Characterization of advanced activities of daily living (AADL): a review

Abstract

INTRODUCTION: The advanced activities of daily living (AADL) comprehend more complex activities than basic and instrumental activities of daily living, which are systematically bypassed in geriatric assessment. It requires a better definition and description of the idea through the process of the activities considered in the AAVDs concept. OBJECTIVE: To describe concepts and terms used in national and international scientific studies about the concepts and AADL definitions, groups of activities and considerations about the evaluation process. METHODS: A review study involving Medline, SciELO, Lilacs, Pubmed, Journal Storage, MUSE (1984-2008) and self search. RESULTS: From of 212 selected abstracts, has been identified 35 studies that used the term AAVDs. Usually studies based the work of Reuben et al (1989). The results reinforce characteristics of complexity, subjectivity and direct influence from local sociocultural patterns, better functionality and quality of life in the performance of AAVDs. Were identified as inter-related domains: social, productive and leisure activities. CONCLUSION: Support the use of the term AAVDs and the incorporation of these in geriatric assessment, as well as programs of health promotion and rehabilitation.