Evidence map›Paper›PMID 40369403›Full record

ArticleBMC geriatrics2025

Instrumental activities of daily living and self-rated health in community-dwelling older adults: cross-sectional findings from the HUNT Study (HUNT4 Trondheim 70+).

Anne Kusk Pedersen, Linda Ernstsen

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anne Kusk PedersenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, N-7491, Trondheim, Norway.
Linda ErnstsenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, N-7491, Trondheim, Norway. linda.ernstsen@ntnu.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe population of older adults is growing, posing new challenges for society and healthcare services. Instrumental Activities of Daily Living (IADL) describe individuals' ability to handle more complex activities in their daily life and to the extent to which they can live independently. Self-rated health (SRH) is a frequently used metric in health research and is a robust predictor for institutionalization and mortality. Therefore, the purpose of this study is to investigate the association between IADL function and SRH among community-dwelling older adults in Norway, and to determine the influence of cognitive function.

methodsA total of 1104 community-dwelling adults aged 70 or older participating in the population-based Trøndelag Health Study (HUNT) 4 Trondheim 70 + were included. Logistic regression was used to examine the association between IADL function and SRH. IADL function was divided into two groups, IADL limitation (requiring help to complete one or more daily activities) and no IADL limitation. SRH were dichotomized into good and poor SRH.

resultsOf the 1104 included participants 127 (11.5%) experienced IADL limitation. After adjustment for gender, age, cohabiting status, educational level, physical activity, gait speed, grip strength, depressive symptoms, limiting long-term illness and cognitive function, participants with IADL limitation had significantly higher odds of poor SRH compared to those without IADL limitation (odds ratio 3.26, 95% confidence interval 1.89-5.61, p < 0.001).

conclusionsThese cross-sectional results from an urban population of community-dwelling older adults showed a strong association between IADL limitation and poor SRH independent of cognitive function, emphasizing the importance of investigating the prospective relationship between IADL and SRH. Intervention studies are needed to confirm whether improving IADL function can impact SRH in older adults. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Activities of Daily LivingHealth StatusIndependent LivingResidence CharacteristicsSelf ReportAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleNorwayCognitive functionCommunity-dwelling older peopleEpidemiologyInstrumental Activities of Daily Living (IADL)Self-rated health (SRH)

Identifiers

PMID40369403
PMCPMC12076886

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.