Characteristics of ADL ability on partially dependent older adults: comparison among different ambulatory activities levels

The purpose of the present study was to clarify the characteristics of ADL ability among different ambulatory level groups. The subjects were 448 partially dependent older adults (PD; 126 male, 81.7 +/- 8.22 year; 322 female, 82.5 +/- 7.25 year) over 60 years of age, and they were divided into 3 groups based on ambulatory activity level; G1 could not walk without assistance; G2 could walk with a stick; G3 could walk without assistance. The PD were asked 17 ADL questionnaires representing seven ADL domains to evaluate the ADL ability. Total and domain ADL scores, and achievement rates for each item were calculated, and compared among different ambulatory activity groups. It is confirmed that ADL ability level in PD significantly relates to ambulatory level and becomes gradually higher as the ambulatory activity level advances. It is considered that in the G1, lower limb ability level is low, and the contribution of ability level regarding changing posture and manual activities to total ADL ability level is high. On the other hand, in the G3 the achievement levels in manual activities and high-difficulty ADLs using lower limbs reflects the differences in the ADL ability level among individuals. Gender differences for ADL ability are not found in any ADL domain, while age differences are found in only the G3. It is inferred that for the G1, the achievement levels of ADLs are largely influenced by disease morbidity and age contributes very little to the decline of ability level.