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Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria

Received: 31 August 2013     Published: 30 September 2013
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Abstract

Background: Musculoskeletal disorders (MSDs) can have detrimental impact on physical activities of daily living (PADLs) of geriatric Nigerians and can trigger other chronic medical conditions. The virility of Nigerian elderly population therefore depends largely on their PADLs which are often challenged by MSDs. Aim: The study was designed to determine the predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs, 130 of them had diagnoses of MSDs and 116 who had limitations of their PADLs were studied for predictor variables. Data was collected using a pretested, structured and interviewer administered questionnaire. The PADL was scored on a four points Likert scale and assessed in the previous one month. Patients who scored 0 had no affectation of PADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. One hundred and sixteen (89.2%) out of 130 patients had their PADLs affected. Limitations of PADLs was significantly associated with age ≥75 years(p=0.022) and urban residence(p=0.003). The most significant predictor of limitations of PADLs was urban residence (p=0.010, OR=2.516 (1.34 - 5.02). The geriatric patients with MSDs in urban residence were two and half times more likely to have limitations of PADLs compared to their counterparts in rural residence. Conclusion: Limitations of PADLs was significantly associated with age ≥75 years and urban residence. The most significant predictor of limitations of PADLs was urban residence. Measures targeted at these variables and widespread clinic, public health and diverse health promotion strategies to improve PADLs should constitute targets for intervention.

Published in European Journal of Preventive Medicine (Volume 1, Issue 2)
DOI 10.11648/j.ejpm.20130102.11
Page(s) 37-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Geriatrics, Limitations of PADLs, MSDs, Nigeria, Predictors, Primary Care

References
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Cite This Article
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    Gabriel Uche Pascal Iloh, Nnadozie Paul Obiegbu, Abali Chuku, Augustin Obiora Ikwudinma. (2013). Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria. European Journal of Preventive Medicine, 1(2), 37-45. https://doi.org/10.11648/j.ejpm.20130102.11

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    ACS Style

    Gabriel Uche Pascal Iloh; Nnadozie Paul Obiegbu; Abali Chuku; Augustin Obiora Ikwudinma. Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria. Eur. J. Prev. Med. 2013, 1(2), 37-45. doi: 10.11648/j.ejpm.20130102.11

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    AMA Style

    Gabriel Uche Pascal Iloh, Nnadozie Paul Obiegbu, Abali Chuku, Augustin Obiora Ikwudinma. Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria. Eur J Prev Med. 2013;1(2):37-45. doi: 10.11648/j.ejpm.20130102.11

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  • @article{10.11648/j.ejpm.20130102.11,
      author = {Gabriel Uche Pascal Iloh and Nnadozie Paul Obiegbu and Abali Chuku and Augustin Obiora Ikwudinma},
      title = {Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria},
      journal = {European Journal of Preventive Medicine},
      volume = {1},
      number = {2},
      pages = {37-45},
      doi = {10.11648/j.ejpm.20130102.11},
      url = {https://doi.org/10.11648/j.ejpm.20130102.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20130102.11},
      abstract = {Background: Musculoskeletal disorders (MSDs) can have detrimental impact on physical activities of daily living (PADLs) of geriatric Nigerians and can trigger other chronic medical conditions. The virility of Nigerian elderly population therefore depends largely on their PADLs which are often challenged by MSDs. Aim: The study was designed to determine the predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs, 130 of them had diagnoses of MSDs and 116 who had limitations of their PADLs were studied for predictor variables.  Data was collected using a pretested, structured and interviewer administered questionnaire. The PADL was scored on a four points Likert scale and assessed in the previous one month.  Patients who scored 0 had no affectation of PADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. One hundred and sixteen (89.2%) out of 130 patients had their PADLs affected. Limitations of PADLs was significantly associated with age ≥75 years(p=0.022) and urban residence(p=0.003). The most significant predictor of limitations of PADLs was urban residence (p=0.010, OR=2.516 (1.34 - 5.02). The geriatric patients with MSDs in urban residence were two and half times more likely to have limitations of PADLs compared to their counterparts in rural residence. Conclusion: Limitations of PADLs was significantly associated with age ≥75 years and urban residence. The most significant predictor of limitations of PADLs was urban residence. Measures targeted at these variables and widespread clinic, public health and diverse health promotion strategies to improve PADLs should constitute targets for intervention.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Predictors of Limitations of Physical Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in Under-Resourced Environment of a Primary Care Clinic of a Tertiary Hospital in Eastern Nigeria
    AU  - Gabriel Uche Pascal Iloh
    AU  - Nnadozie Paul Obiegbu
    AU  - Abali Chuku
    AU  - Augustin Obiora Ikwudinma
    Y1  - 2013/09/30
    PY  - 2013
    N1  - https://doi.org/10.11648/j.ejpm.20130102.11
    DO  - 10.11648/j.ejpm.20130102.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 37
    EP  - 45
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20130102.11
    AB  - Background: Musculoskeletal disorders (MSDs) can have detrimental impact on physical activities of daily living (PADLs) of geriatric Nigerians and can trigger other chronic medical conditions. The virility of Nigerian elderly population therefore depends largely on their PADLs which are often challenged by MSDs. Aim: The study was designed to determine the predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs, 130 of them had diagnoses of MSDs and 116 who had limitations of their PADLs were studied for predictor variables.  Data was collected using a pretested, structured and interviewer administered questionnaire. The PADL was scored on a four points Likert scale and assessed in the previous one month.  Patients who scored 0 had no affectation of PADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. One hundred and sixteen (89.2%) out of 130 patients had their PADLs affected. Limitations of PADLs was significantly associated with age ≥75 years(p=0.022) and urban residence(p=0.003). The most significant predictor of limitations of PADLs was urban residence (p=0.010, OR=2.516 (1.34 - 5.02). The geriatric patients with MSDs in urban residence were two and half times more likely to have limitations of PADLs compared to their counterparts in rural residence. Conclusion: Limitations of PADLs was significantly associated with age ≥75 years and urban residence. The most significant predictor of limitations of PADLs was urban residence. Measures targeted at these variables and widespread clinic, public health and diverse health promotion strategies to improve PADLs should constitute targets for intervention.
    VL  - 1
    IS  - 2
    ER  - 

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Author Information
  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Ministry of Health, Awka, Anambra State, Nigeria and Trainer in Family Medicine Residency program, Department of Family Medicine, Federal Medical Centre, Umuahia, Nigeria

  • Department of Ophthalmology Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital Abakiliki, Nigeria

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