Tags

Type your tag names separated by a space and hit enter

Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period.
Arch Gerontol Geriatr. 2011 Jan-Feb; 52(1):12-7.AG

Abstract

The purpose of this study was to investigate transitions over time in the functional status of disabled community-living elderly. The study explored clinical and socio-demographic predictors of functional status decline. Data from the SIPA 3-year longitudinal study were analyzed (n=1164). Three categories of functional status were defined: no important disability, significant IADL disability and significant ADL disability. At baseline, results show that the prevalence rates were 26.9%, 58.6% and 14.5% for the three categories of functional status. After 12 months, about 50-60% of participants had remained in the same status, while some 10-15% of those with baseline significant disability had improved. The patterns of transitions between 12 and 36 months of follow-up were slightly different. The results indicated more deterioration (13-38%) and less improvement (6-9%). After controlling for baseline functional status, the best predictors for functional decline at 36 months were prior disability, functional limitations, cognitive impairment and comorbidity burden. We found that older adults' functional status may decline or improve even if the participants are disabled. Disabled conditions play a crucial role in the development of future disability and preventive actions need to be implemented.

Authors+Show Affiliations

Research Center, Montreal Geriatric University Institute, 4565 Queen Mary, Montreal, (Quebec), H3W 1W5 Canada. rossitza.nikolova@umontreal.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19945757

Citation

Nikolova, Rossitza, et al. "Transitions in the Functional Status of Disabled Community-living Older Adults Over a 3-year Follow-up Period." Archives of Gerontology and Geriatrics, vol. 52, no. 1, 2011, pp. 12-7.
Nikolova R, Demers L, Béland F, et al. Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period. Arch Gerontol Geriatr. 2011;52(1):12-7.
Nikolova, R., Demers, L., Béland, F., & Giroux, F. (2011). Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period. Archives of Gerontology and Geriatrics, 52(1), 12-7. https://doi.org/10.1016/j.archger.2009.11.003
Nikolova R, et al. Transitions in the Functional Status of Disabled Community-living Older Adults Over a 3-year Follow-up Period. Arch Gerontol Geriatr. 2011 Jan-Feb;52(1):12-7. PubMed PMID: 19945757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period. AU - Nikolova,Rossitza, AU - Demers,Louise, AU - Béland,François, AU - Giroux,Francine, Y1 - 2009/11/28/ PY - 2009/03/23/received PY - 2009/10/22/revised PY - 2009/11/03/accepted PY - 2009/12/1/entrez PY - 2009/12/1/pubmed PY - 2011/3/19/medline SP - 12 EP - 7 JF - Archives of gerontology and geriatrics JO - Arch Gerontol Geriatr VL - 52 IS - 1 N2 - The purpose of this study was to investigate transitions over time in the functional status of disabled community-living elderly. The study explored clinical and socio-demographic predictors of functional status decline. Data from the SIPA 3-year longitudinal study were analyzed (n=1164). Three categories of functional status were defined: no important disability, significant IADL disability and significant ADL disability. At baseline, results show that the prevalence rates were 26.9%, 58.6% and 14.5% for the three categories of functional status. After 12 months, about 50-60% of participants had remained in the same status, while some 10-15% of those with baseline significant disability had improved. The patterns of transitions between 12 and 36 months of follow-up were slightly different. The results indicated more deterioration (13-38%) and less improvement (6-9%). After controlling for baseline functional status, the best predictors for functional decline at 36 months were prior disability, functional limitations, cognitive impairment and comorbidity burden. We found that older adults' functional status may decline or improve even if the participants are disabled. Disabled conditions play a crucial role in the development of future disability and preventive actions need to be implemented. SN - 1872-6976 UR - https://www.unboundmedicine.com/medline/citation/19945757/Transitions_in_the_functional_status_of_disabled_community_living_older_adults_over_a_3_year_follow_up_period_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-4943(09)00272-6 DB - PRIME DP - Unbound Medicine ER -