For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
4
views
48
references
 Top references
cited by
6
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      76
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Effects of functional limitations and activities of daily living on the mortality of the older people: A cohort study in China

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Prevalence of functional limitations (FLs) and disabled activities of daily living (ADL) cause heavy burdens to the health of the older people. Stratified by gender, this study aimed to explore the effects of FL and ADL on the mortality of the older people in China, and the mechanism was then discussed.

          Methods

          We used survey data of a prospective 10-year cohort (2008–2018), from the China Longitudinal Healthy Longevity Survey (CLHLS). The primary outcome was all-cause mortality, and Independent variables included FL, basic ADL (BADL), and instrumental ADL (IADL). Covariates involved socio-demographic characteristics, health-related behaviors, and health status of the participants in the CLHLS project.

          Results

          There were 967 (19.20%) male and 2,235 (32.36%) female older people performed functional limitations, and their survival time was 60.98 (SE = 0.66) and 55.19 (SE = 0.55) months, respectively. Old adults with FL had significantly poorer survival than the ones without (Log-rank test, P < 0.001). Weibull regression suggested that FL ( P < 0.001), abnormal BADL ( P < 0.001) and IADL ( P < 0.001) were negatively associated with the survival of the older people. Further analysis showed that BADL and IADL performed significantly mediating roles in the relation of FL and survival time in old adults; additionally, for female older people, BADL also exhibited a significant moderating role in the effect of FL on survival.

          Conclusions

          Prevalence of FL was serious among the older people in China, especially for the women. Disabilities of BADL and IADL and FL were negatively associated with the survival time of the older people in China. Regarding the effect of FL on survival, BADL and IADL performed significantly mediating roles, and the moderating role of BADL existed only for the female. These suggested evidence to implement strategies to maintain health in the older people.

          Related collections

          Most cited references48

          • Record: found
          • Abstract: not found
          • Article: not found

          Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living

          M P Lawton, E M Brody (1969)
          Article 0 comments Cited 1807 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION.

            S. Katz, A B Ford, R Moskowitz … (1963)
            Article 0 comments Cited 652 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found

              Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China: a cohort study

              Yi ZENG, Qiushi Feng, Therese Hesketh … (2017)
              The oldest-old (those aged ≥80 years) are the most rapidly growing age group globally, and are most in need of health care and assistance. We aimed to assess changes in mortality, disability in activities of daily living, and physical and cognitive functioning among oldest-old individuals between 1998 and 2008.
              Article 0 comments Cited 267 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 20 January 2023
                Publication date Collection: 2022
                Volume: 10
                Electronic Location Identifier: 1098794
                Affiliations
                [1] 1Department of Medical Insurance, Jinshan Hospital of Fudan University , Shanghai, China
                [2] 2School of Public Health, Fudan University , Shanghai, China
                Author notes

                Edited by: Pablo Jorge Marcos-Pardo, University of Almeria, Spain

                Reviewed by: Rodrigo Gomes De Souza Vale, Rio de Janeiro State University, Brazil; Andrea Guimarães, Universidade Federal de São João del-Rei, Brazil

                *Correspondence: Yumeng Gao ✉ ym_gao0925@ 123456163.com

                This article was submitted to Aging and Public Health, a section of the journal Frontiers in Public Health

                Article
                DOI: 10.3389/fpubh.2022.1098794
                PMC ID: 9895937
                PubMed ID: 36743188
                SO-VID: bc6d25c8-28ab-4757-be7c-a70591e35a16
                Copyright © Copyright © 2023 Gao, Du, Cai and Hu.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 15 November 2022
                Date accepted : 22 December 2022
                Page count
                Figures: 2, Tables: 4, Equations: 0, References: 49, Pages: 11, Words: 7483
                Categories
                Subject: Public Health
                Subject: Original Research

                Keywords: functional limitations,badl,iadl,mortality,elderly,china
                Data availability:
                Keywords: functional limitations, badl, iadl, mortality, elderly, china

                Comments

                Comment on this article

                scite_

                Similar content76

                See all similar

                Cited by6

                See all cited by

                Most referenced authors767

                See all reference authors