Abstract
Using the Longitudinal Ageing Study in India 2010 pilot survey data, the present study examines the covariates and risk factors associated with functional limitations among older adults (45+ ages) in India. Functional limitation is defined as the difficultly in performing some basic activities of daily livings (ADLs) viz. bathing, eating, walking, dressing, toileting and getting in/out of bed. Result suggests that one in every seven older adults in India has at least one of the functional limitations. Among all the activities of daily livings, the most reported problem is difficulty in getting in and out of bed (7 %) followed by walking (6.6 %) and toileting (5.5 %). Age and physical functionality is inversely correlated; older adults aged 60 years report more functional limitations and this becomes more noticeable for older adults aged 75 years and above. We found inverse association between functional limitations and education level and positive association with wealth possession. The multivariate results also corroborate the findings of bivariate results that older adults at higher age, females and older adults with low education are more likely to have functional limitations than their counterpart groups. The likelihood of functional limitations increases significantly in the presence of chronic diseases and smoking tobacco. These finding calls for devising policy to ensure the social security and health care requirements of aged, uneducated, females, poor and those suffering from chronic diseases.
Similar content being viewed by others
Notes
Older adult is defined as person aged 45 and above.
United Nations defines a country to have experienced population ageing when the share of its 60+ aged population reaches 7 %.
References
Al-Sabahi, S.M., Al Sinawi, H.N., Al-Hinai, S.S., & Youssef, R.M. (2009). Rates and determinants of functional limitations among the elderly population in Al-Dakhlyia region, Sultanate of Oman. Middle East Journal of Age and Ageing, 6(5).
Ara, S. (1997). Housing facilities for the elderly in India. Ageing International, 23(3), 107–114.
Arokiasamy, P., Bloom, D., Lee, J., Feeney, K., & Ozolins, M. (2012). Longitudinal aging study in India: vision, design, implementation, and preliminary findings. Aging in Asia, 36–74.
Arokiasamy, P., Uttamacharya & Jain, K. (2015). Multi-Morbidity, functional limitations, and self-rated health among older adults in India. SAGE Open, 5(1).
Barbosa, A. R., Souza, J. M., Lebrão, M. L., Laurenti, R., & Marucci, M. D. F. N. (2005). Functional limitations of Brazilian elderly by age and gender differences: data from SABE survey. Cadernos de Saúde Pública, 21(4), 1177–1185.
Beard, J., Biggs, S., Bloom, D.E., Fried, L.P., Hogan, P.R., Kalache, A., & Olshansky, S.J. (2012). Global population ageing: Peril or promise? (No. 8912). Program on the Global Demography of Aging.
Besen, E., Young, A.E., & Pransky, G. (2015). Exploring the relationship between age and tenure with length of disability. American Journal of Industrial Medicine.
Bloom, D. E., Canning, D., & Fink, G. (2010). Implications of population ageing for economic growth. Oxford Review of Economic Policy, 26(4), 583–612.
Caregiving. (2000) Helping the elderly with activity limitations. National Academy on an Aging Society.
Centers for Disease Control and Prevention. (2009). The power of prevention: Chronic disease, the public health challenge of the 21st century. US Department of Health and Human Services.
Chakrabarti, S., & Sarkar, A. (2011). Pattern and trend of population ageing in India. The Indian Journal of Spatial Science, 2(2), 1–11.
Chatterji, S., Kowal, P., Mathers, C., Naidoo, N., Verdes, E., Smith, J. P., & Suzman, R. (2008). The health of aging populations in China and India. Health Affairs, 27(4), 1052–1063.
Coast, E. (2002). Population trends in developing countries. London: LSE Research Online.
Dunlop, D. D., Semanik, P., Song, J., Manheim, L. M., Shih, V., & Chang, R. W. (2005). Risk factors for functional decline in older adults with arthritis. Arthritis and Rheumatism, 52(4), 1274–1282.
