Growth patterns of activity of daily living disability and associated factors among the Chinese elderly: A twelve-year longitudinal study

Huang, Xitong; Zhang, Minqiang; Fang, Junyan

doi:10.1016/j.archger.2021.104599

Cited by 13 publications

(9 citation statements)

References 41 publications

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“…Studies have confirmed a positive association between time devoted to housework activities, total housework and health status among elderly men and women ( 31 ) that can help prevent the deterioration of disability ( 32 ). This result suggests that health guidance can indicate the preferred items of elderly individuals who are physically inactive and diagnosed with chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Old-Aged Preferences Regarding Various Types of Physical Activity and Chronic Disease Status: A Cross-Sectional Study in Shanghai, China

Huang

Zhu

Gao

et al. 2022

Front. Public Health

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BackgroundA lack of physical activity (PA) is a threat to public health. However, for the elderly, most PA abilities are limited. By focusing on the types and intensity of PA that the elderly can bear, this study aimed to reveal whether preferences regarding types of PA (including housework, transportation, and recreational activities) and their intensity were associated with health status. The main forms of PA include shopping, cooking, cleaning, walking, cycling, various fitness activities and other activities with a certain intensity.MethodsSurveillance data on chronic diseases and their risk factors were collected from one district of Shanghai in 2017-2018. A Kish table was used for sampling 500 older adults, including the diagnosed group (chronic diseases diagnosed by physicians, n = 119), the abnormal group (not diagnosed but abnormal indicators detected in this investigation, n = 287) and the healthy group (n = 94). Multiple regressions were used to test the relationship between the various types, durations and intensities of PA the elderly individuals participated in and their health status.ResultsAll three groups included a large proportion of older adults who participated in housework- and transport-related PA. The diagnosed group had the largest proportion (63.06% for housework-related PA; 87.39% for transport-related PA) and median minutes (17.14 min of housework-related PA per day; 30.00 min of transport-related PA per day). The diagnosed group had more metabolic equivalents (METs) of moderate-intensity PA than the two other groups (H = 33.01, P < 0.01), and more people met the WHO recommendation (χ2 = 34.71, P < 0.01). Diagnosis was associated with performing housework- and transport-related PA and moderate-intensity PA and with meeting the WHO's recommendation. Higher education levels were a positive factor for elderly individuals to participate in PA.ConclusionsTransportation and housework activities are good targets for increasing PA in older adults. Diagnosis is associated with older adults' more PA.

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Section: Discussionmentioning

confidence: 99%

Relationship Between Old-Aged Preferences Regarding Various Types of Physical Activity and Chronic Disease Status: A Cross-Sectional Study in Shanghai, China

Huang

Zhu

Gao

et al. 2022

Front. Public Health

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“…Studies found that in all countries, time spent on housework was positively correlated with health, and reducing housework might accelerate the deterioration of ADL disability 34 35. Gardening activities require some form of physical exertion, which could enhance physiological stability and high-level functioning 36.…”

Section: Discussionmentioning

confidence: 99%

Activities of daily living and non-exercise physical activity in older adults: findings from the Chinese Longitudinal Healthy Longevity Survey

Zhou,

Fu,

Shen

et al. 2024

BMJ Open

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Objectives Studies have shown that good cognitive function can moderate the relationship between non-exercise physical activity (NEPA) and activities of daily living (ADLs) disability to some extent, and this study mainly explores the relationship between ADL and NEPA and cognitive function in Chinese older adults. Setting and participants Data came from a nationally representative sample of 2471 Chinese old adults (aged 65+) from the 2011, 2014 and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey. Primary and secondary outcome measures A cross-lagged panel model combined with mediation analysis was used to determine the relationship between ADL and NEPA and the mediating effect of cognitive function on the ascertained ADL–NEPA relationship. Results The more frequently people over the age of 65 in China participate in NEPA, the lower the risk of ADL disability. Cognitive function partially mediated this expected relationship, accounting for 9.09% of the total NEPA effect on ADL. Conclusion Participating in more NEPA could reduce the risk of ADL disability, and participating in NEPA may reduce the risk of ADL disability through cognitive function to some extent.

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“…A higher education level was associated with a lower risk of physical function impairment, while the contrary result was shown in cognitive impairment. Previous studies [45,54] tended to support the viewpoint that education level was considered a protective factor because individuals with more education have more available resources and approaches for health-related services and knowledge to enhance their disease management ability. However, in our study, more educated older individuals had a higher risk of cognitive impairment, which was inconsistent with most studies [16,18,55] investigating the relationship between cultural features and disability.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and related factors for physical function and cognitive impairment among older adults in southern China: A population-based regional cross-sectional study

Zhang,

Cui,

Chen

et al. 2023

Preprint

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As the country with the largest and fastest-aging older population worldwide, China has hosted an increasing number of regional investigations of disability in older adults. However, the disability prevalence related to physical function and cognition in southern China is unknown. This study aimed to determine the prevalence of and associated factors for cognitive and physical-function impairment in persons 60 years or older. For this population-based cross-sectional study design, a total of 5603 participants were recruited between June 2021 to December 2022, using multistage, stratified, cluster-sampling procedure. Instruments including general questionnaire, basic and instrumental activities of daily life, Chinese version of mini-mental state examination, patient health questionnaire-9 and generalized anxiety disorder-7 were used to collect data in the form of WetChat mini program. Binary and multivariate logistic regression analysis were applied to explore the influencing factors. The prevalence of physical function and cognitive impairment in older adults was 37.3% and 31.0%, respectively. Multivariate regression analyses revealed that age, family income, education level, place of residence, medication type, annual physical examination, weekly social activities, care from family or friends, hearing disorder, walking disorder and depression were all associated with physical function and cognitive impairment. Moreover, an increased risk of physical function impairment was associated with BMI, region, income source, smoking and weekly exercise, and cognitive impairment was associated with the number of children, insurance type, coronary heart disease and anxiety. Physical function (OR: 1.79, 95%CI: 1.49, 2.16) and cognitive impairment (OR: 1.83, 95%CI: 1.51, 2.21) were mutually influenced in our study. This study showed a high prevalence of and several related factors for physical function and cognitive impairment in Guangdong Province. The results revealed that comprehensive and systematic prevention and control programs for disability should be established to improve the quality of life of older adults.

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Growth patterns of activity of daily living disability and associated factors among the Chinese elderly: A twelve-year longitudinal study

Cited by 13 publications

References 41 publications

Relationship Between Old-Aged Preferences Regarding Various Types of Physical Activity and Chronic Disease Status: A Cross-Sectional Study in Shanghai, China

Relationship Between Old-Aged Preferences Regarding Various Types of Physical Activity and Chronic Disease Status: A Cross-Sectional Study in Shanghai, China

Activities of daily living and non-exercise physical activity in older adults: findings from the Chinese Longitudinal Healthy Longevity Survey

Prevalence and related factors for physical function and cognitive impairment among older adults in southern China: A population-based regional cross-sectional study

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