Authors
1 Department of Community Medicine, SRM Medical College and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
2 Division of Epidemiology, School of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
Abstract
BACKGROUND: Aging poses a significant risk for activity and functional limitations. Problems among
aged populations are interrelated, and these problems can lead to other disorders and finally leave
a negative impact on the quality of life (QoL) This study used the screening of activity limitation and
safety awareness (SALSA) scale to screen and measure activity limitations among the elderly.
MATERIALS AND METHODS: A community‑based descriptive cross‑sectional study was conducted
among 928 elderly from the three districts of Tamil Nadu, India. The SALSA scale was administered
via a door‑to‑door interview, and data analysis was carried out. Simple random sampling was used to
obtain the study subjects in the selected study area. Chi‑square tests and binary logistic regression
were performed to find the association between selected risk factors.
RESULTS: Among the 928 elderly, 53.7% of them were males, 84.9% were between the age of 60
and 69 years, and 31% were 70 years and above. The study found that 66.5% of the elderly have
mild activity limitations, 15.7% of them had moderate limitations, 4.8% of them had severe limitations,
around 3% of them had extreme limitations, and 10.3% of them had no significant limitations. The binary
logistic regression found people of age 65 and above (OR = 3.80), female gender (OR = 2.90), with
hypertension (OR = 1.95), vision problem (OR = 1.92), decreased sensation of the foot (OR = 3.41),
as the significant independent risk factors for activity limitation among the elderly.
CONCLUSION: The study found self‑reported activity limitations among the elderly to be nearly 90%.
The SALSA scale may be used as a handy tool to identify the activity limitation in community‑based
geriatric checkups.
Keywords
biological aging as a disease. Front Genet 2015;6:205.
2. McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N,
Degens H. Physical activity in older age: Perspectives for healthy
ageing and frailty. Biogerontology 2016;17:567‑80.
3. Zanjani S, Tol A, Mohebbi B, Sadeghi R, Jalyani KN, Moradi A.Determinants of healthy lifestyle and its related factors among
elderly people. J Educ Health Promot 2015;4:103.
4. World Health Organization. World report on ageing and health.
Available from: https://apps.who.int/iris/handle/10665/186463.
[Retrieved on 2022 Jun 22].
5. Mazharizad F, Dadipoor S, Madani A, Moradabadi AS.
Investigating the prevalence and causes of events leading to falls
among the elderly hospitalized in Bandar Abbas hospitals. J Educ
Health Promot 2015;4:11.
6. Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J,
Tomsone S, Krejcar O, et al. Consequences of chronic diseases
and other limitations associated with old age–a scoping review.
BMC Public Health 2019;19:1‑7.
7. Sharma D, Parashar A, Mazta S. Functional status and its predictor
among elderly population in a hilly state of North India. Int J
Health Allied Sci 2014;3:159‑63.
8. Van Brakel WH, Anderson AM, Mutatkar RK, Bakirtzief Z,
Nicholls PG, Raju MS, et al. The participation scale: Measuring a
key concept in public health. Disabil Rehabil 2006;28:193‑203.
9. Cano SJ, Browne JP, Lamping DL, Roberts AH, McGrouther DA,
BlackNA. The patient outcomes of surgery‑hand/arm(POS‑hand/
arm): A new patient‑based outcome measure. J Hand Surg
2004;29:477‑85.
10. Cardol M, de Haan RJ, de Jong BA, Van den Bos GA, de Groot IJ.
Psychometric properties of the impact on participation and
autonomy questionnaire. Arch Phys Med Rehabil 2001;82:210‑6.
11. Ebenso J, Velema JP. Test‑retest reliability of the screening activity
limitation and safety awareness (SALSA) scale in North‑West
Nigeria. Lepr Rev 2009;80:197‑204.
12. van Veen NH, Hemo DA, Bowers RL, Pahan D, Negrini JF,
Velema JP, et al. Evaluation of activity limitation and social
participation, and the effects of reconstructive surgery in people
with disability due to leprosy: A prospective cohort study. Disabil
Rehabil 2011;33:667‑74.
13. SALSA Collaborative Study Group, Salsa Collaborative Study
Group. The development of a short questionnaire for screening
of activity limitation and safety awareness (SALSA) in clients
affected by leprosy or diabetes. Disabil Rehabil 2007;29:689‑700.
14. Hsiao RL, Wu CH, Hsu CW, Saito Y, Lin YH. Validation of the
global activity limitation indicator in Taiwan. BMC Med Res
Methodol 2019;19:1‑7.
15. Begum S, KobayashiR. Factors associated with activity limitations
in elderly people: A systematic review. Ann Phys Rehabil Med
2018;61:e510.
16. Pérès K, MatharanF, DaienV, NaelV, EdjoloA, Bourdel‑MarchassonI,
et al. Visual loss and subsequent activity limitations in the elderly:
The French three‑city cohort. Am J Public Health 2017;107:564‑9.
17. Muchna A, Najafi B, Wendel CS, Schwenk M, Armstrong DG,
Mohler J. Foot problems in older adults: Associations with
incident falls, frailty syndrome, and sensor‑derived gait, balance,
and physical activity measures. J Am Podiatr Med Assoc
2018;108:126‑39.
18. Hoeymans N, Wong A, van Gool CH, Deeg DJ, Nusselder WJ,
de Klerk MM, et al. The disabling effect of diseases: A study on
trends in diseases, activity limitations, and their interrelationships.
Am J Public Health 2012;102:163‑70.