Trends in Incidence of Disability in Activities of Daily Living in Chinese Older Adults: 1993-2006.
Objectives To investigate time trends in incidence of activity of daily living (ADL) disability of Chinese older adults and to explore factors potentially contributing to trends. Design Population-based prospective study using a multistage, randomized, cluster sampling process. Setting Nine province...
| Publicado en: | Journal of the American Geriatrics Society Vol. 65; no. 2; pp. 306 - 313 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Feb2017
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=121289483&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 121289483 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Feb2017 vid: 65 iid: 2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 121289483 10.1111/jgs.14468 ppf: 306 ppct: 7 formats: tig: atl: Trends in Incidence of Disability in Activities of Daily Living in Chinese Older Adults: 1993-2006. aug: au: Liang, Yajun Welmer, Anna‐Karin Wang, Rui Song, Aiqin Fratiglioni, Laura Qiu, Chengxuan affil: Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet–Stockholm University, Stockholm Sweden Karolinska University Hospital, Stockholm Sweden School of Public Health, Jining Medical University, Shandong China Stockholm Gerontology Research Center, Stockholm Sweden su: China Older people with disabilities Older people Activities of daily living Health of older people Health of Chinese people sug: subj: Older people with disabilities Older people Activities of daily living Health of older people China Health of Chinese people keyword: activities of daily living elderly incidence trend activities of daily living elderly incidence trend ab: Objectives To investigate time trends in incidence of activity of daily living (ADL) disability of Chinese older adults and to explore factors potentially contributing to trends. Design Population-based prospective study using a multistage, randomized, cluster sampling process. Setting Nine provinces of China. Participants Three consecutive cohorts of people aged 60 and older from the China Health and Nutrition Survey: cohort 1993-2000 (n = 831), cohort 1997-2004 (n = 1,091), cohort 2000-2006 (n = 1,152). Measurements Disability in ADLs was defined as inability to perform at least one of five self-care activities (transferring, dressing, toileting, bathing, feeding). Data were analyzed using Cox and generalized estimating equation models. Results The incidence (per 1,000 person-years) of ADL disability decreased significantly from 35.3 in 1993-2000 and 28.9 in 1997-2004 to 24.3 in 2000-2006 in Chinese older adults (P < .001). The incidence of ADL disability decreased significantly in men and women, in young-old adults (aged 60-74), and in those living in rural areas (all P ≤ .02) after controlling for multiple potential influential factors. Of the five ADL items, decline in incidence of disability was significant in transferring (P < .001) and bathing (P = .002) and marginally significant in toileting ( P = .06) but stable in dressing (P = .38) and feeding (P = .26). Conclusion The incidence of ADL disability decreased from 1993 to 2006 in older adults in China, especially in transferring and bathing, independent of sociodemographic, lifestyle, and chronic health conditions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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