Your browser doesn't support javascript.
loading
Racial/Ethnic Differences in Self-Reported Upper Limb Limitations Among U.S. Older Adults.
Logue Cook, Rachel N; Davis, Matthew A; Hasson, Rebecca E; Kinnett-Hopkins, Dominique; Brown, Susan H.
Afiliação
  • Logue Cook RN; School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • Davis MA; School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
  • Hasson RE; University of Michigan Medical School, Ann Arbor, Michigan, USA.
  • Kinnett-Hopkins D; School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • Brown SH; School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
Article em En | MEDLINE | ID: mdl-38642467
ABSTRACT

BACKGROUND:

The development of disability related to activities of daily living (ADL) is of great concern in the aging population, particularly for Hispanic and Non-Hispanic (NH) Black older adults, where disability prevalence is greater compared to NH Whites. ADL-disability is typically measured across many functional tasks without differentiating upper- versus lower-limb limitations, hindering our understanding of disability burden. Despite the importance of the upper limbs for completing ADL and known age-related declines in function, racial/ethnic differences in upper limb function remain largely unknown.

METHODS:

We identified 4 292 NH White, NH Black, and Mexican American older adults (≥65) from the 2011-2018 waves of the National Health and Nutrition Examination Survey (NHANES). We classified participants as having a limitation based on their ability to complete 5 upper-limb tasks (preparing meals, eating, dressing, reaching overhead, and grasping small objects) and compared limitation rates across racial/ethnic groups.

RESULTS:

Compared to NH Whites, NH Black older adults had significantly greater odds of reporting difficulties preparing meals (odds ratio [OR] 1.36, 95% confidence interval [95% CI] 1.01, 1.86) and dressing (OR 1.55, 95% CI 1.19, 2.02), while Mexican Americans had greater difficulty preparing meals (OR 1.70, 95% CI 1.12, 2.58), dressing (OR 1.63, 95% CI 1.12, 2.36), and grasping small objects (OR 1.48, 95% CI 1.06, 2.07).

CONCLUSIONS:

Our results demonstrate differences in self-reported upper limb ADL-disability across racial/ethnic groups, particularly for Mexican American older adults. Such findings underscore the need for routine monitoring of upper limb function throughout adulthood to identify limitations and target therapeutic interventions before independence is compromised.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atividades Cotidianas / Americanos Mexicanos / Extremidade Superior / População Branca / Autorrelato Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atividades Cotidianas / Americanos Mexicanos / Extremidade Superior / População Branca / Autorrelato Idioma: En Ano de publicação: 2024 Tipo de documento: Article