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Systematic Review
The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis
Phei Nie Yau, Clairen Jia Ern Foo, Nicholas Li Jie Cheah, Kar Foong Tang, Shaun Wen Huey Lee
Epidemiol Health. 2022;44:e2022058.   Published online July 12, 2022
DOI: https://doi.org/10.4178/epih.e2022058
  • 11,199 View
  • 315 Download
  • 13 Web of Science
  • 18 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Functional disability is a common consequence of the ageing process and can lead to poor health outcomes due to the inability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL) independently. However, the prevalence of functional disability among older adults in the Association of Southeast Asian Nations (ASEAN) region is poorly documented. This study aimed to assess the prevalence of functional disability and its impact on older adults in the ASEAN region.
METHODS
A systematic literature search was performed on 4 databases from inception until March 2021 to identify studies examining individuals aged 60 years and above reporting functional disabilities in the ASEAN region. Information on the prevalence and impact of functional disability was extracted, assessed for bias, summarised, and analysed using a random-effects meta-analysis.
RESULTS
Thirty-four studies with 59,944 participants were included. The pooled prevalence of ADL disability was 21.5% (95% confidence interval [CI], 16.2 to 27.3) and that of IADL disability was 46.8% (95% CI, 35.5 to 58.3). Subgroup analyses showed higher prevalence among those of advanced age and women. Adverse impacts included increased years of life with disability and poor health-related quality of life.
CONCLUSIONS
Nearly a quarter of the older adult population in the ASEAN region experience functional disability. These findings highlight the need for further research on the burden and impact of functional disability within this region to allow decision-makers to gauge the severity of the issue, develop policies to reduce the risk of developing functional disabilities, and foster healthy ageing.
Summary
Key Message
Highly common and disabling among older adults in ASEAN region, functional disability limits the ability to carry out activities of daily living, and markedly reduces life quality.

