TY - JOUR
T1 - Factors Associated With Functional Loss Among Community-Dwelling Mexican Older Adults
AU - Castellanos-Perilla, Nicolás
AU - Borda, Miguel Germán
AU - Fernández-Quilez, Alvaro
AU - Aarsland, Vera
AU - Soennesyn, Hogne
AU - Cano-Gutiérrez, Carlos Alberto
N1 - Publisher Copyright:
© 2020,Biomedica All Rights Reserved.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Elderly
KW - activities of daily living
KW - pain
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85092682963&partnerID=8YFLogxK
U2 - 10.7705/biomedica.5380
DO - 10.7705/biomedica.5380
M3 - Article
C2 - 33030833
AN - SCOPUS:85092682963
SN - 0120-4157
VL - 40
SP - 546
EP - 556
JO - Biomedica
JF - Biomedica
IS - 3
ER -