Prevalence of disability in three birth cohorts at old age over time spans of 10 and 20 years

Winblad, Ilkka; Jääskeläinen, Minna; Kivelä, Sirkka‐Liisa; Hiltunen, Pirkko; Laippala, Pékka

doi:10.1016/s0895-4356(01)00370-5

Cited by 35 publications

(21 citation statements)

References 35 publications

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“…The increasing proportions of elderly people surviving to old ages might be expected to be less healthy compared to their more selected predecessors [30], resulting in increases in (cardiovascular) morbidity [31] and in mortality increases from diseases specifically related to old age. Although recent studies on disability among the elderly suggest that disability among the elderly is declining [32][33][34], we still think that increased frailty might have played a role in explaining the recent increases in diseases specifically related to old age.…”

Section: Explanations Of the Trends Observedmentioning

confidence: 78%

Trends in old-age mortality in seven European countries, 1950–1999

Janssen

Mackenbach

Kunst

et al. 2004

Journal of Clinical Epidemiology

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Section: Explanations Of the Trends Observedmentioning

confidence: 78%

Trends in old-age mortality in seven European countries, 1950–1999

Janssen

Mackenbach

Kunst

et al. 2004

Journal of Clinical Epidemiology

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“…Typically, for the purpose of reporting on the prevalence of difficulty in everyday life, many different activities are grouped [4]. Relying only on the usual distinction between basic activities of daily living (i.e., combining ADLs such as hygiene, dressing, eating, grooming or toileting) and instrumental activities of daily living (i.e., combining IADLs such as meal preparation, housekeeping or laundry) [5] for which components vary from one study to the other [6] does not provide sufficiently detailed information.…”

Section: Introductionmentioning

confidence: 99%

Exponential Increases in the Prevalence of Disability in the Oldest Old: A Canadian National Survey

Guay¹,

Dubois

Corrada

et al. 2014

Gerontology

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Background: As most studies generally treat all 85+ year-olds as a homogeneous group, little is known about the specific disabilities of the oldest old population, those aged 90 and older. Objective: To estimate age-specific prevalence of disability in activities of daily living for older Canadians, including the oldest old, those aged 90 and older. Methods: Cross-sectional national survey with a representative sample of noninstitutionalized Canadians aged between 50 and 104 years old (n = 28,406). Disability was self-reported and defined as needing assistance to perform self-care and domestic life activities. Results: The prevalence of disability increased with age, and the rise appeared exponential when considering the oldest old. At age 90, the highest estimated rates of disability were reported for housekeeping (50%), shopping (45%) and transportation (44%), and 21% reported requiring assistance for washing themselves. Compared to the 85-89 age group, the estimated proportion of people reporting disability in the 95+ age group approximately triples for self-care activities and doubles for domestic life activities. Conclusion: Even if we knew that disability increases with age, we can now state that it increases at an accelerated rate beyond age 85. Grouping people aged 85+ into one category leads to substantial underestimates of disability in the oldest old. Accurate estimates are necessary for adequate allocation of care and rehabilitation resources for a rapidly expanding age group.

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“…During the aging process there are several changes that may lead to disability and dependency 1,[3][4][5][6][7][8][9][10][11][12] and may directly affect the Quality of Life (QoL) of the elderly, making the evaluation of the QoL essential for this population 1,13,14 . In addition, beside the technological progress there is a substantial increase in life expectancy and therefore an increasing demand of new conducts in the healthcare field and also in the society as a whole.…”

Section: Introductionmentioning

confidence: 99%