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Chair rise capacity and associated factors in older home-care clients

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Article (349.0Kb)
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final draft
Date
2017
Author(s)
Tiihonen M
Hartikainen S
Nykänen I
Unique identifier
10.1177/1403494817718072
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Self-archived article

Citation
Tiihonen M. Hartikainen S. Nykänen I. (2017). Chair rise capacity and associated factors in older home-care clients.  SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, First Published July 12, 2017, 10.1177/1403494817718072.
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Abstract

Aims: The aim of this study was to investigate the ability of older home-care clients to perform the five times chair rise test and associated personal characteristics, nutritional status and functioning. Methods: The study sample included 267 home-care clients aged ≥75 years living in Eastern and Central Finland. The home-care clients were interviewed at home by home-care nurses, nutritionists and pharmacists. The collected data contained sociodemographic factors, functional ability (Barthel Index, IADL), cognitive functioning (MMSE), nutritional status (MNA), depressive symptoms (GDS-15), medical diagnoses and drug use. The primary outcome was the ability to perform the five times chair rise test. Results: Fifty-one per cent (n=135) of the home-care clients were unable to complete the five times chair rise test. Twenty-three per cent (n=64) of the home-care clients had good chair rise capacity (≤17 seconds). In a multivariate logistic regression analysis, fewer years of education (odds ratio [OR] = 1.11, 95% confidence interval [CI] 1.04–1.18), lower ADL (OR = 1.54, 95% CI 1.34–1.78) and low MNA scores (OR = 1.12, 95% CI 1.04–1.20) and a higher number of co-morbidities (OR = 1.21, 95% CI 1.02–1.43) were associated with inability to complete the five times chair rise test. Conclusions: Poor functional mobility, which was associated with less education, a high number of co-morbidities and poor nutritional status, was common among older home-care clients. To maintain and to prevent further decline in functional mobility, physical training and nutritional services are needed. (NutOrMed, ClinicalTrials.gov Identifier: NCT02214758)

Subjects
older people   home-care clients   physical functioning   chair rise capacity   
URI
https://erepo.uef.fi/handle/123456789/4411
Link to the original item
http://dx.doi.org/10.1177/1403494817718072
Publisher
SAGE Publications
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  • Terveystieteiden tiedekunta [1324]
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