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Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis

Arthritis is a major cause of functional decline, which affects the quality of life (QoL) of older adults. This study analyzed instrumental activities of daily living (IADL) patterns in older adults with arthritis and the risk factors of functional decline. Data from the Korean Longitudinal Study of...

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Autores principales: Shin, Jinhee, Kim, Gwang Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546837/
https://www.ncbi.nlm.nih.gov/pubmed/36207328
http://dx.doi.org/10.1038/s41598-022-19791-4
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author Shin, Jinhee
Kim, Gwang Suk
author_facet Shin, Jinhee
Kim, Gwang Suk
author_sort Shin, Jinhee
collection PubMed
description Arthritis is a major cause of functional decline, which affects the quality of life (QoL) of older adults. This study analyzed instrumental activities of daily living (IADL) patterns in older adults with arthritis and the risk factors of functional decline. Data from the Korean Longitudinal Study of Aging (KLoSA), in which the participants were community-dwelling older adults aged ≥ 65 years and conducted every two years, were used to examine patterns in IADL performance between 2006 and 2016. The participants comprised 1,822 older adults, divided into an arthritis group and a non-arthritis group. A Generalized Estimating Equations (GEE) model and Kaplan–Meier analysis was used for the data analysis. The arthritis groups showed a statistically significant decrease in IADL function in 2012 (β = 1.283, p = 0.026), 2014 (β = 1.323, p = 0.028), and 2016 (β = 1.484, p = 0.014). The GEE model identified psychological conditions (depressive symptoms, cognitive function) and number of chronic diseases in the arthritis group as risk factors for increased IADL dependence. Healthcare providers should develop strategies to manage long-term functional decline, including programs to manage and prevent chronic diseases, cognitive function decline, and keep depressive symptoms under control, beginning within six years of arthritis diagnosis.
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spelling pubmed-95468372022-10-09 Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis Shin, Jinhee Kim, Gwang Suk Sci Rep Article Arthritis is a major cause of functional decline, which affects the quality of life (QoL) of older adults. This study analyzed instrumental activities of daily living (IADL) patterns in older adults with arthritis and the risk factors of functional decline. Data from the Korean Longitudinal Study of Aging (KLoSA), in which the participants were community-dwelling older adults aged ≥ 65 years and conducted every two years, were used to examine patterns in IADL performance between 2006 and 2016. The participants comprised 1,822 older adults, divided into an arthritis group and a non-arthritis group. A Generalized Estimating Equations (GEE) model and Kaplan–Meier analysis was used for the data analysis. The arthritis groups showed a statistically significant decrease in IADL function in 2012 (β = 1.283, p = 0.026), 2014 (β = 1.323, p = 0.028), and 2016 (β = 1.484, p = 0.014). The GEE model identified psychological conditions (depressive symptoms, cognitive function) and number of chronic diseases in the arthritis group as risk factors for increased IADL dependence. Healthcare providers should develop strategies to manage long-term functional decline, including programs to manage and prevent chronic diseases, cognitive function decline, and keep depressive symptoms under control, beginning within six years of arthritis diagnosis. Nature Publishing Group UK 2022-10-07 /pmc/articles/PMC9546837/ /pubmed/36207328 http://dx.doi.org/10.1038/s41598-022-19791-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Shin, Jinhee
Kim, Gwang Suk
Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title_full Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title_fullStr Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title_full_unstemmed Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title_short Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
title_sort patterns of change and factors associated with iadl function decline in community-dwelling older adults with arthritis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546837/
https://www.ncbi.nlm.nih.gov/pubmed/36207328
http://dx.doi.org/10.1038/s41598-022-19791-4
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