The impact of mobility limitations on health outcomes among older adults

Musich, Shirley; Wang, Shaohung S.; Ruiz, Joann; Hawkins, Kevin; Wicker, Ellen

doi:10.1016/j.gerinurse.2017.08.002

Cited by 168 publications

(135 citation statements)

References 46 publications

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“…In the line of our ndings, the earlier study also found that the elderly with poor physical and subjective health are more likely to use inpatient health services as compared to their opposite groups [41]. Similarly, if the physical immobility increases, the likelihood of accessing inpatient health care services increases among the elderly [42,43].…”

Section: Discussionsupporting

confidence: 82%

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Hossain¹,

James²,

Rana³

2020

Preprint

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Background: The association between marital status and health status among the elderly has been at the forefront of investigation for a long time. However, the study on the effects of marital status on health care utilisation is limited. This study assesses the association between use of inpatient health services and marital status among older adults in India from the perspective of sex. Methods: Data used in the study have been obtained from the 75th Round of National Sample Survey (NSS) on "Social Consumption: Health" with the sample size of 42,762 individuals aged 60 years or above. The study implements the Andersen's behavioural framework controlling the predisposing, enabling, and need characteristics and uses binary logistic regression models to assess the effect of marital status on inpatient health service. Results: There is a significant difference in inpatient healthcare use between married and widowed elderly by age, educational level, perceived health and mobility for both sexes. The unadjusted regression analysis shows that widowed are more likely to use inpatient health services both for women (OR=1.57; CI 95%= 1.47, 1.68) and men (OR=1.11; CI 95%= 1.02, 1.2). However, after controlling the predisposing, enabling, and need factors, a strong association between healthcare services and marital status has been found for women, but not for men. Widowed women (OR=1.43; CI 95%=1.33, 1.54) are more likely to use inpatient health care than married women. Conclusion: The present study has reported the association between the utilisation of inpatient health services and marital status for the elderly in India. Our study advocates that there is a sex difference in the utilisation of inpatient health services by the marital Status in India. Older widowed women should get more focus on health and elderly policy perspectives.

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Section: Discussionsupporting

confidence: 82%

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Hossain¹,

James²,

Rana³

2020

Preprint

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“…One important unanswered question is whether objective daily reports of accelerometer‐derived activity data can help providers detect immobility early in the hospital course and take clinical action to mitigate the risk of functional decline . Whereas capacity‐based measures (ie, Short Physical Performance Battery, Tinetti balance scores, or gait speed) can predict functional decline and hospital discharge destination, they are rarely incorporated into the inpatient clinical workflow.…”

Section: Discussionmentioning

confidence: 99%

Accelerometer‐Measured Hospital Physical Activity and Hospital‐Acquired Disability in Older Adults

Pavon

Sloane

Pieper

et al. 2019

J American Geriatrics Society

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BACKGROUND: Hospital-acquired disability (HAD) is common and often related to low physical activity while in the hospital. OBJECTIVE: To examine whether wearable hospital activity trackers can be used to predict HAD. DESIGN: A prospective observational study between January 2016 and March 2017. SETTING: An academic medical center. PARTICIPANTS: Community-dwelling older adults, aged 60 years or older, enrolled within 24 hours of admission to general medicine (n = 46). MAIN MEASURES: Primary outcome was HAD, defined as having one or more new activity of daily living deficits, decline of four or greater on the Late-Life Function and Disability Instrument (calculated between baseline and discharge), or discharge to a skilled nursing facility. Hospital activity (mean active time, mean sedentary time, and mean step counts per day) was measured using ankle-mounted accelerometers. The association of the literature-based threshold of 900 steps/day with HAD was also evaluated. RESULTS: Mean age was 73.2 years (SD = 9.5 years), 48% were male, and 76% were white. Median length of stay was 4 days (interquartile range [IQR] = 2.0-6.0 days); 61% (n = 28) reported being able to walk without assistance of another person or walking aid at baseline. Median daily activity time and step counts were 1.1 h/d (IQR = 0.7-1.7 h/d) and 1455.7 steps/day (IQR = 908.5-2643 steps/day), respectively. Those with HAD (41%; n = 19) had lower activity time (0.8 vs 1.4 h/d; P = .04) and fewer step counts (1186 vs 1808 steps/day; P = .04), but no difference in sedentary time, compared to those without HAD. The 900 steps/day threshold had poor sensitivity (40%) and high specificity (85%) for detecting HAD. CONCLUSIONS: Low hospital physical activity, as measured by wearable accelerometers, is associated with HAD. Clinicians can utilize wearable technology data to refer patients to physical/ occupational therapy services or other mobility interventions, like walking programs. J Am Geriatr Soc 68:261-265, 2020.

