Factors Associated with ADL and IADL from the Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005.

Jung, Ji Yeon; Kim, Jun Su; Choi, Hyun Jung; Lee, Ka Young; Park, Tae Jin

doi:2009.30.8.598

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Korean J Fam Med > Volume 30(8); 2009 > Article

Original Article

Korean Journal of Family Medicine 2009;30(8):598-609.
DOI: https://doi.org/10.4082/kjfm.2009.30.8.598 Published online August 20, 2009.

Factors Associated with ADL and IADL from the Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005.

Ji Yeon Jung, Jun Su Kim, Hyun Jung Choi, Ka Young Lee, Tae Jin Park

Deptartment of Family Medicine, Inje University College of Medicine, Pusan Paik Hospital, Busan, Korea. hippoid@hanmail.net

한국 노인의 일상생활 수행능력 및 도구적 일상생활 수행능력과 관련된 요인: 국민건강영양조사 제3기(2005년) 자료를 중심으로

정지연, 김준수, 최현정, 이가영, 박태진

인제대학교 의과대학 부산백병원 가정의학교실

Abstract

Background
It is important to evaluate the functional ability of the elderly for optimal care. This study was conducted to identify factors associated with dependence for activities of daily living (ADL) and instrumental activities of daily living (IADL) in elderly adults in Korea.Methods: A cross-sectional study of data from the third Korea National Health and Nutrition Examination Survey (KNHANES III) 2005 was undertaken. The sample consisted of 3,656 participants, 65 years of age or older. Multifactorial regression analysis was used to identify associations between ADL and IADL dependence and sociodemographics, lifestyle, and health history.Results: Among the 629 (17.2%) ADL-dependent and signifi cantly and independently associated factors were age, lower education level, health assistance or no-insurance, stroke, urinary incontinence, diabetes, arthritis, and lung cancer. Among the 1,674 (55.7%) IADL-dependent and significantly and independently associated factors were age, lower education level, single or widowed, male, stroke, arthritis, glaucoma and/or cataract. Conclusion: Functional dependence in older adults was directly related to aging and had multiple determinants. Awareness of these determinants should help design health programs that can identify individuals who are at high risk of losing their independence, and implement interventions for slowing or reversing the process.

Key Words: Elderly; Dependence; Activities of Daily Living; Instrumental Activities of Daily Living; KNHANES

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