Functional Independence in Late-Life: Maintaining Physical Functioning in Older Adulthood Predicts Daily Life Function after Age 80
| Autor: | Hilary A. Tindle, Leslie Vaughan, Michael J. La Monte, Sally A. Shumaker, Xiaoyan Leng, Barbara B. Cochrane |
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| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Aging Activities of daily living SF-36 Health Status Motor Activity Special Article Disability Evaluation 03 medical and health sciences 0302 clinical medicine Quality of life Activities of Daily Living medicine Humans 030212 general & internal medicine Geriatric Assessment Aged 80 and over Hip fracture Successful aging business.industry 030503 health policy & services Women's Health Initiative medicine.disease United States Cohort Quality of Life Women's Health Female Independent Living Geriatrics and Gerontology 0305 other medical science business human activities Body mass index |
| Zdroj: | The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 71:S79-S86 |
| ISSN: | 1758-535X 1079-5006 |
| Popis: | BACKGROUND We examined physical functioning (PF) trajectories (maintaining, slowly declining, and rapidly declining) spanning 15 years in older women aged 65-80 and protective factors that predicted better current levels and less decline in functional independence outcomes after age 80. METHODS Women's Health Initiative extension participants who met criteria (enrolled in either the clinical trial or observational study cohort, >80 years at the data release cutoff, PF survey data from initial enrollment to age 80, and functional independence survey data after age 80) were included in these analyses (mean [SD] age = 84.0 [1.4] years; N = 10,478). PF was measured with the SF-36 (mean = 4.9 occasions). Functional independence was measured by self-reported level of dependence in basic and instrumental activities of daily living (ADLs and IADLs) (mean = 3.4 and 3.3 occasions). RESULTS Maintaining consistent PF in older adulthood extends functional independence in ADL and IADL in late-life. Protective factors shared by ADL and IADL include maintaining PF over time, self-reported excellent or very good health, no history of hip fracture after age 55, and no history of cardiovascular disease. Better IADL function is uniquely predicted by a body mass index less than 25 and no depression. Less ADL and IADL decline is predicted by better self-reported health, and less IADL decline is uniquely predicted by having no history of hip fracture after age 55. CONCLUSIONS Maintaining or improving PF and preventing injury and disease in older adulthood (ages 65-80) has far-reaching implications for improving late-life (after age 80) functional independence. |
| Databáze: | OpenAIRE |
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