Onset of mobility disability among community-dwelling old men and women. The role of tiredness in daily activities

Avlund, Kirsten; Vass, Mikkel; Hendriksen, Carsten

doi:10.1093/ageing/afg101

Cited by 106 publications

(84 citation statements)

References 30 publications

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“…These findings are consistent with those of Dzurec (147), who reported that interpersonal relationships play a vital role in women's experience of fatigue and may in fact ex- Fatigue may also be seen as a kind of chronic reaction to the accumulated chronic strain of dealing with the effects of cumulated social stress throughout life, in addition to the physiological and biological decline which characterizes aging. However, it does not attenuate the associations between fatigue and functional decline to adjust by socio-economic factors (33,34,58,59) and social relations (33,58,59).…”

Section: Importance Of Life-course Factorsmentioning

confidence: 96%

Fatigue in older adults: an early indicator of the aging process?

2010

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Section: Importance Of Life-course Factorsmentioning

confidence: 96%

Fatigue in older adults: an early indicator of the aging process?

2010

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“…Increasing age is associated with a risk of ADL problems (e.g., Allen et al 2001;Covinsky et al 2003;Fauth et al 2008;Hellström and Hallberg 2001;Iwarsson 2005). Gender has also been demonstrated to affect self-reported functional ability (e.g., Ahacic et al 2003;Hellström and Hallberg 2001;Reynolds and Silverstein 2003;Romören and Blekeseaune 2003), with most studies showing greater self-reported ADL problems among women than men (e.g., Avlund et al 2003;Puts et al 2005;von Strauss et al 2003). Married individuals are also less likely to report ADL problems (e.g., Avlund et al 2002;Hallberg and Lagergren 2009), perhaps because they receive occasional assistance from a spouse which supports continued independence.…”

Section: Introductionmentioning

confidence: 99%

Self-reported activities of daily living and performance-based functional ability: a study of congruence among the oldest old

2011

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Although researchers and clinicians tend to use subjective evaluations of functioning and objective assessments interchangeably, there may be important differences between how people view their own abilities and objective indicators. This study aims to examine the relation between self-reported evaluations of function and health and performance-based (PB) measures of functional ability and objective health indicators in a sample of the oldest old. The study is based on data from a sample of 349 individuals aged 80 and older from the OCTO-Twin Study. One member of each twin pair was randomly selected for this study. The result demonstrates that subjective evaluations of functional ability are significantly associated with objective measures of health and PB measures of function although considerable variance remained unexplained. The association of PB measures to the self-report evaluations differed by measure. PB measures had stronger associations with self-reported functioning than objective health indicators such as diseases and medications. PB balance was related to self-reported function in instrumental activities in daily life (IADL) and self-reported mobility, whereas PB upper body strength and flexibility was associated with all three self-reports of function but not to perceived health. The strength of these associations did not differ from one another suggesting that PB balance and upper body strength and flexibility have comparable effects on self-reports of daily life function. From a practical perspective, our findings confirm that self-reported ADL reflects objective measures of functioning, but probably also has subjective components that need further exploration. The result also indicates a need for multiple measures in evaluating functional ability in the oldest old.

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“…The scientific literature confirms that limitations in mobility may lead to restricted social participation. [28,57,58] As a result, professional caregivers should be aware that mobility-disabled residents are likely to need elaborate help with their social participation. Also, the nursing home residents should be educated about this association to be prepared for a possible connection between their mobility disability and their need for support in their social participation.…”

Section: Hypothesismentioning

confidence: 99%

Prevalence of mobility disabilities in nursing home residents and the association with age, BMI, fall risk and social participation

Fehling¹,

Dassen²

2017

JNEP

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Background and aim: Physical mobility is often described as a basic prerequisite for independence, self-determination, and social participation. Older people, particularly those in long-term care facilities, are more often affected by the loss of their mobility. However, the prevalence of the mobility disabilities of nursing home residents and their association with demographic and care-specific/medical factors have so far been studied less. This prevalence study should investigate a possible association of mobility disability with age, BMI, multimorbidity, fall risk, and social participation. Methods: The prevalence study covered the data of residents in 30 German residential care facilities (RCFs). Trained staff nurses used a standardised instrument to collect data about the age, obesity, medical diagnoses, the fall risk, the level of mobility disability, and the need for supporting the social participation of the residents. Results: The representative sample included 2,066 nursing home residents, of whom 81.5% required support in their mobility. The level of a mobility disability or the need for a support in matters of mobility by others was not associated either with age, with the BMI, or with the fall risk of the participants. The groups with higher mobility disability included the more multimorbid participants with more difficult medical diagnoses, and these had a higher need for support in their social participation. Conclusions: It may be that professional care must reflect the premature link between older and obese patients with mobility disability. In addition to nursing diagnoses, medical diagnoses should necessarily be integrated into the nursing assessment. The association between the level of mobility disability and the fall risk, which is often mentioned in the literature, should be critically reflected. Nursing home residents should be informed that there is a possible association between their mobility disability and their social participation.

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Onset of mobility disability among community-dwelling old men and women. The role of tiredness in daily activities

Abstract: older people who complain about tiredness are at higher risk of becoming disabled than others. This highlights the need for alertness and management of this early sign of functional decline in a preventive perspective.

Cited by 106 publications

References 30 publications

Fatigue in older adults: an early indicator of the aging process?

Fatigue in older adults: an early indicator of the aging process?

Self-reported activities of daily living and performance-based functional ability: a study of congruence among the oldest old

Prevalence of mobility disabilities in nursing home residents and the association with age, BMI, fall risk and social participation

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