The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People.
Identifieur interne : 000092 ( Main/Exploration ); précédent : 000091; suivant : 000093The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People.
Auteurs : Robbert J J. Gobbens [Pays-Bas, Belgique] ; Tjeerd Van Der Ploeg [Pays-Bas]Source :
- Clinical interventions in aging [ 1178-1998 ] ; 2020.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (psychologie), Autorapport (MeSH), Enquêtes et questionnaires (MeSH), Ethnies (statistiques et données numériques), Femelle (MeSH), Fragilité (mortalité), Humains (MeSH), Modèles des risques proportionnels (MeSH), Mâle (MeSH), Pays-Bas (MeSH), Personnes handicapées (statistiques et données numériques), Qualité de vie (psychologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vie autonome (statistiques et données numériques), Études longitudinales (MeSH), Évaluation de l'invalidité (MeSH).
- MESH :
- mortalité : Fragilité.
- psychologie : Activités de la vie quotidienne, Qualité de vie.
- statistiques et données numériques : Ethnies, Personnes handicapées, Vie autonome.
- Autorapport, Enquêtes et questionnaires, Femelle, Humains, Modèles des risques proportionnels, Mâle, Pays-Bas, Sujet âgé, Sujet âgé de 80 ans ou plus, Études longitudinales, Évaluation de l'invalidité.
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Activities of Daily Living (psychology), Aged (MeSH), Aged, 80 and over (MeSH), Disability Evaluation (MeSH), Disabled Persons (statistics & numerical data), Ethnic Groups (statistics & numerical data), Female (MeSH), Frailty (mortality), Humans (MeSH), Independent Living (statistics & numerical data), Longitudinal Studies (MeSH), Male (MeSH), Netherlands (MeSH), Proportional Hazards Models (MeSH), Quality of Life (psychology), Self Report (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : Netherlands.
- mortality : Frailty.
- psychology : Activities of Daily Living, Quality of Life.
- statistics & numerical data : Disabled Persons, Ethnic Groups, Independent Living.
- Aged, Aged, 80 and over, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Proportional Hazards Models, Self Report, Surveys and Questionnaires.
Abstract
Objective
To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older.
Methods
A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan-Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI).
Results
All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values <0.001, respectively. The AUCs were <0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only "Do the shopping" predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item "Get around in the house" and the IADL item "Do the shopping" significantly predicted mortality.
Conclusion
Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.
DOI: 10.2147/CIA.S271800
PubMed: 33116444
PubMed Central: PMC7547136
Affiliations:
- Belgique, Pays-Bas
- Hollande-Septentrionale, Province d'Anvers, Région flamande
- Amsterdam, Anvers
- Université d'Anvers
Links toward previous steps (curation, corpus...)
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Gobbens</name><affiliation wicri:level="3"><nlm:affiliation>Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Zonnehuisgroep Amstelland, Amstelveen, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Zonnehuisgroep Amstelland, Amstelveen</wicri:regionArea><wicri:noRegion>Amstelveen</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Van Der Ploeg, Tjeerd" sort="Van Der Ploeg, Tjeerd" uniqKey="Van Der Ploeg T" first="Tjeerd" last="Van Der Ploeg">Tjeerd Van Der Ploeg</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Engineering, Design and Computer Technology, Inholland University of Applied Sciences, Alkmaar, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Faculty of Engineering, Design and Computer Technology, Inholland University of Applied Sciences, Alkmaar</wicri:regionArea><wicri:noRegion>Alkmaar</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical interventions in aging</title><idno type="eISSN">1178-1998</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (psychology)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Disability Evaluation (MeSH)</term><term>Disabled Persons (statistics & numerical data)</term><term>Ethnic Groups (statistics & numerical data)</term><term>Female (MeSH)</term><term>Frailty (mortality)</term><term>Humans (MeSH)</term><term>Independent Living (statistics & numerical data)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Netherlands (MeSH)</term><term>Proportional Hazards Models (MeSH)</term><term>Quality of Life (psychology)</term><term>Self Report (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (psychologie)</term><term>Autorapport (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Ethnies (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Fragilité (mortalité)</term><term>Humains (MeSH)</term><term>Modèles des risques proportionnels (MeSH)</term><term>Mâle (MeSH)</term><term>Pays-Bas (MeSH)</term><term>Personnes handicapées (statistiques et données numériques)</term><term>Qualité de vie (psychologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vie autonome (statistiques et données