Early strong predictors of decline in instrumental activities of daily living in community-dwelling older Japanese people.

oleh: Yohei Masugi, Hisashi Kawai, Manami Ejiri, Hirohiko Hirano, Yoshinori Fujiwara, Tomoki Tanaka, Katsuya Iijima, Takashi Inomata, Shuichi P Obuchi

Format: Article
Diterbitkan: Public Library of Science (PLoS) 2022-01-01

Deskripsi

<h4>Objective</h4>Our aim is to determine the strong predictors of the onset of instrumental activities of daily living (IADL) decline in community-dwelling older people.<h4>Design</h4>A prospective cohort study with a two-year follow-up.<h4>Setting</h4>Kashiwa City, Chiba Prefecture, Japan and Toshima Ward, Tokyo Metropolitan, Japan.<h4>Participants</h4>The data were acquired from two cohorts. The final sample comprised 1,523 community-dwelling older people aged 65-94 years (681 men, 842 women). They were individuals who were independent in IADL at baseline and participated in follow-up IADL assessments two years later.<h4>Measurements</h4>At baseline, comprehensive assessments were performed including: health interview, gait function, hand-grip strength, skeletal muscle mass, balance function, oral function, dietary lifestyle, cognitive function, quality of life, mental status, and social network. When the two-year follow-up was performed, IADL declines were observed in 53 out of 1,523 people. The association of each Z-transformed parameter with the occurrence of IADL decline was examined by employing a binominal logistic regression model adjusting for age, gender, body weight, body height, and medical history. An odds ratio (OR) and a 95% confidence interval were calculated and compared between different parameters.<h4>Results</h4>A decrease in walking speed and one-legged stance time, whereas an increased timed up & go test time was associated with significant ORs for the occurrence of IADL decline.<h4>Conclusion</h4>Gait-related parameters appear to be the strong predictors of the onset of IADL decline in community-dwelling older people.