Patterns of Functional Impairment over Time Amongst Older Men-the Manitoba Follow-up Study

Overview

Journal Can Geriatr J

Specialty Geriatrics

Date 2021 Jun 3

PMID 34079608

Citations 1

Authors

Philip D St John

Audrey U Swift

Robert B Tate

Affiliations

Soon will be listed here.

Abstract

Background: To determine the incidence and prevalence patterns of activity of daily living (ADL) impairments in ageing men.

Methods: 3,983 men were enrolled in the Manitoba Follow-up Study (MFUS) cohort study in 1948. From 1996 onwards, functional status was measured. We classified basic (BADL) and instrumental (IADL) into mutually exclusive categories as a time dependant factor after the second survey wave as: First survey response; no limitation; incident (first episode of disability); persistent (limitation which was seen on all questionnaires after the incident episode); resilient (noted in previous surveys but not present); and recurrent (noted in present survey, and limitations noted as present and absent in previous surveys).

Results: There were 1,745 participants in 1996 at a mean age of 76 years. Incident BADL limitations increased substantially with age: from 1% at age 75 to 15% at age 95. Similarly, persistent limitations increased with age: from 0.4% at age 75 to 18% at age 95. However, BADL function was fluid, with many individuals grouped within the resilient and recurrent patterns. Similar age effects and variability were noted in IADLs.

Conclusion: New and persistent disabilities are highly associated with age. However, there is considerable change in functional status over time.

Citing Articles

New Disability in a Cohort Study of Older Men-The Manitoba Follow-Up Study.

St John P, Nowicki S, Tate R Can Geriatr J. 2024; 27(4):462-472.

PMID: 39619379 PMC: 11583896. DOI: 10.5770/cgj.27.771.

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