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Predictors of functional status in older people living at home
Author(s)François Béland, María V Zunzunegui
Journal titleAge and Ageing, vol 28, no 2, March 1999
Pagespp 153-159
KeywordsSelf care capacity ; Mobility ; Living in the community ; Health [elderly] ; Social characteristics [elderly] ; Longitudinal surveys ; Spain.
AnnotationData for a representative sample of community-dwelling people aged over 65 from the Spanish longitudinal study, Ageing in Leganés, was analysed. Functional status was categorised as: completely functional; with functional limitations; with instrumental activities of daily living (IADL) disability; or deceased. Multinomial regression was used to estimate the predictive value of selected 1993 socio-demographic and health status variables on 1995 functional status. Prevalence of disability based on dependency in any seven ADL items was 15.5%. Half of respondents were disabled in at least one of 10 IADLs. Some improved functionally, others deteriorated. Men were more likely to recover function, while women were more likely to enter and remain in the IADL state. Socio-economic factors were associated with baseline functional status and to functional status change on bivariate analysis. Number of chronic diseases, presence of cognitive problems and depressive symptoms predicted transitions, even after controlling for baseline functional status. Although estimates of disability prevalence in over 65s is higher in Spain than other European and North American countries, the pattern of functional change seems to be similar. (RH).
Accession NumberCPA-990429004 A
ClassmarkCA: C4: K4: CC: F: 3J: 76S

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