Chiu, Ching-Ju and Li, Meng-Ling and Chang, Chia-Ming and Wu, Chih-Hsing and Tan, Maw Pin (2021) Disability trajectories prior to death for ten leading causes of death among middle-aged and older adults in Taiwan. BMC Geriatrics, 21 (1). ISSN 1471-2318, DOI https://doi.org/10.1186/s12877-021-02300-z.
Full text not available from this repository.Abstract
Background Prolonged life expectancy is associated with increased prevalence of chronic diseases. The aim of this study was to determine the different disability trajectories for the top ten leading causes of death in Taiwan . Methods A total of 2,431 participants aged 50-96 in 1996 from the Taiwan longitudinal study on aging (TLSA) who died from 1996 to 2016 were analyzed. Integration of Cause of Death Data and TLSA helped sort out participants who had died from the ten leading causes of death. The level of physical disability was evaluated with the Activities of Daily Living Scale (ADLs), ranging from 0 to 6 points, in 1996, 1999, 2003, 2007, and 2011. A multilevel model was used to investigate the levels and rates of change in disability development before death. Results The outcome of the research showed that the earliest group to experience physical limitation was individuals living with diabetes. The groups with the highest ADL scores were participants with diabetes, cerebrovascular disease, and hypertension-related diseases. Most groups reach ADL scores >= 1 (mild-level) during 4-6 years before death except chronic hepatitis and cirrhosis and injury. Conclusions People who had died from the ten leading causes of death experienced different disability trajectories before death. The trajectory of the participants who had died from diabetes showed a unique pattern with the earliest occurrence and more severe deterioration in terms of development of disabilities. Disability trajectories provide a prediction of survival status for middle-aged and older adults associated with the ten leading causes of death.
| Item Type: | Article |
|---|---|
| Funders: | College of Medicine at National Cheng Kung University (NCKUMCS 2018731) |
| Uncontrolled Keywords: | Ten leading causes of death; Functional impairment; Disability trajectory; Longitudinal study; Asia |
| Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 01 Apr 2022 02:10 |
| Last Modified: | 01 Apr 2022 02:10 |
| URI: | http://eprints.um.edu.my/id/eprint/27880 |
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