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The Relation of Hypertension to Changes in ADL/IADL Limitations of Mexican American Older Adults

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  • Grace I. L. Caskie
  • MaryAnn C. Sutton
  • Jennifer A. Margrett

Abstract

Hypertension, highly prevalent and often undiagnosed among older Mexican Americans, is associated with greater limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that can lead to greater dependency for older adults. Using data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly study, the rate of increase in ADL/IADL limitations for a 7-year period was examined for 3,046 older Mexican Americans classified either as reporting hypertension at baseline, first reporting hypertension at subsequent waves, or never reporting hypertension. Latent growth models indicated increased ADL/IADL limitations over time; individuals with hypertension evidenced greater increases than those without hypertension. Age, comorbidities, and depression were positively related to greater ADL/IADL limitations at baseline for all groups; only age was consistently related to ADL/IADL change over time. Development of hypertension may increase the risk of ADL/IADL decline, but early diagnosis and treatment may attenuate this effect. Copyright 2010, Oxford University Press.

Suggested Citation

  • Grace I. L. Caskie & MaryAnn C. Sutton & Jennifer A. Margrett, 2010. "The Relation of Hypertension to Changes in ADL/IADL Limitations of Mexican American Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(3), pages 296-305.
    • Handle: RePEc:oup:geronb:v:65b:y:2010:i:3:p:296-305
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    File URL: http://hdl.handle.net/10.1093/geronb/gbq001
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    1. Chen, Cynthia & Lim, Jue Tao & Chia, Ngee Choon & Wang, Lijia & Tysinger, Bryan & Zissimopoulos, Julie & Chong, Ming Zhe & Wang, Zhe & Koh, Gerald Choon Huat & Yuan, Jian-Min & Tan, Kelvin Bryan & Chi, 2019. "The long-term impact of functional disability on hospitalization spending in Singapore," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    2. Marc A. Garcia & Chi-Tsun Chiu, 2016. "Age at migration and disability-free life expectancy among the elder Mexican-origin population," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(51), pages 1523-1536.
    3. Wei Chen & Ya Fang & Fanzhen Mao & Shichao Hao & Junze Chen & Manqiong Yuan & Yaofeng Han & Y Alicia Hong, 2015. "Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
    4. Shubhankar Sharma & Jo M. Hale & Mikko Myrskylä & Hill Kulu, 2022. "Disparities in the population burden of joint cognitive and physical impairment in the US, 1998-2016," MPIDR Working Papers WP-2022-001, Max Planck Institute for Demographic Research, Rostock, Germany.

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