Age and Ageing, Vol 29, 267-270, Copyright © 2000 by British Geriatrics Society
E Valderrama Gama, J Damian, J Perez del Molino, M Lopez, M Perez and F Iglesias
Objective. To evaluate the associations of 18
activities of daily living with self-rated health in older people aged 65
or over (response rate: 89.9%).Method. Self-rated
health was assessed by the question: 'Overall, how would you rate your
current health status - very good, good, fair, poor or very poor?' We used
the Barthel index and Lawton and Brody's index for basic and instrumental
activities of daily living, respectively. We classified subjects into three
groups according to their Barthel index score: level 1 (score 100), level 2
(score 91-99) and level 3 (score 0-90). Logistic regression was used to
identify associations between each activity and self-rated
health.Results. Use of stairs [odds ratio (OR) = 4.28,
95% confidence interval (95% CI): 2.82-6.52], ambulation (OR = 3.67, 95%
CI: 2.39-5.64) and chair/bed transfer (OR = 3.00, 95% CI: 1.68-5.36) were
the basic activities of daily living best associated with self-rated
health. Among instrumental activities of daily living, ability to handle
finances (OR=2.20), laundry (OR=2.15) and transport (OR=2.12) were
associated with self-rated health. On the Barthel index, only transport was
associated with self-rated health in subjects at levels 1 (OR=2.55) and 2
(OR=2.72). For subjects with poor functional status (level 3), no
instrumental activities of daily living were related to self-rated
health.Conclusion. In terms of self-rated health, the
most important activities of daily living were those involving mobility.
The effect of each instrumental activity of daily living on self-rated
health depends on the level of functional capacity in basic activities of
daily living.Keywords: activities of daily living,
aged, Barthel index, functional status, rehabilitation
ARTICLES
Short report. Association of individual activities of daily living with self-rated health in older people
Department of Epidemiology and Biostatistics, National School of Public Health, Instituto de Salud Carlos III, Sinesio Delgado 8, 28029-Madrid, Spain; Department of Geriatrics, Guadalajara University Hospital, Guadalajara, Spain; Health Centre of Cabra, Córdoba, Spain; Corresponding author; Fax: (34) 91 387 7872; E-mail: evalde@isciii.es
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