Duke-National University of Singapore Graduate Medical School, Singapore.
Aging Clin Exp Res. 2012 Feb;24(1):56-61. doi: 10.1007/BF03325354.
To describe the prevalence of limitations in Activities of Daily Living (ADL) among older Singaporeans, examine the association of ADL limitations with various self-reported health conditions, assess perceived causes of ADL limitations, and compare prevalence of health conditions among those who perceive only 'old age' vs those who perceive at least one specific health condition as the cause of their limitations.
Data from a national survey of Singaporeans 60 years and over was used. The association between ADL limitations and health conditions was assessed through logistic regression. Those with ADL limitations were asked about the perceived cause/s of their limitation/ s. Any significant difference in the prevalence of health conditions between those attributing their ADL limitations only to old age and those attributing to at least one specific health condition was ascertained.
Overall prevalence of ADL limitations was 9.7%. Joint/nerve pain, stroke, pelvic/femoral fractures, heart diseases, diabetes, osteoporosis, chronic respiratory illness and renal/urinary tract illness were significantly associated with ADL limitations, and the most common perceived cause was 'old age' (33%). The prevalence of most health conditions was similar in older adults attributing their limitations to only 'old age' and to at least one specific health condition.
Clinical suspicion is called for if individuals with ADL limitations attribute them solely to 'old age'.
描述新加坡老年人日常生活活动（ADL）受限的流行情况，探讨 ADL 受限与各种自我报告健康状况的关系，评估 ADL 受限的感知原因，并比较仅将“衰老”视为其受限原因与至少将一种特定健康状况视为其受限原因的人群中健康状况的患病率。
使用来自新加坡 60 岁及以上人群的全国性调查数据。通过逻辑回归评估 ADL 受限与健康状况之间的关联。询问有 ADL 受限的人感知到的限制/限制原因。确定将 ADL 限制仅归因于衰老和至少归因于一种特定健康状况的人群之间健康状况患病率的任何显著差异。
ADL 受限的总体患病率为 9.7%。关节/神经痛、中风、骨盆/股骨骨折、心脏病、糖尿病、骨质疏松症、慢性呼吸道疾病和肾脏/泌尿道疾病与 ADL 受限显著相关，最常见的感知原因是“衰老”（33%）。将限制仅归因于“衰老”和至少归因于一种特定健康状况的老年人中大多数健康状况的患病率相似。
如果 ADL 受限的个体仅将其归因于“衰老”，则需要临床怀疑。
