Spinal Posture in the Sagittal Plane Is Associated With Future Dependence in Activities of Daily Living: A Community-Based Cohort Study of Older Adults in Japan

Abstract Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the participant was not in a hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5 %; n=617), a gradually-aggravated group (16.0 %; n=126), and a rapidly-deteriorated group (5.5 %; n=43). Results The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of females was 52.7%. It was found that 78.5% of participants showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3 rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

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Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

10.21203/rs.3.rs-18186/v4 ◽

2020 ◽

Author(s):

Hae Reong Kim ◽

Hea yon Lee ◽

Yoonje Seong ◽

Eunju Lee ◽

Hee-Won Jung ◽

...

Keyword(s):

Older Adults ◽

Cohort Study ◽

Activities Of Daily Living ◽

Rural Area ◽

Daily Living ◽

Community Dwelling ◽

Stable Group ◽

Geriatric Conditions ◽

Trajectory Method ◽

Community Dwelling Older Adults

Abstract Background: Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the patient was not in a hospital or health care facility during their lifetime. Methods: Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5 %; n=617), a gradually-aggravated group (16.0 %; n=126), and a rapidly-deteriorated group (5.5 %; n=43). Results: The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of female was 52.7%. It was found that 78.5% of patients showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions: This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

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Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

10.21203/rs.3.rs-18186/v3 ◽

2020 ◽

Author(s):

Hae Reong Kim ◽

Hea yon Lee ◽

Yoonje Seong ◽

Eunju Lee ◽

Hee-Won Jung ◽

...

Keyword(s):

Older Adults ◽

Cohort Study ◽

Activities Of Daily Living ◽

Rural Area ◽

Daily Living ◽

Community Dwelling ◽

Stable Group ◽

Geriatric Conditions ◽

Trajectory Method ◽

Community Dwelling Older Adults

Abstract Background: Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the patient was not in a hospital or health care facility during their lifetime.Methods: Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5 %; n=617), a gradually-aggravated group (16.0 %; n=126), and a rapidly-deteriorated group (5.5 %; n=43).Results: The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of female was 52.7%. It was found that 78.5% of patients showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group.Conclusions: This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

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Multiple Chronic Conditions and Limitations in Activities of Daily Living in a Community-Based Sample of Older Adults in New York City, 2009

Preventing Chronic Disease ◽

10.5888/pcd10.130159 ◽

2013 ◽

Vol 10 ◽

Cited By ~ 21

Author(s):

Nancy L. Ralph ◽

Thelma J. Mielenz ◽

Hilary Parton ◽

Anne-Marie Flatley ◽

Lorna E. Thorpe

Keyword(s):

Older Adults ◽

New York ◽

New York City ◽

Activities Of Daily Living ◽

York City ◽

Chronic Conditions ◽

Daily Living ◽

Multiple Chronic Conditions ◽

Community Based

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Association Between Plasma 25-hydroxyvitamin D Concentrations and Incident Activities of Daily Living Disability: A Longitudinal Community-Based Cohort Study

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2020.10.041 ◽

2020 ◽

Author(s):

Fu-Rong Li ◽

Pei-Liang Chen ◽

Yue-Bin Lv ◽

Xin Cheng ◽

Hai-Lian Yang ◽

...

Keyword(s):

Cohort Study ◽

Activities Of Daily Living ◽

Daily Living ◽

Community Based ◽

Hydroxyvitamin D ◽

25 Hydroxyvitamin D

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Dependency Change with Aging and Associated Factors in Uruguay: A Cohort Study

Journal of Aging and Health ◽

10.1177/08982643211017726 ◽

2021 ◽

pp. 089826432110177

Author(s):

Alejandra Marroig ◽

Maximiliano Machado ◽

Graciela Muniz-Terrera

Keyword(s):

Older Adults ◽

Cohort Study ◽

Activities Of Daily Living ◽

Chronic Conditions ◽

Daily Living ◽

Associated Factors ◽

Social Care ◽

Representative Study ◽

Increased Risk ◽

Using Data

Objectives: To assess the heterogeneity of transitions toward dependency in older adults and to explore the robustness of results to different operationalizations of dependency. Method: Using data from people aged 60 years and older from a national representative study in Uruguay ( Encuesta Longitudinal de Protección Social, N = 5071), we fitted multinomial regressions adjusted by sociodemographic and health characteristics to model transitions into dependency and death. We used a harder operationalization with basic activities of daily living (Katz-dependency) and Comprehensive-dependency with basic, instrumental, and advanced activities. Results: Increasing age (RRR = 1.08, CI = [1.05; 1.12], p < .001) and having comorbidities (RRR = 2.16, CI = [1.31; 3.57], p = .003) increased the risk of transition from nondependent to dependent using Katz-dependency. Women with at least two chronic conditions have increased risk of Comprehensive-dependency (RRR = 1.79, CI = [1.15; 2.80], p = .010). Discussion: Inconsistencies in findings emerged when evaluating transitions into dependency with the different measures, which may have social care implications.

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