Freedman, V. A., & Martin, L. G. (1999). The role of education in explaining and forecasting trends in functional limitations among older Americans*. Demography, 36(4), 461–473.
Frye, A. (2011). Mobility: rights, obligations and equity in an ageing society. International Transport Forum Discussion Paper.
Halpin, H. A., Morales-Suarez-Varela, M. M., & Martin-Moreno, J. M. (2010). Chronic disease prevention and the new public health. Public Health Reviews, 32(1), 120–154.
Hardy, R., Cooper, R., Sayer, A. A., Ben-Shlomo, Y., Cooper, C., Deary, I. J., & HALCyon Study team. (2013). Body mass index, muscle strength and physical performance in older adults from eight cohort studies: the HALCyon programme. PLoS ONE, 8(2), e56483.
Hickey, T., & Douglass, R. L. (1981). Mistreatment of the elderly in the domestic setting: an exploratory study. American Journal of Public Health, 71(5), 500–507.
Holmes, J., Powell-Griner, E., Lethbridge-Cejku, M., & Heyman, K. (2009). Aging differently: physical limitations among adults aged 50 years and over: United States, 2001–2007. NCHS Data Brief, 20, 1.
Honjo, K., Iso, H., Ikeda, A., Inoue, M., & Tsugane, S. (2009). Education level and physical functional limitations among Japanese community residents-gender difference in prognosis from stroke. BMC Public Health, 9(1), 131.
Huisman, M., Kunst, A. E., & Mackenbach, J. P. (2003). Socioeconomic inequalities in morbidity among the elderly; a European overview. Social Science & Medicine, 57(5), 861–873.
International Insitute for Population Sciences. (2012). Longitudinal ageing study in India, Pilot Survey 2010. Mumbai.
Jamuna, D. (2003). Issues of elder care and elder abuse in the Indian context. Journal of Aging & Social Policy, 15(2-3), 125–142.
Korda, R. J., Paige, E., Yiengprugsawan, V., Latz, I., & Friel, S. (2014). Income-related inequalities in chronic conditions, physical functioning and psychological distress among older people in Australia: cross-sectional findings from the 45 and Up Study. BMC Public Health, 14(1), 741.
Liebig, P. S. (2003). Old-age homes and services: old and new approaches to aged care. Journal of Aging & Social Policy, 15(2-3), 159–178.
Lynn, J., & Adamson, D. M. (2003). Living well at the end of life. Adapting health care to serious chronic illness in old age. Santa Monica: RAND Corp.
Mohanty, S.K., & Sinha, R. K. (2010). Deprivation among the elderly in India. Demographics, Employment and Old Age Security, 301–315.
Morciano, M., Hancock, R. M., & Pudney, S. E. (2015). Birth-cohort trends in older-age functional disability and their relationship with socio-economic status: evidence from a pooling of repeated cross-sectional population-based studies for the UK. Social Science & Medicine, 136, 1–9.
Mukamel, D. B., Bajorska A., & Temkin-Greener, H. (2002). Health care services utilization at the end of life in a managed care program integrating acute and long-term care. Medical Care, 40(12), 1136–1148.
Nandakumar, A. K., El-Adawy, M., & Cohen, M. A. (1998). Perception of health status and limitations in activities of daily living among the Egyptian elderly. Boston: Harvard School of Public Health.
Office of the Registrar General & Census Commissioner of India (2011). Census of India 2011. Ministry of home affairs, Government of India. Accessed through: http://www.censusindia.gov.in/2011census/C-series/C-13.html.
O’Loughlin, A., & Duggan, J. (1998). Abuse, neglect and mistreatment of older people: An exploratory study. National Council on Ageing and Older People.
Patel, V., Chatterji, S., Chisholm, D., Ebrahim, S., Gopalakrishna, G., Mathers, C., & Reddy, K. S. (2011). Chronic diseases and injuries in India. The Lancet, 377(9763), 413–428.
