TY - JOUR
T1 - Geriatric syndromes and functional status in NSHAP
T2 - Rationale, measurement, and preliminary findings
AU - Huisingh-Scheetz, Megan
AU - Kocherginsky, Masha
AU - Schumm, Phillip L.
AU - Engelman, Michal
AU - McClintock, Martha K.
AU - Dale, William
AU - Magett, Elizabeth
AU - Rush, Patricia
AU - Waite, Linda
N1 - Funding Information:
Funding The National Social Life, Health, and Aging Project is supported by the National Institutes of Health, including the National Institute on Aging (R37AG030481; R01AG033903); the Office of Women’s Health Research, the Office of AIDS Research, and the Office of Behavioral and Social Sciences Research (R01AG021487); and by NORC which was responsible for the data collection. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, or NORC.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Introduction. The geriatric functional measures and syndromes collected 5 years apart in Waves 1 and 2 of the National Social Life, Health, and Aging Project (NSHAP) data set included: difficulty with activities of daily living and instrumental activities of daily living, the timed up and go, a 3-m timed walk, repeated chair stands, self-reported physical activity, accelerometry-assessed (in)activity, falls, fractures, and frailty. The purpose of this paper was to describe the data collection methods and report preliminary population estimates for each measures. Method. Frequencies, means, or medians were estimated for each measure stratified by age and gender, using the age-eligible samples in Wave 1 (n = 3,005) and Wave 2 (n = 3,196). An adapted phenotypic frailty scale was constructed in the sample common to both waves (n = 2,261). Changes over 5 years were reported for four measures common to both waves. Results. The functional measures worsened with age (p <. 001). The syndromes were more prevalent with age except "all fractures" (p value range <. 001-.03). Functional measures were worse among females than males except chair stand performance and the accelerometry-assessed (in)activity measures (p value range <. 001-.01). The syndromes were more common among females than males except Wave 2 falls and Wave 2 hip fractures (p value range <. 001-.03). Changes from Wave 1 to 2 revealed 11.5%-25.2% of individuals reported better health and 21.3%-44.7% reported worse health. Discussion. The NSHAP provides a comprehensive assessment of geriatric health. Our findings are consistent with the literature and support the construct of the study measures.
AB - Introduction. The geriatric functional measures and syndromes collected 5 years apart in Waves 1 and 2 of the National Social Life, Health, and Aging Project (NSHAP) data set included: difficulty with activities of daily living and instrumental activities of daily living, the timed up and go, a 3-m timed walk, repeated chair stands, self-reported physical activity, accelerometry-assessed (in)activity, falls, fractures, and frailty. The purpose of this paper was to describe the data collection methods and report preliminary population estimates for each measures. Method. Frequencies, means, or medians were estimated for each measure stratified by age and gender, using the age-eligible samples in Wave 1 (n = 3,005) and Wave 2 (n = 3,196). An adapted phenotypic frailty scale was constructed in the sample common to both waves (n = 2,261). Changes over 5 years were reported for four measures common to both waves. Results. The functional measures worsened with age (p <. 001). The syndromes were more prevalent with age except "all fractures" (p value range <. 001-.03). Functional measures were worse among females than males except chair stand performance and the accelerometry-assessed (in)activity measures (p value range <. 001-.01). The syndromes were more common among females than males except Wave 2 falls and Wave 2 hip fractures (p value range <. 001-.03). Changes from Wave 1 to 2 revealed 11.5%-25.2% of individuals reported better health and 21.3%-44.7% reported worse health. Discussion. The NSHAP provides a comprehensive assessment of geriatric health. Our findings are consistent with the literature and support the construct of the study measures.
KW - Accelerometry
KW - Falls
KW - Fracture
KW - Frailty
KW - Functional assessment
KW - Gait
KW - Older adults
KW - Physical activity
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U2 - 10.1093/geronb/gbu091
DO - 10.1093/geronb/gbu091
M3 - Article
C2 - 25360019
AN - SCOPUS:84922480416
VL - 69
SP - S177-S190
JO - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
JF - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
SN - 1079-5014
ER -