scholarly journals Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shubham Kumar ◽  
Rupam Bharti ◽  
Ratna Patel
Keyword(s):  
Physical Activity ◽  
Urban Areas ◽  
Daily Living ◽  
Multinomial Logistic Regression ◽  
Study Finding ◽  
The Elderly ◽  
Geriatric Care ◽  
Activity Of Daily Living ◽  
Instrumental Activity ◽  
Iadl Disability

Abstract Background: The increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly. This study assesses the prevalence of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) and analyzed determinants of ADL and IADL among elderly aged 60 and over living in India.Methods: The study utilized the Longitudinal Ageing Study in India (LASI, 2017-18) data, and information was sought from 31,464 elderly aged 60 years and above. An index of ADL and IADL was created on a scale of three levels, exhibiting no, moderate, or severe levels of ADL/IADL disability. Multinomial logistic regression was used to determine the effect of sociodemographic parameters on ADL and IADL disability among the elderly.Results: Around 3 percent of the elderly reported severe ADL disability, and 6 percent elderly reported severe IADL disability. Elderly who were not involved in any physical activity than their counterparts were more likely to report severe ADL (RRR=2.68, C.I.=1.66-4.32) and severe IADL (RRR=2.70, C.I.=1.98-3.67) than no ADL and no IADL, respectively. Conclusion: Amidst the study finding, the study emphasizes the importance of setting-up of geriatric care centres in rural and urban areas. It would be feasible to provide geriatric care under the umbrella of already functioning government health facilities in different parts of the country. Community interventions earmarking the elderly with a focus on physical activity, specifically when they are based in group physical exercise and implemented through existing networks, are rewarding for the elderly.

scholarly journals The Activity of Daily Living (ADL) subgroups and Health impairment among Chinese elderly:A Latent Profile Analysis

2020 ◽  
Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Qiuhua Yu ◽  
Shisi Shen ◽  
Li Chen ◽  
...  
Keyword(s):  
Daily Living ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
The Elderly ◽  
Elderly Subjects ◽  
Activity Of Daily Living ◽  
Targeted Interventions ◽  
Aged People ◽  
Iadl Disability ◽  
Latent Profile

Abstract Background: Disability in aged people became one of the major challenges in China due to the acceleration of population aging. Nevertheless, there were limited methods to appropriately discriminate the degree of combined basic activity of daily living (BADL) and instrumental activity of daily living (IADL). The present study explored an empirical typology of the activity of daily living (ADL) and its association with health status among the elderly in China.Methods: Data throughout the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was retrieved and Latent profile analysis (LPA) was conducted to identify the subgroups of ADL for included elderly subjects. Multinomial regression was performed to detect the effect of identified characteristics with ADL subgroups, and the restricted cubic spine was drawn to show the changes in the relationship between age-specific ADL disability and BMI.Results: The overall participants (n=8108) were divided into three ADL classes by LPA - ‘no BADL limitation-no IADL limitation’ (Class one, n=6062, 75%), ‘no BADL limitation- IADL impairment’ (Class two, n=1526, 19%), and ‘BADL impairment- IADL impairment’ (Class three, n=520, 6%). Compared with the participants in Class one, the oldest-old, living without spouse, lacking of exercise, short in social activities, having experience of falls, having comorbidity of diabetes, heart disease, stroke, decreased cognitive function, depression symptom were highly associated with Class two and Class three. Additionally, malnutrition and asthma were associated with combined BADL/IADL impairment (Class three), while illiteracy was only associated with IADL impairment (Class two). Furthermore, a statistically significant U-shape association was detected between age and BADL/IADL disability (Class three vs. Class two) as well as BMI and BADL/IADL disability (Class three vs. Class one). The elderly aged 80-90 with IADL impairment were less likely to evolve into combined BADL/IADL impairment, and the elderly who were underweight or obese may have higher risk of combined BADL/IADL impairment.Conclusion: A novel functional assessment was explored based on LPA, by which elderly people could be classified into three distinct classes of combined BADL/IADL. The predictors identified with particular IADL/BADL classes could draw early attention to the onset of functional disability and enlighten targeted interventions to address consequent problems of aged people.

