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Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 159-163

Functional status and its predictor among elderly population in a hilly state of North India

1 Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
Deepak Sharma
School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-344X.138593

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Background: Functional status can be conceptualized as an individual's ability to manage activities related to personal self-care and self-maintenance. Functional status assessment is fundamental aspect of geriatric examination. This assessment helps clinicians and policymakers to design and implement interventions that help elderly to live safely and independently. Aims and Objectives: The primary aim was to assess the prevalence of limitation in activities of daily living (ADL) and instrumental ADL (IADL) among elderly population. The secondary aim was to identify the factors that predict IADL limitation among them. Materials and Methods: A total of 400 community dwelling elderly persons residing in Shimla hills of North India were interviewed using valid and reliable functional assessment scales namely Katz ADL and Lawton and Brody IADL. Statistical procedures for the analyses included descriptive statistics and logistic regression. Results: The prevalence of ADL and IADL activity limitation was 5.5% (22/400) and 21.8% (87/400), respectively. The results of logistic regression analysis revealed that advancing age (70 years and above), poor self-rated health and ailments namely musculoskeletal problems and cataract significantly predict functional limitation. Conclusions and Recommendation: Elderly having musculoskeletal problems should be provided with rehabilitative support in the community settings. Cataract surgeries patients should be identified and operated upon so as to improve visual functioning and thus their functional ability. Further, cities, towns, and rural areas should be made age-friendly.

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