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Older adults and functional decline: A cross-cultural comparison

TitleOlder adults and functional decline: A cross-cultural comparison
Publication TypeJournal Article
Year of Publication2002
AuthorsMcCurry, SM, Gibbons, LE, Bond, GE, Rice, MMurguia, Graves, ABorenstein, Kukull, WA, Teri, L, Higdon, R, Bowen, JD, McCormick, WC, Larson, EB
JournalInternational PsychogeriatricsInternational Psychogeriatrics
Volume14
Pagination161-179
Date PublishedJun
ISBN Number1041-6102<br/>1741-203X
Accession NumberPeer Reviewed Journal: 2002-18593-003
Keywords*Ability Level, *Aging, *Japanese Americans, *Racial and Ethnic Differences, *Whites, Cross Cultural Differences, Demographic Characteristics, Gerontology [2860], Health, Human Male Female Adulthood (18 yrs & older) Aged (65 yrs & older), Lifestyle, older adults, functional decline, Japanese Americans, health risk factors, lifestyle practices, demographic variables, cross cultural comparison, elderly, White Americans, ethnicity, Risk Factors, us
AbstractExamined the relationships between functional decline (FD), health risk factors, lifestyle practices, and demographic variables in 2 culturally diverse, community-based samples of 1,011 White and 1,083 Japanese American older adults (aged 65 and older). The study was an analysis of data from 2 ongoing studies of aging and dementia in King County, Washington. Functional status at baseline was evaluated, and factors associated with FD over a 4-yr follow-up period were identified. In 4 yrs of follow-up, 70% of the subjects reported no increase in functional limitation, and fewer than 5% of subjects declined in 5 or more activities. Risk factors associated with FD included increased age, female gender, medical comorbidity (particularly cerebrovascular disease, arthritis, and hypertension), elevated body mass index, poorer self-perceived health, and smoking. Depression and diabetes were also significant for persons with the greatest functional decline over the 4-yr follow-up. Japanese speakers were significantly less likely to decline over the follow-up period than White or English-speaking Japanese American subjects. However, Japanese speakers were more likely to discontinue participation during the follow-up period, and may also have been more likely to underreport symptoms of FD. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
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