Citations

Citations to this article as recorded by  
  • Association of objectively measured physical activity with incidence disability in older adults with/without social isolation
    Masanori Morikawa, Kenji Harada, Satoshi Kurita, Kazuya Fujii, Chiharu Nishijima, Daisuke Kakita, Hiroyuki Shimada
    Archives of Gerontology and Geriatrics.2024; 120: 105338.     CrossRef
  • Sedentary behavior and the combination of physical activity associated with dementia, functional disability, and mortality: A cohort study of 90,471 older adults in Japan
    Zhen Du, Koryu Sato, Taishi Tsuji, Katsunori Kondo, Naoki Kondo
    Preventive Medicine.2024; 180: 107879.     CrossRef
  • Household Environments and Functional Decline Among Middle-Aged and Older Adults in China: Variations by Gender, Age, and Residence
    Dandan Zhao, Ye Luo, Karen A. Kemper, Lingling Zhang, Xi Pan
    Research on Aging.2024;[Epub]     CrossRef
  • Estimating the prevalence of intrinsic capacity decline: A systematic review and meta-analysis using WHO's integrated care of older people (ICOPE) screening tool
    Vinothini Jayaraj, Sridevi Gnanasekaran, Yazhini VB, Mohanraj Palani Selvam, Navin Rajendran, Gitashree Dutta, Tarun Kumar, Chandrashekar Babu, Vinoth Rajendran
    Archives of Gerontology and Geriatrics Plus.2024; 1(3): 100032.     CrossRef
  • Functional disability among the older adult population in Kedah, Malaysia
    Ganesh Pandian Balasubramanian, Saraswathi Simansalam, Sireesha Paruchuri, Lydia Lu Qing Yi, Jun Hao Chui
    Clinical Epidemiology and Global Health.2024; 29: 101673.     CrossRef
  • Time-varying lifestyle and mental-ill health risk factors for the longitudinal development of daily activity limitations among middle-aged and older adults in Thailand
    Dararatt Anantanasuwong, Supa Pengpid, Karl Peltzer
    Translational Medicine of Aging.2024; 8: 20.     CrossRef
  • The impact of social isolation on functional disability in older people: A multi-cohort study
    Eric Tsz-Chun Lai, Anson Kai Chun Chau, Irene Yuk-Ying Ho, Hideki Hashimoto, Chang-Yup Kim, Tung-Liang Chiang, Ya-Mei Chen, Michael Marmot, Jean Woo
    Archives of Gerontology and Geriatrics.2024; 125: 105502.     CrossRef
  • Association between masticatory function, frailty, and functional disability: an observational study
    Hiroko Furuhashi, Takanori Honda, Yoshihiko Furuta, Shoko Tomooka, Takahiro Tajimi, Yasumi Kimura, Daigo Yoshida, Toshiharu Ninomiya
    BMC Geriatrics.2024;[Epub]     CrossRef
  • Association between the incidence of functional disability and frequency of eating together among older adults living alone: a 6-year follow-up study from the Japan Gerontological Evaluation Study
    Akio Shimizu, Takaaki Ikeda, Yasuhiro Miyaguni, Sho Takeda, Yudai Tamada, Jun Aida
    Age and Ageing.2024;[Epub]     CrossRef
  • Sedentary Behavior, Obesity, and Disabilities in Community-Dwelling Older Adults: Analysis of the Brazilian National Health Survey 2019
    Bruno Prates Freitas, Letícia Martins Cândido, Katia Jakovljevic Pudla Wagner, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Roberta De Micheli, Alessandro Sartorio, Núbia Carelli Pereira de Avelar, Ana Lúcia Danielewicz
    Healthcare.2024; 12(16): 1625.     CrossRef
  • Concentrated disadvantage and functional disability: a longitudinal neighbourhood analysis in 100 US cities
    Daniel Semenza, Ian Silver, Richard Stansfield, Courtney Boen
    Journal of Epidemiology and Community Health.2023; 77(10): 676.     CrossRef
  • Functional disability and associated factors in older adults seen at a primary health care unit
    Paulo José Cortez, Paulo Eduardo Aliaga da Silveira, Beatriz Carvalho, João Vitor Medeiros de Abreu, Yan Lyncon, Gerson Souza Santos, Luciano Magalhães Vitorino
    Geriatrics Gerontology and Aging.2023;[Epub]     CrossRef
  • Suitable ultrasound screening method for older adults with disability to identify low muscle mass
    Huaying Ding, Xia Lin, Sha Huang, Jie Liao, Zhouyu Li, Lanlan Chen, Li Zhu, Yukuan Xie, Qian Nie, Xiaoyan Chen
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Unmet needs for care for activities of daily living among older adults with functional disabilities in Vietnam
    Phong Manh Phi, Long Thanh Giang, Tham Thi Hong Pham
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Frailty but not low muscle quality nor sarcopenia is independently associated with mortality among previously hospitalized older adults: A prospective study
    Jarson Pedro da Costa Pereira, Alcides da Silva Diniz, Maria Conceição Chaves de Lemos, Cláudia Porto Sabino Pinho Ramiro, Poliana Coelho Cabral
    Geriatrics & Gerontology International.2023; 23(10): 736.     CrossRef
  • A cross-sectional study for assessment of activity of daily living and health-related quality of life among adults with physical disabilities in the Wardha district
    Aditi Nath, Dr. Sonali Choudhari
    F1000Research.2023; 12: 1565.     CrossRef
  • Mental distress and incident functional disability among a rural ageing population in South Africa
    Supa Pengpid, Karl Peltzer
    International Journal of Geriatric Psychiatry.2022;[Epub]     CrossRef
  • Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand
    Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong
    Frontiers in Public Health.2022;[Epub]     CrossRef
COVID-19: Original Article
Does having various types of fear related to COVID-19 disrupt individuals’ daily life?: Findings from a nationwide survey in Korea
Woorim Kim, Yeong Jun Ju, Soon Young Lee
Epidemiol Health. 2022;44:e2022004.   Published online January 3, 2022
DOI: https://doi.org/10.4178/epih.e2022004
  • 11,010 View
  • 505 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
Unexpected changes in daily routines caused by the coronavirus disease 2019 (COVID-19) pandemic may affect psychological health. This study investigated the association between various types of COVID-19-related fear and the subjective level of disturbance in daily activities experienced by individuals.
METHODS
This cross-sectional study used the Korea Community Health Survey conducted from August through November 2020. COVID-19-related fear included fear of infection, death, public criticism, family members getting infected, and economic loss. The subjective level of disruption in daily activities was measured using a 0-100 numeric rating scale developed by the Korea Disease Control and Prevention Agency. Multivariable linear regression was used to analyze the associations between the independent and dependent variables. A subgroup analysis was performed based on income level.
RESULTS
Participants who reported fear of infection (β=-3.37, p<0.001), death (β=-0.33, p=0.030), public criticism (β=-1.63, p<0.001), a family member getting infected (β=-1.03, p<0.001), and economic loss (β=-3.52, p<0.001) experienced more disturbances in daily activities. The magnitude of this association was most significant in the lowest-income group.
CONCLUSIONS
Individuals reporting COVID-19-related fear experienced higher levels of subjective disruption in daily activities.
Summary
Korean summary
이 연구는 COVID-19 팬데믹과 관련된 심리적염려가 일상생활 활동에 부정적인 영향을 줄 수 있음을 관찰하였다. COVID-19 감염으로 인한 감염, 사망, 대중의 비판, 가족 중 건강취약자의 감염, 경제적 손실에 대해 염려하는 사람은 그렇지 않은 사람에 비해 일상생활에 더 부정적인 영향을 받고 있는 것으로 관찰되었다. 특히 다양한 유형의 감염염려를 동시에 경험하고 있을수록 일상생활 지장 정도가 더 증가하는 경향이 관찰되었으며 소득수준이 낮을수록 부정적인 영향정도가 더 두드러졌다.
Key Message
Our results revealed that fear related to the COVID-19 pandemic was associated with increased levels of subjective disruptions in daily activities. Compared to individuals without fear, those with fears of COVID-19 infection, dying from infection, public criticism, a family member getting infected, and economic loss reported higher levels of disruption in daily activities. Those who reported fear of COVID-19 infection and economic loss due to infection had particularly higher levels of disturbances. Considering the various types of fear concurrently, the level of disruption experienced tended to increase with the number of reported fears.

