Trends in the Incidence of Activities of Daily Living Disability Among Chinese Older Adults From 2002 to 2014
| Autor: | Wen Fang Zhong, Virginia B. Kraus, Jie Si Luo, Jin Dong Ni, Chen Mao, Qing Mei Huang, Zhao Xue Yin, Yi Zeng, Zhi-Hao Li, Xiang Gao, Simin Liu, Xiaoming Shi, Yue Bin Lv, Xiao Chang Zhang |
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| Rok vydání: | 2019 |
| Předmět: |
Male
China Aging Activities of daily living Bathing THE JOURNAL OF GERONTOLOGY: Medical Sciences 030204 cardiovascular system & hematology Disability Evaluation 03 medical and health sciences 0302 clinical medicine Risk Factors Activities of Daily Living Humans Medicine Longitudinal Studies 030212 general & internal medicine Geriatric Assessment Stroke Aged Aged 80 and over Proportional hazards model business.industry Incidence Incidence (epidemiology) Confounding medicine.disease Cohort Toileting Female Geriatrics and Gerontology business human activities Demography |
| Zdroj: | J Gerontol A Biol Sci Med Sci |
| ISSN: | 1758-535X 1079-5006 |
| DOI: | 10.1093/gerona/glz221 |
| Popis: | Background Evidence of the trend of the incidence of activities of daily living (ADL) disability among Chinese older people is limited. We aimed to investigate the time trends and potential risk factors for the incidence of ADL disability among Chinese older people (≥65 years). Methods We established two consecutive and nonoverlapping cohorts (6,857 participants in the 2002 cohort and 5,589 participants in the 2008 cohort) from the Chinese Longitudinal Healthy Longevity Survey. ADL disability was defined as the need for assistance with at least one essential activity (dressing, bathing, toileting, eating, indoor activities, and continence). Cox proportional hazards models were used to identify factors associated with the trend in the incidence of ADL disability from 2002 to 2014. Results The incidence (per 1,000 person-years) of ADL disability decreased significantly from 64.2 in the 2002 cohort to 46.6 in the 2008 cohort (p < .001), and decreasing trends in the incidence of ADL disability were observed for all sex, age, and residence subgroups (all p < .001), even after adjusting for multiple potential confounding factors. Moreover, we found that adjustment for sociodemographic, lifestyle information, and cardiovascular risk factors (hypertension, diabetes, heart disease, and stroke) explained less of the decline in ADL disability during the period from 2002 to 2014. Conclusion The incidence of ADL disability among the older adults in China appears to have decreased during the study period, and this finding cannot be explained by existing sociodemographic and lifestyle information and cardiovascular risk factors. |
| Databáze: | OpenAIRE |
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