Katz' ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly
Katz' ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly
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DOI：
10.1016/j.jclinepi.2006.02.022
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发表时间：
2007-04-01
影响因子：
7.2
通讯作者：
Dijkshoorn, Henriette
中科院分区：
文献类型：
--
作者：
Reijneveld, Sijmen A.;Spijker, Jannie;Dijkshoorn, Henriette
背景和目的：我们研究了在日常生活活动（ADL）中遇到的自我报告限制的可靠性和有效性，作为衡量功能表现的指标，为土耳其，摩洛哥和荷兰土著老年人在荷兰。我们获得了304名荷兰人，330名土耳其人，结果：Katz' ADL指数显示各民族的内分泌功能均较好（Cronbach' salphas：0.84-0.94）。关于有效性，ADL指数显示与相关结局的相关性相对较强，即长期活动受限和SF-36身体功能（等级相关性：分别为0.64和-0.60）。与更多的一般健康结果，慢性疾病的数量，流行病学中心抑郁量表症状和SF-36角色表现的关联较弱，正如预期的那样。协会比土著荷兰老年人SF-36的结果和抑郁symptoms.Conclusion：Katz的ADL指数是有效的，以评估土耳其，摩洛哥和荷兰的老年人的功能表现，但与摩洛哥老年人的比较应谨慎处理。这些发现的解释及其对其他民族的普遍性值得进一步研究。(C)2007年爱思唯尔公司All rights reserved.
Background and Objective: We examined the reliability and validity of self-reported limitations encountered in the activities of daily living (ADL) as measure of functional performance, for Turkish, Moroccan, and indigenous Dutch elderly in the Netherlands.Methods: We obtained data on self-reported ADL measured by Katz' ADL index and on five related health outcomes among a general population sample of 304 Dutch, 330 Turkish, and 299 Moroccan respondents aged 55-74 years, in Amsterdam, the Netherlands (response: 60%).Results: Katz' ADL index demonstrated good internal consistencies for each ethnic group (Cronbach's alphas: 0.84-0.94). Regarding validity, the ADL index showed relatively strong associations with related outcomes, that is, long-term limitations in mobility and SF-36 physical functioning (rank correlations: 0.64 and -0.60, respectively). Associations with more general health outcomes, number of chronic disorders, Center for Epidemiologic Studies-Depression scale symptoms, and SF-36 role performance were weaker, as expected. Associations were stronger for Moroccans than for indigenous Dutch elderly regarding both SF-36 outcomes and depressive symptoms.Conclusion: Katz' ADL index is valid to assess functional performance of Turkish, Moroccan, and Dutch elderly, but comparisons with Moroccan elderly should be handled with caution. The explanation of these findings and their generalizability to other ethnic groups deserve further study. (C) 2007 Elsevier Inc. All rights reserved.