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Limitations in Activities of Daily Living in Community-Dwelling People Aged 75 and Over: A Systematic Literature Review of Risk and Protective Factors

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  • Anne van der Vorst
  • G A Rixt Zijlstra
  • Nico De Witte
  • Daan Duppen
  • Andreas E Stuck
  • Gertrudis I J M Kempen
  • Jos M G A Schols
  • on behalf of the D-SCOPE Consortium

Abstract

Background: Most older people wish to age in place, for which functional status or being able to perform activities of daily living (ADLs) is an important precondition. However, along with the substantial growth of the (oldest) old, the number of people who develop limitations in ADLs or have functional decline dramatically increases in this part of the population. Therefore, it is important to gain insight into factors that can contribute to developing intervention strategies at older ages. As a first step, this systematic review was conducted to identify risk and protective factors as predictors for developing limitations in ADLs in community-dwelling people aged 75 and over. Methods: Four electronic databases (CINAHL (EBSCO), EMBASE, PsycINFO and PubMed) were searched systematically for potentially relevant studies published between January 1998 and March 2016. Results: After a careful selection process, 6,910 studies were identified and 25 were included. By far most factors were examined in one study only, and most were considered risk factors. Several factors do not seem to be able to predict the development of limitations in ADLs in people aged 75 years and over, and for some factors ambiguous associations were found. The following risk factors were found in at least two studies: higher age, female gender, diabetes, hypertension, and stroke. A high level of physical activity and being married were protective in multiple studies. Notwithstanding the fact that research in people aged 65 years and over is more extensive, risk and protective factors seem to differ between the ‘younger’ and ‘older’ olds. Conclusion: Only a few risk and protective factors in community-dwelling people aged 75 years and over have been analysed in multiple studies. However, the identified factors could serve both detection and prevention purposes, and implications for future research are given as well.

Suggested Citation

  • Anne van der Vorst & G A Rixt Zijlstra & Nico De Witte & Daan Duppen & Andreas E Stuck & Gertrudis I J M Kempen & Jos M G A Schols & on behalf of the D-SCOPE Consortium, 2016. "Limitations in Activities of Daily Living in Community-Dwelling People Aged 75 and Over: A Systematic Literature Review of Risk and Protective Factors," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-18, October.
    • Handle: RePEc:plo:pone00:0165127
    DOI: 10.1371/journal.pone.0165127
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    References listed on IDEAS

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    1. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
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    1. Anna Marie Herghelegiu & André Moser & Gabriel Ioan Prada & Stephan Born & Matthias Wilhelm & Andreas E Stuck, 2017. "Effects of health risk assessment and counselling on physical activity in older people: A pragmatic randomised trial," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-16, July.

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