Prevalence and Associated Factors of Functional Disability in Activities of Daily Living and Instrumental Activities among Institutionalized Tunisian Elderly

Mellouli, Manel; Sahli, Jihène; Limam, Manel; Toumi, Jicem; Ghardallou, M. El; Ajmi, Thouraya; Mtiraoui, Abderraouf; Zedini, Chekib

doi:10.9734/air/2017/35889

Cited by 3 publications

(9 citation statements)

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“…The prevalence of ADL disability in this study was lower than the figure reported by a cross-sectional study. In Tunisia, that was carried out in long-stay long-term care institutions of older persons, as it was found to be 57.3% [5]. Internationally, in Spain, among nursing home residents, 79.8% were disabled based on the Barthel Index which was a scale designed to measure the performance of 10 ADL functions [25].…”

Section: Discussionmentioning

confidence: 99%

“…Medical researchers and policy-makers have concerns about the aging and increased longevity projections. More people reaching older years in life will more likely result in a higher prevalence of disability [5]. Disability is defined as difficulty or dependency in carrying out activities essential to independent living, such tasks needed for self-care and living independently in a home, and other activities important to one's quality of life [5].…”

Section: Introductionmentioning

confidence: 99%

“…More people reaching older years in life will more likely result in a higher prevalence of disability [5]. Disability is defined as difficulty or dependency in carrying out activities essential to independent living, such tasks needed for self-care and living independently in a home, and other activities important to one's quality of life [5]. The World Health Organization describes three dimensions of disability: (a) Impairment of body function or structure such as impairments of vision or hearing, dementia, or loss of limbs, (b) activity limitation such as the difficulty of walking, problem-solving, and self-care, and (c) participation restrictions in the community, social, and civil life [6].…”

Section: Introductionmentioning

confidence: 99%

“…One reason why a universal definition of disability is difficult to implement could be because the determinants of disability are diverse and vary across different settings. Research on the disability of older persons has identified modifiable risk factors such as geriatric diseases, impairments, functional limitations, unhealthy behaviors, social and environmental obstacles, as well as non-modifiable risk factors including age, gender, and genetics [9]. A disability may lead to extra expenditures for individuals and households.…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Alhalafi

Al-Amoud

Aldahman

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The burden of disability among the older population is increasing as older people grow with significant social and economic negative impacts. AIM: This study examines functional disability and its associated risk factors among older Saudi citizens attending primary health-care centers (PHCCs) in Riyadh city. METHODS: This descriptive cross-sectional study was carried out on 504 older Saudi citizens aged ≥60 years who attended a PHCC in Riyadh city between December 2019 and May 2020. Interviewer-administered questionnaire was used to assessing the disability in activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Katz Index and Lawton scale. RESULTS: The prevalence of ADL and IADL disability among participants was 24.6% and 58.5%, respectively. Smoking (p = 0.019), dyslipidemia (p = 0.018), rheumatoid arthritis (p = 0.028), history of falls (p = 0.014), and an emergency visit (p = 0.049) were risk factors associated with ADL disability. Predictors of IADL disability were advanced age (p = 0.004), being female (p = 0.029), and the need for a caregiver (p = 0.000). The need for homecare was positively associated with ADL dependency (p = 0.008) and IADL dependency (p = 0.003). Furthermore, regular physical activity was a protective factor against ADL functional disabilities (p = 0.002) and IADL functional disabilities (p = 0.000). CONCLUSION: This study found a high prevalence of ADL and IADL disability among elderly Saudis. Disability was associated with several sociodemographic and health status factors. The findings of this study highlight the priority of effective and targeted preventive interventions for disability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Alhalafi

Al-Amoud

Aldahman

et al. 2021

Open Access Maced J Med Sci

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“…However, the Katz Index has international validity and is widely used in studies measuring BADL. ELSA only includes community-dwelling individuals and, therefore, does not allow estimations for institutionalized individuals, who tend to have more BADL disability ( 30 ). There was also a dropout rate during follow-up, which, although small, could be a source of bias.…”

Section: Discussionmentioning

confidence: 99%

Association of Serum 25-Hydroxyvitamin D Deficiency with Risk of Incidence of Disability in Basic Activities of Daily Living in Adults >50 Years of Age

