ArticleBMJ open2025
Prevalence and sociodemographic characteristics of functional impairment in community-dwelling older adults in China: a cross-sectional study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Trends and lifestyle contributions to frailty in US adults aged 50 and older: analysis of health and retirement study data (2004-2020).BMC public health · 2026Article
- Clinical profile of geriatric outpatients managed by physiotherapists in a tertiary hospital in Southwest Nigeria.BMC geriatrics · 2026Article
- Association between the different basic activities of daily living on the Barthel index and community living, use of mobility aids, and the survival at 5 years.Frontiers in public health · 2026Article
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8 authors.
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Abstract
objectivesFunctional impairment is an early stage of disability, and timely identification and intervention are critical for the health of older adults. However, little is known about the functional impairment of Chinese older adults due to the absence of specialised assessment tools. This study aimed to explore the prevalence and socio-demographic characteristics of functional impairment in Chinese community-dwelling older adults using the Function Impairment Screening Tool (FIST), which was previously developed based on the Delphi method.
designCross-sectional study.
settingCommunity-based.
participantsThe study included 6444 community-dwelling older adults from the China Comprehensive Geriatric Assessment Study.
resultsThe FIST identified functional impairment in 31.3% of Chinese community-dwelling older adults. The prevalence was higher among women and individuals in rural areas and increased with age. Illiteracy, no spouse, living alone, poor self-reported health, low income, limited meat intake, less exercise, chronic diseases and geriatric syndromes were associated with functional impairment. Furthermore, after adjusting for related variables, functional impairment was independently associated with disability (OR=138.5, 95% CI 70.0 to 273.9), frailty (OR=13.7, 95% CI 10.3 to 18.3), immobility (OR=6.9, 95% CI 5.4 to 8.9), fractures (OR=2.2, 95% CI 1.5 to 3.3) and falls (OR=2.6, 95% CI 1.8 to 3.7).
conclusionApproximately one-third of Chinese community-dwelling older adults experienced functional impairment, and its prevalence was associated with socio-psychological characteristics, lifestyle, chronic diseases and geriatric syndromes.
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