Levels of functional disability in elderly people in Tanzania with dementia, stroke and Parkinson's disease

Acta Neuropsychiatrica
Aloyce KisoliRichard Walker

Abstract

Disability is associated with increasing age and poverty, yet there are few reliable data regarding disability amongst the elderly in low-income countries. The aim of this study was to compare disability levels for three of the most common neurological, non-communicable diseases: dementia, stroke and Parkinson's disease (PD). We performed a community-based study of people aged 70 years and over in 12 randomly selected villages in the rural Hai district of Tanzania. Participants underwent disability assessment using the Barthel Index, and clinical assessment for dementia, stroke and PD. In a representative cohort of 2232 people aged 70 years and over, there were 54 cases of stroke, 12 cases of PD and estimated (by extrapolation from a sub-sample of 1198 people) to be 112 cases of dementia. People with stroke were the most disabled, with 62.9% having moderate or severe disability. Levels of moderate or severe disability were 41.2% in people with dementia and 50.0% in people with PD. However, the higher prevalence of dementia meant that, at a population level, it was associated with similar levels of disability as stroke, with 18.5% of 249 people identified as having moderate or severe disability having dementia, compared to 13.7%...Continue Reading

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Citations

Nov 10, 2015·Archives of Gerontology and Geriatrics·William K GrayRichard W Walker
Oct 19, 2016·International Journal of Geriatric Psychiatry·William K GrayCatherine L Dotchin
May 6, 2015·Acta Neurologica Scandinavica·R W WalkerF Mugusi
Jan 9, 2016·Movement Disorders Clinical Practice·Jolynne MokayaRichard W Walker
Jun 21, 2016·Expert Review of Clinical Pharmacology·Shyam Sundar ArumughamChittaranjan Andrade
Sep 25, 2019·International Journal of Environmental Research and Public Health·Josephine E Prynn, Hannah Kuper
Jul 16, 2020·Revista brasileira de enfermagem·Marta Regina Soares de AssunçãoHelena Maria Guerreiro José
Aug 11, 2017·International Orthopaedics·Christopher BliemelDaphne Eschbach

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