Luiz

Máximo

Oliveira

et al. 2020

The Journal of Nutrition

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Background Vitamin D deficiency compromises muscle function and is related to the etiology of several clinical conditions that can contribute to the development of disability. However, there are few epidemiological studies investigating the association between vitamin D deficiency and the incidence of disability. Objectives We aimed to assess whether vitamin D deficiency is associated with the incidence of disability in basic activities of daily living (BADL) and to verify whether there are sex differences in this association. Methods A 4-y follow-up study was conducted involving individuals aged 50 y or older who participated in ELSA (English Longitudinal Study of Ageing). The sample consisted of 4814 participants free of disability at baseline according to the modified Katz Index. Vitamin D was assessed by serum 25-hydroxyvitamin D [25(OH)D] concentrations and the participants were classified as sufficient (>50 nmol/L), insufficient (>30 to ≤50 nmol/L), or deficient (≤30 nmol/L). Sociodemographic, behavioral, and clinical characteristics were also investigated. BADL were re-evaluated after 2 and 4 y of follow-up. The report of any difficulty to perform ≥1 BADL was considered as an incident case of disability. Poisson models stratified by sex and controlled for sociodemographic, behavioral, and clinical characteristics were carried out. Results After 4-y follow-up, deficient serum 25(OH)D was a risk factor for the incidence of BADL disability in both women (IRR: 1.53; 95% CI: 1.16, 2.03) and men (IRR: 1.44; 95% CI: 1.02, 2.02). However, insufficient serum 25(OH)D was not a risk factor for the incidence of BADL disability in either men or women. Conclusions Independently of sex, deficient serum 25(OH)D concentrations were associated with increased risk of incidence of BADL disability in adults >50 y old and should be an additional target of clinical strategies to prevent disability in these populations.

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Factors Influencing Instrumental Activities of Daily Living (Iadl) Disability Among Elderly Attending Health Clinics in Kelantan

Ismail

Hamid

Razak

et al. 2021

MABJ

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Instrumental activities of daily living (IADL) is a construct that describes the functional ability to perform complex activities, requiring physical and mental capability that allows an elderly to live independently. Studies on IADL in Malaysia are still lacking. Thus, this study aimed to determine the factors influencing IADL disability among the elderly attending health clinics in Kelantan. A cross-sectional study was conducted using a guided questionnaire consisting of sociodemographic characteristics, health-related conditions, Lawton IADL scale, Elderly Cognitive Assessment Questionnaire (ECAQ), Geriatric Depression Scale (GDS), and Duke Social Support Index (DSSI). Multiple logistic regression (MLR) was performed to assess factors influencing IADL disability. Disabled IADL status was defined as having difficulty performing at least one out of eight activities on the Lawton IADL scale. A sample of 248 elderly from 12 health clinics in Kelantan was included, 36.3% of them had disabled IADL status. In the final MLR model, factors influencing IADL disability were, age group 70 years old and above (Adj. OR 3.52; 95% CI: 1.85, 6.69, p-value<0.001), being unmarried/single (Adj. OR 2.37; 95% CI:1.25, 4.49, p-value=0.008), no formal education (Adj. OR 4.03; 95% CI: 1.64, 9.88, p-value=0.002), low level of income (Adj. OR 2.37; 95% CI: 1.11, 5.07, p-value=0.026) and those who reported fair or poor self-rated health status (Adj. OR 2.53; 95% CI: 1.31, 4.89, p-value=0.006). Therefore, recognition of these factors is critical to promote a better health policy and to provide appropriate care for the elderly in the country.

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Prevalence and Associated Factors of Functional Disability in Activities of Daily Living and Instrumental Activities among Institutionalized Tunisian Elderly

Cited by 3 publications

References 0 publications

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Association of Serum 25-Hydroxyvitamin D Deficiency with Risk of Incidence of Disability in Basic Activities of Daily Living in Adults >50 Years of Age

Factors Influencing Instrumental Activities of Daily Living (Iadl) Disability Among Elderly Attending Health Clinics in Kelantan

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