Journal article
Adverse outcomes and correlates of change in the Short Physical Performance Battery over 36 months in the African American health project
The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.63(5), pp.487-494
05/01/2008
DOI: 10.1093/gerona/63.5.487
PMCID: PMC4561182
PMID: 18511752
Abstract
Background. The Short Physical Performance Battery (SPPB) is a well-established measure of lower body physical functioning in older persons but has not been adequately examined in African Americans or younger persons. Moreover, factors associated with changes in SPPB over time have not been reported.
Methods. A representative sample of 998 African Americans (49-65 years old at baseline) living in St. Louis, Missouri were followed for 36 months to examine the predictive validity of SPPB in this population and identify factors associated with changes in SPPB. SPPB was calibrated to this population, ranged from 0 (worst) to 12 (best), and required imputation for about 50% of scores. Adverse outcomes of baseline SPPB included death, nursing]ionic placement, hospitalization, physician visits, incident basic and instrumental activity of daily living disabilities, and functional limitations. Changes in SPPB over 36 months were modeled.
Results. Adjusted for appropriate covariates, weighted appropriately, and using propensity scores to address potential selection bias, baseline SPPB scores were associated with all adverse outcomes except physician visits, and were marginally associated with hospitalization. Declines in SPPB scores were associated with low falls efficacy (b = -1.311), perceived income adequacy (-0.121), older age (-0.073 per year), poor vision (-0.754), diabetes mellitus (-0.565), refusal to report household income (1.48), ever had Medicaid insurance (-0.610), obesity (-0.437), hospitalization in the prior year (-0.521), and kidney disease (-.956).
Conclusions. The effect of baseline SPPB on adverse outcomes in this late middle-age African American population confirms reports involving older, primarily white participants. Alleviating deterioration in lower body physical functioning guided by the associated covariates may avoid or delay multiple age-associated adverse outcomes.
Details
- Title: Subtitle
- Adverse outcomes and correlates of change in the Short Physical Performance Battery over 36 months in the African American health project
- Creators
- Douglas K. Miller - Indiana UniversityFredric D. Wolinsky - University of IowaElena M. Andresen - University of Florida Health Science CenterTheodore K. Malmstrom - Saint Louis UniversityJ. Philip Miller - Washington University in St. Louis School of Medicine
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.63(5), pp.487-494
- Publisher
- Oxford Univ Press
- DOI
- 10.1093/gerona/63.5.487
- PMID
- 18511752
- PMCID
- PMC4561182
- ISSN
- 1079-5006
- eISSN
- 1758-535X
- Number of pages
- 8
- Grant note
- R01 AG010436; R01 AG-10436 / NIA NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01AG010436 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 05/01/2008
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984363588502771
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