Impact of hearing and visual impairment in older adults with cancer.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10036-10036
Author(s):  
Enrique Soto Perez De Celis ◽  
Can-Lan Sun ◽  
William P. Tew ◽  
Supriya Gupta Mohile ◽  
Ajeet Gajra ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Visual Impairment ◽  
Cognitive Deficits ◽  
Daily Living ◽  
Cognitive Deficit ◽  
Cancer Type ◽  
Impaired Hearing ◽  
Cross Sectional ◽  
Anxiety Depression

10036 Background: Hearing and visual impairment increase the risk of psychological, functional, and cognitive deficits in older adults. However, little is known about their impact in older patients (pts) with cancer. Methods: This is a cross-sectional analysis of 2 prospective studies of pts ≥65 with cancer (Hurria et al. JCO 2011 & 2016) which identified risk factors for chemotherapy (CT) toxicity. Relationships between self-reported hearing/visual impairment (fair, poor or deaf/blind) and the need for assistance in instrumental activities of daily living (IADL, i.e. shopping), or activities of daily living (ADL, i.e. bathing); anxiety; depression and cognitive deficit (>11 on Blessed OMC test) were assessed (adjusted for age, sex, race, education, cancer type/stage, comorbidity, falls & medication). Results: Among 750 pts (median age 72, range 65-94) with solid tumors (28% lung, 27% GI, 30% breast/GYN; 58% stage IV), 28% (n = 213) reported 1 impairment (61% hearing, 39% visual) and 7% (n = 55) both. On multivariate analysis, impaired hearing was associated with IADL dependency, anxiety and depression. Visual impairment was associated with IADL dependency, ADL limitation and depression. Impairment in both was associated with IADL dependency, anxiety, depression and cognitive deficit. Conclusions: Older pts with cancer and hearing/visual impairment are at higher risk of functional, psychological and cognitive deficits. Interventions aimed at improving vision and hearing of older adults with cancer should be studied. [Table: see text]

scholarly journals Vision and Hearing Impairments Affecting Activities of Daily Living among Malaysian Older Adults by Gender

2021 ◽  
Vol 18 (12) ◽  
pp. 6271
Author(s):  
Yee Mang Chan ◽  
Norhafizah Sahril ◽  
Ying Ying Chan ◽  
Nor’ Ain Ab Wahab ◽  
Norliza Shamsuddin ◽  
...  
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Activities Of Daily Living ◽  
Hearing Impairment ◽  
Daily Living ◽  
Hearing Impairments ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Adl Disability

Vision and hearing impairments are common among older adults and can cause undesirable health effects. There are limited studies from low- and middle-income countries exploring gender differences between vision and hearing impairment with Activities of Daily Living (ADL) disability. Therefore, this study aimed to investigate gender differences between vision and hearing impairments with ADL disability among older adults in Malaysia. Cross-sectional data from 3977 respondents aged 60 and above from the Malaysian National Health and Morbidity Survey 2018 were used. We used logistic regression analysis to measure associations between vision and hearing impairments with ADL disability, adjusted for covariates. The prevalence of ADL disability was higher among females than males (p < 0.001). The adjusted associations between vision impairment and ADL disability were significant among males (aOR 3.79; 95%CI 2.26, 6.38) and females (aOR 2.66; 95%CI 1.36, 5.21). Similarly, significant adjusted associations were found between hearing impairment and ADL disability among males (aOR 5.76; 95%CI 3.52, 9.40) and females (aOR 3.30; 95%CI 1.17, 9.33). Vision and hearing impairments were significantly associated with ADL disability, with no gender differences identified. Early detection and effective management of vision and hearing impairments are important to prevent ADL disability and improve older adults’ level of independence.

