The Impact of Stroke on Daily Activities in Older Chinese Adults: A Call for More Support
The research paper explores the effect of stroke on the daily activities of older adults in China. It highlights that stroke survivors face several times higher prevalence and severity of activity limitations compared to those without chronic conditions and those with non-stroke chronic conditions. These activity limitations are measured using the Activities of Daily Living (ADL) and the Instrumental ADL (IADL) scales, which assess a person's ability to perform basic self-care tasks and more complex tasks necessary for independent living, respectively.
The paper reveals that the prevalence of ADL limitation was significantly higher in the stroke group (14.8%) than in those with non-stroke chronic conditions (4.8%) or no chronic conditions (3.6%). Similarly, the prevalence of IADL limitation was also higher in the stroke group. The paper also found that stroke survivors aged 80 years and above and those without formal education were more likely to face severe activity limitations.
The findings underscore the need for more support for older adult stroke survivors, particularly those aged 80 years and above and those without formal education. By understanding the extent of activity limitations faced by these individuals, we can develop targeted interventions to help them maintain their independence and quality of life.
Article Information
Stroke and activity limitation in Chinese adults 65 Years or older
Published in Disability and Health Journal. Alexander C Ewing et al.
Abstract
Background: Differences in activity limitations between stroke survivors and people with other chronic conditions and how their levels of activity limitation vary by sociodemographic characteristics have not been well quantified.
Objective: To quantify activity limitations experienced by Chinese older adult stroke survivors and explore stroke effects in specific subgroups.
Methods: We used Chinese Longitudinal Healthy Longevity Survey 2017-2018 data (N = 11,743) to produce population-weighted estimates of activity limitations using the Activities of Daily Living (ADL) and the Instrumental ADL (IADL) scales for older adults (age 65 and older) stroke survivors compared to those with non-stroke chronic conditions and those without chronic conditions. Multinomial logistic regressions were run with outcomes "no activity limitation," "IADL only limitation," and "ADL limitation."
Results: The weighted marginal prevalence of ADL limitation was higher in the stroke group (14.8%) than in those with non-stroke chronic condition (4.8%) or no chronic conditions (3.6%) (p < 0.01). The corresponding prevalence of IADL limitation for the three groups was 36.0%, 31.4%, and 22.2%, respectively (p < 0.01). Stroke survivors aged ≥ 80 years had a higher prevalence of ADL/IADL limitation than those aged 65-79 years (p < 0.01). Formal education was associated with a lower prevalence of ADL/IADL limitation in each chronic condition group (p < 0.01).
Conclusions: Prevalence and severity of activity limitation among Chinese older adult stroke survivors were several times higher than those without chronic conditions and those with non-stroke chronic conditions. Stroke survivors, particularly those aged ≥80 years and those without formal education, might be predisposed to more severe activity limitation and require more support to compensate.
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