Because of increasing interest in at-risk enrollment of Medicare beneficiaries by health maintenance organizations, a number of modifications to the adjusted average per capita cost (AAPCC) formula employed by the Health Care Financing Administration have been proposed recently. Researchers have found that new models, which include measures of prior years' utilization and costs, predict Medicar...

PURPOSE To assess associations among chronic obstructive pulmonary disease (COPD), disability as measured by activities of daily living (ADL) and instrumental ADL (IADL), engagement in social activities, and death among elderly noninstitutionalized US residents. MATERIALS AND METHODS A nationally representative sample of 9,415 adults who were aged ≥70 years and responded to the Second Supplem...

BACKGROUND Mental disorders, especially depression, are one of the principal causes of disablement. Previous research has been limited partly due to the failure to take into account sub-syndromal states and the very large number of candidate mediating and confounding factors. METHODS Longitudinal associations between baseline depressive symptomatology and activity limitations were examined in...

Objective To assess the prevalence of disability and its association with social capital among community-dwelling elderly. Methods The study was based on 2nd Health Survey of Belo Horizonte Metropolitan Region - 2010, that included 1,995 community-dwelling elderly, randomly sampled. The exposure of interest was social capital, measured by confidence in neighborhood, perception of the physical...

The objectives of this study were to understand transition patterns and mechanisms of functional status, and to estimate active life expectancy (ALE) among senior citizens in a small town in Japan. With data drawn from surveys conducted annually from 1998 to 2002 (n=638 at baseline), prevalence and incidence of functional disability in activities of daily living (ADL) and instrumental activitie...

PURPOSE This study examined the incidence of depression and associated factors among elderly persons from Iitate village after the March 2011 earthquake. METHOD This was a prospective cohort study. As a baseline survey, in May 2010 a self-assessment Basic Checklist (BCL) was distributed to 1611 elderly villagers, of which 1277 responded. Of these respondents, 885 without a tendency to depress...

OBJECTIVES To determine predictors of fear of falling in older Mexican Americans over time. DESIGN Longitudinal study. SETTING Community-dwelling residents throughout California, Colorado, New Mexico, Arizona, and Texas. PARTICIPANTS Community-dwelling Mexican Americans aged 72 and older participating in the Hispanic Established Populations for the Epidemiologic Study of the Elderly from ...

OBJECTIVE Executive functioning has been repeatedly linked to the integrity of instrumental activities of daily living (IADL). The present study examined the association of multiple executive functioning elements (i.e., working memory, generation, inhibition, planning, and sequencing) to IADLs among an older adult cohort at risk for future cognitive and functional decline. METHODS Seventy-two...

Introduction: Although it might be of interest to examine the predictive value of IADL and MMSE, the link to rehabilitation allocation is not unambiguous. Consider rewriting. The sentence has been revised.

The direct relationship between metabolic syndrome (MetS) and function disability has not been established. The aim of the present study was to investigate the relationship between MetS and functional disability in the elderly. This retrospective observational study included 1,778 participants aged 60-84 years from the National Health and Nutrition Examination Survey (1999-2002). Impairments in...