Does physical performance and muscle strength predict future personal and nursing care services in community-dwelling older adults aged 75+?

Vaarst, Jonathan; Boyle, Eleanor; Vestergaard, Sonja; Hvid, Lars G.; Strotmeyer, Elsa S.; Glynn, Nancy W.; Caserotti, Paolo

doi:10.1177/1403494820979094

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Each point decrease in SPPB score increased the risk of incident disability by 30% (RR per 1-point decrease = 1.30, 95% CI: 1.23–1.38, I 2 = 61%, 11 reports, 9,183 participants, Figure 3, moderate certainty of evidence). 30,32,44,45,48,52,56,60,61,63,64 . All reports were judged to have an overall high RoB.…”

Section: Resultsmentioning

confidence: 99%

Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults - a systematic review and meta-analysis

Braun

Thiel

Peter

et al. 2022

Preprint

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IMPORTANCEThe predictive value of common performance-based outcome assessments of mobility capacity on incident disability in activities of daily living in community-dwelling older adults remains uncertain.OBJECTIVETo synthesize all available research on the association between mobility capacity and incident disability in non-disabled older adults.DATA SOURCESMEDLINE, EMBASE and CINAHL databases were searched without any limits or restrictions.STUDY SELECTIONPublished reports of longitudinal cohort studies that estimated a direct association between baseline mobility capacity, assessed with a standardized outcome assessment, and subsequent development of disability, including initially non-disabled older adults.DATA EXTRACTION AND SYNTHESISData extraction was completed by independent pairs of reviewers. The risk of bias was assessed using the Quality in Prognosis Studies (QUIPS) tool. Random-effect models were used to explore the objective. The certainty of evidence was assessed using GRADE.MAIN OUTCOME AND MEASURESThe main outcome measures were the pooled relative risks (RR) per one conventional unit per mobility assessment for incident disability in activities of daily living.RESULTSA total of 40 reports were included, evaluating 85,515 and 78,379 participants at baseline and follow-up, respectively (median mean age: 74.6 years). The median disability rate at follow-up was 12.0% (IQR: 5.4%–23.3%). The overall risk of bias was judged as low, moderate and high in 6 (15%), 6 (15%), and 28 (70%) reports, respectively.For usual and fast gait speed, the RR per -0.1 m/s was 1.23 (95% CI: 1.18–1.28; 26,638 participants) and 1.28 (95% CI: 1.19–1.38; 8,161 participants), respectively. Each point decrease in Short Physical Performance Battery score increased the risk of incident disability by 30% (RR = 1.30, 95% CI: 1.23– 1.38; 9,183 participants). The RR of incident disability by each second increase in Timed Up and Go test and Chair Rise Test performance was 1.15 (95% CI: 1.09–1.21; 30,426 participants) and 1.07 (95% CI: 1.04–1.10; 9,450 participants), respectively.CONCLUSIONS AND RELEVANCEAmong community-dwelling non-disabled older adults, a poor mobility capacity is a potent modifiable risk factor for incident disability. Mobility impairment should be mandated as a quality indicator of health for older people.Key PointsQUESTIONWhat are the associations between clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults?FINDINGSIn this systematic review and meta-analysis that included 40 reports and data of 85,515 older adults, the risk ratios of incident disability on activities of daily living were 1.23, 1.30, 1.15, and 1.07 for usual gait speed, Short Physical Performance Battery, Timed Up and Go test, and Chair Rise Test, respectively, per one conventional unit.MEANINGCommon assessments of mobility capacity may help identify older people at risk of incident disability and should be routinely established in regular health examinations.

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Section: Resultsmentioning

confidence: 99%

Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults - a systematic review and meta-analysis

Braun

Thiel

Peter

et al. 2022

Preprint

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“…In the present study, a SPPB score ≤ 9 was used to classify participants with reduced physical function. SPPB has previously been thoroughly validated in community-dwelling adults as a measure of physical function and indicator of independence in activities of daily living as well as a predictor of loss of mobility, and use of in-home services [28][29][30][31]. The applied cut-off of ≤9 has previously been verified as an indicator of mobility limitations and limited ability to perform activities of daily living [29,30].…”

Section: Reduced Physical Functionmentioning

confidence: 99%

“…Furthermore, it is a strength that physical function was objectively assessed by the SPPB. This assessment battery has previously been demonstrated to be a predictor of loss of mobility [30], functional disability [29,62], institutionalization [27,62] and use of health care services [31] in older community-dwelling adults and hence, is a very relevant reference in primary prevention.…”

Section: Strengthsmentioning

confidence: 99%

Association between Malnutrition Risk Factors and Physical Function in Community-Dwelling Adults ≥80 Years

Buhl

Olsen²,

Thilsing

et al. 2023

JAL

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Malnutrition is associated with accelerated loss of physical function in old adults, but the assessment of malnutrition in primary prevention is challenging. This study aimed to investigate if malnutrition risk factors; poor appetite, dysphagia, and poor dental state, were associated with reduced physical function in community-dwelling adults ≥80 years. The study is based on data from two cross-sectional studies. Physical function was assessed by the Short Physical Performance Battery (score ≤ 9 indicate reduced physical function) and poor appetite, dysphagia and poor dental status was assessed by single questions. A total of 900 participants were included (age 85.1 ± 3.7 years; 60.9% females; 62.8% had reduced physical function). Participants with reduced physical function were older, had a higher BMI, more polypharmacy, more falls, and lower quality of life. Poor appetite was reported by 10.8% and associated with reduced physical function (adjusted-OR 1.93, 95%CI 1.18–3.15). No association was identified between dysphagia, poor dental state and reduced physical function (adjusted-OR 0.96, 95%CI 0.53–1.75 and adjusted-OR 0.99, 95%CI 0.41–2.35, respectively). The assessment of appetite during primary preventive strategies was feasible and may offer an opportunity for identification of very old community-dwelling adults at risk of reduced physical function.

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“…ISS aimed to characterize community-dwelling adults 80 years in terms of nutritional intake, physical function, and health. Participants were recruited through an existing cohort of community-dwelling older adults (the Healthy Aging Network of Competence in Southern Denmark -Northern SchleswigeHolstein, HANC-study [35,36]). Participants were first contacted by phone and received written and oral information about the study before signing informed consent.…”

Section: The I'm Still Standing Study (Iss)mentioning

confidence: 99%

Relationship between physical frailty, nutritional risk factors and protein intake in community-dwelling older adults

Buhl

Beck

Olsen

et al. 2022

Clinical Nutrition ESPEN

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Does physical performance and muscle strength predict future personal and nursing care services in community-dwelling older adults aged 75+?

Cited by 5 publications

References 26 publications

Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults - a systematic review and meta-analysis

Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults - a systematic review and meta-analysis

Association between Malnutrition Risk Factors and Physical Function in Community-Dwelling Adults ≥80 Years

Relationship between physical frailty, nutritional risk factors and protein intake in community-dwelling older adults

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