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Further evidence for the importance of subclinical functional limitation and subclinical disability assessment in gerontology and geriatrics
Author(s)Fredric D Wolinsky, Douglas K Miller, Elena M Andresen
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 60B, no 3, May 2005
Pagespp S146-S151
Sourcehttp://www.geron.org
KeywordsPhysical disabilities ; Mobility ; Self care capacity ; Evaluation ; Longitudinal surveys ; United States of America.
AnnotationThe prevalence of subclinical status for functional limitations and disability over a 2-year period was determined with subjects in the African American Health (AAH) Project, 998 African American men and women aged 49-65 in St Louis, MO, who received comprehensive in-home evaluations of healthcare and two annual telephone follow-ups. The baseline prevalence of subclinical status was 26.15% for walking a half mile, 26.8% for climbing steps, 39% for stooping, crouching or kneeling, 29.1% for lifting or carrying 10 lbs, and 22.7% for doing heavy housework. The adjusted odds ratios for the task-specific subclinical status measure at baseline on developing difficulty one or two years later were 1.68 for walking, 4.46 for climbing steps, 2.48 for stooping, crouching or kneeling, 2.51 for lifting or carrying 10 lbs, and 2.22 for doing heavy housework. Performance tests (tandem stand, chair stands and preferred gait speed) did not have consistent independent effects on the onset of functional limitation or disability. The subclinical status measures were the main predictors of the onset of difficulty in all tasks and functions 1-2 years later. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system. (RH).
Accession NumberCPA-051121210 A
ClassmarkBN: C4: CA: 4C: 3J: 7T

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