The Disablement Process in Very Late Life: A Study of the Oldest-Old in Sweden

Femia, Elia E.; Zarit, Steven H.; Johansson, Boo

doi:10.1093/geronb/56.1.p12

Cited by 132 publications

(129 citation statements)

References 50 publications

Supporting

Mentioning

118

Contrasting

Unclassified

Order By: Relevance

“…A tendency toward depression has been reported to have an adverse influence on the ADL in some previous studies (Rantanen et al 2000;Femia et al 2001;Wada et al 2004). The influence has been explained by a behavioral scientific and biological mechanism as follows: Depressed mood induces decreased appetite, weight loss, and decreased activity, resulting in the decline of muscle strength (Rantanen et al 2000).…”

Section: Discussionmentioning

confidence: 91%

Health Characteristics of Elderly Japanese Requiring Care at Home

Nishiwaki

Nakamura

Ueno

et al. 2005

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

The number of elderly subjects requiring care is rapidly increasing, however, their health status has not been well studied. The purposes of this study were to describe the health characteristics of the elderly at home who were using long-term care insurance, and to clarify factors that influence dependence for activities of daily living (ADL). The subjects were 194 elderly people living at home, who were approved for care. The items surveyed were the demographic characteristics, care level (or level of dependence for ADL), Barthel index, grip strength, thigh muscle volume, cognitive impairment using the mini-mental state examination (MMSE), depressed mood using the geriatric depression scale (GDS-15), and serum albumin and hemoglobin levels. The grip strength (p = 0.0001), thigh muscle volume (p = 0.0030), MMSE score (p = < 0.0001) and serum albumin level (p = < 0.0001) decreased, while the GDS-15 score (p = 0.0142) increased with deteriorating care levels. The proportion of subjects not requiring assistance for the items "bathing" and "stair-climbing" in the Barthel index was markedly low in the subjects belonging to the relatively low (mild) care levels. The logistic regression analysis showed that factors associated with dependence for "bathing" and "stair-climbing" were the use of day-services, male sex, decline of grip strength, and a high GDS-15 score. In conclusion, it is important to strengthen the muscles of the upper half of the body, and to correct depressed moods for maintaining levels of ADL in the elderly requiring care at home.

show abstract

Section: Discussionmentioning

confidence: 91%

Health Characteristics of Elderly Japanese Requiring Care at Home

Nishiwaki

Nakamura

Ueno

et al. 2005

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

show abstract

Section: Introductionunclassified

“…Entre eles, está uma investigação (9) realizada com 203 idosos longevos suecos, a qual objetivou identificar os problemas de saúde físicos e funcionais dos idosos e sua relação entre as atividades de vida diária. Como resultado, o estudo demonstrou que 36% desses idosos longevos possuíam dificuldade na realização de pelo menos uma das atividades de vida diária (9) . Outro estudo (10) , realizado com 8.805 idosos chineses na faixa etária entre 80 e 105 anos, observou que os idosos oriundos da zona rural possuem níveis de atividade de vida diária maiores do que aqueles residentes na zona urbana, podendo ser considerados idosos mais ativos.…”

Section: Introductionunclassified

Associação Entre as Características Sociodemográficas E a Capacidade Funcional De Idosos Longevos Da Comunidade

Lenardt¹,

Carneiro²

2013

Cogitare Enferm.

