Factors associated with functional loss among community-dwelling Mexican older adults
Introduction: Functional status decline is related to many negative outcomes. Objective: To explore the relationship of sociodemographic, medical, and psychological factors with the incidence of functional status decline in Mexican older adults. Materials and methods: Data from the 2012 and 2015 wav...
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doaj-4acb0fd4d1044172b8c4d77d81fc346f2020-11-25T03:40:15ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41572020-09-0140354655610.7705/biomedica.53805380Factors associated with functional loss among community-dwelling Mexican older adultsNicolás Castellanos-Perilla0Miguel Germán Borda1Álvaro Fernández-Quilez2Vera Aarsland3Hogne Soennesyn4Carlos Alberto Cano-Gutiérrez5Semillero de Neurociencias y Envejecimiento, Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., ColombiaSemillero de Neurociencias y Envejecimiento, Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia; Centre for Age-Related Medicine (SESAM), Stavanger University Hospital, Stavanger, Norway; Faculty of Health Sciences, University of Stavanger, Stavanger, NorwayCentre for Age-Related Medicine (SESAM), Stavanger University Hospital, Stavanger, Norway; Faculty of Health Sciences, University of Stavanger, Stavanger, Norway; Stavanger Medical Imaging Laboratory, Stavanger University Hospital, Stavanger, Norway; Faculty of Science and Technology, University of Stavanger, Stavanger, NorwayCentre for Age-Related Medicine (SESAM), Stavanger University Hospital, Stavanger, Norway; School of Medicine, Semmelweis University, Budapest, HungaryCentre for Age-Related Medicine (SESAM), Stavanger University Hospital, Stavanger, NorwaySemillero de Neurociencias y Envejecimiento, Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia; Unidad de Geriatría, Hospital Universitario San Ignacio, Bogotá, D.C., ColombiaIntroduction: Functional status decline is related to many negative outcomes. Objective: To explore the relationship of sociodemographic, medical, and psychological factors with the incidence of functional status decline in Mexican older adults. Materials and methods: Data from the 2012 and 2015 waves of the Mexican Health and Aging Study (MHAS) survey were analyzed. Participants with previous functional status decline at baseline were excluded. We assessed functional status decline individually with activities of daily living (ADL) and instrumental ADL (IADLs) in an individual way. Results: Age was associated with functional limitations in ADL. Being male had an association with limitations for IADL. A poor financial situation and lower education related to higher limitations for ADL. Furthermore, pain, comorbidities, and depression were found to be independently associated with limitations in ADL. IADL limitation was associated with age, poor education, comorbidities, and depression, as well as cognitive impairment. Conclusions: We found that factors such as age, financial status, educational level, pain, and the number of comorbidities were associated with the incidence of functional status decline. Pain had a greater association in the 3-year functional ADL decline incidence when compared with cognitive impairment. Studying functional decline by domains allowed us to find more detailed information to identify factors susceptible to intervention with the aim to reduce the incidence of functional status decline and dependence.https://revistabiomedica.org/index.php/biomedica/article/view/5380elderlypublic healthpainactivities of daily living |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicolás Castellanos-Perilla Miguel Germán Borda Álvaro Fernández-Quilez Vera Aarsland Hogne Soennesyn Carlos Alberto Cano-Gutiérrez |
spellingShingle |
Nicolás Castellanos-Perilla Miguel Germán Borda Álvaro Fernández-Quilez Vera Aarsland Hogne Soennesyn Carlos Alberto Cano-Gutiérrez Factors associated with functional loss among community-dwelling Mexican older adults Biomédica: revista del Instituto Nacional de Salud elderly public health pain activities of daily living |
author_facet |
Nicolás Castellanos-Perilla Miguel Germán Borda Álvaro Fernández-Quilez Vera Aarsland Hogne Soennesyn Carlos Alberto Cano-Gutiérrez |
author_sort |
Nicolás Castellanos-Perilla |
title |
Factors associated with functional loss among community-dwelling Mexican older adults |
title_short |
Factors associated with functional loss among community-dwelling Mexican older adults |
title_full |
Factors associated with functional loss among community-dwelling Mexican older adults |
title_fullStr |
Factors associated with functional loss among community-dwelling Mexican older adults |
title_full_unstemmed |
Factors associated with functional loss among community-dwelling Mexican older adults |
title_sort |
factors associated with functional loss among community-dwelling mexican older adults |
publisher |
Instituto Nacional de Salud |
series |
Biomédica: revista del Instituto Nacional de Salud |
issn |
0120-4157 |
publishDate |
2020-09-01 |
description |
Introduction: Functional status decline is related to many negative outcomes.
Objective: To explore the relationship of sociodemographic, medical, and psychological factors with the incidence of functional status decline in Mexican older adults.
Materials and methods: Data from the 2012 and 2015 waves of the Mexican Health and Aging Study (MHAS) survey were analyzed. Participants with previous functional status decline at baseline were excluded. We assessed functional status decline individually with activities of daily living (ADL) and instrumental ADL (IADLs) in an individual way.
Results: Age was associated with functional limitations in ADL. Being male had an association with limitations for IADL. A poor financial situation and lower education related to higher limitations for ADL. Furthermore, pain, comorbidities, and depression were found to be independently associated with limitations in ADL. IADL limitation was associated with age, poor education, comorbidities, and depression, as well as cognitive impairment.
Conclusions: We found that factors such as age, financial status, educational level, pain, and the number of comorbidities were associated with the incidence of functional status decline. Pain had a greater association in the 3-year functional ADL decline incidence when compared with cognitive impairment. Studying functional decline by domains allowed us to find more detailed information to identify factors susceptible to intervention with the aim to reduce the incidence of functional status decline and dependence. |
topic |
elderly public health pain activities of daily living |
url |
https://revistabiomedica.org/index.php/biomedica/article/view/5380 |
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AT nicolascastellanosperilla factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults AT miguelgermanborda factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults AT alvarofernandezquilez factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults AT veraaarsland factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults AT hognesoennesyn factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults AT carlosalbertocanogutierrez factorsassociatedwithfunctionallossamongcommunitydwellingmexicanolderadults |
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