ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1531872
This article is part of the Research TopicImpact of Chronic Diseases on Intrinsic Capacity and Functional Ability in Older AdultsView all 4 articles
Study on the factors influencing the impaired abilities of daily living in middle-aged and elderly arthritis patients based on binary logistic regression and categorical decision tree model
Provisionally accepted
Baoxuan Zhang
Jin-ping Luo
Jia-ying SunMing-hui GengYi-fan MouNan-nan ChengZhao-xuan WangWen-qiang Yin
Zhongming ChenDong-ping Ma*- Shandong Second Medical University, Weifang, China
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Background:Arthritis is the most disabling disease worldwide, and the presence of the disease usually greatly threatens the patient's activities of daily living (ADL). Currently, there are a few studies that are related to exploring factors associated with impaired ADL in middle-aged and elderly arthritis patients. This study aimed to explore the factors associated with impaired ADL in Chinese middle-aged and elderly patients through logistic regression and decision tree models. Methods:The method of univariate analysis was the chi-square test. Variables with significant differences in univariate analysis were included in binary logistic regression model and decision tree model based on the E-CHAID algorithmto to explore the factors associated with impaired ADL in middle-aged and elderly arthritis patients in China. Results:The results of the logistic regression model indicated that sex, place of residence, age, education level, falls, Internet usage, depressive symptoms ,pain, self-rated health, and number of comorbid chronic diseases were the influencing factors for impaired ADL. The decision tree results showed that pain was the most important variable predicting impaired ADL in middle-aged and elderly arthritis patients. The area under the curve of the logistic regression model and the decision tree model were 0.792 (95%CI:0.780-0.804) and 0.767 (95%CI:0.754-0.780), respectively.The results of the study suggest that pain , self-rated health, Internet usage, age, and depressive symptoms are significant correlates of impaired ADL. Primary care providers need to provide intervention strategies that are individualized to the middle-aged and older adults with arthritis themselves.
Keywords: Activities of Daily Living, Arthritic, Middle-aged and elderly, Pain, CHARLS
Received: 21 Nov 2024; Accepted: 20 May 2025.
Copyright: © 2025 Zhang, Luo, Sun, Geng, Mou, Cheng, Wang, Yin, Chen and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dong-ping Ma, Shandong Second Medical University, Weifang, China
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