The predictors of activities of daily living and instrumental activities of daily living in the elderly in Zahedan city in 2024

Khosravi, Shima; Payandeh, Abolfazl; Tabatabaei, Seyed Mehdi; Ansari, Hossein

Volume 13, Issue 4 (12-2025) jmsthums 2025, 13(4): 73-86 | Back to browse issues page

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Khosravi S, Payandeh A, Tabatabaei S M, Ansari H. The predictors of activities of daily living and instrumental activities of daily living in the elderly in Zahedan city in 2024. jmsthums 2025; 13 (4) :73-86
URL: http://jms.thums.ac.ir/article-1-1439-en.html

The predictors of activities of daily living and instrumental activities of daily living in the elderly in Zahedan city in 2024

Shima Khosravi¹

, Abolfazl Payandeh²

, Seyed Mehdi Tabatabaei³

, Hossein Ansari³

1- Student Research Committee, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran
2- Department of Biostatistics and Epidemiology, Infectious Diseases and Tropical Medicine Research Center, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran
3- Department of Biostatistics and Epidemiology, Health Promotion Research Center, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract: (174 Views)

Background & Aim: The quality of life for the elderly is largely dependent on the performance of daily activities. It is crucial to identify factors associated with these activities. This study aimed to assess the status of daily and instrumental activities of living among the elderly in Zahedan city and to identify predictive factors in 2024.
Methods: This cross-sectional study was conducted on 324 elderly individuals aged 60 and above in Zahedan in 2024. Sampling was performed using a multi-stage cluster method. The methods and tools for data collection sequentially comprised interviews and standardized questionnaires on daily and instrumental activities. Data were analyzed using the Chi-square test and logistic regression in STATA 17 at a significance level of 0.05.
Results: The mean age of the participants was 70.84±8.18 years, with 52.2% (169 individuals) being female. Results indicated that 90.7% (294 individuals) and 50.9% (165 individuals) were independent in daily and instrumental activities, respectively. The highest independence in these activities was related to eating (95.1%) and using the telephone (66.1%). Findings from logistic regression analysis showed that activities of daily living were associated with age (OR=0.93), physical activity (OR=0.13), and smoking (OR=0.12) (P<0.05). Also, instrumental activities of daily living were significantly associated with age (OR=0.94), physical activity (OR=0.18), smoking (OR=0.51), insurance status (OR=2.47) and high and medium socioeconomic status (OR=4.27, OR=2.29) (P<0.05).
Conclusion: Socio-demographic and lifestyle variables have a great impact on the daily and instrumental activities of the elderly. Considering these factors, appropriate strategies can be developed to enhance activity levels and promote dynamic aging.

Keywords: Elderly, Activities of daily living, Instrumental activities of daily living, Predictive factors

Full-Text [PDF 341 kb] (190 Downloads)

Type of Study: Research | Subject: General
Received: 2025/03/10 | Accepted: 2025/07/12 | Published: 2026/02/9

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