The disablement process: Factors associated with progression of disability and recovery in French elderly people

Pérès, Karine; Verret, Catherine; Alioum, Ahmadou; Barberger‐Gateau, Pascale

doi:10.1080/09638280400006515

Cited by 89 publications

(88 citation statements)

References 60 publications

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“…With regard to the observed association between polypharmacy and WFS, few studies that observed this issue were identified in the literature, and the present results are consistent with some of them [40][41][42][43] . Pérès et al 43 observed a positive association between the progression of disability and the number of medications ( four or more) in a cohort of older adults (65 years and over). High medication intake may constitute a measure of the individual's health status 43 .…”

Section: Discussionsupporting

confidence: 79%

“…Pérès et al 43 observed a positive association between the progression of disability and the number of medications ( four or more) in a cohort of older adults (65 years and over). High medication intake may constitute a measure of the individual's health status 43 . Furthermore, it may reflect aspects other than co-morbidities, such as the severity of the co-morbidity or the probability of iatrogenesis and/or the use of inadequate medications 44 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fatores determinantes da capacidade funcional em idosos longevos

Nogueira¹,

Ribeiro²,

Rosado³

et al. 2010

Rev. bras. fisioter.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Fatores determinantes da capacidade funcional em idosos longevos

Nogueira¹,

Ribeiro²,

Rosado³

et al. 2010

Rev. bras. fisioter.

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“…Female gender and older age appear on a recurring basis as risk factors for functional disability in the majority of studies 16,19,20 and the present study is no exception. Women have a higher life expectancy than men and pass a greater proportion of their life with functional disability; moreover, when affected by this condition, they live for a longer period with dependency 21 .…”

Section: Discussionmentioning

confidence: 61%

“…In a French population study, 46.1% of the elderly presented mild disability, while 28.5% presented moderate to severe disability 19 . One study conducted in Brazil involving 33.786 elderly individuals verified that the most prevalent profile was healthy elderly individuals (50.8%), followed by mild (33.7%) and severe disability (15.5%) 6 .…”

Section: Discussionmentioning

confidence: 99%

Profile of the elderly in physical therapy and its relation to functional disability

Rossi¹,

Pereira²,

Driusso³

et al. 2013

Braz. J. Phys. Ther.

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| Background: As the population ages, changes occur in the epidemiological profile towards the current predominance of chronic degenerative diseases which, when untreated, lead to loss of functional capacity and require long-term assistance. Objectives: To describe the profile of the elderly attending the geriatric physical therapy service and to identify factors associated with functional disability. Method: A cross-sectional descriptive analytical study was conducted. The medical records of elderly individuals were analyzed using the first physical therapy assessment, which included sociodemographic, clinical and mobility data. To determine the degree of disability (mild/moderate), the Brazilian Multidimensional Functional Assessment Questionnaire (BOMFAQ) was used. Descriptive analysis and univariate logistic regression were performed, followed by multivariate logistic regression. Results: The sample comprised 130 elderly patients with a mean age of 73.3 [standar deviation (SD)=7.2] years-old, predominantly female (63.9%), sedentary (71.5%) and presenting three to four diseases (47.7%). The mean of activities with difficulty in the BOMFAQ was 6.7 (SD=4.8), 35 (26.9%) individuals presented mild disability and 95 (73.1%) moderate. The participant characteristic that presented a greatest risk of disability was self-reporting of poor health (OR=12.4). The factors identified, which together can determine functional decline, were sedentary lifestyle, presence of dizziness, polypharmacy and high pain intensity. Conclusions: Elderly individuals attended by the geriatric physical therapy service showed a profile associated with disability, characterized by potentially modifiable factors. This profile also reinforces the demand for long-term care for this population.Keywords: physical therapy; health services for the aged; aged; disabled health. HOW TO CITE THIS ARTICLERossi ALS, Pereira VS, Driusso P, Rebelatto JR, Ricci NA. Profile of the elderly in physical therapy and its relation to functional disability. Braz J Phys Ther. 2013 Jan-Feb; 17(1): 77-85. http://dx.doi.org/10.1590/S1413-35552012005000060 RESUMO | Contextualização: Com o envelhecimento populacional, houve alterações no perfil epidemiológico, com o predomínio atual das doenças crônico-degenerativas que, quando não tratadas, levam à perda da capacidade funcional e exigem assistência de longo prazo. Objetivos: Descrever o perfil do idoso atendido no serviço de fisioterapia geriátrica e identificar fatores associados à incapacidade funcional. Método: Foi realizado estudo transversal descritivo analítico. Os prontuários dos idosos foram analisados por meio da primeira avaliação fisioterapêutica, que incluiu dados sociodemográficos, clínicos e de mobilidade. Para determinar o grau de deficiência (leve/ moderada), foi aplicado o Brazilian Multidimensional Functional Assessment Questionnaire (BOMFAQ). A análise descritiva e a regressão logística univariada foram realizadas, seguidas de regressão logística multivariada. Resultados: A amostra foi compost...

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“…Previous studies have examined the disablement pathway model in some detail (22,9,29,28); however, there has been limited investigation utilizing a culturally diverse sample. Although these studies demonstrated the utility of the disablement pathway model, the demographic characteristics of the study sample justifies the purpose of examining the contribution of physical function, pain, and dyspnea to ADL disability in a more culturally diverse sample of older adults.…”

Section: Discussionmentioning

confidence: 99%

Predictors of ADL Disability in Culturally Diverse Older Adults

Holton

Ellis

Kosma

et al. 2008

Medicine &Amp; Science in Sports &Amp; Exercise

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Int J Exerc Sci 2(3) : 202-214, 2009. The purpose of this study was to utilize the disablement pathway model to examine the contribution of physical function, dyspnea, and pain to disability in activities-of-daily-living (ADL) in culturally diverse older adults. Participants were 51 older adults (age = 69.0 years ± 9.7; 76.5% African-American, 51.0% < high school education, 52.9% < $20,000 annual income) from an urban community center and an independent living housing facility for seniors. Participants completed the Functional Status Index (FSI), which provides ratings of need for assistance (FSIA) and pain (FSIP) with ADL, the Continuous Scale Physical Functional Performance 10-item Test (CS-PFP10), and an analog dyspnea scale. Hierarchical multiple regression analyses revealed that facility, physical function, pain, and dyspnea accounted for 50.5% of the variance in disability and that pain (β = .43, p < .01) and physical function (β = -.39, p < .01) were the only significant predictors. In the second model, facility, dyspnea, and pain explained 27.6% of the variance in physical function, and facility (β = .39, p < .01) and dyspnea (β = -.26, p = .05) were the only significant predictors. Based on the disablement pathway model, physical functional improvement and pain prevention and management should be targeted when designing culturally appropriate strategies for delaying disability and maintaining independent life.

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The disablement process: Factors associated with progression of disability and recovery in French elderly people

Abstract: These findings confirm the independent contribution of each group of variables in the disablement process and stress their different impact on progression of disability or on recovery from different grades of disability.

Cited by 89 publications

References 60 publications

Fatores determinantes da capacidade funcional em idosos longevos

Fatores determinantes da capacidade funcional em idosos longevos

Profile of the elderly in physical therapy and its relation to functional disability

Predictors of ADL Disability in Culturally Diverse Older Adults

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