scholarly journals The activity of daily living (ADL) subgroups and health impairment among Chinese elderly: a latent profile analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Qiuhua Yu ◽  
Shisi Shen ◽  
Li Chen ◽  
...  
Keyword(s):  
Daily Living ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
The Elderly ◽  
Elderly Subjects ◽  
Activity Of Daily Living ◽  
Targeted Interventions ◽  
Aged People ◽  
Iadl Disability ◽  
Latent Profile

Abstract Background Disability in aged people became one of the major challenges in China due to the acceleration of population aging. Nevertheless, there were limited methods to appropriately discriminate the degree of combined basic activity of daily living (BADL) and instrumental activity of daily living (IADL). The present study explored an empirical typology of the activity of daily living (ADL) and its association with health status among the elderly in China. Methods Data throughout the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was retrieved and Latent profile analysis (LPA) was conducted to identify the subgroups of ADL for included elderly subjects. Multinomial regression was performed to detect the effect of identified characteristics with ADL subgroups, and the restricted cubic spine was drawn to show the changes in the relationship between age-specific ADL disability and BMI. Results The overall participants (n=8108) were divided into three ADL classes by LPA - ‘no BADL limitation-no IADL limitation’ (Class one, n=6062, 75%), ‘no BADL limitation- IADL impairment’ (Class two, n=1526, 19%), and ‘BADL impairment- IADL impairment’ (Class three, n=520, 6%). Compared with the participants in Class one, the oldest-old, living without spouse, lacking of exercise, short in social activities, having experience of falls, having comorbidity of diabetes, heart disease, stroke, decreased cognitive function, depression symptom were highly associated with Class two and Class three. Additionally, malnutrition and asthma were associated with combined BADL/IADL impairment (Class three), while illiteracy was only associated with IADL impairment (Class two). Furthermore, a statistically significant U-shape association was detected between age and BADL/IADL disability (Class three vs. Class two) as well as BMI and BADL/IADL disability (Class three vs. Class one). The elderly aged 80–90 with IADL impairment were less likely to evolve into combined BADL/IADL impairment, and the elderly who were underweight or obese may have higher risk of combined BADL/IADL impairment. Conclusion A novel functional assessment was explored based on LPA, by which elderly people could be classified into three distinct classes of combined BADL/IADL. The predictors identified with particular IADL/BADL classes could draw early attention to the onset of functional disability and enlighten targeted interventions to address consequent problems of aged people.

scholarly journals The Activity of Daily Living (ADL) subgroups and Health impairment among Chinese elderly:A Latent Profile Analysis

2021 ◽  
Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Qiuhua Yu ◽  
Shisi Shen ◽  
Li Chen ◽  
...  
Keyword(s):  
Daily Living ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
The Elderly ◽  
Elderly Subjects ◽  
Activity Of Daily Living ◽  
Targeted Interventions ◽  
Aged People ◽  
Iadl Disability ◽  
Latent Profile