Planning Commision, Governmen of India. (2011). A study of effectiveness of social welfare programmes on senior citizen in rural Rajasthan, Chhatisgarh, Gujarat & Madhya Pradesh. Guna: Sonali Public Shiksha.
Rajan, S.I. (2014). Social security for the elderly: Experiences from South Asia. Routledge.
Reddy, K. S., & Yusuf, S. (1998). Emerging epidemic of cardiovascular disease in developing countries. Circulation, 97(6), 596–601.
Roy, K., & Chaudhuri, A. (2008). Influence of socioeconomic status, wealth and financial empowerment on gender differences in health and healthcare utilization in later life: evidence from India. Social Science & Medicine, 66(9), 1951–1962.
Schiamberg, L. B., & Gans, D. (1999). An ecological framework for contextual risk factors in elder abuse by adult children. Journal of Elder Abuse & Neglect, 11(1), 79–103.
Sternfeld, B., Ngo, L., Satariano, W. A., & Tager, I. B. (2002). Associations of body composition with physical performance and self-reported functional limitation in elderly men and women. American Journal of Epidemiology, 156(2), 110–121.
Stevens, B., & Schieb, P.A. (2011). The future of families to 2030: an overview of projections, policy challenges and policy options. The Future of Families to 2030, 2011, 15.
Streatfield, P. K., & Karar, Z. A. (2008). Population challenges for Bangladesh in the coming decades. Journal of Health, Population and Nutrition, 26(3), 261.
Tager, I. B., Haight, T., Sternfeld, B., Yu, Z., & van Der Laan, M. (2004). Effects of physical activity and body composition on functional limitation in the elderly: application of the marginal structural model. Epidemiology, 15(4), 479–493.
United Nations Department of Economic and Social Affairs, Population Division. (2010). World Population Prospects: The 2010 Revision.
United Nations Population Fund (UNFPA). (2012). Report on status of elderly in selected states of India, 2011. New Delhi.
Wallace, R.B., & Bonnie, R.J. (Eds.). (2003). Elder mistreatment: Abuse, neglect, and exploitation in an aging America. National Academies Press.
Wiener, J. M., & Tilly, J. (2002). Population ageing in the United States of America: implications for public programmes. International Journal of Epidemiology, 31(4), 776–781.
Wolf, R. S., & Li, D. (1999). Factors affecting the rate of elder abuse reporting to a state protective services program. The Gerontologist, 39(2), 222–228.
World Health Organization. (2004). A race against time: The challenge of cardiovascular disease in developing economies. Trustees of Columbia University in the City of New York.
World Health Organization. (2011). Global health and ageing.
Xavier, D., Pais, P., Devereaux, P. J., Xie, C., Prabhakaran, D., Reddy, K. S., & Yusuf, S. (2008). Treatment and outcomes of acute coronary syndromes in India (CREATE): a prospective analysis of registry data. The Lancet, 371(9622), 1435–1442.
Zimmer, Z., & Amornsirisomboon, P. (2001). Socioeconomic status and health among older adults in Thailand: an examination using multiple indicators. Social Science & Medicine, 52(8), 1297–1311.
Zimmer, Z., & House, J. S. (2003). Education, income, and functional limitation transitions among American adults: contrasting onset and progression. International Journal of Epidemiology, 32(6), 1089–1097.
Acknowledgments
The authors express their deep gratitude to Jitendra Gouda for his valuable suggestion during preparation of manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors have no conflict of interest.
Informed Consent
The study used the data set that is available online in public domain; hence, there was no need to seek ethical consent to publish this study.
Ethical Treatment of Experimental Subjects (Animal and Human)
This article does not contain any studies with human or animal subjects performed by the author.
Funding
This research received no grant from any funding agency in the public, commercial or not-for-profit sectors.
Rights and permissions
About this article
Cite this article
Kastor, A., Mohanty, S.K. Associated Covariates of Functional Limitation Among Older Adults in India: an Exploration. Ageing Int 41, 178–192 (2016). https://doi.org/10.1007/s12126-016-9241-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12126-016-9241-y