Centre for Policy on Ageing
 

 

Risk factors for functional status decline in a community-living elder people
 — a systematic literature review
Author(s)Andreas E Stuck, Jutta M Walthert, Thorsten Nikolaus
Journal titleSocial Science and Medicine, vol 48, 1999
Pagespp 445-469
KeywordsMobility ; At risk ; Physical disabilities ; Living in the community ; Longitudinal surveys ; Literature reviews.
AnnotationTo lay the groundwork for devising, improving and implementing strategies to prevent or delay the onset of disability in older people, the authors conducted a systematic literature review of longitudinal studies published between 1985 and 1997 that reported the statistical association between individual base-line risk factors and subsequent functional limitation. MEDLINE, PSYCHINFO, SOCA, EMBASE and consulting experts were used in selecting articles, 78 of which met selection criteria. Risk factors were categorised into 14 domains (coded by two independent abstractors). The strength of evidence was derived for each, the highest being (in alphabetical order): cognitive impairment, depression, disease burden (comorbidity), increased and decreased body mass index (BMI), lower extremity functional limitation, low frequency of social contacts, low level of physical activity, no alcohol use compared to moderate use, poor self-perceived health, smoking, and vision impairment. Some risk factors (e.g. nutrition, physical environment) have been neglected in past research. This review will help in setting priorities for future research. (RH).
Accession NumberCPA-000105009 A
ClassmarkC4: CA3: BN: K4: 3J: 64A *

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