Factors Related to Impairment of Activities of Daily Living.

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  • KAMIYAMA Tomomasa
    The Third Department of Internal Medicine, University of the Ryukyus
  • MURATANI Hiromi
    The Third Department of Internal Medicine, University of the Ryukyus
  • KIMURA Yorio
    The Third Department of Internal Medicine, University of the Ryukyus
  • FUKIYAMA Koshiro
    The Third Department of Internal Medicine, University of the Ryukyus The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • ABE Keishi
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • FUJII Jun
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • KUWAJIMA Iwao
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • ISHII Masao
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • SHIOMI Toshiaki
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • KAWANO Yuhei
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • MIKAMI Hiroshi
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • IBAYASHI Setsuro
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly
  • OMAE Teruo
    The Research Group on Evaluation of the Effects of Drug Treatment on Hypertension and Other Disease Conditions in the Elderly

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Description

Objective We examined the factors related to the impairment of activities of daily living (ADL). Methods ADL was evaluated by using ADL-20, which consists of 20 items from 4 major categories of activities; mobility, self-care, instrumental, and communication. The patients' gender, birth date, clinical diagnosis, past history, life styles, physical findings, laboratory data, and details of therapy were also recorded. Patients A total of 1, 163 outpatients aged 50 years or older were included. Data from 1, 093 patients were analyzed. Results We divided the subjects into two groups; Group I having full marks of ADL-20 (n=582) and group II exhibiting an impairment of ADL (n=511). Multiple logistic analysis revealed that in both sexes age and stroke were common independent factors related to the impairment of ADL. Other factors associated with impairment of ADL were smoking in men and presence of proteinuria in women. The presence of hyperlipidemia was associated with preservation of the ADL in women. Conclusion The results demonstrated significant associations of smoking in men and the presence of proteinuria in women with the impairment of ADL in elderly Japanese outpatients. There appears to be a sex difference in the risk factors of impairment of ADL.<br>(Internal Medicine 38: 698-704, 1999)

Journal

  • Internal Medicine

    Internal Medicine 38 (9), 698-704, 1999

    The Japanese Society of Internal Medicine

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