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Predicting participation restriction in community-dwelling older men: the Concord Health and Ageing in Men Project.
Age Ageing. 2014 Jan; 43(1):31-7.AA

Abstract

BACKGROUND

participation restriction, defined as 'problems an individual may experience in involvement in life situations' (e.g. work and leisure), reflects difficulty functioning at a societal level and is a key component of disability. Our objective was to describe changes in participation in older men over a 2-year period and to identify baseline variables associated with participation and change in participation over the 2-year period.

METHODS

one thousand and three hundred and twenty-seven community-dwelling men aged 70 years or over who completed the baseline and 2-year follow-up phases of the Concord Health and Ageing in Men Project, a population-based cohort study in Sydney, Australia, were studied. Participation restriction and a range of other variables were measured using self-report and performance measures. Regression analyses were conducted to examine factors associated with participation and change in participation.

RESULTS

over the 2-year period, participation in life roles deteriorated in 47.3% (627/1,327) of men, stayed the same in 20.7% (275/1,327) and improved in the remainder (32.0%). Overall, there was a significant deterioration in participation (P < 0.001). Reduced participation at 2-year follow-up was significantly associated with the following baseline factors: age, more comorbidities, mild cognitive impairment or dementia, lower mood, weakness, slower gait, worse activities of daily living performance, driving and baseline participation score. These variables explained 56% of the variance in participation at 2 years.

CONCLUSION

participation in life roles worsened over a 2-year period in some community-dwelling older men. A number of associated factors were identified, which may provide targets for intervention to improve participation among older men.

Authors+Show Affiliations

Musculoskeletal Division, The George Institute for Global Health, PO Box M201 Missenden Road, Sydney, NSW 2050, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23927887

Citation

Fairhall, Nicola, et al. "Predicting Participation Restriction in Community-dwelling Older Men: the Concord Health and Ageing in Men Project." Age and Ageing, vol. 43, no. 1, 2014, pp. 31-7.
Fairhall N, Sherrington C, Cameron ID, et al. Predicting participation restriction in community-dwelling older men: the Concord Health and Ageing in Men Project. Age Ageing. 2014;43(1):31-7.
Fairhall, N., Sherrington, C., Cameron, I. D., Blyth, F., Naganathan, V., Clemson, L., Le Couteur, D., Handelsman, D. J., Waite, L., & Cumming, R. G. (2014). Predicting participation restriction in community-dwelling older men: the Concord Health and Ageing in Men Project. Age and Ageing, 43(1), 31-7. https://doi.org/10.1093/ageing/aft111
Fairhall N, et al. Predicting Participation Restriction in Community-dwelling Older Men: the Concord Health and Ageing in Men Project. Age Ageing. 2014;43(1):31-7. PubMed PMID: 23927887.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predicting participation restriction in community-dwelling older men: the Concord Health and Ageing in Men Project. AU - Fairhall,Nicola, AU - Sherrington,Catherine, AU - Cameron,Ian D, AU - Blyth,Fiona, AU - Naganathan,Vasi, AU - Clemson,Lindy, AU - Le Couteur,David, AU - Handelsman,David J, AU - Waite,Louise, AU - Cumming,Robert G, Y1 - 2013/08/08/ PY - 2013/8/10/entrez PY - 2013/8/10/pubmed PY - 2014/8/6/medline KW - aged KW - function KW - geriatric assessment KW - men KW - older people KW - participation SP - 31 EP - 7 JF - Age and ageing JO - Age Ageing VL - 43 IS - 1 N2 - BACKGROUND: participation restriction, defined as 'problems an individual may experience in involvement in life situations' (e.g. work and leisure), reflects difficulty functioning at a societal level and is a key component of disability. Our objective was to describe changes in participation in older men over a 2-year period and to identify baseline variables associated with participation and change in participation over the 2-year period. METHODS: one thousand and three hundred and twenty-seven community-dwelling men aged 70 years or over who completed the baseline and 2-year follow-up phases of the Concord Health and Ageing in Men Project, a population-based cohort study in Sydney, Australia, were studied. Participation restriction and a range of other variables were measured using self-report and performance measures. Regression analyses were conducted to examine factors associated with participation and change in participation. RESULTS: over the 2-year period, participation in life roles deteriorated in 47.3% (627/1,327) of men, stayed the same in 20.7% (275/1,327) and improved in the remainder (32.0%). Overall, there was a significant deterioration in participation (P < 0.001). Reduced participation at 2-year follow-up was significantly associated with the following baseline factors: age, more comorbidities, mild cognitive impairment or dementia, lower mood, weakness, slower gait, worse activities of daily living performance, driving and baseline participation score. These variables explained 56% of the variance in participation at 2 years. CONCLUSION: participation in life roles worsened over a 2-year period in some community-dwelling older men. A number of associated factors were identified, which may provide targets for intervention to improve participation among older men. SN - 1468-2834 UR - https://www.unboundmedicine.com/medline/citation/23927887/Predicting_participation_restriction_in_community_dwelling_older_men:_the_Concord_Health_and_Ageing_in_Men_Project_ L2 - https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/aft111 DB - PRIME DP - Unbound Medicine ER -