Assessment of Activities of Daily Living (ADL) in elderly population

Usha, Preeti; Kishore, Surekha; Singh, Mahendra; Aggarwal, Pradeep; Jain, Bhavna; Gawande, Kanchan

doi:10.47203/ijch.2020.v32i02.026

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…in Uttarakhand, 72.% of elderly participants were fully independent and 28% were dependent on others for their daily activities. [ 18 ] These findings are similar to our study. However, in a study by Chakraborty et al , in rural West Bengal, 18.8% of respondents were active; 45.6% of respondents were mildly disabled; 35.6% of respondents were severely disabled.…”

Section: Discussionsupporting

confidence: 93%

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Shashikantha

Huchchannavar

Jindal

2023

Journal of Family Medicine and Primary Care

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A BSTRACT Background: As the proportion of elderly in the population increases, they also become vulnerable to various types of intentional or unintentional injuries. Domestic accidents including falls among the elderly have been identified as a leading cause of injury-related morbidity and mortality in India and elsewhere. Aim: This study aims to assess the burden and pattern of domestic accidents in a rural part of Southern India. Methods and Setting: A community-based cross-sectional study among the elderly (≥60 years) was carried out in rural areas of Southern Karnataka. A semi-structured interview schedule was used to get the information on domestic accidents. Inferential statistical tests like the Chi-square test and logistic regression analysis were used. Results: A total of 500 persons aged ≥60 years with a mean age of 69.09 ± 7.42 years (Range 60–92 years) were included. One-third of the subjects have had an incidence of domestic accidents in the past 1 year contributing to a 35% prevalence of domestic accidents. A higher prevalence of domestic accidents was seen in those subjects who were ill (47.9%). Overall prevalence of falls was 21.4% ( P = 0.007). One-fifth of the subjects with domestic accidents had a residual illness. Conclusion and Contribution: One-third of our subjects gave a history of one or the other form of domestic accidents in the previous 1 year. Our study highlights the problem of unintentional domestic injuries among the most vulnerable group of the elderly and calls for a continuous assessment of the burden and nature of injuries.

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Section: Discussionsupporting

confidence: 93%

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Shashikantha

Huchchannavar

Jindal

2023

Journal of Family Medicine and Primary Care

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“…According to a study carried out in two randomly selected urban wards of Dibrugarh city, Assam, 34.7% of participants had limitations in one or more ADL items. [ 14 ] Another study, conducted by Usha et al ,[ 15 ] found that over a quarter of the elderly were dependent on others for their daily activities, with two-thirds having moderate to severe dependency. Another study conducted by Chauhan et al .…”

Section: Discussionmentioning

confidence: 99%

Assessment of Dependency in Activities of Daily Living (ADL) and its Predictors: A Cross-Sectional Study among the Elderly Rural Population in a Sub-Himalayan UT of India

Kumari,

Gupta,

Shalli

et al. 2024

Indian Journal of Community Medicine

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Background: With an increase in life expectancy over the last few decades, there has been a parallel increase in the prevalence of disabilities among the elderly population. To estimate the prevalence of dependency in activities of daily living (ADL) and its predictors among the rural elderly population. Material and Methods: This was a cross-sectional study carried out in the community among the rural geriatric population in the field practice area of PG Department of Community Medicine, Government Medical College Jammu. The Barthel Scale Index was used to measure ADL dependency. PSPP software was used to analyze the data. Results: The mean age of study participants was 68.31 ± 7.9 years. ADL dependency was observed in 46.3% of the subjects, with the majority demonstrating mild to moderate dependence. Only 2.5% of the respondents reported a severe degree of ADL dependence. The mean ADL score was 94.47 ± 8.98. On multivariate logistic regression analysis, age, educational status, the presence of stress in the family, personal history, and the presence of co-morbidities emerged to be independent predictors of ADL dependence. Conclusion: High prevalence of physical disability in the geriatric population is now an area of major concern. This emphasizes the significance of setting up geriatric care centers especially in rural areas preferably integrating with health and wellness centers.

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“…The sample size was calculated based on a study done by Usha et al where the total dependency rate was 28% was 81 with a 10% absolute error. 3 However, 200 participants were included in the study.…”

Section: Sample Sizementioning

confidence: 99%

Functional dependency among elderly population in a rural area of Ernakulam district, Kerala, India

Devi,

Sasidharan

2023

Int J Community Med Public Health

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Background: Elderly populations with co-morbidities and sensory impairments are more likely to be functionally dependent on their activities of daily living. Objectives of the study were to determine functional dependency among the elderly population residing in a rural area of Ernakulam district, and also to determine the factors associated with functional dependency in the study population. Methods: A community-based cross-sectional study was conducted among 200 elderly people from rural area of Ernakulam district, Kerala. A non-probability convenient sampling method was used for the study participants. A semi-structured questionnaire was used to collect information about the socio-demographic questions, medical history and history of comorbidities. Barthel’s scale assessed activities of daily living and independent activities of daily living were assessed by Lawton’s scale. The statistical test was done using statistical package for the social sciences (SPSS) version 21 and a chi-square test of significance was used to find the association of various factors with functional dependency. Results: In Barthel’s scale using ADL score, fully dependent was found to be 2.5%. In the IADL score using Lawton’s scale fully dependent was found to be 0.5% among the study participants. Among the study participants, 57.9% of females and 42.1% of males have a visual impairment, 60% of females and 40% of males have a hearing impairment, 45.5% of females and 54.5% of males have a cognitive impairment. Conclusions: Comorbidities such as diabetes mellitus, cardiovascular diseases, osteoporosis, osteoarthritis, and cognitive impairment contribute to a decline in functional abilities among older adults.

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Assessment of Activities of Daily Living (ADL) in elderly population

Cited by 6 publications

References 2 publications

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Assessment of Dependency in Activities of Daily Living (ADL) and its Predictors: A Cross-Sectional Study among the Elderly Rural Population in a Sub-Himalayan UT of India

Functional dependency among elderly population in a rural area of Ernakulam district, Kerala, India

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