Functional disability in community-dwelling older people and its associated factors: a cross-sectional study of felda schemes in Pahang, Malaysia

Abdul Wahab, Patimah and Abdul Talib, Nurul Afiah and Nik Mohd Hatta, Nik Noor Kaussar and Saidi, Sanisah and Abdul Mulud, Zamzaliza and Abdul Wahab, Muhammad Nubli and Pairoh, Hasanah and Nik Kamiluddin, Nik Nurfathiah Sa’adah (2024) Functional disability in community-dwelling older people and its associated factors: a cross-sectional study of felda schemes in Pahang, Malaysia. Malaysian Journal of Medicine and Health Sciences, 20 (4). pp. 227-234. ISSN 1675-8544 E-ISSN 2636-9346

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Abstract

Introduction: Functional disabilities are common in community-dwelling older people, endangering their well-being and ultimately leading to deterioration in health and loss of ability to work. The ageing process and chronic diseases have been found to have a greater impact on physical or mental disabilities. This study examined functional disability in community-dwelling older people and the identified associated factors. Materials and methods: A cross-sectional study of 305 community-dwelling older people was conducted within FELDA schemes in Pahang. To complete the Malay version of the Barthel Index and provide information on socio-demographic and health status, face-to-face interviews were conducted. Multiple linear regression analysis was performed to examine the predictive factors. Results: The average age of participants was 69.61 years (SD = 6.30). Approximately 90.5% of participants had a functional disability. Age (-0.1 [-0.2, -0.1], P < 0.001), BMI (-0.1 [-0.2, -0.0], P = 0.015), number of chronic conditions (-0.5 [-0.7, -0.3], P < 0.001), and renal disease (-2.1 [-3.7, -0.5]), P = 0.010) were significantly associated with functional disability. Meanwhile, stroke (-5.8 [95% CI: -7.2, -4.4], P < 0.001), knee pain (-0.8 [95% CI: -1.4, -0.1], P = 0.016), and vision problems (-1.8 [95% CI: -2.8, -0.8], P = 0.001) were independent predictors, with stroke being the largest contributor. Conclusion: Our results suggested that functional disability among elderly people in Malaysia was very severe and mainly related to chronic diseases. A health promotion program should aim to help older people delay the onset of disability while optimizing their functional autonomy.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Activities of daily living, Aged, Functional status, Morbidity, Malaysia
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing > Department of Medical Surgical Nursing Kulliyyah of Nursing
Depositing User:	Dr Patimah Abdul Wahab
Date Deposited:	05 Aug 2024 15:45
Last Modified:	05 Aug 2024 15:45
URI:	http://irep.iium.edu.my/id/eprint/113690

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