View full text Add to dashboard Cite

RESUMO: Trata-se de estudo quantitativo de corte transversal, cujo objetivo foi relacionar a capacidade funcional entre variáveis sociodemográficas dos idosos longevos usuários da Atenção Básica de Saúde. A amostra foi constituída por 65 idosos de ≥ 80 anos no período amostral de três meses e mediante critérios de inclusão e exclusão. A coleta de dados ocorreu em Unidade Básica de Saúde e domicílios, em 2011, por meio da aplicação de questionário sociodemográfico e escala de Medida de Independência Funcional. Os resultados foram considerados estatisticamente significativos quando p<0,05. As variáveis sociodemográficas significativas para capacidade funcional foram: idade (p=0,044), local de nascimento (p=0,029), com quem mora (p=0,050), renda (p=0,048) e trabalho (p=0,050). Os resultados reforçam a importância de se considerar, durante as ações de cuidados, a interferência de características sociais e demográficas na capacidade funcional dos idosos longevos; elementar para a efetividade e eficácia do cuidado. DESCRITORES: Idoso de 80 anos ou mais; Longevidade; Centros de saúde; Enfermagem geriátrica. ASSOCIATION BETWEEN SOCIO-DEMOGRAPHIC CHARACTERISTICS AND THE FUNCTIONAL ABILITY OF VERY ELDERLY PERSONS IN THE COMMUNITYABSTRACT: This is a quantitative, cross-sectional study, aiming to relate functional ability with the socio-demographic variables of the very elderly service users of Primary Health Care. The sample was made up of 65 older adults ≥ 80 years of age in the sampling period of three months, and following inclusion and exclusion criteria. Data was collected in the Primary Health Care center and in the older adults' homes, in 2011, through the administration of a socio-demographic questionnaire and the Functional Independence Measure scale. The results were considered statistically significant when p<0.05. The socio-demographic variables which were significant for functional capacity were: age (p=0.044), place of birth (p=0.029), with whom the person lives (p=0.050), income (p=0.048) and work (p=0.050). The results support the importance of taking into account, during care actions, how social and demographic characteristics influence the functional capacity of very elderly persons; this is elementary to the effectiveness and efficacy of the care. DESCRIPTORS: Elderly aged 80 or over; Longevity; Health centers; Geriatric nursing. ASOCIACIÓN ENTRE LAS CARACTERÍSTICAS SOCIODEMOGRÁFICAS Y LA CAPACIDAD FUNCIONAL DE ANCIANOS LONGEVOS DE LA COMUNIDAD RESUMEN:Este es un estudio cuantitativo de corte transversal, cuyo objetivo fue relacionar la capacidad funcional entre variables sociodemográficas de los ancianos longevos usuarios de la Atención Básica de Salud. La muestra fue constituida por 65 ancianos de ≥ 80 años en el periodo de tres meses y por medio de criterios de inclusión y exclusión. Los datos fueron recogidos en Unidad Básica de Salud y domicilios, en 2011, por medio de la aplicación de cuestionario sociodemográfico y escala de Medida de Independencia Funcional. Los resultados fueron considerados es...

show abstract

“…There have, however, been partial tests published in three noteworthy studies (Femia et al 2001;Lawrence and Jette 1996;Peek et al 2003). Using longitudinal analyses, Lawrence and Jette's (1996) study supported the causal directionality of the relationships between impairments, functional limitations, and disability.…”

Section: Introductionmentioning

confidence: 83%

“…Using longitudinal analyses, Lawrence and Jette's (1996) study supported the causal directionality of the relationships between impairments, functional limitations, and disability. Femia et al (2001) and Peek et al (2003) found evidence for mediation between variables within the main pathway, as well as evidence that the main pathway variables have indirect effects on disability through various psychosocial factors (depression, subjective health, and social integration in Femia's study, and perceived support in Peek's study). In fact, Femia concluded that the results ''suggest disability to be as much a function of an individual's psychosocial characteristics as the degree of functional limitations and functional impairments '' (2001, p. 20).…”

Section: Introductionmentioning

confidence: 95%

Mediating relationships within the Disablement Process model: a cross-sectional study of the oldest-old

2008

View full text Add to dashboard Cite

The Disablement Process model proposes a pathway for how chronic diseases in late life can lead to disability, with the variables in the main pathway designated as pathology, impairment, functional limitations, and disability. The model also suggests that psychosocial and contextual variables in the periphery of the model affect disability outcomes. The current study included 149 Swedish adults aged 86, 90, or 94 living in the community or in institutions who answered questions and performed tasks of physical and cognitive ability. A series of regressions were used to test the mediating role of variables within the main pathway of the model, as well as the ability of psychosocial variables to mediate main pathway relationships. Results indicated that physical limitations accounted for between 31 and 52% of the direct effects between impairments and disability, but delayed recall did not mediate these relationships. For the tests of psychosocial variables, mastery was a consistent mediator between impairments and functional limitations, and also mediated several relationships between functional limitations and disability variables. Depression and loneliness also mediated some of the relationships within the main pathway, but explained a smaller percentage of the total effects than mastery. The study concludes that the Disablement Process model is an effective biopsychosocial approach in describing and predicting disability in the oldest-old. In addition, the course of disability seems to be buffered by certain psychosocial variables, particularly feelings of mastery.

show abstract

The Disablement Process in Very Late Life: A Study of the Oldest-Old in Sweden

Cited by 132 publications

References 50 publications

Health Characteristics of Elderly Japanese Requiring Care at Home

Health Characteristics of Elderly Japanese Requiring Care at Home

Associação Entre as Características Sociodemográficas E a Capacidade Funcional De Idosos Longevos Da Comunidade

Mediating relationships within the Disablement Process model: a cross-sectional study of the oldest-old

Contact Info

Product

Resources

About