Demographic Determinants for Change in Activities of Daily Living: A Cohort Study of the Elderly People in Beijing.

Jiang, Jingmei; Tang, Zhe; Meng, Xiang Jun; Futatsuka, Makoto

doi:10.2188/jea.12.280

Cited by 39 publications

(30 citation statements)

References 23 publications

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“…The average increase in the disability rate was 0.16% per year in younger frail adults compared with 0.48% a year in older frails. 29 The WHO has pointed out the high prevalence of disabilities among women, people living in poverty, and seniors in developing countries. 30 This is similar to an empirical study in the United States that found increasing age, female gender, and being married strongly predicted difficulties in daily life activities, such as taking medication, grocery shopping, preparing meals and using the telephone.…”

Section: Discussionmentioning

confidence: 99%

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Somrongthong

Wongchalee

Ramakrishnan

et al. 2017

Journal of Public Health Research

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BackgroundThe increasing number of older people is a significant issue in Thailand, resulted in growing demands of health and social welfare services. The study aim was to explore the influence of socioeconomic factors on activities of daily living and quality of life of Thai seniors.Design and methodsUsing randomised cluster sampling, one province was sampled from each of the Central, North, Northeast and South regions, then one subdistrict sampled in each province, and a household survey used to identify the sample of 1678 seniors aged 60 years and over. The Mann-Whitney U-test and binary logistic regression were used to compare and determine the association of socioeconomic variables on quality of life and activities of daily living.ResultsThe findings showed that sociodemographic and socioeconomic factors were significantly related to functional capacity of daily living. Education levels were strongly associated with daily life activities, with 3.55 adjusted ORs for respondents with secondary school education. Gender was important, with females comprising 61% of dependent respondents but only 47% of independent respondents. Seniors with low incomes were more likely to be anxious in the past, present and future and less likely to accept death in the late stage, with 1.40 Adjusted ORs (95%CI: 1.02-1.92), and 0.72 (95%CI: 0.53-0.98), respectively. However, they were more likely to engage in social activities.ConclusionsWhile socioeconomic factors strongly indicated the functional capacity to live independently, a good quality of life also required other factors leading to happiness and life satisfaction.Significance for public healthIncreasing numbers of ageing population raise a public health concern in Thai society due to the increasing demands of medical and health services regarding chronic diseases and disability. Unfortunately, few studies have mentioned socioeconomic factors on daily living activities and quality of life and none has taken place across regions in Thailand. Epidemiological population-based studies are necessary to identify social determinants and potential contributing factors that influence quality of life and disability which in turn, may utilise information shaping the policy through better support and care.

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Section: Discussionmentioning

confidence: 99%

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Somrongthong

Wongchalee

Ramakrishnan

et al. 2017

Journal of Public Health Research

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“…The geographic distribution, economic status, age, and education of the sample represent the older population of Beijing, as obtained from the Fourth National Census Data (27). As described elsewhere (27,28), the cohort was assembled in 1992; the response rate was 91.2%; participants were followed every 2–3 years. At the time of the 1997 survey, 784 subjects (24.1%) had died, and 430 were missing at follow-up.…”

Section: Methodsmentioning

confidence: 99%

Sex Differences in the Limit to Deficit Accumulation in Late Middle-Aged and Older Chinese People: Results From the Beijing Longitudinal Study of Aging

Shi

Yang

Song

et al. 2013

The Journals of Gerontology Series A: Biological Sciences and M

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Background.On average, as people age, they accumulate more health deficits and have an increased risk of death. The deficit accumulation–based frailty index (FI) can quantify health and its outcomes in aging. Previous studies have suggested that women show higher FI values than men and that the highest FI score (the “limit to frailty”) occurs at a value of FI ~ 0.7. Even so, gender differences in the limit to frailty have not been reported.Methods.Data for this analysis were obtained from the Beijing Longitudinal Study of Aging that involved 3,257 community-dwelling Chinese people, aged 55+ years at baseline. The main outcome measure was 5-year mortality. An FI consisting of 35 health-related variables was constructed. The absolute and 99% FI limits were calculated for different age groups and analyzed by sex.Results.The mean level of the FI increased with age and was lower in men than in women (F = 67.87, p < .001). The 99% FI limit leveled off slightly earlier with a relatively lower value in men (60 years; 0.44 ± 0.02) compared with that in women (65 years; 0.52 ± 0.04). The highest absolute FI value was 0.61 in men and 0.69 in women. In both groups, people with an FI greater than or equal to the 99% limit showed close to 100% mortality by 5 years.Conclusion.Compared with men, women appeared to better tolerate deficits in health, yielding both relatively lower mortality and higher limit values to the FI. Even so, the FI did not exceed 0.7 in any individual.

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“…This dataset was provided by the Beijing Geriatric Clinical and Research Centre, Xuanwu Hospital of Capital Medical University, Beijing, China. Distributions of gender, age groups, and educational categories of the study sample represent those of older population in Beijing, as obtained from the Fourth National Census Data [22]. As described elsewhere [22,23], the cohort was assembled in 1992 (The response rate at baseline was 91.2%), and followed every two to three years (cycles 1, 2, and 3) in 1994, 1997 and 2000.…”

Section: Methodsmentioning

confidence: 99%

Analysis of frailty and survival from late middle age in the Beijing Longitudinal Study of Aging

Song

Tang

et al. 2011

BMC Geriatr

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BackgroundFrailty in individuals can be operationalized as the accumulation of health deficits, for which several trends have been observed in Western countries. Less is known about deficit accumulation in China, the country with the world's largest number of older adults.MethodsThis study analyzed data from the Beijing Longitudinal Study of Aging, to evaluate the relationship between age and deficit accumulation in men and women and to evaluate the impact of frailty on mortality. Community dwelling people aged 55+ years at baseline (n = 3275) were followed every two to three years between 1992 and 2000, during which time 36% died. A Frailty Index was constructed using 35 deficits, drawn from a range of health problems, including symptoms, disabilities, disease, and psychological difficulties.ResultsMost deficits increased the eight-year risk of death and were more lethal in men than in women, although women had a higher mean level of frailty (Frailty Index = 0.11 ± 0.10 for men, 0.14 ± 0.12 for women). The Frailty Index increased exponentially with age, with a similar rate in men and women (0.038 vs. 0.039; r > 0.949, P < 0.01). A dose-response relationship was observed as frailty increased.ConclusionsA Frailty Index employed in a Chinese sample, showed properties comparable with Western data, but deficit accumulation appeared to be more lethal than in the West.

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Demographic Determinants for Change in Activities of Daily Living: A Cohort Study of the Elderly People in Beijing.

Cited by 39 publications

References 23 publications

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Sex Differences in the Limit to Deficit Accumulation in Late Middle-Aged and Older Chinese People: Results From the Beijing Longitudinal Study of Aging

Analysis of frailty and survival from late middle age in the Beijing Longitudinal Study of Aging

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