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Tytuł:
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Activities of daily living (ADL) and instrumental activities of daily living (IADL) disability in Swedish 85-year-olds born three decades apart-findings from the H70 study.
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Autorzy:
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Falk Erhag H; Neuropsychiatric Epidemiology Unit, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, Sweden.; Centre for Ageing and Health (Age Cap) at the University of Gothenburg, Sweden.
Wetterberg H; Neuropsychiatric Epidemiology Unit, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, Sweden.; Centre for Ageing and Health (Age Cap) at the University of Gothenburg, Sweden.
Johansson L; Neuropsychiatric Epidemiology Unit, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, Sweden.; Centre for Ageing and Health (Age Cap) at the University of Gothenburg, Sweden.
Rydén L; Neuropsychiatric Epidemiology Unit, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, Sweden.; Centre for Ageing and Health (Age Cap) at the University of Gothenburg, Sweden.
Skoog I; Neuropsychiatric Epidemiology Unit, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, Sweden.; Centre for Ageing and Health (Age Cap) at the University of Gothenburg, Sweden.; Region Västra Götaland, Sahlgrenska University Hospital, Psychiatry, Cognition and Old Age Psychiatry Clinic, Gothenburg, Sweden.
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Źródło:
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Age and ageing [Age Ageing] 2021 Nov 10; Vol. 50 (6), pp. 2031-2037.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Oxford : Oxford University Press
Original Publication: London, Baillière, Tindall.
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MeSH Terms:
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Activities of Daily Living*
Disabled Persons*
Aged ; Aged, 80 and over ; Aging ; Cohort Studies ; Disability Evaluation ; Female ; Humans ; Male ; Sweden/epidemiology
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Contributed Indexing:
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Keywords: activities of daily living (ADL); cohort comparison; disability; instrumental activities of daily living (IADL); older people
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Entry Date(s):
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Date Created: 20210609 Date Completed: 20211116 Latest Revision: 20211116
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Update Code:
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20240104
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DOI:
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10.1093/ageing/afab112
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PMID:
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34107021
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Objective: Older adults make up the fastest growing segment of the population, and disability rates increase with age. There is much debate whether later born cohorts of 85-year-olds will face the same disability rates as earlier born cohorts. This study aimed to examine ADL and IADL disability in three birth cohorts of Swedish 85-year-olds born three decades apart, examined in 1986-87, 2008-10 and 2015-16, as well as potential factors associated with ADL and IADL disability in these birth-cohorts.
Methods: Systematically selected population-based birth cohorts of 85-year-olds (n = 1,551) from the Gothenburg H70 Birth Cohort studies, Sweden, born in 1901-02 (n = 494), 1923-24 (n = 571) and 1930 (n = 486) and examined with identical methods. Disability was defined as a need for assistance in any ADL/IADL activities.
Results: ADL/IADL disability decreased between cohorts in both men and women (from 76.7% in 1986-87, to 58.4% in 2008-10, and 48.4% in 2015-16, P-value trend <.001). Factors associated with ADL/IADL disability varied between cohorts, although dementia and depression increased the odds of disability in all three birth cohorts.
Conclusion: Later born cohorts of 85-year-olds face less ADL/IADL disability compared to earlier born cohorts. As disability poses a significant financial burden on healthcare services, our findings might contribute to a more positive view on global ageing and the demographic challenges ahead. However, it might also be that in later born cohorts, ADL/IADL disability affects people at later ages, but due to increased longevity, the total number of years in late-life with a functional disability will remain the same.
(© The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