Abstract Background: Disability in aged people became one of the major challenges in China due to the acceleration of population aging. Nevertheless, there were limited methods to appropriately discriminate the degree of combined basic activity of daily living (BADL) and instrumental activity of daily living (IADL). The present study explored an empirical typology of the activity of daily living (ADL) and its association with health status among the elderly in China.Methods: Data throughout the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was retrieved and Latent profile analysis (LPA) was conducted to identify the subgroups of ADL for included elderly subjects. Multinomial regression was performed to detect the effect of identified characteristics with ADL subgroups, and the restricted cubic spine was drawn to show the changes in the relationship between age-specific ADL disability and BMI.Results: The overall participants (n=8108) were divided into three ADL classes by LPA - ‘no BADL limitation-no IADL limitation’ (Class one, n=6062, 75%), ‘no BADL limitation- IADL impairment’ (Class two, n=1526, 19%), and ‘BADL impairment- IADL impairment’ (Class three, n=520, 6%). Compared with the participants in Class one, the oldest-old, living without spouse, lacking of exercise, short in social activities, having experience of falls, having comorbidity of diabetes, heart disease, stroke, decreased cognitive function, depression symptom were highly associated with Class two and Class three. Additionally, malnutrition and asthma were associated with combined BADL/IADL impairment (Class three), while illiteracy was only associated with IADL impairment (Class two). Furthermore, a statistically significant U-shape association was detected between age and BADL/IADL disability (Class three vs. Class two) as well as BMI and BADL/IADL disability (Class three vs. Class one). The elderly aged 80-90 with IADL impairment were less likely to evolve into combined BADL/IADL impairment, and the elderly who were underweight or obese may have higher risk of combined BADL/IADL impairment.Conclusion: A novel functional assessment was explored based on LPA, by which elderly people could be classified into three distinct classes of combined BADL/IADL. The predictors identified with particular IADL/BADL classes could draw early attention to the onset of functional disability and enlighten targeted interventions to address consequent problems of aged people.

PHYSICAL ACTIVITY OF DAILY LIVING IN PATIENTS WITH SCHIZOPHRENIA

2010 ◽  
Vol 117 (2-3) ◽  
pp. 519-520 ◽  
Author(s):  
Hiroaki Yamamoto ◽  
Kenji Yamamoto ◽  
Shingo Miyaji ◽  
Masami Yukawa-Inui ◽  
Michiko Takai-Kamiya ◽  
...  
Keyword(s):  
Physical Activity ◽  
Daily Living ◽  
Activity Of Daily Living

scholarly journals The Instrumental Activity of Daily Living Profile in Aging: A Feasibility Study

2016 ◽  
Vol 52 (4) ◽  
pp. 1361-1371 ◽  
Author(s):  
Nathalie Bier ◽  
Patricia da Cunha Belchior ◽  
Guillaume Paquette ◽  
Émilie Beauchemin ◽  
Ariane Lacasse-Champagne ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Daily Living ◽  
Activity Of Daily Living ◽  
Instrumental Activity

scholarly journals Functional limitation on elderly people in the northeast and the feminization of eld in urban and rural areas of Brazil

2021 ◽  
Vol 43 ◽  
pp. e51421
Author(s):  
Roberta Dayanny Soares ◽  
Aíla Maropô Araújo
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Urban Areas ◽  
Daily Living ◽  
Functional Limitation ◽  
Rio Grande ◽  
The Elderly ◽  
Northeast Region ◽  
Instrumental Activities ◽  
Urban And Rural Areas

Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living   and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.

A Tablet-Based Volunteer-Mediated Intervention for Cognitively Impaired Older People: A Pretest–Posttest

2019 ◽  
Vol 30 (3) ◽  
pp. 288-297
Author(s):  
Ke Chen ◽  
Vivian Wei Qun Lou ◽  
Selina Siu Ching Lo
Keyword(s):  
Older People ◽  
Daily Living ◽  
Emotional Health ◽  
Behavioral Problem ◽  
Community Dwelling ◽  
Cognitively Impaired ◽  
Activity Of Daily Living ◽  
Cognition And Emotion ◽  
Instrumental Activity ◽  
Home Training

Purpose: This study evaluated the potential effectiveness of a tablet-based, volunteer-led intervention (Lok Chi In-home Training) for cognitively impaired older people in improving cognitive and emotional health. Method: A one-group pretest and posttest design was adopted, involving 57 community-dwelling older people with cognitive impairments (Montreal Cognitive Score between 13 and 22, without neuropsychiatric behavioral problem). Trained volunteers performed eight in-home training sessions using a tablet to facilitate. Outcome measures include cognitive function, depression, activity of daily living, and instrumental activity of daily living. Results: A paired sample t test indicated that after receiving Lok Chi In-home Training, participants showed significantly large improvements on cognitive ability, moderate improvements on depression, and small improvements on instrumental activity of daily living. Conclusions: This study demonstrated the feasibility and potential benefits of Lok Chi intervention for improving cognition and emotion.

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