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Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States

Background: Population-level surveillance of the prevalence and trends of basic self-care limitations will help to identify the magnitude of physical disablement in the rapidly growing older American demographic. We sought to evaluate the prevalence and trends of activities of daily living (ADL) lim...

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Autores principales: Heimbuch, Halli, Rhee, Yeong, Douglas, Marty, Juhl, Kirsten, Knoll, Kelly, Stastny, Sherri, McGrath, Ryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660458/
https://www.ncbi.nlm.nih.gov/pubmed/37987312
http://dx.doi.org/10.3390/epidemiologia4040040
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author Heimbuch, Halli
Rhee, Yeong
Douglas, Marty
Juhl, Kirsten
Knoll, Kelly
Stastny, Sherri
McGrath, Ryan
author_facet Heimbuch, Halli
Rhee, Yeong
Douglas, Marty
Juhl, Kirsten
Knoll, Kelly
Stastny, Sherri
McGrath, Ryan
author_sort Heimbuch, Halli
collection PubMed
description Background: Population-level surveillance of the prevalence and trends of basic self-care limitations will help to identify the magnitude of physical disablement in the rapidly growing older American demographic. We sought to evaluate the prevalence and trends of activities of daily living (ADL) limitations in the United States. Methods: The analytic sample included 30,418 Americans aged ≥50 years from the 2006–2018 waves of the Health and Retirement Study. ADLs were self-reported. Weighted prevalence estimates were presented, and trends analyses were performed. Results: Although overall ADL disability prevalence was 16.5% (95% confidence interval: 15.8–17.2) in 2018, there were no changes in limitations during the study period (p = 0.52). Older adults had a greater ADL disability prevalence than middle-aged adults (p < 0.001). While older persons experienced a declining trend of ADL limitations (p < 0.001), middle-aged persons had an increasing trend (p < 0.001). Males had a lower ADL limitation prevalence than females (p < 0.001). Hispanic and non-Hispanic Black had a higher ADL disability prevalence than non-Hispanic White (p < 0.001). Conclusions: This investigation revealed that while the estimated prevalence of ADL limitations in the United States was substantial, changes in such limitations were not observed. Our findings can help guide ADL screening, target sub-populations with an elevated ADL limitation prevalence, and inform interventions.
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spelling pubmed-106604582023-11-09 Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States Heimbuch, Halli Rhee, Yeong Douglas, Marty Juhl, Kirsten Knoll, Kelly Stastny, Sherri McGrath, Ryan Epidemiologia (Basel) Article Background: Population-level surveillance of the prevalence and trends of basic self-care limitations will help to identify the magnitude of physical disablement in the rapidly growing older American demographic. We sought to evaluate the prevalence and trends of activities of daily living (ADL) limitations in the United States. Methods: The analytic sample included 30,418 Americans aged ≥50 years from the 2006–2018 waves of the Health and Retirement Study. ADLs were self-reported. Weighted prevalence estimates were presented, and trends analyses were performed. Results: Although overall ADL disability prevalence was 16.5% (95% confidence interval: 15.8–17.2) in 2018, there were no changes in limitations during the study period (p = 0.52). Older adults had a greater ADL disability prevalence than middle-aged adults (p < 0.001). While older persons experienced a declining trend of ADL limitations (p < 0.001), middle-aged persons had an increasing trend (p < 0.001). Males had a lower ADL limitation prevalence than females (p < 0.001). Hispanic and non-Hispanic Black had a higher ADL disability prevalence than non-Hispanic White (p < 0.001). Conclusions: This investigation revealed that while the estimated prevalence of ADL limitations in the United States was substantial, changes in such limitations were not observed. Our findings can help guide ADL screening, target sub-populations with an elevated ADL limitation prevalence, and inform interventions. MDPI 2023-11-09 /pmc/articles/PMC10660458/ /pubmed/37987312 http://dx.doi.org/10.3390/epidemiologia4040040 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Heimbuch, Halli
Rhee, Yeong
Douglas, Marty
Juhl, Kirsten
Knoll, Kelly
Stastny, Sherri
McGrath, Ryan
Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title_full Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title_fullStr Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title_full_unstemmed Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title_short Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States
title_sort prevalence and trends of basic activities of daily living limitations in middle-aged and older adults in the united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660458/
https://www.ncbi.nlm.nih.gov/pubmed/37987312
http://dx.doi.org/10.3390/epidemiologia4040040
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