Functional Limitation and Dependency in Older Persons and Their Relationship with Depressive Symptoms

Nik Adilah Shahein, Nur Azna Mahmud, Norzawati Yoep, Faizah Paiwai, Nor Asiah Muhamad, Mohamad Aznuddin Abd Razak, Noor Ani Ahmad, Rajini Sooryanarayana, Fazly Azry Abdul Aziz, Nor’Ain Ab Wahab, Rasidah Jamaluddin: Functional Limitation and Dependency in Older Persons and Their Relationship with Depressive Symptoms. 2019, (Type: POSTER PRESENTATION; Organisation: Institute for Public Health, Ministry of Health Malaysia).

Abstract

INTRODUCTION: As society ages, older persons may be more dependent and experience functional decline which could be aggravated by other underlying conditions such as having depressive symptoms. This study will look at the prevalence of functional limitations and its relationship with depressive symptoms. METHODS: Data was obtained from the National Health Morbidity Survey (NHMS) 2018, a cross-sectional survey on older persons. Data was collected using face to face interview with validated tools namely Barthel’s index of activity of daily living (ADL) and Lawton’s scale for instrumental of daily living (IADL) to assess the respondents’ functional ability; and Geriatric Depression Scale (GDS) to assess depressive symptoms. Data analysed using descriptive and simple logistic regression. RESULTS: The overall prevalence of limitations in ADL among older persons was 17% and IADL was 42.9%. Those who are female, living in urban area, not living alone and those with a spouse has a higher prevalence of functional limitation and dependence compared to their counterparts. The prevalence of limitation in ADL among older persons with depressive symptoms was 32.3% (95%CI: 26.4, 38.9) and in IADL was 18.2% (95%CI: 14.9, 21.9). Older persons with depressive symptoms have 4.5 times odds of having limitations in ADL (OR:4.53; 95%CI: 3.67, 5.6) and three times odds of having impairment in IADL (OR:3.01; 95%CI: 2.45, 3,70) DISCUSSION: Functional limitation and dependency should be identified especially among older persons with depressive symptoms. Early detection is vital in order to provide necessary support to prevent further decline and improve quality of life.

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    @proceedings{APCPH-2019-178,
title = {Functional Limitation and Dependency in Older Persons and Their Relationship with Depressive Symptoms},
author = {Nik Adilah Shahein and Nur Azna Mahmud and Norzawati Yoep and Faizah Paiwai and Nor Asiah Muhamad and Mohamad Aznuddin Abd Razak and Noor Ani Ahmad and Rajini Sooryanarayana and Fazly Azry Abdul Aziz and Nor’Ain Ab Wahab and Rasidah Jamaluddin},
year  = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: As society ages, older persons may be more dependent and experience functional decline which could be aggravated by other underlying conditions such as having depressive symptoms. This study will look at the prevalence of functional limitations and its relationship with depressive symptoms. METHODS: Data was obtained from the National Health Morbidity Survey (NHMS) 2018, a cross-sectional survey on older persons. Data was collected using face to face interview with validated tools namely Barthel’s index of activity of daily living (ADL) and Lawton’s scale for instrumental of daily living (IADL) to assess the respondents’ functional ability; and Geriatric Depression Scale (GDS) to assess depressive symptoms. Data analysed using descriptive and simple logistic regression. RESULTS: The overall prevalence of limitations in ADL among older persons was 17% and IADL was 42.9%. Those who are female, living in urban area, not living alone and those with a spouse has a higher prevalence of functional limitation and dependence compared to their counterparts. The prevalence of limitation in ADL among older persons with depressive symptoms was 32.3% (95%CI: 26.4, 38.9) and in IADL was 18.2% (95%CI: 14.9, 21.9). Older persons with depressive symptoms have 4.5 times odds of having limitations in ADL (OR:4.53; 95%CI: 3.67, 5.6) and three times odds of having impairment in IADL (OR:3.01; 95%CI: 2.45, 3,70) DISCUSSION: Functional limitation and dependency should be identified especially among older persons with depressive symptoms. Early detection is vital in order to provide necessary support to prevent further decline and improve quality of life.},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Public Health, Ministry of Health Malaysia},
keywords = {Activity daily living, Depression, Elderly, Functional limitation},
pubstate = {published},
tppubtype = {proceedings}
}