Long-Term Changes in Older Adults' Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study.

activities of daily living aged care prevention insurance long-term care longitudinal studies

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
13 09 2021
Historique:
received: 31 08 2021
accepted: 10 09 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 3 11 2021
Statut: epublish

Résumé

This study aimed to clarify the variability in the independence profiles of specific activities of daily living (ADL) among older men and women. The research subjects were 5872 older adults (1143 men and 4729 women) certified as requiring nursing care or support (based on data obtained from the nursing care insurance certification survey database) who could be surveyed in both 2009 and 2018. Using item response theory, this study compared longitudinal data of difficulties faced by older adults during ADL. The results indicated that among the long-term care insurance-certified persons, in 2009, men had higher ADL difficulty than women in all ADL items, and in 2018, there was no significant difference in items other than dressing and excretion. Furthermore, the difference in the rate of ADL difficulty level over 9 years was significantly higher in women than in men. It was shown that the progression of ADL disability due to aging is faster in men on a yearly basis, but it increases in women with aging. Therefore, it was suggested that the rate of ADL difficulty varies depending on age and sex.

Identifiants

pubmed: 34574566
pii: ijerph18189641
doi: 10.3390/ijerph18189641
pmc: PMC8472257
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Takuhiro Okabe (T)

Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan.

Makoto Suzuki (M)

Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan.

Naoki Iso (N)

Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan.

Koji Tanaka (K)

Graduate School of Health Sciences, Gunma University, 3-39-22, Showamachi, Maebashi 371-8514, Japan.

Akira Sagari (A)

Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinshu University, 3-1-1, Asahi, Matsumoto 390-8621, Japan.

Hironori Miyata (H)

Department of Rehabilitation, Division of Occupational Therapy, Faculty of Health Science, Kumamoto Health Science University, 325, Izumimachi, Kita-ku, Kumamoto 861-5598, Japan.

Gwanghee Han (G)

Department of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan.

Michio Maruta (M)

Department of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, 3-95, Masagohonmachi, Kagoshima 890-0067, Japan.

Takayuki Tabira (T)

Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan.

Masahiro Kawagoe (M)

Graduate Course of Health and Social Services, Saitama Prefectural University, 820, Sannomiya, Koshigaya 343-8540, Japan.

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