Abstract
Independence in performing activities of daily living (ADLs) is a central aspect of functioning. Elderly people often experience different kinds of impairments and limitations in their various life areas. So, the objective of this systematic review is to identify activity limitations and associated factors in elderly people. We systematically searched four electronic databases (Scopus, EBSCOhost, CINAHL & MEDLINE, and PubMed) and bibliographies for relevant studies published between 2000 and 2017. Of the initial 629 identified articles, 37 met inclusion and exclusion criteria and were analyzed. The content analysis involved categorizing the factors into six domains representing factors associated with activity limitation. In multiple studies, elderly people exhibited significant activity limitations. Six domains were significantly associated with activity limitations in elderly people. These included socio-demographic factors, chronic health conditions, mental health status, health behaviors, psychosocial factors, and health-related factors. Older age (in 21 studies) and female gender (in 19 studies) were the most prevalent factor for activity limitation. In addition, stroke, arthritis, eye diseases, diabetes, anxiety, depression, cognition, physical inactivity, and poor mobility exhibited high evidential strength. This review revealed various demographic, health conditions, mental status and behavioral factors associated with activity limitation among elderly people. Our findings may help to establish priorities for future research, and assist early detection and health and social program planning efforts for those at higher risk of activity limitation.
Published Version
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