Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home

Nadire Gülçin Yıldız; Halide Z. Aydın; Kemal Aydın

doi:10.33438/ijdshs.1357500

EN

Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home

Abstract

The limitations encountered by aging individuals 65+ in Turkey in their basic and instrumental activities of daily living were examined according to gender and age i.e., specifically for 65-74 and 75+ age groups. Microdata from the Turkey Health Survey implemented by the Turkish Statistical Institute (TurkStat) in 2019 were used in the analyses. According to the findings of this country-wide research, the results indicated that of the 2457 people aged 65+ living in their own homes, 11.2% were limited in activities of daily living (ADL), and 45.8% were limited in their instrumental activities of daily living (IADL). The ADL and IADL limitations also increased significantly according to age and gender. The prevalence of ADL limitations across Turkey was 4.5%, 1.9% in men aged 65-74, and 7.2% in women aged 65-74. In elderly individuals aged 75+, the prevalence of ADL limitations was found to be 13.7% in men and 21.7% in women. Based on the results of the Instrumental Activities of Daily Living module (IADL) results, 46.9% of men between the ages of 65-74 were limited in IADL, while this rate was found to be 72% for women. In both activities, the prevalence of limitations in women was more than twice as high as in men. The prevalence of ADL and IADL limitations differed significantly by gender and age groups (p<0.05).

Keywords

Activites of Daily Living , Geriatrics , Sociodemographic Factors , Mental Helath , Public Health , Quality of Life

References

Adams, P. F., Kirzinger, W. K., & Martinez, M. E. (2012). Summary health statistics for the U.S. Population: National Health Interview Survey, 2011. Vital and health statistics. Series 10, Data from the National Health Survey, (255), 1–110. PMID: 25116371
Albanese, A. M., Bartz-Overman, C., Parikh Md, T., & Thielke, S. M. (2020). Associations Between activities of daily living independence and mental health status among medicare managed care patients. Journal of the American Geriatrics Society, 68(6), 1301–1306. https://doi.org/10.1111/ jgs.16423
Aydiner Boylu, A., & Günay, G. (2017). Life satisfaction and quality of life among the elderly: Moderating effect of activities of daily living. Turkish Journal of Geriatrics, 20(1), 61-60.
Bongaarts J. (2009). Human population growth and the demographic transition. Philosophical Transactions of the Royal Society of London. Series B, Biological sciences, 364(1532), 2985–2990. https:// doi.org/10.1098/rstb.2009.0137
Bozo, Ö., Toksabay, N. E. & Kürüm, O. (2009). Activities of daily living, depression, and social support among elderly Turkish people. The Journal of Psychology, 143:2, 193-206, DOI: 10.3200/JRLP.143.2.193-206.
Cagle, J. G., Lee, J., Ornstein, K. A., & Guralnik, J. M. (2020). Hospice utilization in the United States: A prospective cohort study comparing cancer and noncancer deaths. Journal of the American Geriatrics Society, 68(4), 783–793. https://doi.org/1 0.1111/ jgs.16294
Çam, R. & Salık Asar, A. (2019). The effect of total hip replacement discharge education on daily living activities and quality of life. E-Journal of Dokuz Eylul University Nursing Faculty, 12(4), 220-233.
Costenoble, A., Knoop, V., Vermeiren, S., Vella, R. A., Debain, A., Rossi, G., Bautmans, I., Verté, D., Gorus, E., & De Vriendt, P. (2021). A Comprehensive Overview of Activities of Daily Living in Existing Frailty Instruments: A Systematic Literature Search. The Gerontologist, 61(3), e12–e22. https:// doi.org/10.1093/geront/gnz147
Demir Akça, A. S., Saraçlı, Ö., Emre, U., Atasoy, N., Güdül, S., Barut, B. Ö., & Atasoy, H. T. (2014). Relationship of cognitive functions with daily living activities, depression, anxiety and clinical variables in hospitalized elderly patients. Archives of Neuropsychiatry, 51(3), 267-274. Doi: 10.4274/npa.y7053
Demir Erbil, D., & Hazer, O. (2021). The effect of the elderly’s daily life activities and social networks on successful aging. Electronic Journal of Social Sciences, 20(80), 1846-1857. https://doi.org/ 10.17755/ esosder. 867218

