Trends of Activities of Daily Living Disability Situation and Association with Chronic Conditions among Elderly Aged 80 Years and Over in China

Hou, Chengbei; Ping, Zhi; Yang, Kun; Chen, S.; Liu, X.; Li, H.; Liu, M.; Ma, Yan; Halm‐Lutterodt, Nicholas Van; Tao, Lixin; Luo, Yanxia; Yang, Xinghua; Wang, Wei; Li, X.; Guo, Xiuhua

doi:10.1007/s12603-017-0947-7

Cited by 36 publications

(30 citation statements)

References 35 publications

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“…In a cross-sectional study including 567 participants 80 years and older multimorbidity was found to be associated with disability [42] but in a cohort study with 3 years follow-up time including the same participants multimorbidity predicted mortality and hospitalization but not functional decline [43]. A Chinese study including 52,667 participants over 80 years found that the association between multimorbidity and ADL disabilities became stronger between 1998 and 2008 [44]. Thus, the associations between multimorbidity and function may change over time and be different among the oldest old.…”

Section: Discussionmentioning

confidence: 96%

Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway

et al. 2020

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Background: With increasing age, having multiple chronic conditions is the norm. It is of importance to study how coexistence of diseases affects functioning and mortality among older persons. Complex multimorbidity may be defined as three or more conditions affecting at least three different organ systems. The aim of this study was to investigate how complex multimorbidity affects activities of daily living and mortality amongst older Norwegians. Methods: Participants were 60-69-year-olds at baseline in the Nord-Trøndelag Health Study 1995-1997 (HUNT2) n = 9058. Multinomial logistic regression models were used to investigate the association between complex multimorbidity in HUNT2, basic and instrumental activities of daily living in HUNT3 (2006-2008) and mortality during follow-up (n = 5819/5836). Risk ratios (RR) and risk differences (RD) in percentage points (pp) with 95% confidence intervals (CI) were reported. Results: 47.8% of 60-69-year-olds met the criteria of complex multimorbidity at baseline (HUNT2). Having complex multimorbidity was strongly associated with the need for assistance in IADL in HUNT3 11 years later (RR = 1.80 (1.58-2.04) and RD = 8.7 (6.8-10.5) pp) and moderately associated with mortality during the follow-up time (RR = 1.22 (1.12-1.33) and RD = 5.1 (2.9-7.3) pp). Complex multimorbidity was to a lesser extent associated with basic activities of daily living 11 years later (RR = 1.24 (0.85-1.83) and RD = 0.4 (− 0.3-1.1) pp). Conclusions: This is the first study to show an association between complex multimorbidity and activities of daily living. Complex multimorbidity should receive more attention in order to prevent future disability amongst older persons.

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Section: Discussionmentioning

confidence: 96%

Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway

et al. 2020

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“…Their data quality has been verified in previous literatures [13,14,19,20]. These data had been widely used in the studies on elderly health in China [9][10][11]. The detailed information on the survey design is described in Additional file 1.…”

Section: Methods 21 Datamentioning

confidence: 78%

“…The index of independence in activities of daily living (ADL) developed by Katz and colleagues is one of the most widely used tool to serve this purpose [5][6][7][8]. The Chinese national surveys incorporating ADL and relevant literatures are more and more available in recent years [9][10][11][12][13][14]; however, the real level of physical disability among older people in China is still a myth.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the critical role of physical disability prevalence in monitoring elderly health and developing aged care policy, such incomparability in ADL measurement is largely overlooked by existing literatures, which leads to varying results in physical disability assessment [9][10][11][21][22][23]. The physical disability prevalence for older people aged 60 years or above was 10.14% in CHARLS 2015 [23], 9.3% in CLASS 2014 [14], 4.1% in SSAPUR 2015 [13], and 17.43% in CLHLS 2014 (for those aged 65 years or above) [24].…”

Section: Introductionmentioning

confidence: 99%

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What is the real level of physical disability among elderly Chinese? A comparative study based on four national social surveys

