Cross-Sectional Study Comparing Activities of Daily Living Using Barthel Index Within a Geriatric Population Having Non-Communicable Diseases

• Published in: Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e65046
• Main Authors: Harale, Manasi, Oommen, Arun, Faruqi, Ahsan A, Mundada, Mayank, Pancholi, Tushar, Yammanuru, Bhavya, Yekkaluru, Sree Vidya, Reddy, Raju Hansini, Gupta, Abishak D
• Format: Article
• Language: English
• Subjects: Activities of daily living; Age groups; Bladder; Chronic illnesses; Comorbidity; Consent; Cross-sectional studies; Disability; Ethics; Exercise; Gender; Geriatrics; Health care; Internal Medicine; Males; Mobility; Older people; Population; Public Health; Self report
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.65046

Introduction Disabilities and non-communicable diseases (NCDs) are prevalent among the elderly, significantly affecting their quality of life. Comprehensive population-based data are essential for effective healthcare planning and rehabilitation. This study aims to determine the prevalence of self-reported disabilities and compare Barthel Index scores among elderly individuals with and without NCDs. Methods A cross-sectional study was conducted at Dr. D. Y. Patil Medical College, Pune, involving 102 patients aged 60 years and above. Patients with a history of strokes or limb amputations were excluded. Data on demographics, comorbidities, and functional status were collected using a structured questionnaire designed based on Barthel Index scoring to assess the activities of daily living (ADL). Results The study included 102 participants: 58 males (56.9%) and 44 females (43.1%). Age distribution showed 73.5% in the 60-74 age group, 22.5% in the 75-84 age group, and 3.9% in the 85+ age group. Comorbidity data revealed that 37.3% had no comorbidities, 26.4% had one comorbidity, and 36.3% had two or more comorbidities. The mean Barthel Index scores were 87.11 for those without comorbidities, 83.89 for those with one comorbidity, and 82.30 for those with two or more comorbidities. The most affected activities were stair climbing (75.7%), bowel control (48.5%), and mobility (47.1%). Conclusion NCDs significantly impact daily activities in the elderly, underscoring the need for targeted healthcare interventions to improve their quality of life. This study highlights the importance of comprehensive care strategies to address the specific needs of elderly patients with comorbidities.