Functional decline over 2 years in older Spanish adults: Evidence from the Survey of Health, Ageing and Retirement in Europe
Abstract
Aim
To evaluate the social, educational, health and behavioral predictors of physical functional decline in older Spanish adults.
Methods
A 2‐year longitudinal study based on 699 community‐dwelling Spanish adults aged over 65 years participating in the Survey of Health, Ageing and Retirement in Europe was carried out. Several predictors of a combined measure of functional disability were examined using logistic regressions.
Results
A decline in function was experienced by 166 individuals. Functional decline in men was associated with an increased number of chronic diseases (OR 2.25, 95% CI 1.21–4.19) and depressive symptoms (OR 5.05, 95% CI 2.42–10.54) over a 2‐year period, whereas among women it was associated with decreased numeracy score (OR 1.88, 95%CI 1.05–3.34).
Conclusions
Longitudinal changes in predictors are strongly associated with longitudinal changes in function between baseline and a 2‐year follow up, most clearly among men. A decrease in cognitive functioning and increased depressive symptoms are associated with a decline in physical functioning, and can serve as useful clinical predictors to prevent disability in older Spanish adults. Geriatr Gerontol Int 2014; 14: 403–412.
Number of times cited according to CrossRef: 6
- Isabel Mosquera, Mónica Machón, Itziar Vergara, Isabel Larrañaga and Unai Martín, Desigualdades sociales en salud en población mayor: revisión de los indicadores empleados en España, Gaceta Sanitaria, 10.1016/j.gaceta.2018.11.002, (2019).
- Iván De-Rosende Celeiro, Sergio Santos-del-Riego and Javier Muñiz García, Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors, Disability and Health Journal, 10, 1, (145), (2017).
- André Hajek, Hans-Helmut König and Jerson Laks, Longitudinal Predictors of Functional Impairment in Older Adults in Europe – Evidence from the Survey of Health, Ageing and Retirement in Europe, PLOS ONE, 11, 1, (e0146967), (2016).
- Priscila Lucelia Moreira, Camila Renata Correa, José Eduardo Corrente, Luis Cuadrado Martin, Paulo Jose Fortes Villas Boas and Ana Lucia Anjos Ferreira, Anthropometric, functional capacity, and oxidative stress changes in Brazilian community-living elderly subjects. A longitudinal study, Archives of Gerontology and Geriatrics, 66, (140), (2016).
- Emerson Sebastião, Perceived poor health is positively associated with physical limitations and chronic diseases in Brazilian nonagenarians and centenarians, Geriatrics & Gerontology International, 16, 11, (1196-1203), (2015).
- Jorge González‐Zabaleta, Salvador Pita‐Fernandez, Teresa Seoane‐Pillado, Beatriz López‐Calviño and Jose Luis Gonzalez‐Zabaleta, Comorbidity as a predictor of mortality and mobility after hip fracture, Geriatrics & Gerontology International, 16, 5, (561-569), (2015).
