The relationship between activities of daily living,falls and fear of falling in older adults : A crosssectional study

2021 ◽  
Vol 20 (2) ◽  
pp. 420-425
Author(s):  
Hamed Mortazavi ◽  
Mahbubeh Tabatabaeichehr ◽  
Masoumeh Taherpour ◽  
Mohadece Masoumi
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Social Life ◽  
Daily Living ◽  
Fear Of Falling ◽  
Medical Science ◽  
The Elderly ◽  
Cluster Sampling ◽  
Elderly Persons ◽  
The Relationship

Objective : Doingactivities of daily living can bring independence for the elderly. It can also maintain their health and social participation. However, experience of falls and fear of falling can affect the health and personal social life of the elderly. The aim of this study was to evaluate the relationship between falls and fear of falling with activities of daily living in older adults. Materials and methods : Four hundred and fifty elderly persons were enrolled in this cross-sectional study using cluster sampling. Demographic variables, Fall Efficacy Scale- International (FES-I) and questionnaires related to the study of activities of daily living were employed. To investigate advanced activities of daily living, open-ended questions were used. The history of falls within the last 12 months was investigated. Results : Mean score of basic activities of daily living in the elderly being studied was 15.49±1.74, and 95.4% of them were independent in doing these activities.Mean score of instrumental activities of daily living was 11.30±3.36, and 71.5% of them were independent in doing these activities. Participation of elderly persons in social activities was reported to be 77.9%. There was a significant relationship between activities of daily living (basic, instrumental, and advanced) and falls and fear of falling (p<0.05). Conclusion : Falls and fear of falling reduce the independence of elderly persons in doing activities of daily living. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.420-425

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.

scholarly journals Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture

2021 ◽  
Vol 23 (4) ◽  
pp. 395-405
Author(s):  
Jin-Yeong Kim ◽  
Gwi-Ryung Son Hong
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Educational Program ◽  
Fear Of Falling ◽  
Descriptive Statistics ◽  
Factors Associated ◽  
Walking Aids ◽  
Explained Variance ◽  
One Way Anova

Purpose: The purpose of this study was to identify the factors associated with the fear of falling after discharge in older adults who had surgery for fall fractures.Methods: The participants were 143 older adults aged 65 or older hospitalized at the General Hospital due to a fall fracture. Data were collected from July 2019 to June 2020 using questionnaires for activities of daily living, pain, depression, and fear of falling. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression.Results: The average age of the subjects was 75.34±6.89 years, and 74.1% were women. The influencing factors on the fear of falling after discharge were activities of daily living (β=.31, p=.001), age (β=.20, p=.004), the need for walking aids or assistance in walking before the fall (β=.20, p=.005), and pain (β=.15, p=.027). Total explained variance was 55% (F=13.17, p<.001).Conclusion: Based on the results of this study, it is necessary to actively intervene the fear of falling once older adults are hospitalized, considering the factors associated with the fear of falling after discharge in older adults who had surgery after experiencing a fall fracture and to develop an educational program to reduce the fear of falling.

scholarly journals Functional capacity and reported morbidities: a comparative analysis in the elderly

2017 ◽  
Vol 20 (3) ◽  
pp. 398-408 ◽  
Author(s):  
William César Gavasso ◽  
Vilma Beltrame
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Family Health ◽  
The Elderly ◽  
Gastrointestinal System ◽  
Elderly Persons ◽  
Santa Catarina ◽  
Cross Sectional ◽  
Percentage Difference

Abstract Objective: To evaluate the influence of chronic morbidities on the functional capacity of elderly persons living in the municipal region of Herval d’ Oeste, in the state of Santa Catarina, Brazil. Methods: An analytical cross-sectional study was carried out with a sample of 272 elderly people registered in the Family Health Strategy of the municipality of Herval d’ Oeste, Santa Catarina. A socio-demographic questionnaire, Katz’s Basic Activities of Daily Living Scale and Lawton’s Instrumental Activities of Daily Living Scale (IALD) were used as instruments to gather data. The socio-demographical variables were estimated in frequencies and percentages. The associations were analyzed through the chi-square test. Results: Significant statistical associations for dependence were only found in the IADL assessments. Hypertension and Diabetes Mellitus were not found to influence the dependence of the elderly. However, a greater number of elderly persons who reported pathologies of the gastrointestinal system were classified as dependent. While the number of morbidities did not influence dependence in IADL, there was a smaller percentage difference between dependent and independent individuals among those with more than three morbidities. Conclusion: No relationship was found between the number of morbidities and the functional and instrumental capacity of the elderly. However, diseases of the gastrointestinal system demonstrated an influence on the dependence of elderly persons of Herval d'Oeste, Santa Catarina.

scholarly journals Functioning in Institutionalized and Noninstitutionalized Older Adults: A Comparative Study

