Hospitalization-associated change in gait speed and risk of functional limitations for older adults

Wei Duan-Porter; Tien N. Vo; Kristen Ullman; Lisa Langsetmo; Elsa S. Strotmeyer; Brent C. Taylor; Adam J. Santanasto; Peggy M. Cawthon; Anne B. Newman; Eleanor M. Simonsick; Teresa M. Waters; Kristine E. Ensrud

doi:10.1093/gerona/glz027

Hospitalization-associated change in gait speed and risk of functional limitations for older adults

Wei Duan-Porter
, Tien N. Vo
, Kristen Ullman
, Lisa Langsetmo
, Elsa S. Strotmeyer
, Brent C. Taylor
, Adam J. Santanasto
, Peggy M. Cawthon
, Anne B. Newman
, Eleanor M. Simonsick
, Teresa M. Waters
, Kristine E. Ensrud

Health Management and Policy

Producción científica: Article › revisión exhaustiva

43 Citas (Scopus)

Resumen

Background: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs). Methods: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70–79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors. Results: In fully adjusted models, any hospitalization was associated with decrease in gait speed (−0.04 m/s; 95% confidence interval [CI]: −0.05 to −0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95% CI: 1.70–2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95% CI: 1.90–2.60) and new ADL limitations (odds ratio = 1.84, 95% CI: 1.53–2.21). Multiple hospitalizations within a year were associated with gait speed decline (−0.06 m/s; 95% CI: −0.08 to −0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95% CI: 2.23–3.95). Conclusions: Functionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.

Idioma original	English
Páginas (desde-hasta)	1657-1663
Número de páginas	7
Publicación	Journals of Gerontology - Series A Biological Sciences and Medical Sciences
Volumen	74
N.º	10
DOI	https://doi.org/10.1093/gerona/glz027
Estado	Published - oct 1 2019

Nota bibliográfica

Publisher Copyright:
© 2019 Oxford University Press. All rights reserved.

Financiación

This work was supported by Minneapolis VA Center for Care Delivery and Outcomes Research (CCDOR) Locally Initiated Projects Fund. CCDOR had no role in study design, data collection, analysis and interpretation of data, writing of the report, or decision to submit article for publication. The Health ABC Study was funded by the National Institute on Aging (NIA). The access to Health ABC Study data and decision to submit the article for publication were approved by NIA. This work was approved by the University of Minnesota Medical School, Twin Cities Campus, Institutional Review Board.

Financiadores
CCDOR
Minneapolis VA Center for Care Delivery and Outcomes Research
National Institute on Aging
Graduate School, University of Minnesota
Quad Cities Community Foundation

ASJC Scopus subject areas

General Medicine

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10.1093/gerona/glz027

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Duan-Porter, W., Vo, T. N., Ullman, K., Langsetmo, L., Strotmeyer, E. S., Taylor, B. C., Santanasto, A. J., Cawthon, P. M., Newman, A. B., Simonsick, E. M., Waters, T. M., & Ensrud, K. E. (2019). Hospitalization-associated change in gait speed and risk of functional limitations for older adults. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 74(10), 1657-1663. https://doi.org/10.1093/gerona/glz027

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title = "Hospitalization-associated change in gait speed and risk of functional limitations for older adults",

abstract = "Background: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs). Methods: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70–79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors. Results: In fully adjusted models, any hospitalization was associated with decrease in gait speed (−0.04 m/s; 95\% confidence interval [CI]: −0.05 to −0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95\% CI: 1.70–2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95\% CI: 1.90–2.60) and new ADL limitations (odds ratio = 1.84, 95\% CI: 1.53–2.21). Multiple hospitalizations within a year were associated with gait speed decline (−0.06 m/s; 95\% CI: −0.08 to −0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95\% CI: 2.23–3.95). Conclusions: Functionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.",

keywords = "Decline, Functional status, Mobility",

author = "Wei Duan-Porter and Vo, \{Tien N.\} and Kristen Ullman and Lisa Langsetmo and Strotmeyer, \{Elsa S.\} and Taylor, \{Brent C.\} and Santanasto, \{Adam J.\} and Cawthon, \{Peggy M.\} and Newman, \{Anne B.\} and Simonsick, \{Eleanor M.\} and Waters, \{Teresa M.\} and Ensrud, \{Kristine E.\}",

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Duan-Porter, W, Vo, TN, Ullman, K, Langsetmo, L, Strotmeyer, ES, Taylor, BC, Santanasto, AJ, Cawthon, PM, Newman, AB, Simonsick, EM, Waters, TM & Ensrud, KE 2019, 'Hospitalization-associated change in gait speed and risk of functional limitations for older adults', Journals of Gerontology - Series A Biological Sciences and Medical Sciences, vol. 74, n.º 10, pp. 1657-1663. https://doi.org/10.1093/gerona/glz027

TY - JOUR

T1 - Hospitalization-associated change in gait speed and risk of functional limitations for older adults

AU - Duan-Porter, Wei

AU - Vo, Tien N.

AU - Ullman, Kristen

AU - Langsetmo, Lisa

AU - Strotmeyer, Elsa S.

AU - Taylor, Brent C.

AU - Santanasto, Adam J.

AU - Cawthon, Peggy M.

AU - Newman, Anne B.

AU - Simonsick, Eleanor M.

AU - Waters, Teresa M.

AU - Ensrud, Kristine E.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Background: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs). Methods: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70–79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors. Results: In fully adjusted models, any hospitalization was associated with decrease in gait speed (−0.04 m/s; 95% confidence interval [CI]: −0.05 to −0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95% CI: 1.70–2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95% CI: 1.90–2.60) and new ADL limitations (odds ratio = 1.84, 95% CI: 1.53–2.21). Multiple hospitalizations within a year were associated with gait speed decline (−0.06 m/s; 95% CI: −0.08 to −0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95% CI: 2.23–3.95). Conclusions: Functionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.

AB - Background: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs). Methods: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70–79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors. Results: In fully adjusted models, any hospitalization was associated with decrease in gait speed (−0.04 m/s; 95% confidence interval [CI]: −0.05 to −0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95% CI: 1.70–2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95% CI: 1.90–2.60) and new ADL limitations (odds ratio = 1.84, 95% CI: 1.53–2.21). Multiple hospitalizations within a year were associated with gait speed decline (−0.06 m/s; 95% CI: −0.08 to −0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95% CI: 2.23–3.95). Conclusions: Functionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.

KW - Decline

KW - Functional status

KW - Mobility

UR - https://www.scopus.com/pages/publications/85072304916

UR - https://www.scopus.com/pages/publications/85072304916#tab=citedBy

U2 - 10.1093/gerona/glz027

DO - 10.1093/gerona/glz027

M3 - Article

C2 - 30715162

AN - SCOPUS:85072304916

SN - 1079-5006

VL - 74

SP - 1657

EP - 1663

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

IS - 10

ER -

Hospitalization-associated change in gait speed and risk of functional limitations for older adults

Resumen

Nota bibliográfica

Financiación

ASJC Scopus subject areas

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