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Katz' ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly

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Author: Reijneveld, S.A. · Spijker, J. · Dijkshoorn, H.
Type:article
Date:2007
Institution: TNO Kwaliteit van Leven
Source:Journal of Clinical Epidemiology, 4, 60, 382-388
Identifier: 239904
doi: doi:10.1016/j.jclinepi.2006.02.022
Keywords: Health · Jeugd en Gezondheid · Cross-cultural comparison · Ethnic group · Functional status · Physical fitness · Psychometrics · adult · daily life activity · depression · ethnic group · functional assessment · Katz index · major clinical study · outcome assessment · reliability · self report · Short Form 36 · symptomatology · validity · Activities of Daily Living · Age Distribution · Aged · Chronic Disease · Cross-Cultural Comparison · Depression · Disability Evaluation · Female · Health Status · Humans · Male · Middle Aged · Morocco · Netherlands · Physical Fitness · Prognosis · Reproducibility of Results · Sex Distribution · Turkey

Abstract

Background and Objective: We examined the reliability and validity of self-reported limitations encountered in the activities of daily living (ADL) as measure of functional performance, for Turkish, Moroccan, and indigenous Dutch elderly in the Netherlands. Methods: We obtained data on self-reported ADL measured by Katz' ADL index and on five related health outcomes among a general population sample of 304 Dutch, 330 Turkish, and 299 Moroccan respondents aged 55-74 years, in Amsterdam, the Netherlands (response: 60%). Results: Katz' ADL index demonstrated good internal consistencies for each ethnic group (Cronbach's alphas: 0.84-0.94). Regarding validity, the ADL index showed relatively strong associations with related outcomes, that is, long-term limitations in mobility and SF-36 physical functioning (rank correlations: 0.64 and -0.60, respectively). Associations with more general health outcomes, number of chronic disorders, Center for Epidemiologic Studies-Depression scale symptoms, and SF-36 role performance were weaker, as expected. Associations were stronger for Moroccans than for indigenous Dutch elderly regarding both SF-36 outcomes and depressive symptoms. Conclusion: Katz' ADL index is valid to assess functional performance of Turkish, Moroccan, and Dutch elderly, but comparisons with Moroccan elderly should be handled with caution. The explanation of these findings and their generalizability to other ethnic groups deserve further study. © 2007 Elsevier Inc. All rights reserved.