| Peer-Reviewed

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    Accepted:     Published: 30 September 2013
Views:       Downloads:
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), 2024. Published by Science Publishing Group

Keywords

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

References
[1] Mobbs C. Biology of aging. In: Beers MH, Berkow R editors. The Merck Manual of Geriatrics, 3rd ed. New Jersey(USA) Merck and Co Inc White house station 2001: p. 25.
[2] Abanobi OC. Active theory of aging. Core Concepts in Epidemiology & Public Health Practice. A Quick Reference Manual Owerri, Opinion Research Communications Inc 2010; p.4.
[3] Abanobi OC. Health: Wellness and iIlness states. Biological, Social, Cultural, Environmental, Nutritional, Behavioural and Health System Factors. Owerri, Opinion Research Communications Inc 2005; p. 57-65.
[4] Iloh GUP, Chuku A, Dike OJ, Amafili OP, Nnaji BC. Burden of Limitations of Activities of Daily Living Among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria. American Journal of Health Research. 2013; 1: 9-16.
[5] ‘Activities of Daily Living Evaluation’ Encyclopedia of Nursing & Allied Health. Ed. Kristine Krapp. Vol 1. Gale Cengage, 2002. eNotes.com. 19 Aug, 2012
[6] WHO. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organization Technical Report Series. Report of a WHO Scientific Group, Geneva. WHO 2003 p. 218.
[7] Tsou IY, Ching HH. The bone and joint decade 2000-2010 for prevention and treatment of musculoskeletal disease. Ann Acad Med Singapore 2002; 31: 69-70.
[8] Agrawal S, Deo J, Verma AK, Kotwal A. Geriatric health: Need to make it an essential element of primary health care. India J Public Health 2011; 55: 25 – 9.
[9] Adebusoye LA, Ladipo MM, Owoaje ET, Ogunbode AM. Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria. Afr J Prm Health Care Fam Med 2011; 3(1), Art ≠211.
[10] Abdulraheem IS, Abdulrahman AG. Morbidity pattern among the elderly population in a Nigerian tertiary health care institution: analysis of a retrospective study. Niger Med Pract 2008; 54: 32-8.
[11] Ogunniyi A, Baiyewu O, Gureje O. Morbidity pattern in a sample of elderly Nigerians resident in Idikan community, Ibadan. West Afr J Med 2001; 20: 227 – 31.
[12] Clausen F, Sandberg E, Ingstaad B, Hjortdan P. Morbidity and healthcare utilization among the elderly people in Mmankgodi village. J Epidemiol Community Health 2000; 54: 58 – 63.
[13] Benerjee A, Jahdhav SL, Bhawalkar JS. Limitations of activities in patients with musculoskeletal disorders. Ann Med Health Sci Res 2012; 2: 5-9.
[14] World Health Organization. Global strategy on diet, physical activity and health 2004. Available from http://www.who.int/dietphysicalactivity/en/
[15] Centre for Disease Control and Prevention. Physical Activity for everyone 2007. Available from http://www.cdc.gov/nccdphp/dnpa/physical/measuring/examples.htm
[16] Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability ans psychological distress among elderly people in Northern India. Int J Epidemiol 2003; 32: 978-87.
[17] Ettinger W. Aging and osteoarthritis In Beers MH, Berkow R eds. The Merck Manual of Geriatrics, 3rd edn. NJ(USA) Merck & Co Inc White house station 2001:p. 467-472.
[18] Morris C, Bourne PA, Eldemire-Shearer D, McGrowder DA. Social determinants of physical exercise in older men in Jamaica. N Am J Med Sci 2010; 2: 87-96.
[19] Bourne PA. Activities of daily living, instrumental activities for daily living and predictors of functional capacity of older men in Jamaica. N Am J Med Sci 2009; 1: 184-192.
[20] World Health Organization. Physical activity 2007. Available from http://www.who.int/dietphysicalactivity/publications/
[21] Graf C. The Lawton instrumental activities of daily living scale. Am J Nurs 2008; 108: 52 – 62.