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Hongpeng Liu ◽  
Jing Jiao ◽  
Chen Zhu ◽  
Minglei Zhu ◽  
Xianxiu Wen ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Older Inpatients ◽  
Hospital Wards

Abstract Background: Older adults are vulnerable to a decline in physical functioning, including basic activities of daily living (ADL) and higher-level instrumental activities of daily living (IADL). The causes of functional disability in older adults are multifactorial. A comprehensive understanding of these factors will contribute toward future health service planning. However, studies of ADL and IADL in Chinese older adults are insufficient. The aim of this study is to describe the level of ADL and IADL in different age groups and explore the factors associated with functional disability in Chinese older inpatients. Methods: We conducted a cross-sectional study consisted of 9,996 Chinese older inpatients aged 65 years and older. Participants were recruited from six provinces or municipality city in southwest (Sichuan province), northeast (Heilongjiang), south central (Hubei province), northern (Beijing municipality city), northwest (Qinghai province), and eastern China (Zhejiang province) from October 2018 to February 2019. The levels of ADL and IADL were measured by scores of the Barthel index and Instrumental Activities of Daily Living Scale in consecutive intervals from 65 years of age. After controlling for the cluster effect of hospital wards, a mixed-effect generalized linear model was used to examine the association between functional disability and covariates. Results: The average ADL score was 27.68±4.59 and the mean IADL score 6.76±2.01 for all participants. A negative correlation between scores and age was observed, and there was a significant difference in ADL and IADL scores among different age groups. The top negatively influential factor in ADL and IADL was stair climbing and shopping, respectively. After controlling for the cluster effect of hospital wards, aging, emaciation, frailty, depression, falling accidents in past 12 months, hearing dysfunction, cognitive dysfunction, urinary dysfunction, and defecation dysfunction were associated with ADL and IADL. Patients transitioned from the emergency department and other hospitals were also affected by ADL disability. Former smoking was associated with lower IADL scores. Higher level of education, living in a building without elevators, and current alcohol consumption were correlated with better IADL performance. Conclusion: Decreased functional ability was associated with the increasing age. Sociodemographic characteristics (such as age), physical health variables (frailty, emaciation, hearing dysfunction, urinary dysfunction, defecation dysfunction, falling accidents in past 12 months), and mental health variables (cognitive dysfunction, depression) were associated with functional disability. These findings potentially have major importance for the planning of hospital services, discharge planning, and post-discharge care.

scholarly journals Association between cognitive declines and disability in activities of daily living in older adults with COPD: evidence from the China health and retirement longitudinal study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e040098
Author(s):  
Bingyan Gong ◽  
Shaomei Shang ◽  
Chao Wu
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Longitudinal Study ◽  
Cognitive Function ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Visuospatial Ability ◽  
Cross Sectional ◽  
Adl Disability

ObjectivesThis study aimed to investigate the relationship between disability and domain-specific cognitive function in older adults with chronic obstructive pulmonary disease (COPD).DesignCross-sectional analyses combined with retrospective longitudinal analyses.SettingWe included 450 communities in China.ParticipantsIn this study, 1022 (mean age: 68.6±6.3; 612 males) and 152 (mean age: 67.0±5.2; 83 males) older adults with COPD from the China Health and Retirement Longitudinal Study were included in a cross-sectional multivariate linear regression analysis and a longitudinal logistic regression analysis, respectively.Outcome measuresDisability was determined by the difficulty or inability to complete 1 of the 12 activity items in basic activities of daily living (ADL) and instrumental ADL. The cognitive dimensions of episodic memory, attention/numerical ability, orientation to time, and visuospatial ability were assessed via the immediate/delayed recall task, serial sevens task, naming the current date and pentagon-figure-drawing tasks, respectively.ResultsOf 1022 older respondents with COPD at wave-4, 48.5% had ADL disability. Declines in the global cognitive function (β (95% CI)=−0.627 (−1.214 to –0.040)), orientation to time (β (95% CI)=−0.207 (−0.364 to –0.050)) and visuospatial ability (β (95% CI)=−0.068 (−0.127 to –0.009)) were significantly associated with the presence of ADL disability, when demographic and health-related variables were adjusted. Of 152 older participants with COPD and without ADL disability in wave-2, 61 (40.1 %) developed disability over a 2-year follow-up. Relative to the participants without a decline in orientation to tine, those with the condition had greater odds of incidence of ADL disability increased by a factor of about 1.46 over a 2-year follow-up.ConclusionsIn older adults with COPD, orientation to time and visuospatial inability are vulnerable to the presence of a disability. Prevention of a decline in orientation to time might help prevent disability in older people with COPD.

