Association between chronic obstructive pulmonary disease and activity of daily living among oldest-old in China: based on Chinese Longitudinal Health Longevity Survey
Authors Liu M, Yue Y, He Y
Received 15 May 2019
Accepted for publication 6 August 2019
Published 29 August 2019 Volume 2019:14 Pages 1959—1966
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Chunxue Bai
Miao Liu,1,* Yanhong Yue,2,* Yao He1
1Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, State Key Laboratory of Kidney Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, People’s Republic of China; 2Medical Service, National Defense Mobilization Department, Central Military Commission, Beijing, People’s Republic of China
Correspondence: Miao Liu
Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, State Key Laboratory of Kidney Diseases, Second Medical Center of Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, People’s Republic of China
Tel +86 106 687 6415
*These authors contributed equally to this work
Aims: This study was designed to investigate the association between COPD and activity of daily living among oldest-old in People’s Republic of China.
Patients and methods: The data of Chinese Longitudinal and Health Longevity Study in 2014 was used, and those who were aged more than 80 years old were included. Both basic activity of daily living (BADL) and instrumental activity of daily living (IADL) were measured.
Results: A total of 4621 oldest-old (≥80 years old) were included. 32.1% (1482) of the oldest-old had BADL disability and 79.0% (3129) had IADL disability. The BADL disability and IADL disability rates were higher for participants with COPD than those without, and this difference was more robust among male (31.8% vs 25.6%, p=0.018). The IADL disability rate showed similar trends. Multivariate logistic regression analysis showed that the odds ratios of COPD on BADL disability and IADL disability were 1.261 (95% CI: 1.044–1.525) and 2.014 (95% CI: 1.561–2.598), respectively. The odds ratios of COPD on moderate to severe BADL disability and IADL disability were 1.007 (95% CI: 0.790–1.284) and 1.713 (95% CI: 1.397–2.100), respectively.
Conclusion: There were independent associations between COPD and disability among oldest-old in People’s Republic of China, and the associations were greater among male population. Besides, COPD had a profound influence on the mild disability of BADL, while had a greater impact on the moderate and severe disability of IADL.
Keywords: chronic obstructive pulmonary disease, activity of daily living, oldest-old
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