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Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia

Introduction: The ability to perform daily living activities among the elderly is important, as physical disability may lead to dependency and various public health implications. This study aimed to determine the prevalence of instrumental activities of daily living (IADL) disability and its associ...

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Main Authors: Murat, Muhammad Faizal, Ibrahim, Zuriati, Adznam, Siti Nur ‘Asyura, Chan, Yoke Mun
Format: Article
Language:English
Published: Nutrition Society of Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/81822/1/Prevalence%20and%20determinants%20of%20instrumental%20activities%20of%20daily%20living%20%28IADL%29%20disability%20among%20community%20dwelling%20elderly%20in%20a%20semi-urban%20setting%20in%20Peninsular%20Malaysia.pdf
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spelling oai:psasir.upm.edu.my:81822 http://psasir.upm.edu.my/id/eprint/81822/ Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia Murat, Muhammad Faizal Ibrahim, Zuriati Adznam, Siti Nur ‘Asyura Chan, Yoke Mun Introduction: The ability to perform daily living activities among the elderly is important, as physical disability may lead to dependency and various public health implications. This study aimed to determine the prevalence of instrumental activities of daily living (IADL) disability and its association with socio-demographic characteristics, dietary intake, social participation, perceived-health-status and risk of falls. Methods: This cross-sectional study was conducted among community based elderly in the Gombak District of Selangor. 258 respondents aged 60-88 years old (mean age 66±6.5 years) were recruited through multi-stage proportional sampling. Most of the respondents (88.4%) aged 60-74 years and 11.6% were ≥75 years. IADL disability was determined using an eight-item IADL scale. The presence of IADL disability was defined as needing help in at least one or more of eight-IADL activities. Dietary intake and fall risk were assessed using diet history questionnaire (DHQ) and 21-item fall risk index (FRI-21), respectively. Results: The prevalence of IADL disability among the respondents was 58.1%. A binary logistic regression analyses showed that the following factors predicted IADL disability: advanced age (≥75 years, OR=6.4; 95% CI: 1.3, 30.8), being unmarried (OR=2.5; 95% CI: 1.1, 5.9), unemployed/retired (OR=2.3; 95% CI: 1.2, 4.3), and at risk of falls (OR=2.5; 95% CI: 1.3, 6.1). Conclusion: Predictors such as marriage and employment highlight the importance of social support among elderly. In practical terms, this means that it is incumbent upon caregivers, family members, and the community to provide both physical and emotional support if the functional status of the elderly is to be improved. Nutrition Society of Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/81822/1/Prevalence%20and%20determinants%20of%20instrumental%20activities%20of%20daily%20living%20%28IADL%29%20disability%20among%20community%20dwelling%20elderly%20in%20a%20semi-urban%20setting%20in%20Peninsular%20Malaysia.pdf Murat, Muhammad Faizal and Ibrahim, Zuriati and Adznam, Siti Nur ‘Asyura and Chan, Yoke Mun (2019) Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia. Malaysian Journal of Nutrition, 25 (1). pp. 13-25. ISSN 1394-035X https://nutriweb.org.my/mjn/publication/25-1/b.pdf 10.31246/mjn-2018-0142
institution UPM IR
collection UPM IR
language English
description Introduction: The ability to perform daily living activities among the elderly is important, as physical disability may lead to dependency and various public health implications. This study aimed to determine the prevalence of instrumental activities of daily living (IADL) disability and its association with socio-demographic characteristics, dietary intake, social participation, perceived-health-status and risk of falls. Methods: This cross-sectional study was conducted among community based elderly in the Gombak District of Selangor. 258 respondents aged 60-88 years old (mean age 66±6.5 years) were recruited through multi-stage proportional sampling. Most of the respondents (88.4%) aged 60-74 years and 11.6% were ≥75 years. IADL disability was determined using an eight-item IADL scale. The presence of IADL disability was defined as needing help in at least one or more of eight-IADL activities. Dietary intake and fall risk were assessed using diet history questionnaire (DHQ) and 21-item fall risk index (FRI-21), respectively. Results: The prevalence of IADL disability among the respondents was 58.1%. A binary logistic regression analyses showed that the following factors predicted IADL disability: advanced age (≥75 years, OR=6.4; 95% CI: 1.3, 30.8), being unmarried (OR=2.5; 95% CI: 1.1, 5.9), unemployed/retired (OR=2.3; 95% CI: 1.2, 4.3), and at risk of falls (OR=2.5; 95% CI: 1.3, 6.1). Conclusion: Predictors such as marriage and employment highlight the importance of social support among elderly. In practical terms, this means that it is incumbent upon caregivers, family members, and the community to provide both physical and emotional support if the functional status of the elderly is to be improved.
format Article
author Murat, Muhammad Faizal
Ibrahim, Zuriati
Adznam, Siti Nur ‘Asyura
Chan, Yoke Mun
spellingShingle Murat, Muhammad Faizal
Ibrahim, Zuriati
Adznam, Siti Nur ‘Asyura
Chan, Yoke Mun
Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
author_facet Murat, Muhammad Faizal
Ibrahim, Zuriati
Adznam, Siti Nur ‘Asyura
Chan, Yoke Mun
author_sort Murat, Muhammad Faizal
title Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
title_short Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
title_full Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
title_fullStr Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
title_full_unstemmed Prevalence and determinants of instrumental activities of daily living (IADL) disability among community dwelling elderly in a semi-urban setting in Peninsular Malaysia
title_sort prevalence and determinants of instrumental activities of daily living (iadl) disability among community dwelling elderly in a semi-urban setting in peninsular malaysia
publisher Nutrition Society of Malaysia
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/81822/1/Prevalence%20and%20determinants%20of%20instrumental%20activities%20of%20daily%20living%20%28IADL%29%20disability%20among%20community%20dwelling%20elderly%20in%20a%20semi-urban%20setting%20in%20Peninsular%20Malaysia.pdf
_version_ 1698904882008817664
score 12.907076

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