ArticleBMC geriatrics2025
Trends of impairment of the activities of daily living in Chinese older adults: an age-period-cohort analysis.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Associations of metals and micronutrients with functional disability in Chinese older adults: a mixture analysis approach.Scientific reports · 2026Article
- Depressive trajectories and their associations with chronic diseases among older adults: a national longitudinal cohort study from China.BMC geriatrics · 2025Article
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Authors and funding
7 authors.
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Abstract
backgroundBased on age, period, and cohort, this study aimed to understand the trend of impairment of activities of daily living (ADL) and its influencing factors in older adults in China and to provide a basis for the development of appropriate interventions.
methodsThis longitudinal follow-up study was conducted on a sample of 40,748 cases aged ≥ 60 years from the China Family Panel Studies (CFPS) database of 6 periods, using the six-item ADL scale to measure impaired ability to perform daily activities in older adults. Incorporating independent variables affecting ADL impairment in older adults based on the health ecology theory, a stratified age-period-cohort mixed-effects model was used to analyze the factors influencing impaired ADL in older adults.
resultsAge, different periods, and birth cohort had an independent effect on females suffering from chronic diseases, having lower life satisfaction (dissatisfied, very dissatisfied), living in the western region, residing in rural areas, having per capita household income levels of middle-high, middle-low, lower-middle, lower-middle, and going to specialized and general hospitals were risk factors for ADL impairment in older adults. Smoking, drinking alcohol, exercising, having high life satisfaction (satisfied), being married, having higher education, and having urban/rural/rural residents' health insurance and employee health insurance were protective factors for ADL impairment in older adults.
conclusionsIt is important to pay further attention to the current situation of ADL impairment in older adults from the perspective of the whole life cycle and the whole population and to take timely and targeted intervention strategies and preventive measures to improve the health of older adults in different dimensions from the individual to the macro level.
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