The association of polypharmacy with functional status impairment, frailty, and health-related quality of life in older adults with gastrointestinal malignancy: Results from the Cancer and Aging Resilience Evaluation (CARE) registry.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 118-118
Author(s):  
Darryl Alan Outlaw ◽  
Chen Dai ◽  
Mustafa Al-Obaidi ◽  
Smith Giri ◽  
Smita Bhatia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Daily Living ◽  
Cancer Type ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

118 Background: The majority of new cancer diagnoses occur in adults greater than 65 years of age. Polypharmacy is a common and potentially devastating problem amongst older adults; however, its prevalence and impact in older adults with gastrointestinal (GI) malignancy is poorly understood. Our objective was to examine the prevalence of polypharmacy and its association with functional status impairments, frailty, and health-related quality of life (HRQoL) in older adults with GI malignancy. Methods: The Cancer and Aging Resilience Evaluation (CARE) registry at the University of Alabama at Birmingham (UAB) is an ongoing prospective cohort study that uses a brief geriatric assessment (CARE survey) in older adults with cancer. We evaluated older adults diagnosed with GI malignancy prior to starting cancer therapy. Our primary outcomes of interest were functional status impairments, including dependence in activities of daily living (ADL) and instrumental activities of daily living (IADL), frailty (as defined by a frailty index derived using the principles of deficit accumulation), and HRQoL (assessed via PROMIS 10 global that includes physical and mental scores). Patients were dichotomized into those taking ≥9 vs. < 9 medications. Multivariable analyses examined associations between polypharmacy and the above-listed outcomes, adjusted for age, sex, race, cancer type, cancer stage, and comorbidities. Results: Overall, 357 patients met eligibility criteria; mean age: 70.1 years; primary diagnoses: colorectal (33.6%), pancreatic (24.6%), hepatobiliary (16.2%), gastroesophageal (10.9%), other (14.6%). Patients reported taking a mean of 6.2 medications: 27.7% with 0-3 medications, 48.2% with 4-8 medications, and 24.1% with ≥ 9 medications. Patients taking ≥ 9 medications were more likely to report limitations in ADL (adjusted odds ratio [aOR] 3.29, 95% CI 1.72-6.29) and IADL (aOR 2.86, 95% CI 1.59-5.14). Polypharmacy was also associated with frailty (aOR 3.06, 95% CI 1.73-5.41) and lower physical (aOR 2.82, 95% CI 1.70-4.69) and mental (aOR 1.73, 95% CI 1.03-2.91) HRQoL. Conclusions: Independent of comorbid conditions, polypharmacy was associated with functional status limitations, frailty, and reduced HRQoL in older adults with GI malignancy. Further study of specific medications and interactions is warranted in order to reduce the negative consequences of polypharmacy in this growing and vulnerable population.

scholarly journals Relationship Between Activities of Daily Living and Depression in Older Adults

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 200-211 ◽  
Author(s):  
Marzieh Mohamadzadeh ◽  
◽  
Vahid Rashedi ◽  
Mitra Hashemi ◽  
Vahidreza Borhaninejad ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Pearson Correlation ◽  
Depression Scale ◽  
The Elderly ◽  
Cluster Sampling ◽  
Early Assessment ◽  
Cross Sectional

