[Chronic diseases and functional deterioration in activities of daily living in community-dwelling elders].
OBJECTIVE
To analyze the influence of chronic medical conditions on functional performance of activities of daily living, both basic (BADL) and instrumental (IADL), among the socially-active older population.


METHODS
We performed a cross-sectional study of 380 individuals aged over 64 years old who regularly attended community centers in the city of Zaragoza. The Older Americans Resources and Services (OARS) questionnaire was completed in a personal interview. A multivariate logistic regression model was used to analyze functional capacities for BADL and IADL as dependent variables, and socio-demographic variables and chronic medical conditions as predictive variables.


RESULTS
The risk of showing dependence for BADL significantly increased in the presence of mild and severe mental illness (OR=4.02; 95% CI=1.81-8.95; and OR=10.61; 95% CI=4.68-24.05, respectively), heart disease (OR=2.79; 95%CI=1.32-5.91), rheumatism/osteoarthritis (OR=2.75; 95% CI=1.42-5.33) and age 75 years or older (OR=2.70; 95% CI=1.42-5.13). For IADL, these risks increased with mild and severe mental illness (OR=2.11; 95% CI=1.10-4.04; and OR=4.50; 95% CI=2.27-8.90, respectively), age 75 years or older (OR=3.06; 95% CI=1.78-5.25) and heart disease (OR=2.64; 95% CI=1.35-5.16).


CONCLUSIONS
There was greater level of independence for BADL than for IADL. The factor creating most dependence was mental illness, followed by heart disease and rheumatism/osteoarthritis. A declining ability to perform IADL should prompt early assessment of dependence, as it is the first sign to appear. Prevention is fundamental for independent functioning in older people.
Rubio Aranda
Encarnación
E
Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España. erubio@unizar.es
Lázaro Alquézar
Angelina
A
Martínez Terrer
Tomás
T
Magallón Botaya
Rosa
R
D000203:Activities of Daily Living; D000368:Aged; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male