ArticleThe journal of nutrition, health & aging2019
The Burden of Functional Disabilities for Middle-Aged and Older Adults in the United States.
Article in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative effects of six rehabilitation therapies on lower limb function and gait function in stroke patients: a network meta-analysis of 33 RCTs.Frontiers in neurologyPooled it
- Accelerated multimorbidity in early adulthood and long-term functional disability in later life: a life-course epidemiological study.International journal for equity in health · 2026Article
- Net effects of correlated determinants of health among U.S. older adults.BMC geriatrics · 2025Article
- Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Prevalence and factors associated with functional disability in daily activities among older adults in Bisha, Saudi Arabia: A cross-sectional study.Saudi medical journal · 2025Article
- Article
- Association of insomnia symptoms and trajectories with the risk of functional disability: a prospective cohort study.BMC geriatrics · 2024Article
- Food Security and Diet Quality Improvements among At-Risk, Low-Income, Older Adults following a Free Meal Pilot Program.International journal of environmental research and public health · 2024Article
- Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States.Epidemiologia (Basel, Switzerland) · 2023Article
- Multimorbidity and Functional Disability among Older Adults: The Role of Inflammation and Glycemic Status - An Observational Longitudinal Study.Gerontology · 2023Observational
- Effect of diabetes and prediabetes on the development of disability and mortality among middle-aged Japanese adults: A 22-year follow up of NIPPON DATA90.Journal of diabetes investigation · 2022Article
- Using multiple imputation and intervention-based scenarios to project the mobility of older adults.BMC geriatrics · 2022Article
- Association of Arterial Stiffness with Functional Disability and Mobility Limitation: The Rugao Longitudinal Ageing Study.The journal of nutrition, health & aging · 2022Article
- Undiagnosed Dementia Is Associated with Poor Physical Function in Older Adults.Journal of Alzheimer's disease : JAD · 2022Article
- The urgent need for disability studies among midlife adults.Women's midlife health · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesUnderstanding the role of functional capacity on longevity is important as the population in the United States ages. The purpose of this study was to determine the burden of instrumental activities of daily living (IADL) and activities of daily living (ADL) disabilities for a nationally-representative sample of middle-aged and older adults in the United States.
designLongitudinal-Panel.
settingCore interviews were often performed in person or over the telephone.
participantsA sub-sample of 31,055 participants aged at least 50 years from the 1998-2014 waves of the Health and Retirement Study who reported having a functional disability were included. MEASUREMENTS: Ability to perform IADLs and ADLs were self-reported at each wave. The National Death Index was used to ascertain date of death. The number of years of life that were lost (YLLs) and years lived with a disability (YLDs) were summed for the calculation of disability-adjusted life years (DALYs). Sampling weights were used in the analyses to make the DALYs nationally-representative. The results for YLLs, YLDs, and DALYs are reported in thousands.
resultsOf the participants included, 14,990 had an IADL disability and 13,136 had an ADL disability. Men and women with an IADL disability had 236,037 and 233,772 DALYs, respectively; whereas, there were 178,594 DALYs for males and 253,630 DALYs for females with an ADL disability. Collectively, there were 469,809 years of healthy life lost from IADL impairments, and 432,224 years of healthy life lost from ADL limitations.
conclusionsThese findings should be used to inform healthcare providers and guide interventions aiming to preserve the functional capacity of aging adults. Prioritizing health-related resources for mitigating the burden of functional disabilities may help aging adults increase their quality of life and life expectancy over time.
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