Publication:
Disability for basic and instrumental activities of daily living in older individuals.

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Date

2019-07-09

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Carmona-Torres, Juan Manuel
Rodriguez-Borrego, María Aurora
Laredo-Aguilera, Jose Alberto
Lopez-Soto, Pablo Jesus
Santacruz-Salas, Esmeralda
Cobo-Cuenca, Ana Isabel

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Public Library of Science
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To know the prevalence, associated factors and temporal trends of disabilities for basic and instrumental activities of daily living in older people in Spain from 2009 to 2017. Disability in older people is associated with health problems, increased health costs and low quality of life. There are no updated data in Spain with a representative sample about disability. Cross-sectional study with 25,465 non-institutionalized older people who participated in the European Health Survey in 2009 and 2014 and the National Health Survey in 2011/12 and 2017 in Spain. The prevalence rates of disability were evaluated using the Katz Scale and Lawton and Brody Scale. Logistic regression was used to determine if there was an association between basic and instrumental activities of daily living and sociodemographic characteristics. More individuals had disability for instrumental activities of daily living (31.9%) than disability for basic activities of daily living (11.1%). The most predominant disability for instrumental activities of daily living was performing severe housework (34%). The prevalence of disabilities decreased from 2009 to 2017. In general, disability was associated with female gender, advanced age, lower education, restricted daily activity, being bedridden and higher pain levels. There is a considerable prevalence of disabilities for basic and instrumental activities of daily living in older people in Spain. Although the disability prevalence has decreased slowly from 2009 to 2017, it continues to remain a health problem. Gender may influence the disabilities for basic and instrumental activities of daily living. Health policymakers should establish prevention strategies and effective interventions (e.g., physical exercise) for prevention and reduction of the disabilities for basic and instrumental activities of daily living, particularly in older females.

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MeSH Terms

Activities of daily living
Aged
Aged, 80 and over
Cross-sectional studies
Disability evaluation
Disabled persons
Female
Geriatric assessment
Health surveys
Humans
Logistic models
Male
Prevalence
Sex Factors
Socioeconomic factors
Spain

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Actividades cotidianas
Encuestas epidemiológicas
Evaluación geriátrica
Evaluación de la discapacidad
Factores socioeconómicos
Personas con discapacidad

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Citation

Carmona-Torres JM, Rodríguez-Borrego MA, Laredo-Aguilera JA, López-Soto PJ, Santacruz-Salas E, Cobo-Cuenca AI. Disability for basic and instrumental activities of daily living in older individuals. PLoS One. 2019 Jul 26;14(7):e0220157.