Objectives: Physical disability to perform daily living activities is one of the major causes of depression in the elderly people. On the other hand, depression is associated with loss of interest in daily activities and lack of independence. The present study aimed to assess the relationship of depression with the ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults in Iran. Methods & Materials: This cross-sectional study was performed on 148 elderly people aged ≥60 years who were selected by multi-stage cluster sampling method. Data were collected by using ADL, IADL, and 15-item Geriatric Depression Scale (GDS-15) questionnaires and were then presented by using descriptive statistics and analyzed by Chi-square test, Pearson correlation coefficient, and regression analysis. Results: Participants were 86 female (58.1%) and 62 male (41.9%); 109 (73.6%) aged 60-75 years, and the rest were older than 75 years; 71 (48%) had moderate or severe depression; 4(2.7%) and 61(41.2%) were dependent or in need of help performing ADL and IADL, respectively. Statistical analysis showed that depression has a significant negative correlation with ADL (r= -0.304, P<0.001) and IADL (r=-0.193, P>0.01); i.e. by increasing one of them, the depression decreases. Conclusion: The ability of the elderly people to perform ADL and IADL can be a good predictor of depression in them. With early assessment of their health and ability by health teams and family members, it is possible to prevent the development of their disability and depression.

Abstract 251: Geriatric Syndromes Associated With Reduced Anticoagulant Use in Older Adults With Atrial Fibrillation

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Sachin J Shah ◽  
Margaret C Fang ◽  
Sun Jeon ◽  
Steven Gregorich ◽  
Kenneth Covinsky
Keyword(s):  
Atrial Fibrillation ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Stroke Risk ◽  
Geriatric Syndrome ◽  
Fee For Service ◽  
Geriatric Syndromes ◽  
Cross Sectional ◽  
Representative Study

Background: While guidelines recommend focusing primarily on stroke risk when considering anticoagulants in atrial fibrillation (AF), physicians report that geriatric syndromes (e.g., falls, disability) are important when considering anticoagulants. However, little is known about the prevalence of geriatric syndromes in older adults with AF or the association with anticoagulant use. Methods: We performed a cross-sectional analysis of the 2014 Health and Retirement Study, a nationally representative study of older adults. We included patients ≥67 years with 2 years of continuous Medicare fee-for-service enrollment and 1 inpatient or 2 outpatient AF diagnosis claims. We evaluated five geriatric syndromes: falls, activities of daily living impairment (ADL), instrumental activities of daily living impairment (IADL), cognitive impairment, and incontinence. We measured their prevalence and associations with anticoagulant use via log-binomial regression models adjusting for CHA2DS2-VASc score. Results: In this study of 779 patients with AF (median age 80 years, median CHA2DS2-VASc score 4), 83% (CI 79-86%) had ≥1 geriatric syndrome. Adjusting for stroke risk, lower rates of anticoagulant use were reported in those with ADL dependency (RR 0.87, CI 0.79-99), IADL dependency (RR 0.86, CI 0.77-0.98), and dementia (RR 0.72, CI 0.60-0.86). Conclusion: Most older patients with AF have at least one geriatric syndrome, and geriatrics syndromes are associated with less anticoagulant use. The high prevalence of geriatric syndromes may explain the lower than expected anticoagulants use in older adults. Since the benefits and harms of anticoagulants in this group are ill-defined, it is unclear if lower anticoagulant use is appropriate.

scholarly journals Fresh and Lean Pork Intake in Relation to Functional Limitations Among U.S. Older Adults, 2005–2016 (P18-002-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Ruopeng An ◽  
Sharon Nickols-Richardson ◽  
Reginald Alston ◽  
Sa Shen ◽  
Caitlin Clarke
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Measurement Errors ◽  
Daily Living ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Preliminary Evidence ◽  
Cross Sectional ◽  
Pork Consumption ◽  
Lean Pork

