Halder Pritam, Mamgai Anshul, Parija Pragyan
Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Community Medicine, All India Institute of Medical Sciences, Jammu, Vijaypur, Bari Kamlia, Jammu and Kashmir, India.
J Family Med Prim Care. 2025 Apr;14(4):1271-1278. doi: 10.4103/jfmpc.jfmpc_1314_24. Epub 2025 Apr 25.
To determine the association of impaired cognition status with activities of daily living among elderly Indian (≥ 60 years) population.
Cross-sectional comparative analysis was conducted using nationally representative data from a longitudinal ageing study in India (LASI) survey (2017-18). The univariate and multivariate logistic regression established associations between impaired cognition status and activities of daily living.
Among the study subjects, 41.6% and 16.3% faced difficulties in activities of daily living and instrumental activities of daily living. The significant adjusted odds of having ADL difficulty was 1.46 times more and IADL difficulty was 2.31 times more in participants with impaired cognition status than normal.
With ageing, activities of daily living worsen which is found in our study results. Due to the rapidly increasing ageing population, early detection and prevention of disability or preservation of daily functioning for ageing population and females in particular should be the highest priority for public health decision-makers.
确定印度老年(≥60岁)人群中认知功能受损状态与日常生活活动之间的关联。
使用来自印度纵向老龄化研究(LASI)调查(2017 - 18年)的具有全国代表性的数据进行横断面比较分析。单变量和多变量逻辑回归确定了认知功能受损状态与日常生活活动之间的关联。
在研究对象中,41.6%和16.3%的人在日常生活活动和工具性日常生活活动中面临困难。认知功能受损的参与者出现日常生活活动困难的显著调整优势比是正常人的1.46倍,出现工具性日常生活活动困难的显著调整优势比是正常人的2.31倍。
随着年龄增长,日常生活活动会恶化,这在我们的研究结果中得到了体现。由于老龄化人口迅速增加,早期发现和预防残疾或维持老年人群尤其是女性的日常功能,应成为公共卫生决策者的首要任务。