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Constant hierarchic patterns of physical functioning across seven populations in five countries
Author(s)Luigi Ferrucci, Jack M Guralnik, Francesca Cecchi
Journal titleThe Gerontologist, vol 38, no 3, June 1998
Pagespp 286-294
KeywordsPhysical disabilities ; Mobility ; Self care capacity ; Living in the community ; Cross cultural surveys ; Europe ; Germany ; Union of Soviet Socialist Republics ; Yugoslavia ; Finland ; Italy.
AnnotationChronic diseases and physical impairments are major causes of disability in older age. This research aimed to identify the critical steps in the decline in physical function that often parallels ageing. Six basic and nine instrumental activities of daily living (ADLs) were classified into four domains of disability characterised by specific underlying physical impairment. The hierarchical order of this classification was verified in two random samples of older people living in their own homes, taken from the Lugo Study and the Dicomano Study in Italy. The concordance level of disability and results of performance-based measures of physical function were also tested. Finally, the cross-cultural reliability of the model was verified in seven population-based samples of older people living in five European countries (Italy, Finland, Germany, Ukraine, and the Republic of Serbia) taken from the European Longitudinal Study on Aging (ELSA). Findings revealed that in older people the disabling process follows a general pattern of progression based on a typical sequence of impairments. (AKM).
Accession NumberCPA-980810408 A
ClassmarkBN: C4: CA: K4: 3KA: 74: 767: 7AA: 7AL: 76L: 76V

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