Abstract Objectives This study assessed fresh and lean pork intake in relation to functional limitations among U.S. older adults 65 years and older. Methods Nationally-representative sample (N = 27,117) from 2005–2016 National Health and Nutrition Examination Survey (NHANES) were analyzed. Logistic regressions were performed to estimate the odds ratios of activities of daily living limitation (ADLs), instrumental activities of daily living limitation (IADLs), leisure and social activities limitation (LSAs), lower extremity mobility limitation (LEM), general physical activities limitation (GPAs), and any functional limitation with respect to daily pork, fresh pork, and fresh lean pork consumption, adjusting for individual charteristics including sex, age, race/ethnicity, education, marital status, obesity, smoking, self-rated health, chronic conditions, and survey wave. Results Approximately 21%, 18%, and 16% of older adults consumed pork, fresh pork, and fresh lean pork, respectively. The rates of ADL, IADLs, LSAs, LEM, GPAs, and any functional limitations were 22%, 32%, 23%, 22%, 66%, and 70% among NHANES older adults, respectively. A daily increase in pork consumption by 1 ounce-equivalent was associated with a reduction in the odds of ADLs by 12% (OR = 0.88; 95% CI = 0.78, 0.98), IADLs by 10% (OR = 0.90, 95% CI = 0.82, 0.99), and any functional limitation by 7% (OR = 0.93, 95% CI = 0.86, 0.99). A daily increase in fresh pork consumption by 1 ounce-equivalent was associated with a reduction in the odds of ADLs by 13% (OR = 0.87; 95% CI = 0.78, 0.97), IADLs by 10% (OR = 0.90, 95% CI = 0.82, 0.99), GPAs by 8% (OR = 0.92; 95% CI = 0.85, 0.99), and any functional limitation by 8% (OR = 0.92, 95% CI = 0.85, 0.99). Similar effects were found for fresh lean pork consumption on ADLs, IADLs, GPAs, and any functional limitation. No association between pork consumption and LSAs or LEM was identified. Conclusions This study found some preliminary evidence linking fresh and fresh lean pork consumption to reduced risk of functional limitations. This study has limitations pertaining to measurement errors and cross-sectional study design. Future studies with longitudinal/experimental designs are warranted to examine the influence of fresh and lean pork consumption on functional limitations among older adults. Funding Sources National Pork Board.

scholarly journals The impact of near visual impairment on instrumental activities of daily living among community-dwelling older adults in Selangor

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Qiu Ting Kee ◽  
Mohd Harimi Abd Rahman ◽  
Norliza Mohamad Fadzil ◽  
Zainora Mohammed ◽  
Suzana Shahar
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Visual Impairment ◽  
Daily Living ◽  
Visually Impaired ◽  
Community Dwelling ◽  
Activity Of Daily Living ◽  
Instrumental Activities ◽  
Iadl Disability ◽  
The Impact

Abstract Objective Near visual impairment (VI) is a common disability in an aging population. Near vision is crucial in activity of daily living including reading, smartphone and computer use and meal preparation. This study was conducted to determine the association between near visual acuity (VA) and contrast sensitivity (CS) with activity of daily living (ADL) among visually impaired older adults. Results A total of 208 participants aged  ≥  60 were recruited from the population-based longitudinal study on neuroprotective model for healthy longevity. Habitual near VA and CS were measured using Lighthouse near VA chart and Pelli-Robson CS chart, respectively. Lawton instrumental activities of daily living (IADL) was used to assess ADL. There are 41.8% participants with near visual impairment and 28.7% among them had IADL disability. Independent t test showed significant lower mean IADL score among visually impaired participants [t(206)  =  2.03, p  =  0.04]. IADL score significantly correlated with near VA (r  =   − 0.21, p  =  0.05) but not with CS (r  =   − 0.14, p = 0.21). Near VA (B  =   − 0.44, p  =  0.03) and age (B  =   − 0.07, p  =  0.01) significantly predicted IADL. The findings show poorer VA renders higher IADL disability, which may necessitate interventions to improve ADL among visually impaired older adults.

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