Qiao¹,

Chen²,

Liu³

et al. 2019

Preprint

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BackgroundAlong with the increasing availability of national surveys on elderly health, the real level of physical disability among elderly Chinese is still a myth due to the data incomparability. This study aims to add knowledge on this topic by improving data comparability across surveys.Methods Data were drawn from four national surveys, including Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2014, Sample Survey of the Aged Population in Urban/Rural China (SSAPUR) 2015, China Health and Retirement Longitudinal Study (CHARLS) 2015, and China Longitudinal Aging Social Survey (CLASS) 2014. The study subjects were people aged 65 years or above living in communities. The final sample size in four surveys analyzed was between 5008 in CHARLS and 144.0 thousand in SSAPUR. Katz activities of daily living (ADL) index was used to assess physical functioning. A series of measures were taken to harmonize ADL index across surveys. The reliability and validity of index was examined with Cronbach’s alpha, confirmatory and exploratory factor analysis. A standardized physical disability prevalence was computed by applying sex and age structure in 2015 China national 1% sample survey to the crude prevalence.Results All the Katz ADL indexes in four surveys had good internal consistency with Cronbach’s alpha higher than 0.80 and good construct validity according to confirmatory and exploratory factor analysis results. After standardization, the physical disability prevalence remained significantly different across surveys, ranging from 10.21% (9.47%-10.95%) to 18.07% (17.88%-18.27%). The total number of older population with physical disability in China was between 14.68 million and 25.98 million, which was a wide range. The variation in physical disability prevalence was higher with respect to older age, rural residence, and mild disability.Conclusions Considering all the surveys have both advantages and disadvantages in assessing ADL disability, it’s difficult to conclude the best data source on this topic. We suggest that future studies on, such as elderly physical disability and long-term care need, use multiple data sources at the same time to produce robust results.

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“…Em comparação, as doenças cardíacas apresentavam chance de 1,55 vezes em 10 anos, aumentando a chance para 1,60 ao ajustar todas as outras condições mencionadas anteriormente 24 . Os achados da presente pesquisa, no entanto apontam que os sintomas provavelmente poderão ter uma associação preditiva mais importante do que simplesmente o diagnóstico.…”

Section: Discussionunclassified

Diferenças na relação de sintomas cardiorrespiratórios e seu diagnóstico nas dificuldades funcionais de longevos e idosos

Rocha

Bós

2019

Saúde (Sta. Maria)

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Objetivo. Investigar diferenças entre longevos (≥80 anos) e idosos (60-79 anos) quanto à relação entre diagnóstico de doenças cardiorrespiratórias e seus sintomas e a dificuldade para realizar atividades cotidianas. Métodos. Estudo transversal analítico de dados da Pesquisa Nacional de Saúde do Instituto Brasileiro de Geografia e Estatística em 2013. Regressão logística foi utilizada para testar as chances de dificuldade de realizar 12 atividades cotidianas. Variáveis independentes: faixa etária, diagnóstico de cardiopatia, asma e pneumopatia e sintomas cardiorrespiratórios. Resultados. Participaram 11.177 sujeitos, 1.705 com doenças cardiorrespiratórias. As doenças cardiorrespiratórias foram significativamente relacionadas com dificuldades em quase todas as atividades cotidianas. Entre idosos, asma e pneumopatia e em longevos, asma e cardiopatia, não apresentaram relação com dificuldade em atividades cotidianas. Em idosos, cardiopatia se relacionou com dificuldades em sete atividades cotidianas. Em longevos, pneumopatia associou-se apenas à dificuldade no banho. Em idosos e longevos com doenças cardiorrespiratórias, falta de energia se associou a dificuldade de realizar atividades cotidianas. A angina grau 1 foi associada a dificuldade de realizar atividades cotidianas somente em idosos e a angina grau 2, tanto em idosos quanto em longevos. Conclusões. Os sintomas cardiorrespiratórios elevavam mais a chance de relato de dificuldade de realizar atividades cotidianas em idosos e longevos do que o diagnóstico. Longevos demonstraram menores chances para dificuldade de realizar atividades cotidianas na presença do diagnóstico, mas na presença de sintomas mais graves, suas chances apresentavam valores mais altos. Os achados sugerem que na presença de sintomas incapacitantes, principalmente em longevos, o encaminhamento diagnóstico tem considerável chance de levar a descoberta de doenças cardiorrespiratórias.

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Trends of Activities of Daily Living Disability Situation and Association with Chronic Conditions among Elderly Aged 80 Years and Over in China

Cited by 36 publications

References 35 publications

Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway

Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway

What is the real level of physical disability among elderly Chinese? A comparative study based on four national social surveys

Diferenças na relação de sintomas cardiorrespiratórios e seu diagnóstico nas dificuldades funcionais de longevos e idosos

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