Diker. J., Etiler, N., Yıldız, M., & Şeref, B. (2001). Association between cognitive status and activities of daily living, life quality and some demographic variables in older than 65. Alpha Psychiatry, 2(2),79-86.
Edemekong, P.F., Bomgaars, D.L., Sukumaran, S., and Schoo, C. (2023). Activities of Daily Living. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK470404/
Güdük, Ö. (2023). Determining the prevalence of functional limitation and the factors affecting it among older adults in need of long-term care in Turkey. International Journal of Healthcare Management, 16(4), 504-512, DOI: 10.1080/20479700.2022.2118184
Heppner, P., Wampold, B. & Kivlighan, D. (2008). Research Design in Counseling Psychology, 3rd edition; Brooks/Cole.
Ince Parpucu, T., Keskin, T., Başkurt, F., & Başkurt, Z. (2023). The effect of sleep quality and sleepiness on fatigue activities of daily living and physical activity in the elderly. Journal of Turkish Sleep Medicine, 10(2), 104-109. DOI: 10.4274/jtsm.galenos.2022.92408
Katz, S. (1983). Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc, 31(12), 721-7.
Katz, S., Downs, T. D., Cash, H. R., & Grotz, R.C. (1970). Progress in the development of the index of ADL. The Gerontologist, 10(1), 20–30.https://doi.org/10.1093/geront/10.1_part _1.20
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B.A., Jaffe, M.W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. JAMA, 185, 914-919.
Kesioğlu, P., Bilgiç, N., Pıçakçıefe, M., & Uçku, R. (2003). The prevalence of the chronic disease and disability in elderly population at Çamdibi-1 Health Center’s region in İzmir. Turkish Journal of Geriatrics, 6(1), 27-30.
Kitiş, A., Ülgen, S. Y., Zencir, M., & Büker, N. (2012). Examining the relationship between cognitive level, depression status, functional level and quality of life in elderly people living at home. Physical Therapy and Rehabilitation, 23(3), 137-143.
Kondo, N., Kazama, M., Suzuki, K., & Yamagata, Z. (2008). Impact of mental health on daily living activities of Japanese elderly. Preventive Medicine, 46(5), 457-462.https://doi.org/10.1016/j.ypmed.2007.12.007.
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.doi:10.1111/j.15325415.1983.tb03391.x.
Lyu, W., & Wolinsky, F.D. (2017). The onset of ADL difficulties and changes in health-related quality of life. Health Qual Life Outcomes 15, 217. https://doi.org/10.1186/s12955-017-0792-8
Mollaoğlu, M., & Yanmış, S. (2018). Disability and daily living activities of individuals with chronic diseases. SETSCI Conference Indexing System, 3, 1236-1238.
Özbek Yazıcı, S. & Kalaycı, I. (2015). Evaluation of activities of daily living in elderly patients. Journal of Engineering Sciences and Design, 3 (3), 385-390.
Saul, D., & Kosinsky, R.L. (2021). Epigenetics of aging and aging-associated diseases. Int J Mol Sci., 22(1):401, doi:10.3390/ijms 22010401.
Tel, H., Güler, N. and Tel, H. (2011) Continue their activities of daily living condition and quality of life of the elderly at home. Journal of Nursing Research Development, 2, 59-67.
Tel, H., Tel, H., and Sabancıoğulları, S. (2006). Status of maintenance of activities of daily living and experience of loneliness in elder than 60+ living at home and in institutions. Turkish Journal of Geriatrics, 9(1), 34-40.
The Turkish Statistical Institute (TurkStat) (2015) http://www.tuik.gov.tr/PreHaberBultenleri.do?id=18620. Retrieved online on September 1, 2023.
The Turkish Statistical Institute (TurkStat, 2016) Turkey Health Survey. https://data.tuik. gov.tr/Bulten/Index?p=Turkey-Health-Survey-2016-24573. Retrieved online on September 1, 2023.
The Turkish Statistical Institute (TurkStat, 2019) https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661. Retrieved online on September 1, 2023.
The Turkish Statistical Institute (TurkStat, 2021). Address Based Population Registration System, 2008-2021. The Turkish Statistical Institute (TurkStat, 2022). https://www.tuik.gov.tr/Kurumsal/Mikro_Veri. Retrieved online on September 1, 2023.
Ulusel, B., Soyer, A., & Uçku, R. (2004). Dependence in daily living activities among community dwelling elderly: prevalence and risk factors. Turkish Journal of Geriatrics, 7 (4), 199-205.
Vaughan, L., Leng, X., La Monte, M. J., Tindle, H. A., Cochrane, B. B., & Shumaker, S. A. (2016). Functional independence in late-life: maintaining physical functioning in older adulthood predicts daily life function after age 80. The Journals of Gerontology. A Biol Sci Med Sci., 71, Suppl 1, 79–86. https://doi.org/10.1093/gerona/glv061
Warmoth, K., Tarrant, M., Abraham, C., & Lang, I. A. (2018). Relationship between perceptions of aging and frailty in English older adults. Psychology, Health & Medicine, 23(4), 465–474. https://doi.org/10. 1080/13548506.2017.1349325
Wolff, J. L., Feder, J., & Schulz, R. (2016). Supporting Family Caregivers of Older Americans. The New England journal of medicine, 375(26), 2513–2515. https://doi. org/10. 1056/NEJMp1612351
World Health Organization (WHO, 2001). International Classification of Functioning, Disability and Health (ICF). Deutsche Fassung herausgegeben vom Deutschen Institut für Medizinische Dokumentations und Information (DIMDI). WHO.
World Health Organization (WHO, 2015). World report on aging and health. Retrieved online on September 20, 2022. https://apps.who. int/iris/handle/ 10665/186463

