 1,111). Functional capacity was assessed using the Brazilian version of the Older American Resources and Services Questionnaire (BOMFAQ). ADL performance was analyzed according to age, gender, education, and marital status (Pearson's χ2, logistic regression).Results: IADL difficulties were present in our sample, especially in subjects aged 80 years or more, with lower levels of education, or widowed. The logistic regression analysis results indicated that “higher age” and “lower education” (p ≤ 0.001) remained significantly associated with IADL difficulty.Conclusions: Functional decline was present in older subjects even in the absence of medical conditions and cognitive impairment. Clinicians and researchers could benefit from knowing what to expect from older people regarding IADL performance in the absence of medical conditions.


2011 ◽  
Vol 26 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Ali Ardalan ◽  
Monir Mazaheri ◽  
Hani Mowafi ◽  
Michael VanRooyen ◽  
Fariba Teimoori ◽  
...  

AbstractIntroduction: This study compares self-reported Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) status among elderly survivors of the 2003 Bam Earthquake before, two months after, and five years after the event, and explores related determinants.Methods: A two-stage cluster survey was conducted on 210 elderly survivors in the earthquake-stricken area five years after the event.Results: Both ADL and IADL scores decreased two months after earthquake compared to prior status (p <0.001). No differences were observed between two months and five years after the event (p >0.05). Access to medical services were not related to level of ADL or IADL (p = 0.52 and p = 0.74, respectively). Elderly survivors with lower functional capability in terms of ADL experienced more problems in access to relief items (p = 0.04), but no similar association was found for IADL (p = 0.26).Conclusion: The Bam earthquake adversely affected functional capacity of the elderly. Disaster responders must take into account functional capacity of elders when planning for medical and relief operations.


2011 ◽  
Vol 27 (suppl 3) ◽  
pp. s444-s453 ◽  
Author(s):  
Cesar Messias de Oliveira ◽  
Maria Fernanda Lima-Costa

The aim of this study was to investigate the cohort differences in physical functioning levels among the older (cohort members born in 1916-1926 and in 1927-1937) participants of the Bambuí Cohort Study of Aging. The data came from participants aged 71-81 who took part at baseline in 1997 (n = 491) and in the 11th wave in 2008 (n = 620). The physical functioning variables included the following self-reported measures: activities of daily living, the instrumental activities of daily living and mobility. Poisson regression analyses were used to investigate the cohort year differences in physical functioning levels. Overall, the young cohort (2008) showed better levels of physical functioning compared to the older cohort (1997) across all three measures of physical functioning used.


Gerontologia ◽  
2017 ◽  
Vol 31 (4) ◽  
pp. 253-264
Author(s):  
Riitta Henriksson ◽  
Marika Salminen ◽  
Seija Arve ◽  
Matti Viitanen ◽  
Sini Eloranta

Tutkimuksen tarkoituksena oli vertailla vuosina 1920 (n = 1032) ja 1940 (n = 956) syntyneiden 70-vuotiaiden kotona asuvien turkulaisten koettua terveyttä, elintapoja ja fyysistä toimintakykyä. Tiedot koetusta terveydestä, elintavoista (tupakointi, alkoholinkäyttö ja painoindeksi) ja fyysisestä toimintakyvystä (päivittäiset toiminnot, välineelliset toiminnot ja päivittäisiä toimintoja haittaavat oireet) kerättiin kyselylomakkeiden ja haastatteluiden avulla. Tulosten mukaan vuonna 1940 syntyneet kokivat terveytensä ja fyysisen toimintakykynsä paremmiksi kuin vuonna 1920 syntyneet. Lisäksi 1940 syntyneillä oli vähemmän päivittäistä toimintaa haittaavia oireita kuin vuonna 1920 syntyneillä. Alkoholin käyttö ja ylipaino sen sijaan olivat yleisempiä 1940 syntyneiden kuin 1920 syntyneiden keskuudessa. Tulokset ovat tärkeitä suunniteltaessa ennaltaehkäiseviä palveluita ikääntyville. Self-perceived health, health behaviour and physical functioning – a comparison of two cohorts born in 1920 and 1940 The aim of the study was to compare differences in self-perceived health, health behaviour and physical functioning between community-dwelling 70-year-old citizens of Turku born in 1920 (n=1032) and 1940 (n=956). Data of self-perceived health, health behaviour (smoking, alcohol consumption, body mass index) and physical functioning (activities of daily living, instrumental activities of daily living, symptoms causing difficulties in daily living) were collected using questionnaires and interviews. According to the results, self-perceived health and physical functioning were better among those born in 1940 than among those born in 1920. In addition, symptoms causing difficulties in daily living were less frequent in 1940 cohort than in 1920 cohort. However, alcohol consumption and overweight were more common in 1940 cohort compared to 1920 cohort. These results are applicable in planning of preventive services for older people.


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