Trends in Risk of Limitations in Instrumental Activities of Daily Living Over Age in Older Persons With and Without Multiple Chronic Conditions

Abstract

BackgroundTo investigate trends over age by comorbidity status for the risk of limitations in individual activities of daily living for community-living older persons.MethodsA longitudinal population-based study was conducted in 9,319 community-living Dutch persons aged 60 years and older. Self-reported multiple chronic conditions (MCC) and nine instrumental activities of daily livings (IADLs) were assessed in 15 studies of the Dutch National Care for the Elderly Program (TOPICS-MDS). Risks of limitations in IADLs, odds ratios (per 5 years), and rate ratios (per 5 years) were calculated with mixed logistic and negative binomial regression models with age as the underlying timescale, stratified by number of MCC (no, 1–2, ≥ 3 MCC), and corrected for confounders.ResultsAt inclusion, the number of IADL limitations was highest for the “≥3 MCC” group (2.00 interquartile range [1.00–4.00]) and equal for “no MCC” or “1–2 MCC” (1.00 interquartile range [0.00–2.00]). Trends of individual IADLs depicted a higher risk in IADL limitation with increasing age over 2 years of follow-up, except for handling finances for the “no MCC” group. The longitudinal age effect on IADL limitations varied subject to MCC, being strongest for the “no MCC” group for most IADLs; grooming and telephone use were almost unaltered by age and MCC.ConclusionWe observed a decline in IADL functioning with increasing age over 2 years of follow-up in persons with and without MCC. The impact of MCC on IADL decline varied per IADL activity.

Intention to use Medical Apps Among Older Adults in the Netherlands: Cross-Sectional Study

“…For continuous variables, the mean and standard deviation were calculated; for categorical variables, percentages were used. The Assessment of Activities of Daily Living, Self-Care, and Independence (ADL) [ 48 - 50 ] and the Identification of Seniors at Risk – Primary Care (ISAR-PC) questionnaires [ 51 , 52 ] were used and scores were calculated as follows. ADL consists of 16 items and for every item, the participant answered whether they needed help doing the mentioned activities (such as showering, dressing, or walking).…”

“…ADL consists of 16 items and for every item, the participant answered whether they needed help doing the mentioned activities (such as showering, dressing, or walking). The ADL score was computed by counting the number of activities for which no help was needed [ 50 ]. The ISAR-PC was used to measure the increased risk of functional decline and consisted of three elements.…”

O viver de idosos após o acidente vascular cerebral

“…9 Estudo que buscou estimar a prevalência da incapacidade funcional e os fatores associados em idosos que sofreram AVC evidenciou que 58,2% tinham limitações para sair em função de barreiras arquitetônicas e 40,4% possuíam restrições para acessar os serviços de saúde. 10 Estudos sugerem uma deterioração das AIVDs com o avançar da idade na presença de doenças crônicas, entre elas as sequelas do AVC. [9][10] Não posso trabalhar, isso aí que mudou, não posso fazer nada, mas eu queria fazer, eu tenho muita vontade de trabalhar.…”

“…10 Estudos sugerem uma deterioração das AIVDs com o avançar da idade na presença de doenças crônicas, entre elas as sequelas do AVC. [9][10] Não posso trabalhar, isso aí que mudou, não posso fazer nada, mas eu queria fazer, eu tenho muita vontade de trabalhar. (E7) As modificações funcionais, muitas vezes, são responsáveis por mudanças de hábitos na vida dos idosos com sequelas do AVC.…”

Nurses’ Experiences of Transitional Care in Multiple Chronic Conditions

“…1 The incidence of multiple chronic diseases is influenced by different factors such as age, socioeconomic factors, 2 and lifestyle, including smoking, insufficient physical activity, alcohol consumption, and poor diet. 3 The prevalence of this phenomenon, depending on the definition and the target population, is between 55% and 98% 4 and increases with age; the prevalence of multiple chronic conditions increases from 18% in 18 to 44 years to 81% in 65 years and older. 5 The prevalence of multiple chronic diseases is increasing 6 ; as the number of people with multiple chronic diseases in 2010 compared to 2001, increased by 8%.…”