Basic ADL disability and functional limitation rates among older AMERICANS from 2000-2005: the end of the decline?
BACKGROUND
This study sought to determine whether the rates of basic activities of daily living (ADL) disabilities and functional limitations declined, remained the same, or increased between 2000 and 2005 when (a) only community-dwelling Americans aged 65 and older were examined and (b) when institutionalized older adults were included.


METHODS
Using data from the American Community Survey and the National Nursing Home Survey, we calculated annual prevalence rates of basic ADL disabilities and functional limitations and fitted regression lines to examine trends over time.


RESULTS
The rates of basic ADL disabilities among community-dwelling adults aged 65 and older increased 9% between 2000 and 2005. When institutionalized elders were included, basic ADL disability rates were stable among men but increased among women. Functional limitation rates did not significantly change between 2000 and 2005.


CONCLUSIONS
These findings suggest an end of the decline in disability rates among older Americans, which, if confirmed, could have important implications for health care.
Fuller-Thomson
E
E
Factor-Inwentash Faculty of Social Work and Department of Family and Community Medicine, University of Toronto, Ontario, Canada. esme.fuller.thomson@utoronto.ca
Yu
B
B
Nuru-Jeter
A
A
Guralnik
J M
JM
Minkler
M
M
D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation / Q000706:statistics & numerical data*; D018450:Disease Progression; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D051346:Mobility Limitation; D010147:Pain Measurement; D011788:Quality of Life; D018570:Risk Assessment; D012720:Severity of Illness Index; D012737:Sex Factors; D018434:Sickness Impact Profile; D014481:United States