Stability and Change in Activities of Daily Living among Older Mexican Americans

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Background. Longitudinal studies of activities of daily living (ADL) in older adults have identified numerous factors associated with declining ability. Analyses based on population averages may not observe distinct subgroups whose ADL trajectories differ. Methods. We used latent class models to identify subgroups of trajectories in a sample from the Hispanic Established Populations for Epidemiologic Study of the Elderly, a population-based study of noninstitutionalized Mexican Americans aged 65 and older from five Southwestern states (n = 2584). Results. Three distinct trajectories of ADL limitations were identified and characterized as stable, delayed, and rapid ADL increase. Sex (female), diabetes, and arthritis were associated with increased odds of membership in the delayed and rapid groups compared with the stable group. Stroke had a differential magnitude of effect on ADL limitations across the stable (β = 1.11, p

Original languageEnglish (US)
Pages (from-to)780-786
Number of pages7
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Issue number6
StatePublished - Jun 8 2016



  • Disability
  • Heterogeneous transitions
  • Hispanic
  • Trajectories

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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