RT Journal Article
T1 Prevalence of disability in a composite ≥75 year-old population in Spain: A screening survey based on the International Classification of Functioning
A1 Virués Ortega, Javier
A1 Pedro Cuesta, Jesús de
A1 Seijo Martínez, Manuel
A1 Saz, Pedro
A1 Sánchez Sánchez, Fernando
A1 Rojo Pérez, Fermina
A1 Rodríguez, Fernanda
A1 Mateos, Raimundo
A1 Martínez Martín, Pablo
A1 Mahillo, Ignacio
A1 Gascon Bayarri, Jordi
A1 Garre Olmo, Josep
A1 García, Francisco José
A1 Fernández Mayoralas, Gloria
A1 Bermejo Pareja, Félix
A1 Bergareche, Alberto
A1 Almazan Isla, Javier
A1 Barrio, José Luis del
K1 Barthel Index
K1 Disability Assessment
K1 Mild Disability
K1 Disability Prevalence
K1 Katz Index
AB Background:The prevalence and predictors of functional status and disability of elderly people have been studied in several European countries including Spain. However, there has been no population-based study incorporating the International Classification of Functioning, Disability and Health (ICF) framework as the basis for assessing disability. The present study reports prevalence rates for mild, moderate, and severe/extreme disability by the domains of activities and participation of the ICF.Methods:Nine populations surveyed in previous prevalence studies contributed probabilistic and geographically defined samples in June 2005. The study sample was composed of 503 subjects aged ≥75 years. We implemented a two-phase screening design using the MMSE and the World Health Organization-Disability Assessment Schedule 2nd edition (WHO-DAS II, 12 items) as cognitive and disability screening tools, respectively. Participants scoring within the positive range of the disability screening were administered the full WHO-DAS II (36 items; score range: 0-100) assessing the following areas: Understanding and communication, Getting along with people, Life activities, Getting around, Participation in society, and Self-care. Each disability area assessed by WHO-DAS II (36 items) was reported according to the ICF severity ranges (No problem, 0-4; Mild disability, 5-24; Moderate disability, 25-49; Severe/Extreme disability, 50-100).Results:The age-adjusted disability prevalence figures were: 39.17 ± 2.18%, 15.31 ± 1.61%, and 10.14 ± 1.35% for mild, moderate, and severe/extreme disability, respectively. Severe and extreme disability prevalence in mobility and life activities was three times higher than the average, and highest among women. Sex variations were minimal, although life activities for women of 85 years and over had more severe/extreme disability as compared to men (OR = 5.15 95% CI 3.19-8.32).Conclusions:Disability is highly prevalent among the Spanish elderly. Sex- and age-specific variations of disability are associated with particular disability domains
PB BMC
YR 2011
FD 2011
LK http://hdl.handle.net/10347/23080
UL http://hdl.handle.net/10347/23080
LA eng
NO Virués-Ortega, J., de Pedro-Cuesta, J., Seijo-Martínez, M. et al. Prevalence of disability in a composite ≥75 year-old population in Spain: A screening survey based on the International Classification of Functioning. BMC Public Health 11, 176 (2011). https://doi.org/10.1186/1471-2458-11-176
NO This project was partially funded by a research contract in support of the project “Epidemiological Study of Dementia in Spain” signed by the Pfizer Foundation and Carlos III Institute of Health
DS Minerva
RD 22 abr 2026