| Title | Older adults and functional decline: A cross-cultural comparison |
| Publication Type | Journal Article |
| Year of Publication | 2002 |
| Authors | McCurry, SM, Gibbons, LE, Bond, GE, Rice, MMurguia, Graves, ABorenstein, Kukull, WA, Teri, L, Higdon, R, Bowen, JD, McCormick, WC, Larson, EB |
| Journal | International PsychogeriatricsInternational Psychogeriatrics |
| Volume | 14 |
| Pagination | 161-179 |
| Date Published | Jun |
| ISBN Number | 1041-6102<br/>1741-203X |
| Accession Number | Peer 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 |
| Abstract | Examined 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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