N Bleijenberg1, N P A Zuithoff, A K Smith, N J de Wit, M J Schuurmans. 1. Nienke Bleijenberg, RN, PhD. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht Str. 6.131 P.O. Box 85500, 3508 GA Utrecht, The Netherlands. Telephone: +31(0) 88 75 68094; Fax: +31 (088) 75 680 99. Email: n.bleijenberg@umcutrecht.nl.
Abstract
OBJECTIVES: To examine the risk of disability in 15 individual ADL, IADL, and mobility in older adults by age; and to assess the association of multimorbidity, gender, and education with disability. DESIGN AND SETTING: A prospective cohort study. The sample included 805 community-dwelling older people aged 60+ living in the Netherlands. MEASUREMENTS: Disability was assessed using the Katz-15 Index of Independence in Basic Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and one mobility item. Disability in any of these activities was defined as the inability to perform the activity without assistance. The risk of disability by age for each individual ADL, IADL, and for mobility was assessed using Generalized mixed models. RESULTS: Disability in activities as household tasks, traveling, shopping, and continence had the highest risk and increased rapidly with age. The risk traveling disability among people aged 65 with two comorbidities increase from 9% to 37% at age 85. Disability in using the telephone, managing medications, finances, transferring, and toileting, had a very low risk and hardly increased with age. Compared to those without chronic conditions, those with ≥ 3 chronic conditions had a 3 to 5 times higher risk of developing disability. Males had a higher risk of disability in managing medication (P=0.005), and preparing meals (P=0.019), whereas females had a higher risk of disability with traveling (P=0.001). No association between education and disability on the individual ADL, IADL, and mobility was observed. CONCLUSIONS: Older adults were mostly disabled in physical related activities, whereas disability in more cognitive related activities was less often experienced. The impact of multimorbidity on disability in each activity was substantial, while education was not.
OBJECTIVES: To examine the risk of disability in 15 individual ADL, IADL, and mobility in older adults by age; and to assess the association of multimorbidity, gender, and education with disability. DESIGN AND SETTING: A prospective cohort study. The sample included 805 community-dwelling older people aged 60+ living in the Netherlands. MEASUREMENTS: Disability was assessed using the Katz-15 Index of Independence in Basic Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and one mobility item. Disability in any of these activities was defined as the inability to perform the activity without assistance. The risk of disability by age for each individual ADL, IADL, and for mobility was assessed using Generalized mixed models. RESULTS:Disability in activities as household tasks, traveling, shopping, and continence had the highest risk and increased rapidly with age. The risk traveling disability among people aged 65 with two comorbidities increase from 9% to 37% at age 85. Disability in using the telephone, managing medications, finances, transferring, and toileting, had a very low risk and hardly increased with age. Compared to those without chronic conditions, those with ≥ 3 chronic conditions had a 3 to 5 times higher risk of developing disability. Males had a higher risk of disability in managing medication (P=0.005), and preparing meals (P=0.019), whereas females had a higher risk of disability with traveling (P=0.001). No association between education and disability on the individual ADL, IADL, and mobility was observed. CONCLUSIONS: Older adults were mostly disabled in physical related activities, whereas disability in more cognitive related activities was less often experienced. The impact of multimorbidity on disability in each activity was substantial, while education was not.
Entities:
Keywords:
Activities in daily living; community-dwelling older adults; instrumental activities of daily living; multimorbidity
Authors: Margaret G Stineman; Dawei Xie; Qiang Pan; Jibby E Kurichi; Debra Saliba; Joel Streim Journal: J Am Geriatr Soc Date: 2011-03-01 Impact factor: 5.562
Authors: Jennifer S Lin; Evelyn P Whitlock; Elizabeth Eckstrom; Rongwei Fu; Leslie A Perdue; Tracy L Beil; Rosanne M Leipzig Journal: J Am Geriatr Soc Date: 2012-10-16 Impact factor: 5.562
Authors: J M Guralnik; A Z LaCroix; R D Abbott; L F Berkman; S Satterfield; D A Evans; R B Wallace Journal: Am J Epidemiol Date: 1993-04-15 Impact factor: 4.897
Authors: Andrew D Beswick; Karen Rees; Paul Dieppe; Salma Ayis; Rachael Gooberman-Hill; Jeremy Horwood; Shah Ebrahim Journal: Lancet Date: 2008-03-01 Impact factor: 79.321
Authors: Ryan P McGrath; Brian C Clark; Kristine M Erlandson; Stephen D Herrmann; Brenda M Vincent; Orman T Hall; Kyle J Hackney Journal: J Am Med Dir Assoc Date: 2018-11-28 Impact factor: 4.669
Authors: Alvin G Thomas; Jessica M Ruck; Nadia M Chu; Dayawa Agoons; Ashton A Shaffer; Christine E Haugen; Bonnielin Swenor; Silas P Norman; Jacqueline Garonzik-Wang; Dorry L Segev; Mara McAdams-DeMarco Journal: Nephrol Dial Transplant Date: 2020-07-01 Impact factor: 5.992
Authors: Huimin Zhang; Xiaoyi Zhang; Youhua Zhao; Jianfeng Huang; Wenwei Liu Journal: Int J Environ Res Public Health Date: 2020-04-24 Impact factor: 3.390