Predictors of long-term care among nonagenarians: the Vitality 90 + Study with linked data of the care registers

Kauppi, Maarit; Raitanen, Jani; Stenholm, Sari; Aaltonen, Mari; Enroth, Linda; Jylhä, Marja

doi:10.1007/s40520-017-0869-6

Cited by 15 publications

(18 citation statements)

References 33 publications

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“…Studies have also found that MetS is significantly related to the ADL and IADL of the elderly living in the community [ 53 , 54 , 55 ]. However, other studies have shown that MetS is associated with mobility restrictions but not related to the disability of ADL or IADL in older Mexican Americans [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

Chen

Qin

You

et al. 2018

IJERPH

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Objectives: This study aims to understand the disability status of the elderly residents of a County (Guangxi Province, China) and explore its influencing factors. Methods: Respondents consisted of 2300 elderly people aged 60 and above from three townships in the county we studied. The Activities of Daily Living (ADL) Scale was used to assess the disability of the elderly sample. Chi-square test was applied to compare the disability rate among the elderly with different demographic characteristics. The graph showed the disability rates of ADL, six items of Physical Activities of Daily Living (PADL) and eight items of Instrumental Activities of Daily Living (IADL) at different ages. Binary logistic regression was used to analyze the influencing factors of disability rate among the elderly. Results: The disability rates of ADL, PADL, and IADL in the elderly were 43.4%, 11.6%, and 42.4%, respectively. As with the increase in age, the disability rates of ADL, IADL, PADL, and their 14 items gradually increased (p < 0.05), with walking, using the telephone, and using public vehicles having higher disability rates than other items. The influencing factors of ADL disability were gender (OR = 0.579, 95%CI = 0.441–0.759), age (OR = 2.270, 95%CI = 1.867–2.759; OR = 4.719, 95%CI = 2.998–7.429; OR = 6.249, 95%CI = 3.667–10.648), educational level (OR = 2.844, 95%CI = 2.076–3.897; OR = 1.677, 95%CI = 1.246–2.230), and having metabolic syndrome (MetS) (OR = 1.298, 95%CI = 1.044–1.613). Compared with ADL, the influencing factor of PADL disability was gender, whereas that of IADL disability was whether someone had MetS. Conclusions: With age, the possibility of ADL, PADL, and IADL damage in the elderly is higher. Gender, age, educational level, the number of chronic diseases, and whether someone has MetS might be the influencing factors of disability. Interventions should be taken from a variety of sources specific to the content of each entry.

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Section: Discussionmentioning

confidence: 99%

Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

Chen

Qin

You

et al. 2018

IJERPH

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“…Several definitions are proposed: the American Geriatric Society and the World Health Organization define the oldest old as individuals aged over 80 years, while the British Geriatrics Society uses 85 years as a threshold. In recent publications, the cut off has been fixed at 85 or 90 years and over [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Despite an increasing number of cohorts studied in order to describe this population, such as the 90+ study, the Leiden 85-plus study, the Vitality 90+ study, the Newcastle 85+ study [e.g. [7][8][9][10], or recent literature on centenarians [13][14][15], few data describe the global status of individuals aged 90 and over.…”

Section: Introductionmentioning

confidence: 99%

Cognitive, functional, physical, and nutritional status of the oldest old encountered in primary care: a systematic review

et al. 2020

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Background: The oldest old (individuals over 90 years) are a fast-growing population. Characterizing their specificity would be helpful to adapt health care. This study aimed to characterize the cognitive, functional, nutritional, and physical status of individuals over 90. Methods: We conducted a systematic review of cross-sectional or cohort studies of individuals aged 90 years old or more, living at home or in a nursing home, in April 2018. Two reviewers selected eligible articles, extracted data, and evaluated the risk of bias (assessed by the Newcastle-Ottawa Scale). Results: The search strategy identified 3086 references; 35 articles were included referring to 8 cross-sectional and 27 longitudinal studies. Dementia was diagnosed in 30-42.9% of study participants, cognitive impairment in 12-50%, and 31-65% had no cognitive impairment. In terms of activities of daily living, 14-72.6% of individuals had no difficulty, 35.6-38% had difficulty, and 14.4-55.5% were dependent. For instrumental activities of daily living, 20-67.9% needed help. Regarding nutritional status, the Mini Nutritional Assessment Short Form mean score ranged from 10.3 (SD: 1.8) to 11.1 (SD: 2.4). Eight to 32% of individuals could not stand up from a chair, 19-47% could stand without the use of their arms; and 12.9-15% were not able to walk 4 m. Conclusions: These results suggest a heterogeneous population with a certain proportion of oldest old with a low level of disability. These findings suggest that a specific approach in the care of the oldest old could help prevent disability.

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“…Moreover, many studies indicated that caregivers' burden was a predictor of institutionalization [34][35][36]. Severe incontinence may exceed the potential of informal care and Kauppi et al [37] have reported that partial assistance provided for older person (i.e., covering only part of the gap to reduce but not eliminate the excessive burden) was a predictor of institutionalization. The knowledge of health services also influenced LTC choices, particularly in the case of severe incontinence.…”

Section: Discussionmentioning

confidence: 99%

Impact of urine and mixed incontinence on long-term care preference: a vignette-survey study of community-dwelling older adults

et al. 2020

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Background: In view of population aging, a better knowledge of factors influencing the type of long-term care (LTC) among older adults is necessary. Previous studies reported a close relationship between incontinence and institutionalization, but little is known on opinions of older citizens regarding the most appropriate place of care. This study aimed at evaluating the impact of urine and/or fecal incontinence on preferences of communitydwelling older citizens. Methods:We derived data from the Lausanne cohort 65+, a population-based study of individuals aged from 68 to 82 years. A total of 2974 community-dwelling persons were interviewed in 2017 on the most appropriate place of LTC delivery for three vignettes displaying a fixed level of disability with varying degrees of incontinence (none, urinary, urinary and fecal). Multinomial logistic regression analyses explored the effect of respondents' characteristics on their opinion according to Andersen's model. Results: The level of incontinence described in vignettes strongly determined the likelihood of considering institutional care as most appropriate. Respondents' characteristics such as age, gender, educational level, being a caregiver, knowledge of shelter housing or feeling supported by family influenced LTC choices. Self-reported incontinence and other indicators of respondents' need, however, had no significant independent effect.Conclusion: Among older community-dwelling citizens, urinary and fecal incontinence play a decisive role in the perception of a need for institutionalization. Prevention and early initiation of support for sufferers may be a key to prevent this need and ensure familiar surrounding as long as possible.

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Predictors of long-term care among nonagenarians: the Vitality 90 + Study with linked data of the care registers

Cited by 15 publications

References 33 publications

Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

Cognitive, functional, physical, and nutritional status of the oldest old encountered in primary care: a systematic review

Impact of urine and mixed incontinence on long-term care preference: a vignette-survey study of community-dwelling older adults

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