Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care
Abstract
1. Introduction
2. Methods
2.1. Study Design and Participants
2.2. Data Collection and Study Variables
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
LTC | long-term care |
CIS | Commonwealth of Independent States |
ADLs | activities of daily living |
IADLs | instrumental activities of daily living |
BI | Barthel Index |
BMI | body mass index |
FRAIL | simple frailty questionnaire |
SARC-F | The Strength, Ambulation, rising from a Chair, Stair Climbing, and History of Falling Questionnaire |
MNA | Mini Nutritional Assessment |
FRAX | Fracture Risk Assessment Tool |
HD | Handheld Dynamometry |
SD | standard deviation |
AOR | adjusted odds ratio |
CI | confidence interval |
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Characteristics | Total, n = 642 (100%) | Active Patients, n = 364 (56.7%) | Dependent Patients, n = 278 (43.3%) | p-Value |
---|---|---|---|---|
Age (years, mean ± standard deviation (SD)) | 75.28 ± 8.74 (60–100) | 71.9 ± 7.90 | 79.7 ± 7.83 | <0.001 * |
Weight (kg, mean ± SD) | 71.88 ± 13.09 (41–125) | 73.0 ± 13.4 | 70.4 ± 12.5 | 0.011 |
Height (m, mean ± SD) | 1.65 ± 0.09 (1.41–1.90) | 1.65 ± 0.09 | 1.64 ± 0.08 | 0.087 |
Body mass index (BMI) (Kg/m2, mean ± SD) | 26.27 ± 4.44 (16–48) | 26.5 ± 4.80 | 26.0 ± 3.93 | 0.191 |
Dynamometry (kg, mean ± SD) | 31.5 ± 14.9 (0–87) | 36.9 ± 16.6 | 27.4 ± 11.9 | <0.001 * |
Sex (n, %) | <0.001 * | |||
Male | 304 (47.4%) | 193 (53.0%) | 111 (39.9%) | |
Female | 338 (52.6%) | 171 (47.0%) | 167 (60.1%) | |
Classification by age (n, %) | <0.001 * | |||
60–74 years | 319 (49.7%) | 239 (65.7%) | 80 (28.8%) | |
75 and older | 323 (50.3%) | 125 (34.3%) | 198 (71.2%) | |
Nationality (n, %) | 0.003 * | |||
Kazakhs | 349 (54.4%) | 179 (49.2%) | 170 (61.2%) | |
Others | 293 (45.6%) | 185 (50.8%) | 108 (38.8%) | |
Place of observation (n, %) | <0.001 * | |||
Community-dwelling older adults | 278 (43.3%) | 229 (62.9%) | 49 (17.6%) | |
Home | 364 (56.7%) | 135 (37.1%) | 229 (82.4%) | |
BMI (n, %) | 0.064 | |||
Underweight | 12 (1.9%) | 10 (2.8%) | 2 (0.7%) | |
Normal | 251 (39.1%) | 139 (38.2%) | 112 (40.3%) | |
Overweight | 277 (43.1%) | 149 (40.9%) | 128 (46.1%) | |
Obesity | 102 (15.9%) | 66 (18.1%) | 36 (12.9%) | |
Fracture Risk Assessment Tool (FRAX) (n, %) | <0.001 * | |||
Low risk | 300 (46.7%) | 240 (65.9%) | 60 (21.6%) | |
High risk | 342 (53.3%) | 124 (34.1%) | 218 (78.4%) | |
Frailty questionnaire (FRAIL) (n, %) | <0.001 * | |||
Not frail | 238 (37.1%) | 200 (54.9%) | 38 (13.7%) | |
Frail | 404 (62.9%) | 164 (45.1%) | 240 (86.3%) | |
Mini Nutritional Assessment (MNA) (n, %) | <0.001 * | |||
Normal | 360 (56.1%) | 247 (67.9%) | 113 (40.6%) | |
Malnutrition | 282 (43.9%) | 117 (32.1%) | 165 (59.4%) | |
The Strength, Ambulation, rising from a Chair, Stair Climbing, and History of Falling Questionnaire (SARC-F) (n, %) | <0.001 * | |||
No sarcopenia | 433 (67.4%) | 274 (75.3%) | 159 (57.2%) | |
Risk of sarcopenia | 209 (32.6%) | 90 (24.7%) | 119 (42.8%) | |
Mini-Cog (n, %) | <0.001 * | |||
No cognitive impairment | 408 (63.6%) | 252 (69.2%) | 156 (56.1%) | |
Risk of cognitive impairment | 234 (36.4%) | 112 (30.8%) | 122 (43.9%) |
Variables | AOR | 95% CI | p-Value |
---|---|---|---|
Age | 1.1348 | (1.0746, 1.198) | <0.001 * |
Age classification 75 and older | 0.7181 | (0.3102, 1.662) | 0.439 |
Sex Women | 1.3498 | (0.7966, 2.287) | 0.265 |
Nationality Kazakhs | 1.1781 | (0.6628, 2.094) | 0.576 |
Place of observation Home | 11.904 | (5.774, 24.55) | <0.001 * |
Dynamometry Low | 1.0522 | (1.0304, 1.074) | <0.001 * |
FRAIL Have frailty | 2.9589 | (1.6971, 5.159) | <0.001 * |
Mini-Cog Cognitive impairment | 2.1796 | (1.2358, 3.844) | 0.007 |
MNA Malnutrition | 1.1846 | (0.7077, 1.983) | 0.519 |
SARC-F Probability of sarcopenia | 2.6053 | (1.4906, 4.554) | <0.001 * |
FRAX High risk | 3.3016 | (1.9447, 5.605) | <0.001 * |
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Yeskazina, G.; Yeshmanova, A.; Temirova, G.; Myrzakhmet, E.; Alibekova, M.; Tazhiyeva, A.; Ryspekova, S.; Abdykulova, A.; Nuftieva, A.; Abdirova, T.; et al. Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care. Healthcare 2025, 13, 1878. https://doi.org/10.3390/healthcare13151878
Yeskazina G, Yeshmanova A, Temirova G, Myrzakhmet E, Alibekova M, Tazhiyeva A, Ryspekova S, Abdykulova A, Nuftieva A, Abdirova T, et al. Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care. Healthcare. 2025; 13(15):1878. https://doi.org/10.3390/healthcare13151878
Chicago/Turabian StyleYeskazina, Gulzhainar, Ainur Yeshmanova, Gulnara Temirova, Elmira Myrzakhmet, Maya Alibekova, Aigul Tazhiyeva, Shynar Ryspekova, Akmaral Abdykulova, Ainur Nuftieva, Tamara Abdirova, and et al. 2025. "Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care" Healthcare 13, no. 15: 1878. https://doi.org/10.3390/healthcare13151878
APA StyleYeskazina, G., Yeshmanova, A., Temirova, G., Myrzakhmet, E., Alibekova, M., Tazhiyeva, A., Ryspekova, S., Abdykulova, A., Nuftieva, A., Abdirova, T., Mombiyeva, Z., & Omarova, I. (2025). Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care. Healthcare, 13(15), 1878. https://doi.org/10.3390/healthcare13151878