IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i18p9641-d634609.html
   My bibliography  Save this article

Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study

Author

Listed:
  • Takuhiro Okabe

    (Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan)

  • Makoto Suzuki

    (Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan)

  • Naoki Iso

    (Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, 2-15-1 Inariyama, Sayama 350-1398, Japan)

  • Koji Tanaka

    (Graduate School of Health Sciences, Gunma University, 3-39-22, Showamachi, Maebashi 371-8514, Japan)

  • Akira Sagari

    (Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinshu University, 3-1-1, Asahi, Matsumoto 390-8621, Japan)

  • Hironori Miyata

    (Department of Rehabilitation, Division of Occupational Therapy, Faculty of Health Science, Kumamoto Health Science University, 325, Izumimachi, Kita-ku, Kumamoto 861-5598, Japan)

  • Gwanghee Han

    (Department of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan)

  • Michio Maruta

    (Department of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, 3-95, Masagohonmachi, Kagoshima 890-0067, Japan)

  • Takayuki Tabira

    (Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan)

  • Masahiro Kawagoe

    (Graduate Course of Health and Social Services, Saitama Prefectural University, 820, Sannomiya, Koshigaya 343-8540, Japan)

Abstract

This study aimed to clarify the variability in the independence profiles of specific activities of daily living (ADL) among older men and women. The research subjects were 5872 older adults (1143 men and 4729 women) certified as requiring nursing care or support (based on data obtained from the nursing care insurance certification survey database) who could be surveyed in both 2009 and 2018. Using item response theory, this study compared longitudinal data of difficulties faced by older adults during ADL. The results indicated that among the long-term care insurance-certified persons, in 2009, men had higher ADL difficulty than women in all ADL items, and in 2018, there was no significant difference in items other than dressing and excretion. Furthermore, the difference in the rate of ADL difficulty level over 9 years was significantly higher in women than in men. It was shown that the progression of ADL disability due to aging is faster in men on a yearly basis, but it increases in women with aging. Therefore, it was suggested that the rate of ADL difficulty varies depending on age and sex.

