Journal article
Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later
The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.62A(1), pp.101-106
01/01/2007
DOI: 10.1093/gerona/62.1.101
PMID: 17301046
Abstract
This article examines the effect of self-reported, baseline subclinical status (i.e., independent but adaptive performance) for functional limitation and disability on adverse health outcomes. Nine hundred ninety-eight African-American men and women aged 49-65 years received in-home evaluations at baseline, and 853 were re-evaluated 3 years later. Baseline subclinical status was ascertained for five lower body tasks and seven activities of daily living (ADLs)/instrumental ADLs (IADLs). Outcomes included difficulty with lower body limitations, ADLs/IADLs, physical performance, physician visits, hospitalization, nursing home placement, and mortality. The baseline proportion of subclinical status evidence for the five lower body items was 0.33 (standard deviation [SD] = 0.20), and for the seven ADLs/IADLs was 0.20 (SD = 0.30). Significant independent effects of subclinical status for lower body limitations were observed on physician visits and hospitalization. Significant independent effects of subclinical status for ADLs/IADLs were observed on ADLs/IADLs and physician visits. Subclinical status for functional limitation and disability independently predicts several subsequent adverse health outcomes, although the effects of the latter (ADLs/IADLs) are stronger. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system.
Details
- Title: Subtitle
- Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later
- Creators
- Fredric Wolinsky - University of IowaDouglas Miller - University of IndianapolisElena Andresen - University of Florida Health Science CenterTheodore Malmstrom - Saint Louis University
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.62A(1), pp.101-106
- Publisher
- Oxford University Press
- DOI
- 10.1093/gerona/62.1.101
- PMID
- 17301046
- ISSN
- 1079-5006
- eISSN
- 1758-535X
- Language
- English
- Date published
- 01/01/2007
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984363635402771
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