Document Detail


Physical performance measures as a useful indicator of multiple geriatric syndromes in women aged 75 years and older.
MedLine Citation:
PMID:  23331484     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: To identify whether individual physical performance measures or a combination of measures is a better indicator of multiple geriatric syndromes (MGS) defined as the concomitant presence of more than one geriatric syndrome in an individual. METHODS: We carried out cross-sectional analyses on data from 340 community-dwelling women aged 75 years and older (mean 80.0 years). We examined the following geriatric syndromes: urinary incontinence, falls, underweight, depression and functional decline. Trained testers measured usual gait speed (UGS), hand-grip strength and lower extremity performance (LEP) score derived from four LEP measures: tandem stance, chair stand test, alternate step and timed up-and-go (TUG). We categorized UGS to distinguish high- and low-performing participants using the established 1.0 m/s cut-off point. Applying the same population percentile (35.8%), we determined cut-off points for all individual measures and the LEP score. RESULTS: The UGS, TUG and LEP score had similar discriminating powers for MGS (each with area under receiver-operator curves [AUC] of 0.80), which were more significant than the discriminating powers of other individual measures (AUC = 0.69-0.76) when considered as continuous variables. A slow UGS, especially less than 1.0 m/s, was more strongly associated with MGS (odds ratio [OR] = 7.6, 95% confidence interval [CI] = 3.6-15.9) than the same percentiles for TUG (OR = 3.9, 95% CI = 1.9-7.8) and LEP score (OR = 5.2, 95% CI = 2.5-10.6). CONCLUSION: The UGS test alone might be sufficient in detecting MGS in women aged 75 years and older compared with a more comprehensive test battery. Geriatr Gerontol Int 2013; ●●: ●●-●●.
Authors:
Satoshi Seino; Noriko Yabushita; Mi-Ji Kim; Miyuki Nemoto; Songee Jung; Yosuke Osuka; Yoshiro Okubo; Rafael Figueroa; Tomoaki Matsuo; Kiyoji Tanaka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-20
Journal Detail:
Title:  Geriatrics & gerontology international     Volume:  -     ISSN:  1447-0594     ISO Abbreviation:  Geriatr Gerontol Int     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101135738     Medline TA:  Geriatr Gerontol Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 Japan Geriatrics Society.
Affiliation:
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki; The Japan Society for the Promotion of Science.
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