Losing the ability in activities of daily living in the oldest old: a hierarchic disability scale from the Newcastle 85+ study.
Losing the ability in activities of daily living in the oldest old: a hierarchic disability scale from the Newcastle 85+ study.
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DOI：
10.1371/journal.pone.0031665
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Jagger C
中科院分区：
文献类型：
--
作者：
Kingston A;Collerton J;Davies K;Bond J;Robinson L;Jagger C
调查85岁奥尔兹在进行广泛的日常活动（包括基本个人护理、家庭护理和行动能力）方面出现困难的顺序。队列研究基线数据的横断面分析。英国泰恩河畔纽卡斯尔和北泰恩赛德。1921年出生的个人，在参加的全科诊所登记。详细的健康评估，包括与基本个人护理、家庭护理和行动能力有关的17项日常生活活动。问题的形式是“你能......”而不是“你能......”主成分分析（PCA）被用来确认一个单一的基本维度的项目和Mokken缩放被用来确定随后的层次结构。等级量表的有效性通过其与已知残疾预测因子的相关性进行评估。纽卡斯尔85岁以上研究中的839名受试者，其自我报告的日常生活活动（ADL）信息完整。PCA确认了一个单一的基本维度; Mokken缩放确认了一个分层尺度，其中“剪脚趾甲”是参与者遇到困难的第一个项目，“喂养”是最后一个。男人和女人之间的损失顺序不同。女性较早报告了“购物”和“繁重家务”的困难，而男性则报告了“步行400码”的困难。项目形成集群对应的力量，平衡，下，上半身参与和领域的平衡和上/下肢功能完整性特别需要。这项对85奥尔兹老年人活动能力排序的全面调查将为评估老年人残疾发作和后续护理需求的研究人员和从业人员提供信息。
To investigate the order in which 85 year olds develop difficulty in performing a wide range of daily activities covering basic personal care, household care and mobility. Cross-sectional analysis of baseline data from a cohort study. Newcastle upon Tyne and North Tyneside, UK. Individuals born in 1921, registered with participating general practices. Detailed health assessment including 17 activities of daily living related to basic personal care, household care and mobility. Questions were of the form ‘Can you …’ rather than ‘Do you…’ Principal Component Analysis (PCA) was used to confirm a single underlying dimension for the items and Mokken Scaling was used to determine a subsequent hierarchy. Validity of the hierarchical scale was assessed by its associations with known predictors of disability. 839 people within the Newcastle 85+ study for whom complete information was available on self-reported Activities of Daily Living (ADL). PCA confirmed a single underlying dimension; Mokken scaling confirmed a hierarchic scale where ‘Cutting toenails’ was the first item with which participants had difficulty and ‘feeding’ the last. The ordering of loss differed between men and women. Difficulty with ‘shopping’ and ‘heavy housework’ were reported earlier by women whilst men reported ‘walking 400 yards’ earlier. Items formed clusters corresponding to strength, balance, lower and upper body involvement and domains specifically required for balance and upper/lower limb functional integrity. This comprehensive investigation of ordering of ability in activities in 85 year olds will inform researchers and practitioners assessing older people for onset of disability and subsequent care needs.
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影响因子：
7
作者：
Molloy, D W;Standish, T I
通讯作者：
Standish, T I
影响因子：
5.7
作者：
Glass, TA
通讯作者：
Glass, TA
影响因子：
5.4
作者：
VERBRUGGE, LM;JETTE, AM
通讯作者：
JETTE, AM
DOI：
10.1093/gerona/56.10.m638
发表时间：
2001-10-01
影响因子：
5.1
作者：
Njegovan, V;Man-Son-Hing, M;Molnar, FJ
通讯作者：
Molnar, FJ
DOI：
10.1111/j.1532-5415.1991.tb01616.x
发表时间：
1991-02-01
影响因子：
6.3
作者：
PODSIADLO, D;RICHARDSON, S
通讯作者：
RICHARDSON, S