numériques)</term><term>Études longitudinales (MeSH)</term><term>Évaluation de l'invalidité (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Frailty</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Fragilité</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Qualité de vie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Activities of Daily Living</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Disabled Persons</term><term>Ethnic Groups</term><term>Independent Living</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Ethnies</term><term>Personnes handicapées</term><term>Vie autonome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Proportional Hazards Models</term><term>Self Report</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Autorapport</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Modèles des risques proportionnels</term><term>Mâle</term><term>Pays-Bas</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études longitudinales</term><term>Évaluation de l'invalidité</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Objective</b></p><p>To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan-Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI).</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values <0.001, respectively. The AUCs were <0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only "Do the shopping" predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item "Get around in the house" and the IADL item "Do the shopping" significantly predicted mortality.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">33116444</PMID><DateCompleted><Year>2021</Year><Month>02</Month><Day>22</Day></DateCompleted><DateRevised><Year>2021</Year><Month>02</Month><Day>22</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1178-1998</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Clinical interventions in aging</Title><ISOAbbreviation>Clin Interv Aging</ISOAbbreviation></Journal><ArticleTitle>The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People.</ArticleTitle><Pagination><MedlinePgn>1897-1906</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/CIA.S271800</ELocationID><Abstract><AbstractText Label="Objective" NlmCategory="UNASSIGNED">To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan-Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI).</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values <0.001, respectively. The AUCs were <0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only "Do the shopping" predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item "Get around in the house" and the IADL item "Do the shopping" significantly predicted mortality.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.</AbstractText><CopyrightInformation>© 2020 Gobbens and van der Ploeg.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gobbens</LastName><ForeName>Robbert J J</ForeName><Initials>RJJ</Initials><Identifier Source="ORCID">0000-0001-6225-5189</Identifier><AffiliationInfo><Affiliation>Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Zonnehuisgroep Amstelland, Amstelveen, the Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Ploeg</LastName><ForeName>Tjeerd</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Faculty of Engineering, Design and Computer Technology, Inholland University of Applied Sciences, Alkmaar, the Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>10</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Clin Interv Aging</MedlineTA><NlmUniqueID>101273480</NlmUniqueID><ISSNLinking>1176-9092</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="Y">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005006" MajorTopicYN="N">Ethnic Groups</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073496" MajorTopicYN="N">Frailty</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057187" MajorTopicYN="N">Independent Living</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">activities of daily living</Keyword><Keyword MajorTopicYN="N">community-dwelling older people</Keyword><Keyword MajorTopicYN="N">disability</Keyword><Keyword MajorTopicYN="N">mortality</Keyword></KeywordList><CoiStatement>The authors report no conflicts of interest for this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>10</Month><Day>29</Day><Hour>5</Hour><Minute>48</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>10</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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uniqKey="Gobbens R" first="Robbert J J" last="Gobbens">Robbert J J. Gobbens</name></region><name sortKey="Gobbens, Robbert J J" sort="Gobbens, Robbert J J" uniqKey="Gobbens R" first="Robbert J J" last="Gobbens">Robbert J J. Gobbens</name><name sortKey="Van Der Ploeg, Tjeerd" sort="Van Der Ploeg, Tjeerd" uniqKey="Van Der Ploeg T" first="Tjeerd" last="Van Der Ploeg">Tjeerd Van Der Ploeg</name></country><country name="Belgique"><region name="Région flamande"><name sortKey="Gobbens, Robbert J J" sort="Gobbens, Robbert J J" uniqKey="Gobbens R" first="Robbert J J" last="Gobbens">Robbert J J. Gobbens</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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