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Related Experiment Videos

Functional limitations and disability among elders in the Framingham Study.

M Kelly-Hayes1, A M Jette, P A Wolf

  • 1Department of Neurology, Boston University School of Medicine, MA 02118.

American Journal of Public Health
|June 1, 1992
PubMed
Summary

Physical functional limitations and self-reported disability are distinct in elders. Measures should align with research goals and study populations for accurate assessment of disablement risk factors.

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Epidemiology

Background:

  • Measuring physical disability is crucial for understanding disease impact in research.
  • Current measures often fail to distinguish between functional limitations and actual daily activity performance.
  • This ambiguity complicates accurate assessment of health status and disease progression.

Purpose of the Study:

  • To compare self-reported disability with observed functional limitations in community-dwelling elders.
  • To evaluate the utility of functional limitations versus disability measures in identifying disablement risk factors.
  • To clarify the relationship between these two concepts in the elderly population.

Main Methods:

  • Assessed differences between self-reported disability and observed functional limitations.

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  • Focused on six activities of daily living (ADLs) in a cohort of community-dwelling elders.
  • Analyzed data to determine associations between impairments and reported/observed limitations.

    • Main Results:

    • Significant discrepancies were observed between reported disability and functional limitations in 1453 participants.
    • In 89% of cases with differences, participants reported higher disability than observed limitations.
    • Cognitive impairment was associated with discrepancies in 11% of cases; neurological factors impacted both measures, while sociocultural factors only influenced disability.

    Conclusions:

    • Physical functional limitations and disability represent distinct constructs in the elderly.
    • The choice of measurement (functional limitations vs. disability) depends on specific research objectives.
    • Understanding these differences is vital for selecting appropriate assessment tools for diverse elderly populations.