G I J M Kempen1, R Sanderman, W Scaf-Klomp, J Ormel. 1. Department of Health Care Studies, Section of Medical Sociology, Maastricht University, Maastricht, The Netherlands. g.kempen@zw.unimaas.nl
Abstract
PURPOSE: This paper examines gender differences in trajectories of basic activities of daily living after fall-related injuries to the extremities in independently living older people in the Netherlands. METHOD: The study comprised a prospective design. Data were collected from 31 men and 140 women at baseline, when they had not yet sustained injuries (hip fractures, other fractures or contortions and dislocations), and 8 weeks, 5 months and 12 months after their accident. Analysis of variance was used to test for differences in change in basic activities of daily living between baseline and follow-ups for men, for women and for the total study sample while adjusting for several covariates. RESULTS: The patients did not generally regain their pre-injury levels of functioning 12 months after their event. However, in contrast to the women, older men more closely reached their pre-injury levels of functioning. Although women deteriorated more than men, differences were not statistically significant at 8 weeks and 5 months post-injury. Long-term recovery, however, was significantly associated with gender when the impact of severity seemed to have expired. CONCLUSIONS: Recovery of basic activities of daily living one year after injuries to the extremities seems to be influenced by gender. Female patients recovered less well compared to males. These gender-related changes warrant concern and attention in clinical practice.
PURPOSE: This paper examines gender differences in trajectories of basic activities of daily living after fall-related injuries to the extremities in independently living older people in the Netherlands. METHOD: The study comprised a prospective design. Data were collected from 31 men and 140 women at baseline, when they had not yet sustained injuries (hip fractures, other fractures or contortions and dislocations), and 8 weeks, 5 months and 12 months after their accident. Analysis of variance was used to test for differences in change in basic activities of daily living between baseline and follow-ups for men, for women and for the total study sample while adjusting for several covariates. RESULTS: The patients did not generally regain their pre-injury levels of functioning 12 months after their event. However, in contrast to the women, older men more closely reached their pre-injury levels of functioning. Although women deteriorated more than men, differences were not statistically significant at 8 weeks and 5 months post-injury. Long-term recovery, however, was significantly associated with gender when the impact of severity seemed to have expired. CONCLUSIONS: Recovery of basic activities of daily living one year after injuries to the extremities seems to be influenced by gender. Female patients recovered less well compared to males. These gender-related changes warrant concern and attention in clinical practice.
Authors: Nurul Izzah Ibrahim; Mohd Sharkawi Ahmad; Mohamed S Zulfarina; Sharifah Nurul Aqilah Sayed Mohd Zaris; Isa Naina Mohamed; Norazlina Mohamed; Sabarul Afian Mokhtar; Ahmad Nazrun Shuid Journal: Int J Environ Res Public Health Date: 2018-05-16 Impact factor: 3.390
Authors: Thomas H Ambrosi; L Henry Goodnough; Holly M Steininger; Malachia Y Hoover; Emiley Kim; Lauren S Koepke; Owen Marecic; Liming Zhao; Jun Seita; Julius A Bishop; Michael J Gardner; Charles K F Chan Journal: Aging Cell Date: 2020-06-14 Impact factor: 9.304