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Recovery in instrumental activities of daily living (IADLs): Findings from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS)

Seidel, David; Jagger, Carol; Brayne, Carol; Matthews, Fiona E.

Authors

David Seidel

Carol Jagger

Carol Brayne



Abstract

Objective: to provide evidence for predictors of recovery in instrumental activities of daily living (IADLs) among disabled older people living in the community. Design: MRC CFAS recruited a sample of 13,004 individuals aged 65 years and above from five communities in the UK. Participants underwent a baseline interview between 1990 and 1994 and were re-assessed 2 years later. Participants: the participants who reported that they were unable to perform any IADL without difficulty or help at baseline ('disabled') were included in the analysis. Methods: logistic regression was used toestimate odds ratios (OR) for improvement from disabled to non-disabled state at follow-up ('recovery'). Results: at baseline, 50% reported disability of whom 9% reported independent function at follow-up. Women (OR = 0.4) and participants aged ≥75 years (OR = 0.2) were least likely to recover, followed by those with poor self-rated health (OR = 0.5), using at least one medication (OR = 0.6) and having more than or equal to two co-morbidities (OR = 0.6). Conclusion: a minority of participants reporting disability at baseline then reported independent function at 2 years. It may be important to focus on those who seem least likely to recover once they have become disabled. Several factors that have been shown to increase the risk of disability were inversely associated with recovery, suggesting that intervention programmes could target these same factors. © The Author 2009. Published by Oxford University Press [on behalf of the British Geriatrics Society]. All rights reserved.

Citation

Seidel, D., Jagger, C., Brayne, C., & Matthews, F. E. (2009). Recovery in instrumental activities of daily living (IADLs): Findings from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS). Age and ageing, 38(6), 663-668. https://doi.org/10.1093/ageing/afp128

Journal Article Type Article
Publication Date Nov 9, 2009
Deposit Date Dec 8, 2023
Journal Age and Ageing
Print ISSN 0002-0729
Electronic ISSN 1468-2834
Publisher Oxford University Press
Volume 38
Issue 6
Pages 663-668
DOI https://doi.org/10.1093/ageing/afp128
Public URL https://hull-repository.worktribe.com/output/4455105