Analysis of health, functioning and disability of rural inhabitants aged 60–80 living in south-eastern Poland – a cross sectional study

Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna; Wiśniowska-Szurlej, Agnieszka; Sozański, Bernard

doi:10.5604/12321966.1235175

Cited by 3 publications

(2 citation statements)

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“…Numerous studies have been undertaken on QOL and activity in older people [29,30] as well as age-related physical disability [31,32]. In Poland, it was found that in population of people aged 60-80, almost 30% suffer from at least a moderate level of disability and over 10% experience severe disability [33]. However, the dominant age group studied were people between 60 and 80 years of age.…”

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confidence: 99%

Association of physical fitness with quality of life in community-dwelling older adults aged 80 and over in Poland: a cross-sectional study

et al. 2021

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Background Aging is a progressive and irreversible process that negatively affects the quality of life (QOL). Older adults face difficulties related to worsening health, lowering the level of physical and mental efficiency. We aimed to analyze the associations between physical fitness and QOL in Polish older adults considering sex differences. Methods This cross-sectional study was performed from March to August 2015. The sample consisted of 100 community-dwelling adults (67 women, 33 men) with a mean age of 82.94 ± 2.67 years. The World Health Organization QOL, Short Form questionnaire (WHOQOL-BREF), and the Fullerton Functional Fitness Test (FFFT) were used. Biometric data, social and environmental situation, nutritional and lifestyle behaviors have been also collected using a questionnaire designed by the authors. Results The results obtained in individual domains of WHOWOL-BREF indicate a good level of QOL in all the examined domains. Statistically significant sex differences were obtained in physical (p = 0.01), psychological (p = 0.04) and environmental (p = 0.02) domains in WHOQOL-BREF. It was noted that men perform better in terms of the upper (arm curl, p < 0.001) and lower body strength (chair stand, p = 0.01), aerobic endurance (two-minute step test, p < 0.001), agility and dynamic balance (up and go test, p < 0.001) in FFFT. Conclusions Community-dwelling older adults aged 80–93 years in Poland present a good level of QOL, and the higher score was obtained in men. Also, men presented better physical fitness, showed a higher level of independence in daily activities, and assessed better their own QOL than women.

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Section: Introductionmentioning

confidence: 99%

Association of physical fitness with quality of life in community-dwelling older adults aged 80 and over in Poland: a cross-sectional study

et al. 2021

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“…Further studies performed on seniors living in rural areas in Poland found 28.26% of the study group to have at least a moderate level of disability. The authors also note the presence of relationships between disability and age, sex, level of education, and physical activity [ 22 ]. In addition, Pareles et al report that education, marital status, and profession have the strongest relationships with active aging [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Disability and Factors Determining Disability among Inhabitants of South-Eastern Poland Aged 71–80 Years

Ćwirlej-Sozańska

Sozański

Wiśniowska-Szurlej

et al. 2018

BioMed Research International

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Introduction The aim of the study was to assess the level of disability in a sample of older people in south-eastern Poland and to identify any potential relationship between their profile of functioning and a complex set of variables including activities, participation, and contextual factors. Materials and Methods The study included 800 people aged 71–80 years. The WHODAS 2.0 questionnaire was applied for the assessment of disability. Results A total of 43.88% of the interviewees showed a moderate level of disability, while 17.75% had severe or extremely high levels of disability. In addition, 7.75% of the interviewees had no functional limitations and 30.62% demonstrated a mild level of disability. The studied individuals reported the greatest difficulties with life activities such as cleaning, cooking, or shopping, followed by Limited Participation and then getting along. Age, number of chronic diseases, a low level of education, a low level of physical activity, poor living conditions, and lack of opportunities for daily help significantly contributed to higher levels of disability. Conclusions Measures intended to reduce the level of disability in older adults should focus on improving medical care, health education, increasing physical activity, adapting housing to the needs of everyday functioning, and providing daily help.

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A new look at population health through the lenses of cognitive, functional and social disability clustering in eastern DR Congo: a community-based cross-sectional study

et al. 2019

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BackgroundThe importance of viewing health from a broader perspective than the mere presence or absence of disease is critical at primary healthcare level. However, there is scanty evidence-based stratification of population health using other criteria than morbidity-related indicators in developing countries. We propose a novel stratification of population health based on cognitive, functional and social disability and its covariates at primary healthcare level in DR Congo.MethodWe conducted a community-based cross-sectional study in adults with diabetes or hypertension, mother-infant pairs with child malnutrition, their informal caregivers and randomly selected neighbours in rural and sub-urban health zones in South-Kivu Province, DR Congo. We used the WHO Disability Assessment Schedule 2.0 (WHODAS) to measure functional, cognitive and social disability. The study outcome was health status clustering derived from a principal component analysis with hierarchical clustering around the WHODAS domains scores. We calculated adjusted odds ratios (AOR) using mixed-effects ordinal logistic regression.ResultsOf the 1609 respondents, 1266 had WHODAS data and an average age of 48.3 (SD: 18.7) years. Three hierarchical clusters were identified: 9.2% of the respondents were in cluster 3 of high dependency, 21.1% in cluster 2 of moderate dependency and 69.7% in cluster 1 of minor dependency. Associated factors with higher disability clustering were being a patient compared to being a neighbour (AOR: 3.44; 95% CI: 1.93–6.15), residency in rural Walungu health zone compared to semi-urban Bagira health zone (4.67; 2.07–10.58), female (2.1; 1.25–2.94), older (1.05; 1.04–1.07), poorest (2.60; 1.22–5.56), having had an acute illness 30 days prior to the interview (2.11; 1.24–3.58), and presenting with either diabetes or hypertension (2.73; 1.64–4.53) or both (6.37; 2.67–15.17). Factors associated with lower disability clustering were being informally employed (0.36; 0.17–0.78) or a petty trader/farmer (0.44; 0.22–0.85).ConclusionHealth clustering derived from WHODAS domains has the potential to suitably classify individuals based on the level of health needs and dependency. It may be a powerful lever for targeting appropriate healthcare service provision and setting priorities based on vulnerability rather than solely presence of disease.Electronic supplementary materialThe online version of this article (10.1186/s12889-019-6431-z) contains supplementary material, which is available to authorized users.

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Analysis of health, functioning and disability of rural inhabitants aged 60–80 living in south-eastern Poland – a cross sectional study

Cited by 3 publications

References 39 publications

Association of physical fitness with quality of life in community-dwelling older adults aged 80 and over in Poland: a cross-sectional study

Association of physical fitness with quality of life in community-dwelling older adults aged 80 and over in Poland: a cross-sectional study

Assessment of Disability and Factors Determining Disability among Inhabitants of South-Eastern Poland Aged 71–80 Years

A new look at population health through the lenses of cognitive, functional and social disability clustering in eastern DR Congo: a community-based cross-sectional study

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