[22] Sadosky AB, Bushmakin AG, Cappelleri JC, Lionberger DR. Relationship between patient-reported disease severity in osteoarthritis and self-reported pain, function and work productivity. Arthritis Research & Therapy 2010; 12: R162.
[23] Iloh GUP, Amadi AN, Awa-Madu J. Common geriatric emergencies in a rural hospital in South-Eastern, Nigeria. Niger J Clin Pract 2012; 15: 333-337.
[24] McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): a review of its utility and measurement properties. Arthritis Rheum 2001; 45: 453 – 61.
[25] Chopra A, Patil J, Billempelly V, Relwani J, Tandale HS. Prevalence of rheumatic diseases in a rural population in western India. A WHO-ILAR COCORD Study. J Assoc Physicians India 2001; 49: 240-46.
[26] World Health Organization. Global Physical Activity Questionnaire 2007. Available from http://www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf
[27] International Physical Activity Questionnaire. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire. Available from http://www.ipaq.ki.se/scoring.pdf
[28] Iloh GUP, Chuku A, Amadi AN. Burden of non-communicable diseases among geriatric Nigerians in a rural hospital in resource-constrained setting of Eastern Nigeria. Science Journal of Public Health 2013; 1: 141-146.
[29] van Dijk GM, Veenhof C, Lankhorst GJ, Dekker J. Limitations of activities in patients with osteoarthritis of the hip or knee: The relationship with body functions, co-morbidity and cognitive functioning. Disabil Rehabil 2009; 31: 1685 – 91.
[30] Ibrahim T. Sample size determination. In: Research Methodology and Dissertation writing for Health and Allied Health Professionals. Abuja, Nigeria Cress Global Link Limited; 2009: 70-75.
[31] Araoye MO. Sample size determination. Research Methodology with Statistics for Health and Social Sciences, Ilorin, Nathadex Publishers, 2004. p.115- 21.
[32] Graeme M, Helena B. ICPC-2-E: The Electronic Version ICPC-2. Fam Pract 2000; 17: 448.
[33] Webb CW, O’Connor FG. Low back pain in primary care: An evidence-based approach. In: South-Paul JE, Matheny SC, Lewis EL editors. Current Medical Diagnosis and Treatment in Family Medicine, 3rd edition, New York. Lange Medical Books 2011. p. 257 - 265.
[34] Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003; 81: 646 – 656.
[35] Iloh GUP, Ikwudinma AO, Obiegbu NP. Obesity and Its Cardio-metabolic Co-morbidities Among Adult Nigerians in a Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria. J Fam Med Primary Care 2013; 2: 20-26.
[36] Mukhopadhyay K, Singh R. Common Geriatric Cases Seen by a General Practitioner in an Urban Area of Jharkhand State, India. J Fam Med Primary Care 2012;1: 164 – 5.
[37] Iyaniwura CA. Health promotion in general medical practice in Osun state. Niger Med Pract 2004; 45: 29 – 32.
[38] Akesson K, Dreinofer KE, Woolf AD. Improved education in musculoskeletal conditions is necessary for all doctors. Bull World Health Organ 2003; 81: 677 - 83.
[39] Leveille SG. Musculoskeletal aging. Curr Opin Rheumatol 2004; 16: 114 – 8.
[40] Gregg EW, Cauley JA, Stone K, Thompson TJ, Bauer DC, Cummings SR, et al. The Study of Osteoporotic Fractures Resaearch Group: Relationship of changes in physical activity and mortality among older women. JAMA 2003; 289: 2379 – 86.
[41] WHO. The Global Embrace, Aging and life course. In: The Global Embrace Handbook. Geneva. World Health Organization 2001.
[42] Brooks PM. The burden of musculoskeletal disease-a global perspective. Clin Rheumatol 2006; 25: 778 – 81.
[43] Aguocha UB, Njoku PU, Ofia M, Echem RC. Orthopaedic injuries in the elderly: Federal Medical Centre, Umuahia experience. PortHarcourt Med J 2010; 5: 77-86.
Cite This Article
  • APA Style

    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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • 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  - 

    Copy | Download

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

  • Sections