Self-reported preclinical disability identifies older women with early declines in performance and early disease

Fried, Linda P.; Young, Yuchi; Rubin, Gary S.; Bandeen‐Roche, Karen

doi:10.1016/s0895-4356(01)00357-2

Cited by 182 publications

(159 citation statements)

References 16 publications

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“…Self-reported preclinical or manifest mobility limitations correlate with objectively measured limitations in mobility and predict future disability (Fried et al 2001;Manty et al 2007;Young et al 2010). Self-reported mobility difficulty provides valuable information on how the person manages in his/her living environment and in everyday tasks.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults

et al. 2013

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Older adults who report environmental barriers in their neighborhood have a higher risk for walking difficulty. However, environmental facilitators that protect against walking difficulty are not well known. The objective of this study was to identify the effect of environmental facilitators for outdoor walking on development of walking difficulty in community-dwelling older people. This was a prospective study with a 3.5-year follow-up time on 261 community-dwelling people aged 75-81 years, who at baseline were able to walk 0.5 km without difficulty. Environmental facilitators for outdoor walking were self-reported with standardized questionnaires, including having features in one's home which make it easy to access the outdoors, having a park or other green area within a walking distance from home, having outdoor recreational facilities within a walking distance from home, having features in the nearby environment, which are attractive for outdoor activities, and perceiving the surrounding environment or facilities nearby as motivating factors for physical activity. Self-reported difficulty in walking 0.5 km was assessed every 6 months. Of the participants, 46 % developed walking difficulty during the follow-up. Having a park or other green area within a walking distance from home was the most frequently reported facilitator. Environmental facilitators decreased the risk for development of walking difficulty, hazard ratio per item 0.86, (95 % confidence interval 0.73-1.02).The results indicate that the mobility of older communitydwelling people may be promoted with outdoor recreational facilities that are easy to access and located within a walking distance from home.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults

et al. 2013

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“…Likewise, people with one chronic disease can be very stable but when the number or severity of chronic diseases even mildly increases, then people can become frail (Fried et al 2004). Another concept concerning disability is subclinical disability which is described when persons do not report having difficulty with ADL activities or physical functioning but have changed their routine (Wolinsky et al 2005;Fried et al 2001b). These changes in functioning can be the result of frailty and eventually cause adverse outcomes such as disability.…”

Section: Introductionmentioning

confidence: 99%

The effect of frailty on residential/nursing home admission in the Netherlands independent of chronic diseases and functional limitations

et al. 2005

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The aim of this study was to determine the effect of frailty on the risk of residential/nursing home admission independently of chronic diseases and functional limitations. Frailty consists of multisystem decline and is considered to be a consequence of changes in neuromuscular, endocrine and immune system functioning that occur as people age. Frailty is a combination of multiple impairments in functioning that might lead to functional limitations and disability but it is not clear whether frailty has an independent effect on residential/nursing home admission. Data were used from the Longitudinal Aging Study Amsterdam. The respondents participated at both T 1 (1992/1993) and T 2 (1995/1996), lived independently at T 2 , and were aged 65 and over (n=1,503). Nine frailty markers were assessed at two cycles (T 1 and T 2 ). The frailty markers were defined in two ways: low functioning at T 2 (static frailty); and change in functioning between T 1 and T 2 (dynamic frailty). The outcome variable was residential/nursing home admission between T 2 and T 4 (2001/2002). Cox proportional hazard analyses were used adjusting for chronic diseases, functional limitations, care received, partner status, income, age and sex. Static (RR 1.93, 95%CI 1.36-2.74) and dynamic frailty (RR 1.69, 95%CI 1.19-2.39) were associated with institutionalization in both men and women independently of the effect of chronic diseases and functional limitations. Additional analyses of the total number of both sets of frailty markers present revealed an increased risk of institutionalization when the number increased. In conclusion, frailty is associated with institutionalization, independently of the effect of chronic diseases and functional limitations.

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“…Frailty and functional decline are frequent consequences of aging, but their etiologies remain unclear. Older adults may experience progressive decline in function and develop disabilities without any clinical explanation (3,4). The frailty syndrome is possibly a result of the early stages and non-specific symptoms of both age-related diseases and complex pathophysiological processes not yet identified.…”

mentioning

confidence: 99%

Frailty and aging

Sourdet

Rougé‐Bugat

Vellas

et al. 2012

The Journal of nutrition, health and aging

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Self-reported preclinical disability identifies older women with early declines in performance and early disease

Cited by 182 publications

References 16 publications

Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults

Environmental facilitators for outdoor walking and development of walking difficulty in community-dwelling older adults

The effect of frailty on residential/nursing home admission in the Netherlands independent of chronic diseases and functional limitations

Frailty and aging

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