Abstract:
OBJECTIVE:to provide evidence for predictors of recovery in instrumental activities of daily living (IADLs) among disabled older people living in the community. DESIGN:MRC CFAS recruited a sample of 13,004 individuals aged 65 years and above from five communities in the UK. Participants underwent a baseline interview between 1990 and 1994 and were re-assessed 2 years later. PARTICIPANTS:the participants who reported that they were unable to perform any IADL without difficulty or help at baseline ('disabled') were included in the analysis. METHODS:logistic regression was used to estimate odds ratios (OR) for improvement from disabled to non-disabled state at follow-up ('recovery'). RESULTS:at baseline, 50% reported disability of whom 9% reported independent function at follow-up. Women (OR = 0.4) and participants aged > or =75 years (OR = 0.2) were least likely to recover, followed by those with poor self-rated health (OR = 0.5), using at least one medication (OR = 0.6) and having more than or equal to two co-morbidities (OR = 0.6). CONCLUSION:a minority of participants reporting disability at baseline then reported independent function at 2 years. It may be important to focus on those who seem least likely to recover once they have become disabled. Several factors that have been shown to increase the risk of disability were inversely associated with recovery, suggesting that intervention programmes could target these same factors.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Seidel D,Jagger C,Brayne C,Matthews FE,Cfas Mdoi
10.1093/ageing/afp128subject
Has Abstractpub_date
2009-11-01 00:00:00pages
663-8issue
6eissn
0002-0729issn
1468-2834pii
afp128journal_volume
38pub_type
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