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Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on epresentative Data

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Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

Abstract

Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

참고문헌 (38)

  1. Facts related to chronic diseases and the global strategy on diet, physical activity and health, "World Health Organization", World Health Organization, ~ (2002)
  2. Liang J, "Gender Differences in Functional Status in Middle and Older Age: Are There Any Age Variations", J Gerontol B Psychol Sci Soc Sci, 63(5), pp.S282~S292 (2008)
  3. Murtagh KN, "Gender differences in physical disability among an elderly cohort", Am J Public Health, 94(8), pp.1406~1411 (2004)
  4. Verbrugge LM, "The twain meet: empirical explanations of sex differences in health and mortality", J Health Soc Behav, 30(3), pp.282~304 (1989)
  5. Lloyd-Jones D, "Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee", Circulation, 119(3), pp.e21~e181 (2009)
  6. Zhu L, "Association of stroke with dementia, cognitive impairment, and functional disability in the very old: a population-based study", Stroke, 29(10), pp.2094~2099 (1998)
  7. Wray LA, "The effect of diabetes on disability in middle-aged and older adults", J Gerontol A Biol Sci Med Sci, 60(9), pp.1206~1211 (2005)
  8. Boult C, "Chronic conditions that lead to functional limitation in the elderly", J Gerontol, 49(1), pp.M28~M36 (1994)
  9. Maggi S, "Prevalence rate of urinary incontinence in community-dwelling elderly individuals: the Veneto study", J Gerontol A Biol Sci Med Sci, 56(1), pp.M14~M18 (2001)
  10. Nuotio M, "Urinary incontinence in a Finnish population aged 70 and over. Prevalence of types, associated factors and self-reported treatments", Scand J Prim Health Care, 21(3), pp.182~187 (2003)
  11. Guralnik JM, "New and worsening conditions and change in physical and cognitive performance during weekly evaluations over 6 months: the Women’s Health and Aging Study", J Gerontol A Biol Sci Med Sci, 54(8), pp.M410~M422 (1999)
  12. Petrea RE, "Gender differences in stroke incidence and poststroke disability in the Framingham heart study", Stroke, 40(4), pp.1032~1037 (2009)
  13. Reeves MJ, "The confounding issue of sex and stroke", Neurology, 74(12), pp.947~948 (2010)
  14. Gall SL, "Sex differences in presentation, severity, and management of stroke in a population-based study", Neurology, 74(12), pp.975~981 (2010)
  15. Gill TM, "The burden and patterns of disability in activities of daily living among community-living older persons", J Gerontol A Biol Sci Med Sci, 58(1), pp.70~75 (2003)
  16. Annual report on the cause of death statistics, "Korean National Statistical Office", Korean National Statistical Office, ~ (2008)
  17. "Morbidity and related factors among elderly people in South Korea: results from the Ansan Geriatric (AGE) cohort study", BMC PUBLIC HEALTH, 7, pp.10~
  18. The report of the 2008 Korean National Health and Nutrition Survey, "Ministry of Health and Social Welfare", Ministry of Health and Social Welfare, ~ (2009)
  19. Chun H, "Explaining gender differences in ill-health in South Korea: The roles of socio-structural, psychosocial, and behavioral factors", Social Science and Medicine, 67(6), pp.988~1001 (2008), Pergamon Press Ltd.
  20. Won CW, "The development of Korean activities of daily living (K-ADL) and Korean instrumental activity of daily living (K-ADL) scale", J Korean Geriatr Soc, 6(2), pp.107~120 (2002)
  21. Leveille SG, "Sex differences in the prevalence of mobility disability in old age: the dynamics of incidence, recovery, and mortality", J Gerontol B Psychol Sci Soc Sci, 55(1), pp.S41~S50 (2000)
  22. Oman D, "Do elderly women have more physical disability than men do", Am J Epidemiol, 150(8), pp.834~842 (1999)
  23. Jee SH, "Prevalence of cardiovascular risk factors in South Korean adults: results from the Korea Medical Insurance Corporation (KMIC) Study", Ann Epidemiol, 8(1), pp.14~21 (1998)
  24. Galimanis A, "Lifestyle and stroke risk: a review", Curr Opin Neurol, 22(1), pp.60~68 (2009)
  25. Hu FB, "Age at natural menopause and risk of cardiovascular disease", Arch Intern Med, 159(10), pp.1061~1066 (1999)
  26. Nitti VW, "The prevalence of urinary incontinence", Rev Urol, 3(1), pp.S2~S6 (2001)
  27. Moore KN, "Urinary Incontinence in men: current status and future directions", Nurs Res, 53(6), pp.S36~S41 (2004)
  28. van der Mooren MJ, "Book review: Best practise and research clinical endocrinology and metabolism. The menopause and HRT", pp.235~236 (2004), Elsevier
  29. Otiniano ME, "The effect of diabetes combined with stroke on disability, selfrated health, and mortality in older Mexican Americans: results from the Hispanic EPESE", Arch Phys Med Rehabil, 84(5), pp.725~730 (2003)
  30. Kim HC, "Six-Year Survival and Causes of Death among Stroke Patients in Korea", Neuroepidemiology, 32(2), pp.94~100 (2009)
  31. Sung NY, "Smoking, alcohol and gastric cancer risk in Korean men: the National Health Insurance Corporation Study", Br J Cancer, 97(5), pp.700~704 (2007)
  32. 정규원, "Cancer Statistics in Korea: Incidence, Mortality and Survival in 2005", Journal of Korean Medical Science, 24(6), pp.995~1003 (2009), 대한의학회
  33. Verbrugge LM, "Sex differentials in health", Public Health Rep, 97(5), pp.417~437 (1982)
  34. Gold CH, "Gender and health: a study of older unlike-sex twins", J Gerontol B Psychol Sci Soc Sci, 57(3), pp.S168~S176 (2002)
  35. Crimmins EM, "Gender differences in health: results from SHARE, ELSA and HRS", Eur J Public Health, 21(1), pp.81~91 (2011)
  36. Bourdel-Marchasson I, "Disability and quality of life in elderly people with diabetes", Diabetes Metab, 33(1), pp.S66~S74 (2007)
  37. Hajjar I, "Association between concurrent and remote blood pressure and disability in older adults", Hypertension, 50(6), pp.1026~1032 (2007)
  38. Manton KG, "Recent declines in chronic disability in the elderly U.S. population: risk factors and future dynamics", Annu Rev Publ Health, 29, pp.91~113 (2008)

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