Decline in Instrumental Activities of Daily Living over 4-Year: The Association with Hearing, Visual and Dual Sensory Impairments among Non-Institutionalized Women

Bouscaren, Nathalie; Yildiz, H. Duran; Dartois, Laureen; Vercambre, Marie-Noël; Boutron-Ruault, Marie Christine

doi:10.1007/s12603-019-1231-9

Cited by 27 publications

(32 citation statements)

References 42 publications

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“…Over 14% of the elderly were reported to have DSI in the United States 41 . Also, the impact of DSI on depression and quality of life has been reported in developed countries 35 – 38 , 42 – 46 . Though we found a lower prevalence of DSI (5.8%) in our study, 60% of those with DSI had depression.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, one’s inability to see clearly and or hear properly may predispose the elderly to depression. While DSI can lead to loss of independence, difficulties with self-care can adversely affect one’s emotional well-being 35 – 38 . As the elderly in residential care are relatively more dependent on others for their daily living as compared to persons living at home with their family, it is likely that the effect of DSI can compound their difficulties and worsen the level of depression compared to those who live with their family in the community setting.…”

Section: Discussionmentioning

confidence: 99%

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Depression, combined visual and hearing impairment (dual sensory impairment): a hidden multi-morbidity among the elderly in Residential Care in India

Marmamula

Kumbham

Modepalli

et al. 2021

Sci Rep

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To report the prevalence of depression and its association with combined visual (VI) and hearing impairment (HI) in the elderly in residential care in India. Participants aged ≥ 60 years were recruited from 41 homes. Data on personal and sociodemographic information were obtained. Visual acuity was measured using the logMAR chart. Patient Health Questionnaire (PHQ-9) was used to assess depression, and the Hearing Handicap Inventory for the Elderly Screening (HHIE) was administered to assess hearing status. Data of all 867 eligible elderly participants were analysed. The mean age of the participants was 74.2 years (standard deviation: 8.2 years) and included 537 (61.9%) women and 117 (13.5%) participants who had no education. The prevalence of depression was 60.0% (95% CI: 45.2–73.4) in the elderly with combined VI and HI compared to 20.9% (95% CI:14.4–28.8) among those with VI only and 37.8% (95% CI: 26.6–46.5) among those with HI only. On multiple logistic regression analyses, depression was approximately 5 times higher among the participants with DSI after adjusting for other covariates. Six out of ten elderly with combined HI and VI had depression highlighting the need for screening and referral when elderly present with combined vision and hearing loss.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Depression, combined visual and hearing impairment (dual sensory impairment): a hidden multi-morbidity among the elderly in Residential Care in India

Marmamula

Kumbham

Modepalli

et al. 2021

Sci Rep

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“…ADL and IADL have been studied widely to measure functional disability across various settings [ 9 ]. However, a limited scholarship is available in examining impairments related to bodily functions along with ADL and IADL [ 10 ]. Activities of Daily Living have been categorized into two groups: Basic activities and Instrumental activities [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Socio-economic inequality in functional disability and impairments with focus on instrumental activity of daily living: a study on older adults in India

et al. 2021

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Background Studies have examined functional disability among older adults by combining Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). This study adds another dimension to ADL and IADL by combining various impairments such as hearing, vision, walking, chewing, speaking, and memory loss among older adults. This study examines functional disability among older adults in India as measured by ADL, IADL, along with various impairments. Methods This study utilized data from Building a Knowledge Base on Population Aging in India (BKPAI), a national-level survey and conducted across seven states of India. The study utilized three outcome variables, namely, ADL, IADL, and Impairments. Descriptive and bivariate analyses were used along with multivariate analysis to fulfil the objectives of the study. The concentration index was calculated for ADL, IADL, and impairments, and further, decomposition analysis was carried out for IADL. Results The results observed that nearly 7.5% of older adults were not fully independent for ADL. More than half (56.8%) were not fully independent for IADL, and nearly three-fourths (72.6%) reported impairments. Overall, ADL, IADL, and impairments were higher among older adult’s aged 80+ years, older adults with poor self-rated health, and those suffering from chronic diseases. The likelihood of ADL (AOR = 6.42, 95% CI: 5.1–8.08), IADL (AOR = 5.08, 95% CI: 4.16–6.21), and impairment (AOR = 3.50, 95% CI: 2.73–4.48) were significantly higher among older adults aged 80+ years compared to 60–69 years. Furthermore, older adults who had poor self-rated health and suffered from chronic diseases were more likely to report ADL (AOR = 2.95, 95% CI: 2.37–3.67 and AOR = 2.70, 95% CI: 2.13–3.43), IADL (AOR = 1.74, 95% CI: 1.57–1.92 and AOR = 1.15, 95% CI: 1.04–1.15), and impairment (AOR = 2.36, 95% CI: 2.11–2.63 and AOR = 2.95, 95% CI: 2.65–3.30), respectively compared to their counterparts. Educational status and wealth explained most of the socio-economic inequality in the prevalence of IADL among older adults. Conclusion It is recommended that the government advise older adults to adopt health-promoting approaches, which may be helpful. Further, there is a pressing need to deliver quality care to older adults suffering from chronic conditions.

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“…Visual, hearing and dual sensory impairments are common among older adults 1 and have been consistently associated with greater risk of cognitive decline, depression symptoms and reduction in quality of life. 2 3 Intrauterine nutrition may play an important role in the development of sensory systems.…”

Section: Introductionmentioning

confidence: 99%

Exposure to Chinese famine in early life and the risk of sensory impairment in adulthood

Rong

Lai

Mahmoudi

et al. 2020

J Epidemiol Community Health

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BackgroundStudies have shown that malnutrition in early life has a negative effect on midlife cognitive functions. Little is known, however, about the relationship between early-life malnutrition and visual, hearing or dual sensory impairments in adulthood. This study aims to investigate the association between exposure to the 1959–1961 Chinese famine in early life and sensory impairments in adulthood.MethodsA total of 6347 adults born between 1952 and 1964 surveyed in the 2015 China Health and Retirement Longitudinal Study were included in this study. The presence of sensory impairments was identified by self-reported assessment of visual and hearing functions. The associations between multi-stage early-life famine exposure and sensory functions were estimated using the multiple generalised linear model.ResultsCompared with the unexposed group, respondents exposed to famine in the fetal period and late childhood had a significantly higher risk of hearing impairment (OR 1.54, 95% CI 1.06 to 2.24; OR 1.75, 95% CI 1.23 to 2.50) and dual sensory impairments (OR 1.45, 95% CI 1.00 to 2.11; OR 1.55, 95% CI 1.09 to 2.21), respectively. Furthermore, in severely famine-affected areas, the early, mid and late childhood-exposed groups were more likely to have hearing and dual sensory impairments than the unexposed group. Those associations were not observed in less famine-affected areas. However, no significant association was found between famine exposure and visual impairment in early-life famine-exposed group.ConclusionExposure to Chinese famine in the fetal period and late childhood was linked to hearing and dual sensory impairments in adulthood.

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Decline in Instrumental Activities of Daily Living over 4-Year: The Association with Hearing, Visual and Dual Sensory Impairments among Non-Institutionalized Women

Cited by 27 publications

References 42 publications

Depression, combined visual and hearing impairment (dual sensory impairment): a hidden multi-morbidity among the elderly in Residential Care in India

Depression, combined visual and hearing impairment (dual sensory impairment): a hidden multi-morbidity among the elderly in Residential Care in India

Socio-economic inequality in functional disability and impairments with focus on instrumental activity of daily living: a study on older adults in India

Exposure to Chinese famine in early life and the risk of sensory impairment in adulthood

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