[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427307-105":59,"doc-detail-427307-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","functional-limitations-and-disability-among-older-adults-in-nepal","FUNCTIONAL LIMITATIONS AND DISABILITY - among older adults in Nepal","","Disability burden among older adults in Nepal remains unclear, limiting how healthcare services and support systems can be shaped to improve late-life quality of life. This study examined disability patterns as a function of functional limitations and key predictors among 144 adults aged 50+ in Chitwan using cluster random sampling. About 30% had at least one ADL disability and 52% had at least one IADL disability. Composite physical performance test scores predicted fewer disabilities after baseline adjustment, with attenuated and non-significant effects after further covariate adjustment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/functional-limitations-and-disability-among-older-adults-in-nepal/427307/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/functional-limitations-and-disability-among-older-adults-in-nepal/427307.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What did the study aim to determine about older adults in Nepal?","Question",{"text":112,"@type":113},"It assessed how functional limitations and other predictors relate to late-life disability patterns among older adults in Chitwan, Nepal.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were disability and functional limitations measured?",{"text":117,"@type":113},"Disability was captured using ADL and IADL measures. Functional limitations were evaluated via physical performance tests (gait speed, chair stand, grip strength) summarized into a 0-9 composite score.",{"name":119,"@type":110,"acceptedAnswer":120},"What was the main finding regarding physical performance scores and disability?",{"text":121,"@type":113},"Higher physical performance test scores were associated with lower disability after adjusting for age and gender; the association weakened after additional adjustment for education and lifetime income and became non-significant after chronic conditions.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427307,1790764111,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","154 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.514  \nFUNCTIONAL LIMITATIONS AND DISABILITY  \nAMONG OLDER ADULTS IN NEPAL  \nUsha Dhakal1, Hardik Sapkota2, Indra Chaudhary2, Adina Gurung2, Emily Briceño3, Uttam Sharma2,  \nDirgha Ghimire4, and Carlos Mendes de Leon1, 1. Georgetown University, Washington, District of Columbia, United States,  \n2. Institute for Social and Environmental Research-Nepal (ISER-N), Chitwan, Bagmati, Nepal, 3. University of Michigan Medical School, Ann Arbor, Michigan, United States,  \n4. University of Michigan, Ann Arbor, Michigan, United States The burden of disability among older adults in Nepal remains  \nunclear and understanding this can help inform healthcare services and support systems to enhance their quality of life. Therefore, we examined patterns of disability as a function of functional limitations and other key predictors of late-life disability among older adults in Chitwan, Nepal. Data for this study came from 144 adults 50 years and older using a cluster random sampling design. Nearly one-third (30%) of the participants had at least one activity of daily living (ADL) disability and more than half (52%) had at least one instrumental ADL (IADL) disability. Functional limitations were assessed using physical performance tests of gait speed, chair stand, and grip strength summarized in a composite score (0-9). We used negative binomial regression models to predict the  \nInnovation in Aging, 2025, Vol. 9, No. S2 155  \nnumber of ADL andIADL disabilities (0-12) and found that higher physical performance test scores were associated with lower disability after adjusting for age and gender (β=-0.12, p =0.03).  \nThis association was slightly attenuated after adjusting for education and lifetime income (β=-0.10, p=0.07) and no longer significant after additional adjustment for chronic conditions (β=-0.07, p =0.19). In separate models for ADL and IADL disability, physical performance tests scores were only predictive of IADL disability.  \nOur findings suggest a substantial burden of disability among older adults in Chitwan, even in this relatively young older age group. We may have lacked sufficient statistical power to more firmly establish the role of functional limitations in the disability process in this population.","cbCaiui49BObCxW9","https://ap.wps.com/l/cbCaiui49BObCxW9","pdf",339752,"English","# Abstract\n## Study purpose\n## Methods and participants\n## Disability measures and predictors\n## Key results and interpretation","[{\"question\":\"What did the study aim to determine about older adults in Nepal?\",\"answer\":\"It assessed how functional limitations and other predictors relate to late-life disability patterns among older adults in Chitwan, Nepal.\"},{\"question\":\"How were disability and functional limitations measured?\",\"answer\":\"Disability was captured using ADL and IADL measures. Functional limitations were evaluated via physical performance tests (gait speed, chair stand, grip strength) summarized into a 0-9 composite score.\"},{\"question\":\"What was the main finding regarding physical performance scores and disability?\",\"answer\":\"Higher physical performance test scores were associated with lower disability after adjusting for age and gender; the association weakened after additional adjustment for education and lifetime income and became non-significant after chronic conditions.\"}]","FUNCTIONAL LIMITATIONS AND DISABILITY - among older adults in Nepal | PDF",1790643463]