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“…It is known that con nement at home and the restriction of commuting outside the home reduces the opportunity for engaging in physical, social and health care activities, exposing older people to social isolation, loneliness and the decline in health and mobility (8,9) . About a third of the older adults have mobility di culties, which is considered an early sign of global functional decline (10) . The circumscription to a smaller physical area and decrease in the frequency of displacement of the older people during the pandemic (11) determines a greater restriction of mobility in the living spaces.…”

Section: Discussionmentioning

confidence: 99%

“…The circumscription to a smaller physical area and decrease in the frequency of displacement of the older people during the pandemic (11) determines a greater restriction of mobility in the living spaces. The consequence of this scenario is worrying, since those with restricted mobility in living spaces are at risk of negative outcomes such as falls, depression, disability, dependence and eventually the need for long-term assistance and services (10,12) .…”

Section: Discussionmentioning

confidence: 99%

Impact of Social Restriction Imposed by 2019-ncov Pandemic on the Mobility of Older People: A Scope Review Protocol

Bandeira

Batista

Silva³

et al. 2020

Preprint

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Background The 2019‑nCoV pandemic represents a high risk for older people that sustain higher mortality rates compared to young adults. Limited social contact and restriction of mobility in the community (stay-at-home precautions) are recognised as measures to prevent SARS-CoV-2 infection among older people. The impact of these measures on health, physical function and emotional wellbeing are numerous, and might result in long-term adverse outcomes such as disability, falls and limited mobility. Thus, the objective of this scope review is to map the estimated impact of measures of social restrictions on the mobility of older people living in the community and to systematize the existing recommendations, anticipating possible intervention strategies gaps.Methods The search will be carried out using a standardized protocol in Latin American and Caribbean Literature on Health Sciences (LILACS), consulted by the Virtual Health Library (VHL), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), via PubMed; Web of Science, via Main Collection (Thomson Reuters Scientific) and SCOPUS. Documents and reports with recommendations from governmental and nongovernmental organizations will be consulted. Complete studies available in the English, Spanish or Portuguese languages included in the different methodological approaches (original articles, literature reviews, editorials and guidelines) that necessarily address the recommendations of social restriction measures for preventing Covid-19 disease and their impacts on mobility of older people will be included. Two reviewers will select the studies based on their titles and abstracts. The manuscripts and documents selected for full reading will be analysed by reviewers concerning the eligibility criteria. When disagreements occurred in any phase of the selection process, a third reviewer will be included for a consensus analysis. Data will be extracted using a template form and the PRISMA-ScR checklist will be used to guarantee quality and transparency. Results will be presented as a narrative summary, including tables and figures.Discussion Globally, recommendations to stay-at-home and social distancing are substantially affecting health and wellbeing of older people. Preserving mobility is crucial to active and healthy ageing. The evidence summarized in the selected studies will be analysed in order to answer the research questions. The results of this review will help clinical practitioners, health care providers and policy makers to estimate the impact of measures to protect older people from 2019‑nCoV and to identify gaps and anticipate needs for targeted interventions to prevent mobility decline. Systematic review registrationsubmitted on 10-09-2020 in https://osf.io/registries

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The impact of mobility limitations on health outcomes among older adults

Cited by 168 publications

References 46 publications

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Accelerometer‐Measured Hospital Physical Activity and Hospital‐Acquired Disability in Older Adults

Impact of Social Restriction Imposed by 2019-ncov Pandemic on the Mobility of Older People: A Scope Review Protocol

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