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Predictors of functional change
 — a longitudinal study of nondemented people aged 65 and older
Author(s)Li Wang, Gerald van Belle, Walter B Kukull
Journal titleJournal of the American Geriatrics Society, vol 50, no 9,, September 2002
Pagespp 1525-1534
KeywordsSelf care capacity ; Mobility ; Mental health [elderly] ; Health [elderly] ; Longitudinal surveys ; United States of America.
Annotation1,873 people aged 65+, cognitively intact at baseline, and selected from the Group Health Cooperative in the Seattle area from 1994 to 1996 were followed biennially. Functional status was measured by activities of daily living (ADLs), instrumental activities of daily living (IADLs), and performance-based physical function testing. Selected medical conditions - diabetes mellitus, hypertension, coronary heart disease, cerebrovascular disease (CVD), osteoporosis, arthritis, and cancer - together with low cognitive function, depression and smoking, were associated with worse functional outcomes. Exercise and moderate alcohol use were associated with better functional outcomes. Over the follow-up period, coronary heart disease, CVD and depression were associated with increased rates of functional decline. The study identified not only risk factors associated with functional decline, but also the interactions among these factors. These observations add to our understanding of the underlying process of functional change and could provide a basis to design effective strategies to delay functional decline. (RH).
Accession NumberCPA-020927203 A
ClassmarkCA: C4: D: CC: 3J: 7T

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