Factors associated with the functional independence level in older adults


Babak Moeini 1 , Majid Barati 2 , * , Farzad Jalilian 3

1 Assistant Professor Department of Health, Research Center for Health, Hamadan University of Medical Sciences, Hamadan, Iran.

2 Master of Health Education, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Master of Health Education, Islamic Azad University of Hamadan Branch.

How to Cite: Moeini B, Barati M, Jalilian F. Factors associated with the functional independence level in older adults, Hormozgan Med J. 2012 ; 15(4):e88508.


Hormozgan Medical Journal: 15 (4); e88508
Published Online: May 28, 2011
Article Type: Research Article
Received: March 09, 2011
Accepted: May 28, 2011


Introduction: Functional independence in old age refers to active presence in daily life.
One of the best ways to evaluate the functional independence of elderly is assessing the level
of activities. This study aims to determine the status of functional independence in
performing instrumental and daily activities as well as its related factors.
Methods: This cross-sectional study was conducted in 400 individuals aged over 60 in
Hamadan in 2010. The subjects were selected randomly using multi-stage sampling. Two -
part questionnaire including activities of daily living (ADL) and instrumental activities daily
living (IADL) were completed by interviews. Data were analyzed via T-test and ANOVA.
Results: The average score achieved in ADL and IADL were 9 and 13, respectively, that
indicated 31% of elderly in ADL and 55% in IADL were independent. Significant
difference in average score of ADL were related to gender, education level and household
composition were observed (P<0.001). There were also significant differences in average
score of IADL related to age, gender, education level, marital status, socioeconomic status,
and family composition (P<0.001).
Conclusion: The results showed that a significant percentage of elderly in IADL were
dependent to their relatives. We recommend a program for identification of psychological
factors including barriers and facilitators factors, for old people.



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