Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in peninsular Malaysia

Zuriati Ibrahim, . and Muhammad Faizal Murat, . and Siti Nur ‘Asyura Adznam, . and Chan Yoke Mun, . Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in peninsular Malaysia. pp. 13-25. ISSN 1394-035X

Introduction: The ability to perform daily living activities among the elderly is important as physical disability may lead to dependency and various public health implications. This study aimed to determine the prevalence of instrumental activities of daily living (IADL) disability and its association with socio-demographic characteristics dietary intake social participation perceived-health-status and risk of falls. Methods: This cross-sectional study was conducted among community based elderly in the Gombak District of Selangor. 258 respondents aged 60-88 years old (mean age 666.5 years) were recruited through multi-stage proportional sampling. Most of the respondents (88.4) aged 60-74 years and 11.6 were 75 years. IADL disability was determined using an eight-item IADL scale. The presence of IADL disability was defined as needing help in at least one or more of eight-IADL activities. Dietary intake and fall risk were assessed using diet history questionnaire (DHQ) and 21-item fall risk index (FRI-21) respectively. Results: The prevalence of IADL disability among the respondents was 58.1. A binary logistic regression analyses showed that the following factors predicted IADL disability: advanced age (75 years OR6.4; 95 CI: 1.3 30.8) being unmarried (OR2.5; 95 CI: 1.1 5.9) unemployed/retired (OR2.3; 95 CI: 1.2 4.3) and at risk of falls (OR2.5; 95 CI: 1.3 6.1). Conclusion: Predictors such as marriage and employment highlight the importance of social support among elderly. In practical terms this means that it is incumbent upon caregivers family members and the community to provide both physical and emotional support if the functional status of the elderly is to be improved.

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Abstract

Introduction: The ability to perform daily living activities among the elderly is important as physical disability may lead to dependency and various public health implications. This study aimed to determine the prevalence of instrumental activities of daily living (IADL) disability and its association with socio-demographic characteristics dietary intake social participation perceived-health-status and risk of falls. Methods: This cross-sectional study was conducted among community based elderly in the Gombak District of Selangor. 258 respondents aged 60-88 years old (mean age 666.5 years) were recruited through multi-stage proportional sampling. Most of the respondents (88.4) aged 60-74 years and 11.6 were 75 years. IADL disability was determined using an eight-item IADL scale. The presence of IADL disability was defined as needing help in at least one or more of eight-IADL activities. Dietary intake and fall risk were assessed using diet history questionnaire (DHQ) and 21-item fall risk index (FRI-21) respectively. Results: The prevalence of IADL disability among the respondents was 58.1. A binary logistic regression analyses showed that the following factors predicted IADL disability: advanced age (75 years OR6.4; 95 CI: 1.3 30.8) being unmarried (OR2.5; 95 CI: 1.1 5.9) unemployed/retired (OR2.3; 95 CI: 1.2 4.3) and at risk of falls (OR2.5; 95 CI: 1.3 6.1). Conclusion: Predictors such as marriage and employment highlight the importance of social support among elderly. In practical terms this means that it is incumbent upon caregivers family members and the community to provide both physical and emotional support if the functional status of the elderly is to be improved.

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Item Type:	Article
AGROVOC Term:	Disabled persons
AGROVOC Term:	Elderly
AGROVOC Term:	Public health
AGROVOC Term:	Risk factors
AGROVOC Term:	Risk assessment
AGROVOC Term:	Social participation
AGROVOC Term:	Nutrient intake
AGROVOC Term:	Diet
AGROVOC Term:	Regression analysis
AGROVOC Term:	Energy intake (food or feed)
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:54
URI:	http://webagris.upm.edu.my/id/eprint/8231

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