2020 ◽  
Author(s):  
Manuel Lopes ◽  
Lara Pinho ◽  
César Fonseca ◽  
Margarida Goes ◽  
Henrique Oliveira ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Self Care ◽  
The Elderly ◽  
Functional Profile ◽  
Elderly Individuals ◽  
Core Set ◽  
Functional Profiles ◽  
Elderly Living

Abstract BackgroundIt is important to characterize the functioning of elderly adults in different care contexts and evaluate their suitability to the condition of the elderly population. Therefore, the present study aimed to compare the functional profiles of institutionalized and noninstitutionalized older adults; to evaluate the effect of biological and sociodemographic factors on the determination of functional profiles and to evaluate the probability of an older adults obtaining a certain overall functional profile based on his/her age.MethodsThis is a cross-sectional study that included 476 participants over 65 years old who were divided into two groups: noninstitutionalized elderly living in their homes and attending day care centers (100) and institutionalized elderly living in nursing homes (376). The data were collected using the semi-structured interview method and it was applied the Elderly Nursing Core Set. ResultsThe Elderly Nursing Core Set model tested consisted of 22 items in five domains: “Self-Care - Activities of daily living (a)”; “Self-Care - Activities of daily living (b)”; “Mental Functions”; “Communication” and “Support and Relationships”. Women, older participants, illiterate elderly and institutionalized participants had worse functional profile results.ConclusionsAge, female sex, lack of education, and institutionalization are negatively related to the functional profile. Given the association between education level and functioning, it is necessary to promote the training of elderly individuals throughout life. The implementation of social and health responses should allow elderly individuals to remain in their homes, given the influence of functioning on self-care and quality of life.

Psychological Influence of Wheelchairs on the Elderly Persons from Qualitative Research of Daily Living

2008 ◽  
Vol 20 (4) ◽  
pp. 641-649 ◽  
Author(s):  
Misato Nihei ◽  
◽  
Takenobu Inoue ◽  
Masakatsu G. Fujie ◽  
◽  
...  
Keyword(s):  
Physical Function ◽  
Daily Living ◽  
Function Versus ◽  
The Elderly ◽  
Assistive Technologies ◽  
Elderly Persons ◽  
Wheelchair User ◽  
Psychological Model ◽  
Psychological Influence ◽  
The Relationship

The aging of society has triggered advances in research on geriatric and other assistive devices (ADs), collectively called assistive technologies (ATs). We focused on the relationship between ADs and psychology, e.g., the psychological effect of the AD on users, taking the wheelchair as an example. Participants were 12 elderly persons whom we qualitative studied to identify detrimental factors. We found that elderly persons face the dilemma of maintaining physical function versus expanding mobility via aids such as wheelchairs. Users faced problems in physical function and body image – what impression does a wheelchair user make on other? We considered these problems and adapted a psychological model to aid AD developers in understanding the elderly psychological mindset. No matter how fancy or useful a device developed, after all, it cannot be practically applied without taking into account the physical aspects, lifestyles, and psychological circumstances of elderly persons.

A Comprehensive Overview of Activities of Daily Living in Existing Frailty Instruments: A Systematic Literature Search

2019 ◽  
Author(s):  
Axelle Costenoble ◽  
Veerle Knoop ◽  
Sofie Vermeiren ◽  
Roberta Azzopardi Vella ◽  
Aziz Debain ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Work Engagement ◽  
Social Life ◽  
Daily Living ◽  
Literature Search ◽  
Leisure Activities ◽  
Systematic Literature Search ◽  
Comprehensive Overview ◽  
Design And Methods ◽  
The Relationship

Abstract Background and Objectives The relationship between frailty and disability in activities of daily living (ADLs) can be seen in different ways, with disability being—to varying degrees—a characteristic, negative outcome, or predictor of frailty. This conflation of definitions is partly a result of the different frailty tools used in research. Aiming to provide a comprehensive overview, this systematic literature search analyzed (i) if, (ii) to what extent, and (iii) how ADLs are evaluated by frailty instruments. Research Design and Methods A search was performed in PubMed, Web of Knowledge, and PsycINFO to identify all frailty instruments, followed by categorization of the ADL items into basic (b-), instrumental (i-), and advanced (a-) ADLs. Results In total, 192 articles described 217 frailty instruments, from which 52.1% contained ADL items: 45.2% b-ADLs, 35.0% i-ADLs, and 10.1% a-ADLs. The most commonly included ADL items were bathing (b-ADLs); using transportation (i-ADLs); and semiprofessional work engagement in organized social life or leisure activities (a-ADLs). These instruments all had a multidomain origin (χ 2 = 122.4, p &lt; .001). Discussion and Implications Because 52.1% of all instruments included ADL items, the concepts of frailty and disability appear to be highly entangled. This might lead to circular reasoning, serious concerns regarding contamination, and invalid research results.

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