Details

Primary Language

English

Subjects

Physical Activity and Health

Journal Section

Research Article

Authors

Nadire Gülçin Yıldız ^*
0000-0002-5852-9658
Türkiye

Halide Z. Aydın
0000-0001-7017-6149
United States

Kemal Aydın
0000-0002-2013-7085
Türkiye

Early Pub Date

October 17, 2023

Publication Date

October 25, 2023

Submission Date

September 9, 2023

Acceptance Date

October 16, 2023

Published in Issue

Year 1970 Volume: 6 Number: Special Issue 1- Healthy Life, Sports for Disabled people

DOI

https://doi.org/10.33438/ijdshs.1357500

IZ

https://izlik.org/JA72XM88DC

APA

Yıldız, N. G., Aydın, H. Z., & Aydın, K. (2023). Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home. International Journal of Disabilities Sports and Health Sciences, 6(Special Issue 1- Healthy Life, Sports for Disabled people), 330-340. https://doi.org/10.33438/ijdshs.1357500

AMA

1.Yıldız NG, Aydın HZ, Aydın K. Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home. International Journal of Disabilities Sports &Health Sciences. 2023;6(Special Issue 1- Healthy Life, Sports for Disabled people):330-340. doi:10.33438/ijdshs.1357500

Chicago

Yıldız, Nadire Gülçin, Halide Z. Aydın, and Kemal Aydın. 2023. “Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home”. International Journal of Disabilities Sports and Health Sciences 6 (Special Issue 1- Healthy Life, Sports for Disabled people): 330-40. https://doi.org/10.33438/ijdshs.1357500.

EndNote

Yıldız NG, Aydın HZ, Aydın K (October 1, 2023) Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home. International Journal of Disabilities Sports and Health Sciences 6 Special Issue 1- Healthy Life, Sports for Disabled people 330–340.

IEEE

[1]N. G. Yıldız, H. Z. Aydın, and K. Aydın, “Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home”, International Journal of Disabilities Sports &Health Sciences, vol. 6, no. Special Issue 1- Healthy Life, Sports for Disabled people, pp. 330–340, Oct. 2023, doi: 10.33438/ijdshs.1357500.

ISNAD

Yıldız, Nadire Gülçin - Aydın, Halide Z. - Aydın, Kemal. “Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home”. International Journal of Disabilities Sports and Health Sciences 6/Special Issue 1- Healthy Life, Sports for Disabled people (October 1, 2023): 330-340. https://doi.org/10.33438/ijdshs.1357500.

JAMA

1.Yıldız NG, Aydın HZ, Aydın K. Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home. International Journal of Disabilities Sports &Health Sciences. 2023;6:330–340.

MLA

Yıldız, Nadire Gülçin, et al. “Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home”. International Journal of Disabilities Sports and Health Sciences, vol. 6, no. Special Issue 1- Healthy Life, Sports for Disabled people, Oct. 2023, pp. 330-4, doi:10.33438/ijdshs.1357500.

Vancouver

1.Nadire Gülçin Yıldız, Halide Z. Aydın, Kemal Aydın. Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home. International Journal of Disabilities Sports &Health Sciences. 2023 Oct. 1;6(Special Issue 1- Healthy Life, Sports for Disabled people):330-4. doi:10.33438/ijdshs.1357500

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Öz

Nationwide Study of Basic and Instrumental Activities of Daily Living in Individuals Aged 65+ Living at Home

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Published in Issue

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Cited By

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