PMID- 26472747 OWN - NLM STAT- MEDLINE DCOM- 20170217 LR - 20190111 IS - 1552-6887 (Electronic) IS - 0898-2643 (Print) IS - 0898-2643 (Linking) VI - 28 IP - 4 DP - 2016 Jun TI - Examining the Disability Model From the International Classification of Functioning, Disability, and Health Using a Large Data Set of Community-Dwelling Malaysian Older Adults. PG - 704-25 LID - 10.1177/0898264315609907 [doi] AB - OBJECTIVE: This study examines the International Classification of Functioning, Disability, and Health model (ICF) using a data set of 2,563 community-dwelling elderly with disease-independent measures of mobility, physical activity, and social networking, to represent ICF constructs. METHOD: The relationship between chronic disease and disability (independent and dependent variables) was examined using logistic regression. To demonstrate variability in activity performance with functional impairment, graphing was used. The relationship between functional impairment, activity performance, and social participation was examined graphically and using ANOVA. The impact of cognitive deficits was quantified through stratifying by dementia. RESULTS: Disability is strongly related to chronic disease (Wald 25.5, p < .001), functional impairment with activity performance (F = 34.2, p < .001), and social participation (F= 43.6, p < .001). With good function, there is considerable variability in activity performance (inter-quartile range [IQR] = 2.00), but diminishes with high impairment (IQR = 0.00) especially with cognitive deficits. DISCUSSION: Environment modification benefits those with moderate functional impairment, but not with higher grades of functional loss. CI - (c) The Author(s) 2015. FAU - Loke, Seng Cheong AU - Loke SC AD - Institute of Gerontology, Universiti Putra Malaysia, Malaysia lokesengcheong@gmail.com. FAU - Lim, Wee Shiong AU - Lim WS AD - Tan Tock Seng Hospital, Singapore. FAU - Someya, Yoshiko AU - Someya Y AD - Tokyo Woman's Christian University, Japan. FAU - Hamid, Tengku A AU - Hamid TA AD - Institute of Gerontology, Universiti Putra Malaysia, Malaysia. FAU - Nudin, Siti S H AU - Nudin SS AD - Institute for Health Behavioural Research, Ministry of Health, Kuala Lumpur, Malaysia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151015 PL - United States TA - J Aging Health JT - Journal of aging and health JID - 8912686 MH - Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Chronic Disease MH - Cohort Studies MH - *Disability Evaluation MH - Disabled Persons/*statistics & numerical data MH - Female MH - Humans MH - Independent Living MH - *International Classification of Functioning, Disability and Health MH - Logistic Models MH - Malaysia MH - Male MH - Middle Aged MH - Social Participation PMC - PMC4855248 OTO - NOTNLM OT - Malaysia OT - chronic disease OT - disability evaluation OT - rehabilitation OT - social participation COIS- Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2015/10/17 06:00 MHDA- 2017/02/18 06:00 PMCR- 2016/05/04 CRDT- 2015/10/17 06:00 PHST- 2015/10/17 06:00 [entrez] PHST- 2015/10/17 06:00 [pubmed] PHST- 2017/02/18 06:00 [medline] PHST- 2016/05/04 00:00 [pmc-release] AID - 0898264315609907 [pii] AID - 10.1177_0898264315609907 [pii] AID - 10.1177/0898264315609907 [doi] PST - ppublish SO - J Aging Health. 2016 Jun;28(4):704-25. doi: 10.1177/0898264315609907. Epub 2015 Oct 15.