The prevalence of functional disability and its impact on older adults in ASEAN region: a systematic review and meta-analysis

Yau Phei Nie; Foo Clairen JE; Cheah Nicholas LJ; Tang Kar Foong; Lee Shaun WH

doi:10.4178/epih.e2022058

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자료유형: 학술저널

저자정보: Yau Phei Nie (School of Pharmacy Monash University Malaysia) Foo Clairen JE (School of Pharmacy Monash University Malaysia) Cheah Nicholas LJ (School of Pharmacy Monash University Malaysia) Tang Kar Foong (School of Pharmacy Monash University Malaysia) Lee Shaun WH (School of Pharmacy Monash University Malaysia)

저널정보: 한국역학회 Epidemiology and Health Epidemiology and Health Vol.44

발행연도: 2022.1

수록면: 1 - 9 (9page)

DOI: 10.4178/epih.e2022058

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OBJECTIVES: Functional disability is a common consequence of the ageing process and can lead to poor health outcomes due to the inability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL) independently. However, the prevalence of functional disability among older adults in the Association of Southeast Asian Nations (ASEAN) region is poorly documented. This study aimed to assess the prevalence of functional disability and its impact on older adults in the ASEAN region. METHODS: A systematic literature search was performed on 4 databases from inception until March 2021 to identify studies examining individuals aged 60 years and above reporting functional disabilities in the ASEAN region. Information on the prevalence and impact of functional disability was extracted, assessed for bias, summarised, and analysed using a random-effects meta-analysis. RESULTS: Thirty-four studies with 59,944 participants were included. The pooled prevalence of ADL disability was 21.5% (95% confidence interval [CI], 16.2 to 27.3) and that of IADL disability was 46.8% (95% CI, 35.5 to 58.3). Subgroup analyses showed higher prevalence among those of advanced age and women. Adverse impacts included increased years of life with disability and poor health-related quality of life. CONCLUSIONS: Nearly a quarter of the older adult population in the ASEAN region experience functional disability. These findings highlight the need for further research on the burden and impact of functional disability within this region to allow decision-makers to gauge the severity of the issue, develop policies to reduce the risk of developing functional disabilities, and foster healthy ageing

#Aged #Activities of daily living #Functional status #ASEAN

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