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Functional decline over 2 years in older Spanish adults: evidence from the survey of health, ageing and retirement in Europe

Rodríguez López, Santiago, Montero, Pilar, Carmenate, Margarita and Avendano, Mauricio (2014) Functional decline over 2 years in older Spanish adults: evidence from the survey of health, ageing and retirement in Europe. Geriatrics and Gerontology International, 14 (2). pp. 403-412. ISSN 1444-1586

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Identification Number: 10.1111/ggi.12115


Aim:- To evaluate the social, educational, health and behavioral predictors of physical functional decline in older Spanish adults. Methods:- A 2-year longitudinal study based on 699 community-dwelling Spanish adults aged over 65 years participating in the Survey of Health, Ageing and Retirement in Europe was carried out. Several predictors of a combined measure of functional disability were examined using logistic regressions. Results:- A decline in function was experienced by 166 individuals. Functional decline in men was associated with an increased number of chronic diseases (OR 2.25, 95% CI 1.21–4.19) and depressive symptoms (OR 5.05, 95% CI 2.42–10.54) over a 2-year period, whereas among women it was associated with decreased numeracy score (OR 1.88, 95%CI 1.05–3.34). Conclusions:- Longitudinal changes in predictors are strongly associated with longitudinal changes in function between baseline and a 2-year follow up, most clearly among men. A decrease in cognitive functioning and increased depressive symptoms are associated with a decline in physical functioning, and can serve as useful clinical predictors to prevent disability in older Spanish adults.

Item Type: Article
Official URL:
Additional Information: © 2013 Japan Geriatrics Society.
Divisions: Social Policy
LSE Health
Lifecourse, Ageing & Population Health
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Research centres and groups > ALPHA (Ageing, Lifecourse and Population Health Analysis)
Date Deposited: 01 Aug 2013 13:59
Last Modified: 20 Apr 2021 02:28

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