TY - JOUR
T1 - The effect of chronic diseases on physical function. Comparison between activities of daily living scales and the Physical Performance Test
AU - Rozzini, Renzo
AU - Frisoni, Giovanni B.
AU - Ferrucci, Luigi
AU - Barbisoni, Piera
AU - Bertozzi, Bruno
AU - Trabucchi, Marco
PY - 1997/7
Y1 - 1997/7
N2 - Aim: to verify the capacity of basic and instrumental activities of daily living (BADL and IADL) disability scales and of a performance-based test (Physical Performance Test; PPT) to detect the effect on the functional capacity of several common chronic conditions in elderly people. Method: a cross-sectional survey of the entire population aged 70 and over, living in Ospitaletto (Brescia, northern Italy) - 549 subjects; 89.6% of the eligible population; 179 males and 370 females - was carried out in 1992. A multi-dimensional questionnaire administered at the subject's home was used to collect information on demographics, presence of several common chronic diseases and BADL and IADL. Objective physical capacity was assessed using the PPT. Results: only cognitive deterioration and depression were independently associated with disability as detected by BADL or IADL scales. Cognitive deterioration, stroke, parkinsonism, heart disease and hearing and visual loss were independently associated with PPT. The performance at PPT remained statistically associated with most of the same diseases when the analysis was restricted to subjects with no BADL or IADL disability. Conclusion: a performance-based measure, such as PPT, may detect a functional limitation before it becomes measurable by traditional self-reported BADL and IADL scales.
AB - Aim: to verify the capacity of basic and instrumental activities of daily living (BADL and IADL) disability scales and of a performance-based test (Physical Performance Test; PPT) to detect the effect on the functional capacity of several common chronic conditions in elderly people. Method: a cross-sectional survey of the entire population aged 70 and over, living in Ospitaletto (Brescia, northern Italy) - 549 subjects; 89.6% of the eligible population; 179 males and 370 females - was carried out in 1992. A multi-dimensional questionnaire administered at the subject's home was used to collect information on demographics, presence of several common chronic diseases and BADL and IADL. Objective physical capacity was assessed using the PPT. Results: only cognitive deterioration and depression were independently associated with disability as detected by BADL or IADL scales. Cognitive deterioration, stroke, parkinsonism, heart disease and hearing and visual loss were independently associated with PPT. The performance at PPT remained statistically associated with most of the same diseases when the analysis was restricted to subjects with no BADL or IADL disability. Conclusion: a performance-based measure, such as PPT, may detect a functional limitation before it becomes measurable by traditional self-reported BADL and IADL scales.
KW - Activities of daily living
KW - Chronic disease
KW - Elderly people
KW - Physical performance
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U2 - 10.1093/ageing/26.4.281
DO - 10.1093/ageing/26.4.281
M3 - Article
C2 - 9271291
AN - SCOPUS:0030853528
VL - 26
SP - 281
EP - 287
JO - Age and Ageing
JF - Age and Ageing
SN - 0002-0729
IS - 4
ER -