Multifactorial determinants of daily activity restrictions among geriatric patients seen at the Family Medicine Outpatient Department of Valenzuela Medical Center: A cross-sectional study.
- Author:
Jerome Deo R. MAGUNDAYAO
1
;
Jesse Marice B. DENOGA
1
Author Information
- Publication Type:Journal Article, Original
- Keywords: Instrumental Activities Of Daily Living; Older Adults; Geriatric Patients; Activity Restriction
- MeSH: Human; Activities Of Daily Living
- From: The Filipino Family Physician 2025;63(2):269-278
- CountryPhilippines
-
Abstract:
BACKGROUND
Different activity restrictions in older adults are caused by various factors and these can lead to a lower quality of life. The determination of these factors will provide baseline data in the local setting to help health care workers identify which are significantly associated with daily activity restriction.
OBJECTIVESTo determine the different factors such as age, sex, living arrangement, educational level, more than one hospitalization per year, multimorbidity, polypharmacy, dementia risk, depression, malnutrition, history of fall, visual, and hearing impairment, bladder, and bowel incontinence; if significant association exist between these factors and the development of restriction on activities of daily living (ADL) and instrumental activities of daily living (IADL). Also, to determine the most common ADL and IADL restricted activities among older adults.
METHODSFive hundred forty (540) patients aged 60 and above were interviewed where 270 participants were included in the study through systemic random sampling. The different factors and activity restrictions were collected through one time interview using questionnaires (MGS, AD8, Katz and Lawton scale). Data collected were analyzed and interpreted using t -test, chi square and odds ratio.
RESULTSThe significant factors associated with both ADL and IADL restriction are age (p=.011; p=CONCLUSION
Older adults with more advanced age, visual impairment, bladder, and bowel incontinence are significantly associated with both ADL and IADL, indicating that health related conditions affect mobility. Lower educational level is associated with IADL restriction possibly because IADL activities are more complex and require thinking. Fall history is also significantly associated with IADL restriction because visual problems can affect balance and spatial awareness while depression is significantly associated with ADL due to lower quality of life.