Suggested Citation

  • Takuhiro Okabe & Makoto Suzuki & Naoki Iso & Koji Tanaka & Akira Sagari & Hironori Miyata & Gwanghee Han & Michio Maruta & Takayuki Tabira & Masahiro Kawagoe, 2021. "Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9641-:d:634609
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/18/9641/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/18/9641/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Michio Maruta & Takayuki Tabira & Hyuma Makizako & Akira Sagari & Hironori Miyata & Koji Yoshimitsu & Gwanghee Han & Kazuhiro Yoshiura & Masahiro Kawagoe, 2019. "Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospect," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    2. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    3. Dunlop, D.D. & Hughes, S.L. & Manheim, L.M., 1997. "Disability in activities of daily living: Patterns of change and a hierarchy of disability," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 378-383.
    4. James W. Vaupel, 2010. "Biodemography of human ageing," Nature, Nature, vol. 464(7288), pages 536-542, March.
    5. Andrew Kingston & Joanna Collerton & Karen Davies & John Bond & Louise Robinson & Carol Jagger, 2012. "Losing the Ability in Activities of Daily Living in the Oldest Old: A Hierarchic Disability Scale from the Newcastle 85+ Study," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-7, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elizabeth G Wloch & Diana Kuh & Rachel Cooper, 2016. "Is the Hierarchy of Loss in Functional Ability Evident in Midlife? Findings from a British Birth Cohort," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-13, May.
    2. Thomas Leoni, 2011. "Fehlzeitenreport 2011. Krankheits- und unfallbedingte Fehlzeiten in Österreich," WIFO Studies, WIFO, number 42691, April.
    3. Sophie Le Cœur & Aline Desesquelles & Elisabeth Morand & Cheeraya Kanabkaew & Éva Lelièvre, 2017. "Self-rated Health among HIV-infected People Receiving Treatments in Thailand," Asian Social Science, Canadian Center of Science and Education, vol. 13(1), pages 1-20, January.
    4. Edouard Debonneuil & Anne Eyraud-Loisel & Frédéric Planchet, 2017. "Conditions Of Interest Of A Longevity Megafund For Pension Funds," Working Papers hal-01571937, HAL.
    5. Quitterie Roquebert & Jonathan Sicsic & Thomas Rapp, 2021. "Health measures and long-term care use in the European frail population," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(3), pages 405-423, April.
    6. D. Dragone & H. Strulik, 2017. "Human Health and Aging over an Infinite Time Horizon," Working Papers wp1104, Dipartimento Scienze Economiche, Universita' di Bologna.
    7. Clémence Kieny & Gabriela Flores & Jürgen Maurer, 2021. "Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world," Review of Economics of the Household, Springer, vol. 19(1), pages 189-221, March.
    8. Pedro Albarran Pérez & Marisa Hidalgo Hidalgo & Iñigo Iturbe-Ormaetxe Kortajarene, 2017. "Schooling and adult health: Can education overcome bad early-life conditions?," Working Papers. Serie AD 2017-09, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
    9. Andrea M. Mühlenweg & Franz G. Westermaier & Brant Morefield, 2016. "Parental health and child behavior: evidence from parental health shocks," Review of Economics of the Household, Springer, vol. 14(3), pages 577-598, September.
    10. Strulik, Holger, 2023. "Hooked on weight control: An economic theory of anorexia nervosa and its impact on health and longevity," Journal of Health Economics, Elsevier, vol. 88(C).
    11. Nicole L. Van Der Gaag & Govert Bijwaard & Joop de Beer & Luc Bonneux, 2015. "A multistate model to project elderly disability in case of limited data," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(3), pages 75-106.
    12. Melinda Heinz & Nicholas Cone & Grace Da Rosa & Alex J. Bishop & Tanya Finchum, 2017. "Examining Supportive Evidence for Psychosocial Theories of Aging within the Oral History Narratives of Centenarians," Societies, MDPI, vol. 7(2), pages 1-21, April.
    13. Duncan Gillespie & Meredith Trotter & Shripad Tuljapurkar, 2014. "Divergence in Age Patterns of Mortality Change Drives International Divergence in Lifespan Inequality," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 1003-1017, June.
    14. Nabanita Datta Gupta & Mona Larsen, 2010. "The impact of health on individual retirement plans: self‐reported versus diagnostic measures," Health Economics, John Wiley & Sons, Ltd., vol. 19(7), pages 792-813, July.
    15. Gregorio Gimenez & Ana Isabel Gil-Lacruz & Marta Gil-Lacruz, 2021. "Is Happiness Linked to Subjective Life Expectancy? A Study of Chilean Senior Citizens," Mathematics, MDPI, vol. 9(17), pages 1-12, August.
    16. Tansel, Aysit & Karaoglan, Deniz, 2014. "Health behaviors and education in Turkey," MPRA Paper 57322, University Library of Munich, Germany, revised 15 Jul 2014.
    17. Kashnitsky, Ilya, 2017. "A cohort is not representative of humanity," OSF Preprints 524kg, Center for Open Science.
    18. Timothy J. Halliday, 2008. "Heterogeneity, state dependence and health," Econometrics Journal, Royal Economic Society, vol. 11(3), pages 499-516, November.
    19. Edouard Debonneuil & Anne Eyraud-Loisel & Frédéric Planchet, 2018. "Can Pension Funds Partially Manage Longevity Risk by Investing in a Longevity Megafund?," Risks, MDPI, vol. 6(3), pages 1-27, July.
    20. Cally Ardington & Anne Case & Mahnaz Islam & David Lam & Murray Leibbrandt & Alicia Menendez & Analia Olgiati, 2009. "The impact of AIDS on intergenerational support in South Africa: Evidence from the Cape Area Panel Study," SALDRU Working Papers 27, Southern Africa Labour and Development Research Unit, University of Cape Town.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9641-:d:634609. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.