TY - JOUR
T1 - Trends of Activities of Daily Living Disability Situation and Association with Chronic Conditions among Elderly Aged 80 Years and Over in China
AU - Hou, C.
AU - Ping, Z.
AU - Yang, K.
AU - Chen, S.
AU - Liu, X.
AU - Li, H.
AU - Liu, M.
AU - Ma, Y.
AU - van Halm-Lutterodt, N.
AU - Tao, L.
AU - Luo, Y.
AU - Yang, X.
AU - Wang, W.
AU - Li, X.
AU - Guo, Xiuhua
N1 - Publisher Copyright:
© 2017, Serdi and Springer-Verlag France SAS, part of Springer Nature.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Objectives: In China, few studies reported the disability situation and the association between disabilities with chronic conditions in aged people. This study investigates the cross-sectional trends of prevalence and severity of activities of daily living disability (ADL) in Chinese oldest-old people from 1998 to 2008, and identified the potential risk factors of disability. Design: A combination of population-based longitudinal prospective study and probabilistically sampling cross-sectional studies. Setting: The Chinese Longitudinal Healthy Longevity Survey (CLHLS) was based on a random sampling of aged people from twenty-two provinces in China. Participants: A total of 52,667 participants aged from 80 years old to 105 years old sampled in the year of 1998 (n=8,768), 2000 (n=10,940), 2002 (n=10,905), 2005 (n=10,396) and 2008 (n=11,658) were analyzed respectively. Results: The prevalence of ADL disability decreased from the year of 1998 (18%) to 2008 (12%). The disability prevalence significantly increased in 2002 and decreased in 2008 (P<0.001) in total participants than the year of 1998. The prevalence trends of low ADL disability level were almost identical with that of the total ADL disability. Stroke/cerebrovascular disease (CVD) and cognitive impairment were the strongest risk factors of disability. Vision impairment became less associated with ADL disability (P=0.045), while the association between multimorbidity and ADL disability became stronger (P=0.033). Conclusions: The prevalence of ADL disability declined among the oldest-old population in China from the year of 1998 to 2008 without obeying a linear pattern. Temporal trends of ADL disability mainly attributed to the change of low disability level prevalence. Stroke/CVD and cognitive impairment were the most common risk factors of disability. Vision impairment caused disability has become less common, while risks of multimorbidity related disability increased.
AB - Objectives: In China, few studies reported the disability situation and the association between disabilities with chronic conditions in aged people. This study investigates the cross-sectional trends of prevalence and severity of activities of daily living disability (ADL) in Chinese oldest-old people from 1998 to 2008, and identified the potential risk factors of disability. Design: A combination of population-based longitudinal prospective study and probabilistically sampling cross-sectional studies. Setting: The Chinese Longitudinal Healthy Longevity Survey (CLHLS) was based on a random sampling of aged people from twenty-two provinces in China. Participants: A total of 52,667 participants aged from 80 years old to 105 years old sampled in the year of 1998 (n=8,768), 2000 (n=10,940), 2002 (n=10,905), 2005 (n=10,396) and 2008 (n=11,658) were analyzed respectively. Results: The prevalence of ADL disability decreased from the year of 1998 (18%) to 2008 (12%). The disability prevalence significantly increased in 2002 and decreased in 2008 (P<0.001) in total participants than the year of 1998. The prevalence trends of low ADL disability level were almost identical with that of the total ADL disability. Stroke/cerebrovascular disease (CVD) and cognitive impairment were the strongest risk factors of disability. Vision impairment became less associated with ADL disability (P=0.045), while the association between multimorbidity and ADL disability became stronger (P=0.033). Conclusions: The prevalence of ADL disability declined among the oldest-old population in China from the year of 1998 to 2008 without obeying a linear pattern. Temporal trends of ADL disability mainly attributed to the change of low disability level prevalence. Stroke/CVD and cognitive impairment were the most common risk factors of disability. Vision impairment caused disability has become less common, while risks of multimorbidity related disability increased.
KW - Activities of daily living
KW - chronic conditions
KW - temporal trends
KW - the oldest old–China
UR - http://www.scopus.com/inward/record.url?scp=85021932062&partnerID=8YFLogxK
U2 - 10.1007/s12603-017-0947-7
DO - 10.1007/s12603-017-0947-7
M3 - Article
C2 - 29484359
AN - SCOPUS:85021932062
SN - 1279-7707
VL - 22
SP - 439
EP - 445
JO - Journal of Nutrition, Health and Aging
JF - Journal of Nutrition, Health and Aging
IS - 3
ER -
