Real and Perceived Physical Functioning in Italian Elderly Population: Associations with BADL and IADL

Abstract

This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women; mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = −0.21, p < 0.01) and perception of physical functioning (β = 0.32, p < 0.0001) were the key individual variables related to BADL scores, and IADL score was associated with perception of physical functioning (β = 0.30, p < 0.0001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.

Effects of 1 Year of Lifestyle Intervention on Institutionalized Older Adults

“…It has been shown that the ability to perform BADL is the most important factor when assessing the quality of life of those with dementia [58]. An individual's quality of life is closely linked with their motivation to engage with physical activity [25,58] and thereby their ability to remain mobile and continue performing BADL autonomously [59,60]. Through enabling physical activity in care homes, this cycle can be maintained, leading to positive mental and physical benefits for residents.…”