The prevalence and profile of disabilities affecting daily activities among the elderly population in Bengaluru city, India

Anil R., K. N. Prasad, M. Puttaswamy


Background: Age related changes and non-communicable diseases are the main causes of disabilities and few such disabilities require assistance for everyday tasks. The objective of the study was to estimate the prevalence of disabilities affecting daily activities and its profile among the elderly aged population in urban area.

Methods:A community based, quantitative and cross sectional study was conducted among the 370 elderly subjects residing in ward 32 of Bengaluru city, India during July and August 2015. Data was collected about disabilities in basic and instrumental activities using a pretested questionnaire at their doorsteps. Scoring method was applied to assess the severity of disabilities and analysis was done.

Results: The total prevalence of disabilities affecting daily activity as unable to do and with much difficulty was 13% and 9% respectively and it was more among the females. Major difficulty was in climbing the stairs (steps). Non communicable diseases lead to increase in the prevalence of basic daily activity disabilities; it was 39% in males and 50% in females. Basic activity disability between healthy and diseased elderly people was statistically significant in both males and females (p <0.05). The difference between the basic activities and instrumental activities in both males and females is statistically significant (p <0.05).

Conclusions:The overall prevalence of disability of daily activities was 21%. Basic daily activities like climbing stairs, using toilet and instrumental daily activities like cooking food, and washing clothes had a higher prevalence of disabilities. Non communicable diseases increased the prevalence of disabilities.


Disabilities affecting daily activities, Basic, Instrumental, Elderly, Urban area, Bengaluru

Full Text:



Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian Journal of Public Health. 2014;58:11-6.

WHO. Health Statistics and Information Systems, 2016. Available at survey/ageingdefnolder/en. Accessed 8 January 2016.

Phelan EA, Williams B, Penninx BWJH, LoGerfo JP, Leveille SG. Activities of daily living function and disability in older adults in a randomized trial of the health enhancement program. Journal of gerontology: medical sciences. 2004;59A:838-43.

Wandera SO, Ntozi J, Kwagala B. Prevalence and correlates of disability among older Ugandans: evidence from the Uganda national household survey. Global health action. 2014;7:25686.

Sahin A, Tekin O, Cebeci S, Isik B, Ozkara A, Kahveci R. Factors affecting daily instrumental activities of the elderly. Turkish Journal of Medical Sciences. 2015;45:1-7.

Katz S, Down TD, Cash HR. Progress in the development of the index of ADL. Gerontologist. 1970;10:20-30.

McDowell I, Newell C. Measuring Health: A Guide to Rating Scales and Questionnaires. 2nd ed. New York: Oxford University Press. 1996:56-63.

Suurmeijer TBPM, Doeglas DM. The Groningen Activity Restriction Scale for measuring disability: It’s utility in international comparisons. Am J Public Health. 1994;84:1270-3.

Chen W, Fang Y, Mao F, Hao S, Chen J, Yuan M. Assessment of disability among the elderly in Xiamen of China: A representative sample survey of 14,292 older adults. PLoS ONE. 2015;10(6):1-12.

Sanjeev K, Ritesh S, Garg SK, Chopra H, Bano T, Jain S. Status of morbidities in geriatrics age group with special reference to spouse in an urban area of Meerut. IOSR Journal of Humanities and Social Science. 2014;19:58-60.