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Age Ageing. 2014 Jan;43(1):31-7. doi: 10.1093/ageing/aft111. Epub 2013 Aug 8.

Predicting participation restriction in community-dwelling older men: the Concord Health and Ageing in Men Project.

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1
Musculoskeletal Division, The George Institute for Global Health, PO Box M201 Missenden Road, Sydney, NSW 2050, Australia.

Abstract

BACKGROUND:

participation restriction, defined as 'problems an individual may experience in involvement in life situations' (e.g. work and leisure), reflects difficulty functioning at a societal level and is a key component of disability. Our objective was to describe changes in participation in older men over a 2-year period and to identify baseline variables associated with participation and change in participation over the 2-year period.

METHODS:

one thousand and three hundred and twenty-seven community-dwelling men aged 70 years or over who completed the baseline and 2-year follow-up phases of the Concord Health and Ageing in Men Project, a population-based cohort study in Sydney, Australia, were studied. Participation restriction and a range of other variables were measured using self-report and performance measures. Regression analyses were conducted to examine factors associated with participation and change in participation.

RESULTS:

over the 2-year period, participation in life roles deteriorated in 47.3% (627/1,327) of men, stayed the same in 20.7% (275/1,327) and improved in the remainder (32.0%). Overall, there was a significant deterioration in participation (P < 0.001). Reduced participation at 2-year follow-up was significantly associated with the following baseline factors: age, more comorbidities, mild cognitive impairment or dementia, lower mood, weakness, slower gait, worse activities of daily living performance, driving and baseline participation score. These variables explained 56% of the variance in participation at 2 years.

CONCLUSION:

participation in life roles worsened over a 2-year period in some community-dwelling older men. A number of associated factors were identified, which may provide targets for intervention to improve participation among older men.

KEYWORDS:

aged; function; geriatric assessment; men; older people; participation

PMID:
23927887
DOI:
10.1093/ageing/aft111
[Indexed for MEDLINE]
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