Disability relating to instrumental activities of daily living in the elderly with rheumatic diseases

Abstract

Objective: to characterize the sociodemographic profile of elderly persons with arthritis/rheumatism in relation to gender, as well as to estimate the prevalence and factors associated with functional disability for the performance of instrumental activities of daily living (IADL). Method: a cross-sectional population-based study with a sample of 1,136 elderly persons (≥65 years old) from seven Brazilian municipal regions was carried out. Functional capacity was assessed by the self-reports of the elderly in terms of the performance of IADL, using the Lawton Scale. Differences between the genders, according to sociodemographic variables, were verified by the chi-squared test (p<0.05). The prevalence of inability to perform IADL was calculated and the independent associations were verified through multiple logistic regression. Results: the mean age was 72.4 years, 79.1% of the sample were women, and 45.9% of the elderly with arthritis/rheumatism were dependent for the performance of IADL. Differences were observed between the genders in relation to age, marital status, income and household arrangements (p<0.05). A higher prevalence of disability was observed among older elderly persons, those with no schooling and lower incomes, who lived in multigenerational households and who were frail. In the evaluation of the performance of specific activities, elderly persons with arthritis/rheumatism had greater difficulty taking medication (OR: 1,90; CI 95%: 1.19 - 3.06), after adjusting for gender and age. Conclusion: associations were found between functional disability and sociodemographic variables and frailty. Independence in daily activities such as those evaluated in this study is one of the primary conditions for the well-being of the elderly, even in conditions of frailty or chronic diseases.

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

“…Also, it might be an inference that the elderly living alone does not have any social support, and therefore they had to carry out the work on their own, improving their score on the IADL scale. Francisco et al (2018) also noticed that older adults who live alone tend to achieve better outcomes on activities related to IADL [ 43 ].…”

“…Poor self-rated health and chronic diseases among older adults were linked with a poor score on IADL. Previous studies also highlighted that chronic disease and poor self-rated health affect limitations related to IADL among older adults [ 38 , 43 ]. Regarding the possible relationship between SRH and IADL, Tomioka, Karumatani, & Hosoi (2017) believe that older adults with better SRH may be more likely to engage in social activities that promote better outcomes for IADL among them [ 38 ].…”

Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

“…Further, those with good self-rated health had a lower risk of reporting severe ADL and IADL related disabilities than those who reported poor self-rated health. Previous studies also highlighted that poor self-rated health affect limitations related to ADL and IADL among the elderly [39,50]. In connection with the possible relationship between self-rated health (SRH) and IADL, Tomioka, Karumatani, & Hosoi (2017) believe that older adults with better SRH may be more likely to engage in social activities that promote better outcomes for IADL among them [39].…”

Socio-economic inequality in functional disability and impairments with focus on Instrumental Activity of Daily Living: A Study on Older Adults in India

“…This nding implicates that older adults living alone tend to help themselves by carrying out work required for daily living; thus, they are less likely to report limitations with IADL than their counterparts. Francisco et al (2018) also noticed that older adults who live alone tend to achieve better outcomes on activities related to IADL [34].…”

“…Poor self-rated health and chronic diseases among older adults were linked with a poor score on IADL. Previous studies also highlighted that chronic disease and poor self-rated health affect limitations related to IADL among older adults [29,34]. Regarding the possible relationship between SRH and IADL, Tomioka, Karumatani, & Hosoi (2017) believe that older adults with better SRH may be more likely to engage in social activities that promote better outcomes for IADL among them [29].…”