Citations

Citations to this article as recorded by  
  • Is fear of COVID-19 higher in individuals residing in more deprived areas? A nationwide study
    Woorim Kim, Soon Young Lee, Yeong Jun Ju
    Journal of Public Health.2023; 45(2): 402.     CrossRef
  • Association Between Changes in Family Life Due to COVID-19 and Depressive Mood and Stress Perception
    Min-Su Kim, Mi Ah Han, Jong Park, So Yeon Ryu
    Asia Pacific Journal of Public Health.2023; 35(1): 14.     CrossRef
  • Public perception of the appropriateness of COVID-19 management strategies and level of disturbances in daily activities: A focus on educational level
    Yeong Jun Ju, Woorim Kim, Soon Young Lee, Jordi Gumà
    PLOS ONE.2023; 18(6): e0287143.     CrossRef
Original Article
Hand-to-face contact behaviors during indoor activities in daily life among Korean adults: an observational pilot study using videotaping
Hyang Soon Oh, Mikyung Ryu, Youngran Yang
Epidemiol Health. 2021;43:e2021030.   Published online April 22, 2021
DOI: https://doi.org/10.4178/epih.e2021030
  • 11,529 View
  • 363 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
Hand-to-face contact (HFC) is the major route for the self-inoculation of pathogens. This study aimed to describe the characteristics of HFC behaviors among Korean adults during indoor activities.
METHODS
Thirty participants were enrolled in the study, and 2 hours of videotaped data were collected from each participant. Contact data were recorded by examining the frequency and duration of HFC on the videos. Three training sessions were conducted for 2 readers to ensure the accuracy and reliability of videotape reading. Re-reading and verification of selected video data were performed to confirm intrapersonal and interpersonal validity. Contact exposure (CE) was determined by multiplying the contact frequency (CF) by the contact duration (CD) to quantify the intensity of contact during the observation time (2 hours).
RESULTS
A total of 3,007 HFCs (1,305 mucous membrane contacts and 1,702 non-mucous membrane contacts) were observed for 60 person-hours. The median CF (person/2 hr) of the mucous membranes (eye; 4.0, nose; 15.5, mouth; 16.5) was 39.5/person and the median total CD was 177.0 sec/person. The median CE (frequency-duration/sec/person) was 5,795.0 (mouth: 1,356.0, nose: 600.0, eye: 57.5).
CONCLUSIONS
This study showed that the mouth and nose were the most frequent exposure sites for HFC. Avoiding habitual HFC, awareness of self-inoculation by HFC, and vigorous hand hygiene should be strengthened to prevent the spread of infections.
Summary
Korean summary
· 얼굴의 가장 빈번한 직접 자가 손접촉 노출은 입과 코에서 발생했습니다. · 접촉 노출량 지표 (contact exposure)는 입과 코에 자가 손접촉을 보다 잘 구별할 수 있습니다. · 습관적인 손-얼굴 접촉을 피하고, 마스크 사용 및 철저한 손위생으로 감염성 질환의 전파를 예방해야 합니다.
Key Message
• Average contact frequency (no./person) and contact duration (sec/person) of hand-to-face contact to the mucous membranes were high on the mouth, nose and then nose. • Contact exposure could differentiate more distinguished the hand contacts to mouth and to nose than contact frequency. • Hand-to face contacts, especially to mouth and then to nose can be the most frequent route of self-inoculation among Korean adults. • Avoiding habitual hand-to-face contacts, mask use, and vigorous hand hygiene should be strengthened as we counter epidemics of transmitting infectious diseases.

Citations

Citations to this article as recorded by  
  • Impact of a Serious Game (#RedPingüiNO) to Reduce Facial Self-Touches and Prevent Exposure to Pathogens Transmitted via Hands: Quasi-Experimental Intervention
    Marta Arévalo-Baeza, Alejandro Viuda-Serrano, Carmen Juan-Llamas, Pablo Sotoca-Orgaz, Iván Asín-Izquierdo
    JMIR Serious Games.2023; 11: e45600.     CrossRef
  • Hemşirelik Öğrencilerine Eğitimleri Sırasında Öğretilen Asepsi Uygulamalarının Covid -19 Pandemi Dönemindeki Bireysel Uygulamalarına Etkisi
    Ayşe SERPİCİ, Neriman AKANSEL, Nursel VATANSEVER, Vahit DALKIZAN
    Uludağ Üniversitesi Tıp Fakültesi Dergisi.2023; 49(2): 245.     CrossRef
  • Hand-to-Face Contact of Preschoolers during Indoor Activities in Childcare Facilities in the Republic of Korea
    Hyang Soon Oh, Mikyung Ryu
    International Journal of Environmental Research and Public Health.2022; 19(20): 13282.     CrossRef
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