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Associations between anemia and dependence on basic and instrumental activities of daily living in older women.
Karismaz, Abdulkadir; Pasin, Ozge; Kara, Osman; Eren, Rafet; Smith, Lee; Doventas, Alper; Soysal, Pinar.
Afiliación
  • Karismaz A; Department of Hematology, University of Health Sciences, Istanbul Training and Research Hospital, Istanbul, Turkey. kkarismaz@hotmail.com.
  • Pasin O; Department of Biostatistics, Bezmialem University Faculty of Medicine, Istanbul, Turkey.
  • Kara O; Department of Hematology, Bahcesehir University Medical Park Goztepe Hospital, Istanbul, Turkey.
  • Eren R; Department of Hematology, Biruni University Faculty of Medicine, Biruni University Hospital, Istanbul, Turkey.
  • Smith L; Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
  • Doventas A; Division of Geriatric Medicine, Department of Internal Medicine, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
  • Soysal P; Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
BMC Geriatr ; 24(1): 741, 2024 Sep 07.
Article en En | MEDLINE | ID: mdl-39244584
ABSTRACT

AIM:

The aim of the present study was to examine the relationship between anemia and basic and instrumental activities of daily living in older female patients.

METHODS:

540 older female outpatients were included in this cross-sectional study. Anemia was defined as a hemoglobin below 12 g/dL. Patients' demographic characteristics, comorbidities, Geriatric Depression Scale, Mini Nutritional Assessment, and Mini-Mental State Examination (MMSE) were also recorded. Handgrip strength (HGS) was measured with a hand dynamometer to detect dynapenia. Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to evaluate functional capacity.

RESULTS:

The mean age of the participants was 77.42 ± 7.42 years. The prevalence of patients with anemia was 35%. A significant difference was observed between anemic and non-anemic groups in terms of age, presence of diabetes mellitus (DM), hypertension, coronary artery disease (CAD), chronic kidney disease (CKD), malnutrition, dynapenia, and MMSE, BADL and IADL scores (p < 0.05). In multivariate analysis, after adjustment for age, DM, hypertension, CAD and CKD; there were significant associations between anemia and reduced BADL/IADL scores, dynapenia, falls, the risk of falls, MMSE, and malnutrition (p < 0.05). After adjusting for all confounding variables, deterioration in total BADL and IADL total scores were still more common among anemic older females than those without anemia (p < 0.05).

CONCLUSION:

One out of every three older women presenting at one outpatient clinic were anemic. Anemia was observed to be associated with dependence in both BADL and IADL measures. Therefore, the presence of anemia in elderly women should be routinely checked, and possible causes should be investigated and treated to improve their functional capacity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actividades Cotidianas / Anemia Límite: Aged / Aged80 / Female / Humans Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actividades Cotidianas / Anemia Límite: Aged / Aged80 / Female / Humans Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido