Evidence map›Paper›PMID 34034657›Full record

ArticleBMC geriatrics2021

Functional status and its associated factors among community-dwelling older adults in rural Nepal: findings from a cross-sectional study.

Saruna Ghimire, Grish Paudel, Sabuj Kanti Mistry, Mahmood Parvez, Binod Rayamajhee, Pravash Paudel, Man Kumar Tamang, Uday Narayan Yadav

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Saruna Ghimire *Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, 45056, Oxford, OH, USA.
Grish Paudel *Centre for Research Policy and Implementation, Biratnagar, Nepal.
Sabuj Kanti MistryJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Mahmood ParvezJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Binod RayamajheeSchool of Optometry, University of New South Wales, Sydney, Australia.
Pravash PaudelSchool of Population Health, University of New South Wales, Sydney, Australia.
Man Kumar TamangQueensland Brain Institute, The University of Queensland, Brisbane, Australia.
Uday Narayan YadavCentre for Research Policy and Implementation, Biratnagar, Nepal. unyadav1@gmail.com.
UNSW Sydney · AUBRAC University · BDMiami University · USUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high burden of chronic conditions, coupled with various physical, mental, and psychosocial changes that accompany the phenomenon of aging, may limit the functional ability of older adults. This study aims to assess the prevalence of poor functional status and investigate factors associated with poor functional status among community-dwelling older adults in rural communities of eastern Nepal.

methodsData on 794 older adults aged ≥ 60 years from a previous community-based cross-sectional study was used. Participants were recruited from rural municipalities of Morang and Sunsari districts of eastern Nepal using multi-stage cluster sampling. Functional status was assessed in terms of participants' ability to perform activities of daily living using the Barthel Index. Covariates included sociodemographic characteristics, lifestyle factors, and self-reported chronic conditions. A binary logistic regression model was used to investigate factors associated with poor functional status.

resultsThe overall prevalence of poor functional status was 8.3 % (male: 7.0 % and female: 9.6 %), with most dependence noted for using stairs (17.3 %), followed by dressing (21.9 %) on Barthel Index. In the adjusted model, oldest age group (odds ratio [OR] = 2.83, 95 %CI: 1.46, 5.50), those unemployed (OR = 2.41, 95 %CI: 1.26, 4.65), having memory/concentration problems (OR = 2.32, 95 %CI: 1.30, 4.13), depressive symptoms (OR = 2.52, 95 %CI: 1.28, 4.95), and hypertension (OR = 1.78, 95 %CI: 1.03, 3.06) had almost or more than two times poor functioning.

conclusionsOne in 12 older adults had poor functional status as indicated by their dependency on the items of the Barthel Index; those in the oldest age bracket were more likely to exhibit poor functional status. We suggest future studies from other geographies of the country to supplement our study from the rural setting for comprehensive identification of the problem, which could guide the development of prevention strategies and comprehensive interventions for addressing the unmet needs of the older adults for improving functional status.

Indexed as

Activities of Daily LivingIndependent LivingAgedCross-Sectional StudiesFemaleFunctional StatusHumansMaleNepalPrevalenceRural PopulationActivities of daily livingBarthel IndexFunctional StatusNepalOder adults

Identifiers

PMID34034657
PMCPMC8152303
OpenAlexW3165056988

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.