Factors associated with functional status in a population aged ≥75 years without total dependence

被引:7
作者
Arnau, Anna [1 ,2 ,3 ]
Espaulella, Joan [4 ]
Serrarols, Marta [5 ]
Canudas, Judit [5 ]
Formiga, Francesc [6 ]
Ferrer, Montserrat [2 ,7 ]
机构
[1] Althaia, Unitat Innovacio & Recerca, Xarxa Assistencial Manresa, Barcelona, Spain
[2] Univ Autonoma Barcelona, Fac Med, Dept Pediat Obstet & Ginecol & Med Prevent, Programa Doctorat Salut Publ & Metodol Recerca, E-08193 Barcelona, Spain
[3] Consorci Hosp Vic, Clin Epidemiol Unit, Barcelona, Spain
[4] Hosp Santa Creu Vic, Unitat Integral Geriatr, Barcelona, Spain
[5] CAP Remei, ABS Vic Sud, Barcelona, Spain
[6] Hosp Univ Bellvitge, Med Interna Serv, Unidad Geriatr, Hosp Llobregat, Barcelona, Spain
[7] IMIM Inst Recerca Hosp Mar, Grp Recerca Serveis Sanitaris, Barcelona, Spain
关键词
Aged; Geriatric assessment; Functional status; LOWER-EXTREMITY FUNCTION; COGNITIVE IMPAIRMENT; VISION IMPAIRMENT; RISK-FACTORS; FOLLOW-UP; DECLINE; OLDER; DISABILITY; HEALTH; NONAGENARIANS;
D O I
10.1016/j.gaceta.2011.09.035
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: To identify the factors associated with functional status in a population aged >= 75 years without severe dependence. Methods: A cross-sectional study of a random sample (n = 315) of elderly persons in a primary care setting (EI Remei primary Care Center, Vic, Barcelona, Spain) was carried out. Functional status was evaluated by three physical performance tests: the Guralnik chair stand test of lower limb function, Lawton-Brody's index of instrumental activities of daily living (IADL), and the Barthel index of basic activities of daily living (BADL). A backward multiple linear regression model was used to analyze the association of sociodemographic and clinical variables with functional status. Results: The mean age was 81.9 years and 60.6% were female. Around 50% of elderly patients without total dependence showed disability for IADL and a third showed lower limb functional limitation. The variables associated with lower limb functional status were marital status , body mass index, number of drugs, and vision and hearing impairment (R-2 = 0.208). The variable associated with IADL were age, cognitive impairment, vision and the hearing impairment, and lower limb functional limitations (R-2 = 0.434). The variables associated with the Barthel index were age, sex, poor self-perceived health, and lower limb functional limitations (R-2 = 0.389). Conclusion: The risk factors associated with functional status in our population >= 75 years of age without severe dependence were the number of drugs and sensory impairment. (C) 2010 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:405 / 413
页数:9
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