Among the age-related problems, a progressive loss of self-sufficiency
is an important issue. We conducted a detailed analysis on 400 ultrao
ctagenarians to detect the most frequent deficits and needs. Our study
series consisted of 168 males and 232 females, grouped into age class
es. This sample was collected over a 4 year period in old peoples' hom
es, private homes and hospitals. We utilized activity of daily living
(ADL), instrumental activity of daily living (IADL) and mini mental st
ate examination (MMSE) scales to evaluate self-sufficiency of the elde
rly people. Complete self-sufficiency was observed in a very small per
centage of the sample, whereas most of the impairments was present in
memory, in drug intake and diet. We conclude that social efforts must
be aimed at creating a policy which recognizes the need for family car
e of ultraoctagenarians and grants incentives to achieve this goal.