IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0146967.html

Longitudinal Predictors of Functional Impairment in Older Adults in Europe – Evidence from the Survey of Health, Ageing and Retirement in Europe

Author

Listed:
  • André Hajek
  • Hans-Helmut König

Abstract

Objective: To examine time-dependent predictors of functional impairment in older adults in Europe longitudinally. Methods: Data were derived from the Survey of Health Ageing, and Retirement in Europe (2004–2013). Functional impairment was assessed by using activities of daily living (ADL) and instrumental activities of daily living (IADL) indices. Fixed effects regressions were used to estimate the effects of sociodemographic factors (age, marital status, living situation, and income deciles (median split)), lifestyle factors (smoking status and alcohol consumption per week), depression, cognitive function and chronic diseases on the outcome variables. Results: Longitudinal regressions revealed that functional impairment increased significantly with age, the occurrence of depression, cognitive impairment, the number of chronic conditions, and less than daily alcohol consumption in the total sample and in both sexes. Moreover, the onset of smoking and living without a spouse/partner in household increased functional impairment in the total sample. The effect of depression on functional impairment was significantly more pronounced in men. Conclusion: Our findings highlight the relevance of changes in age, depression, cognitive function, smoking and chronic diseases for functional impairment. Since particularly depression and smoking may be avoidable, developing strategies to prevent depression or stop smoking might be useful approaches to postpone functional impairment in older adults.

Suggested Citation

  • André Hajek & Hans-Helmut König, 2016. "Longitudinal Predictors of Functional Impairment in Older Adults in Europe – Evidence from the Survey of Health, Ageing and Retirement in Europe," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0146967
    DOI: 10.1371/journal.pone.0146967
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146967
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0146967&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0146967?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Penninx, B.W.J.H. & Leveille, S. & Ferrucci, L. & Van Eijk, J.T.M. & Guralnik, J.M., 1999. "Exploring the effect of depression on physical disability: Longitudinal evidence from the established populations for epidemiologic studies of the elderly," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1346-1352.
    2. Kitty S. Chan & Judith D. Kasper & Jason Brandt & Liliana E. Pezzin, 2012. "Measurement Equivalence in ADL and IADL Difficulty Across International Surveys of Aging: Findings From the HRS, SHARE, and ELSA," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(1), pages 121-132.
    3. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    4. Robert B. Wallace & A. Regula Herzog, 1995. "Overview of the Health Measures in the Health and Retirement Study," Journal of Human Resources, University of Wisconsin Press, vol. 30, pages 84-107.
    5. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Berkers, Eline & Cloïn, Mariëlle & Pop, Ioana, 2021. "Informal help in a local setting: The Dutch Social Support Act in practice," Health Policy, Elsevier, vol. 125(1), pages 47-53.

    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. Ruth Hancock & Marcello Morciano & Stephen Pudney & Francesca Zantomio, 2015. "Do household surveys give a coherent view of disability benefit targeting?: a multisurvey latent variable analysis for the older population in Great Britain," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 178(4), pages 815-836, October.
    2. Diana Portela & Marta Almada & Luís Midão & Elísio Costa, 2020. "Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    3. Miller, Ray & Chin, Sayorn & Sedai, Ashish Kumar, 2022. "The welfare cost of late-life depression," Journal of Economic Behavior & Organization, Elsevier, vol. 204(C), pages 15-36.
    4. Mayerl, Hannes & Stolz, Erwin & Freidl, Wolfgang, 2020. "Frailty and depression: Reciprocal influences or common causes?," Social Science & Medicine, Elsevier, vol. 263(C).
    5. Weziak-Bialowolska, Dorota & Bialowolski, Piotr & Niemiec, Ryan M., 2021. "Being good, doing good: The role of honesty and integrity for health," Social Science & Medicine, Elsevier, vol. 291(C).
    6. Dorota Weziak-Bialowolska & Piotr Bialowolski, 2022. "Can adherence to moral standards and ethical behaviors help maintain a sense of purpose in life? Evidence from a longitudinal study of middle-aged and older adults," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-14, August.
    7. Sims, Katharine R.E. & Alix-Garcia, Jennifer M., 2017. "Parks versus PES: Evaluating direct and incentive-based land conservation in Mexico," Journal of Environmental Economics and Management, Elsevier, vol. 86(C), pages 8-28.
    8. Austin L. Wright, 2016. "Economic Shocks and Rebel," HiCN Working Papers 232, Households in Conflict Network.
    9. Marek Golinski & Dorota Baczkiewicz, 2021. "Analysis of Factors Influencing the Teamwork Competences of Managers Starting their Professional Career," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 2), pages 64-76.
    10. repec:osf:osfxxx:sw6kd_v1 is not listed on IDEAS
    11. Sharpe, Jamie & Bollinger, Christopher R., 2020. "Who competes with whom? Using occupation characteristics to estimate the impact of immigration on native wages," Labour Economics, Elsevier, vol. 66(C).
    12. Terence C. Cheng & Pravin K. Trivedi, 2015. "Attrition Bias in Panel Data: A Sheep in Wolf's Clothing? A Case Study Based on the Mabel Survey," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1101-1117, September.
    13. Glei, Dana A. & Weinstein, Maxine, 2023. "Economic distress, obesity, and the rise in pain," Social Science & Medicine, Elsevier, vol. 339(C).
    14. John Forth & Alex Bryson & Van Phan & Felix Ritchie & Carl Singleton & Lucy Stokes & Damian Whittard, 2026. "The Representativeness of the Annual Survey of Hours and Earnings and Its Implications for UK Wage Policy," British Journal of Industrial Relations, London School of Economics, vol. 64(1), pages 21-36, March.
    15. Escarce, José J. & Rocco, Lorenzo, 2018. "Immigration and the Health of Older Natives in Western Europe," GLO Discussion Paper Series 228, Global Labor Organization (GLO).
    16. Yuji Kanejima & Kazuhiro P. Izawa & Masahiro Kitamura & Kodai Ishihara & Asami Ogura & Ikko Kubo & Hitomi Nagashima & Hideto Tawa & Daisuke Matsumoto & Ikki Shimizu, 2022. "Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    17. Dimitrios Nikolaou & Laura M. Crispin, 2022. "Estimating the effects of sports and physical exercise on bullying," Contemporary Economic Policy, Western Economic Association International, vol. 40(2), pages 283-303, April.
    18. Eliasson, Kent & Hansson, Pär & Lindvert, Markus, 2018. "Decomposing value chains within Swedish multinationals," Working Papers 2018:9, Örebro University, School of Business.
    19. Sebastian Barfort & Nikolaj Harmon & Frederik Hjorth & Asmus Leth Olsen, 2015. "Dishonesty and Selection into Public Service in Denmark: Who Runs the World’s Least Corrupt Public Sector?," Discussion Papers 15-12, University of Copenhagen. Department of Economics.
    20. Asmussen, Katherine E. & Mondal, Aupal & Bhat, Chandra R., 2022. "Adoption of partially automated vehicle technology features and impacts on vehicle miles of travel (VMT)," Transportation Research Part A: Policy and Practice, Elsevier, vol. 158(C), pages 156-179.
    21. Arnaud Chevalier & Olivier Marie, 2013. "Economic Uncertainty, Parental Selection, and the Criminal Activity of the "Children of the Wall"," SOEPpapers on Multidisciplinary Panel Data Research 605, DIW Berlin, The German Socio-Economic Panel (SOEP).

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0146967. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.