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Changes in person-environmental fit and ADL dependence among older Swedish adults. A 10-year follow-up.

Werngren-Elgström, Monica LU ; Carlsson, Gunilla LU and Iwarsson, Susanne LU (2008) In Aging clinical and experimental research 20(5). p.469-478
Abstract
BACKGROUND AND AIMS: In order to investigate the relation between personal functional capacity and the physical housing environment during the aging process, the aim of this study was to give a long-term description of person-environmental fit (P-E fit) problems in terms of housing accessibility and ADL dependence among older adults, and to study their relationships at three points in time. METHODS: A 10- year longitudinal design was used: baseline (1994), follow- up 1 (2000) and follow-up 2 (2004). Using the Swedish national population register, a baseline sample of persons aged 75-84 years was identified. Of the 133 participants at baseline, the 31 participants still available at follow-up 2 were included in this study. Data on housing... (More)
BACKGROUND AND AIMS: In order to investigate the relation between personal functional capacity and the physical housing environment during the aging process, the aim of this study was to give a long-term description of person-environmental fit (P-E fit) problems in terms of housing accessibility and ADL dependence among older adults, and to study their relationships at three points in time. METHODS: A 10- year longitudinal design was used: baseline (1994), follow- up 1 (2000) and follow-up 2 (2004). Using the Swedish national population register, a baseline sample of persons aged 75-84 years was identified. Of the 133 participants at baseline, the 31 participants still available at follow-up 2 were included in this study. Data on housing accessibility, functional limitations and dependence in ADL were collected by means of interviews and observations at home visits. RESULTS: P-E fit problems increased significantly between baseline and follow-up 1 and between follow-ups 1 and 2. No significant changes in overall ADL dependence were recorded. The total number of functional limitations, dependence on walking aids and P-E fit were significantly correlated to ADL dependence, at both follow-up 1 and follow-up 2, but not at baseline. CONCLUSIONS: Results confirm that functional decline is a major driver toward increased ADL dependence during the aging process, whereas environmental barriers per se are not related to such disability. Instead, P-E fit is significantly related to ADL dependence, and the relationship grows stronger with advancing age. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Aging clinical and experimental research
volume
20
issue
5
pages
469 - 478
publisher
Kurtis
external identifiers
  • WOS:000261510300013
  • PMID:19039290
  • Scopus:57749120291
ISSN
1720-8319
language
English
LU publication?
yes
id
be1765e7-07d4-48d4-988d-bfc3bda42db7 (old id 1270991)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19039290
date added to LUP
2008-12-03 13:57:34
date last changed
2016-10-13 04:24:07
@misc{be1765e7-07d4-48d4-988d-bfc3bda42db7,
  abstract     = {BACKGROUND AND AIMS: In order to investigate the relation between personal functional capacity and the physical housing environment during the aging process, the aim of this study was to give a long-term description of person-environmental fit (P-E fit) problems in terms of housing accessibility and ADL dependence among older adults, and to study their relationships at three points in time. METHODS: A 10- year longitudinal design was used: baseline (1994), follow- up 1 (2000) and follow-up 2 (2004). Using the Swedish national population register, a baseline sample of persons aged 75-84 years was identified. Of the 133 participants at baseline, the 31 participants still available at follow-up 2 were included in this study. Data on housing accessibility, functional limitations and dependence in ADL were collected by means of interviews and observations at home visits. RESULTS: P-E fit problems increased significantly between baseline and follow-up 1 and between follow-ups 1 and 2. No significant changes in overall ADL dependence were recorded. The total number of functional limitations, dependence on walking aids and P-E fit were significantly correlated to ADL dependence, at both follow-up 1 and follow-up 2, but not at baseline. CONCLUSIONS: Results confirm that functional decline is a major driver toward increased ADL dependence during the aging process, whereas environmental barriers per se are not related to such disability. Instead, P-E fit is significantly related to ADL dependence, and the relationship grows stronger with advancing age.},
  author       = {Werngren-Elgström, Monica and Carlsson, Gunilla and Iwarsson, Susanne},
  issn         = {1720-8319},
  language     = {eng},
  number       = {5},
  pages        = {469--478},
  publisher    = {ARRAY(0xa6bf9a0)},
  series       = {Aging clinical and experimental research},
  title        = {Changes in person-environmental fit and ADL dependence among older Swedish adults. A 10-year follow-up.},
  volume       = {20},
  year         = {2008},
}