Physical function measurements predict mortality in ambulatory older men

Buyser, Stefanie De; Petrovic, Mirko; Taes, Youri; Toye, Kaatje; Kaufman, Jean‐Marc; Goemaere, Stefan

doi:10.1111/eci.12056

Cited by 85 publications

(67 citation statements)

References 40 publications

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“…Our results of increased mortality for those with poor TUG performance correspond well with results from other similar studies [51, 52, 55–58]. However, some of these studies did not include both genders [51, 52].…”

Section: Discussionsupporting

confidence: 91%

“…For example, Tiainen et al [50] provided evidence that difficulties in daily activities and poor self-reported mobility are stronger predictors of mortality in men than women. To our knowledge only two community-based studies [51, 52] have investigated the relationship between TUG score and mortality, and only one of these included both genders.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mobility as a predictor of all-cause mortality in older men and women: 11.8 year follow-up in the Tromsø study

Bergland

Jørgensen

Emaus

et al. 2017

BMC Health Serv Res

117

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BackgroundDisability in older adults is associated with loss of independence, institutionalization, and death. The aim of this study was to study the association between the Timed Up and Go (TUG) test and all-cause mortality in a population-based sample of older men and women.MethodsOur study population was home dwellers aged 65 and above, who participated in the fifth wave of the Tromsø study. This study included the TUG test and a range of lifestyle and mortality predictors. Participants were linked to the Cause of Death Registry and followed up for mortality for a maximum of 11.8 years. Cox regression was used to investigate the association between TUG and total mortality.ResultsMean TUG score was 12.6 s, and men performed better than women. The oldest participants had poorer TUG score compared to younger participants, increasing 0.25 s per year. There was a significant association between TUG and all-cause mortality, and the association was equally strong in men and women. Across the TUG-score categories, from quickest fifth to slowest fifth, the mortality increased in a step-wise fashion. Compared to the quickest fifth, the slowest fifth had hazard ratio (HR) of 1.79 (95% confidence interval (CI) 1.33, 2.42) in a model adjusted for age and gender. For each standard deviation TUG-score the increase in HR was 1.23 (95% CI 1.14, 1.33). The association between the TUG score and mortality remained significant after adjusting for self-reported health, body mass index, smoking and education.ConclusionsA significant association between the TUG score and mortality was observed in both men and women. Identifying older people with poor TUG may aid in identifying those at risk and thus targeted interventions may be applied.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Mobility as a predictor of all-cause mortality in older men and women: 11.8 year follow-up in the Tromsø study

Bergland

Jørgensen

Emaus

et al. 2017

BMC Health Serv Res

117

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show abstract

“…Both in community-dwelling and hospitalised older subjects, physical function measurements have shown their predictive value in terms of various adverse health-related outcomes, such as mortality, institutionalisation, and healthcare costs [36]–[38]. Our results suggest that the interpretation of physical performance at a single time point is not straightforward.…”

Section: Discussionmentioning

confidence: 81%

Functional Changes during Hospital Stay in Older Patients Admitted to an Acute Care Ward: A Multicenter Observational Study

et al. 2014

Self Cite

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ObjectivesChanges in physical performance during hospital stay have rarely been evaluated. In this study, we examined functional changes during hospital stay by assessing both physical performance and activities of daily living. Additionally, we investigated characteristics of older patients associated with meaningful in-hospital improvement in physical performance.MethodsThe CRiteria to assess appropriate Medication use among Elderly complex patients project recruited 1123 patients aged ≥65 years, consecutively admitted to geriatric or internal medicine acute care wards of seven Italian hospitals. We analyzed data from 639 participating participants with a Mini Mental State Examination score ≥18/30. Physical performance was assessed by walking speed and grip strength, and functional status by activities of daily living at hospital admission and at discharge. Meaningful improvement was defined as a measured change of at least 1 standard deviation. Multivariable logistic regression models predicting meaningful improvement, included age, gender, type of admission (through emergency room or elective), and physical performance at admission.ResultsMean age of the study participants was 79 years (range 65–98), 52% were female. Overall, mean walking speed and grip strength performance improved during hospital stay (walking speed improvement: 0.04±0.20 m/s, p<0.001; grip strength improvement: 0.43±5.66 kg, p = 0.001), no significant change was observed in activities of daily living. Patients with poor physical performance at admission had higher odds for in-hospital improvement.ConclusionOverall, physical performance measurements show an improvement during hospital stay. The margin for meaningful functional improvement is larger in patients with poor physical function at admission. Nevertheless, most of these patients continue to have poor performance at discharge.

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“…Physical performance, including grip strength, lower‐extremity muscle strength, and walking speed, could be significant predictors of adverse health events such as disability,2, 3, 4 hospitalization,5 and mortality6, 7, 8 among older adults. Age‐related declines in muscle strength and mobility have been investigated, and ethnicity‐ and sex‐based differences have been reported 9, 10, 11…”

Section: Introductionmentioning

confidence: 99%

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Makizako

Shimada

Doi

et al. 2017

J cachexia sarcopenia muscle

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BackgroundThe aim of this study was to describe the age‐dependent changes in the parameters of physical performance and body composition in Japanese older adults who are independently dwelling in the community. We also examined whether the age‐dependent changes differ among physical performance and body composition parameters.MethodsCross‐sectional data from 10 092 community‐dwelling older adults (mean age 73.6 years; 5296 women) were analyzed. The measures of physical performance included hand‐grip strength, the five‐times‐sit‐to‐stand test, and walking speed. Body composition parameters (body weight, fat mass, and appendicular skeletal muscle mass) were measured with a bioelectrical impedance analyser. Correlations between age and the physical performance and body composition parameters were tested. The T‐scores of physical performance and body composition measurements were calculated and presented according to 5‐year age groups to examine the differences in age‐dependent changes in physical performance and body composition parameters.ResultsAll physical performance measures significantly decreased with aging. The cumulative mean T‐scores according to age group showed different age‐dependent changes between body mass index (BMI) and appendicular skeletal muscle mass index (ASMI) (cumulative mean T‐score change of BMI and ASMI of −5.7 to −2.9 and −12.7 to −12.1, respectively). The slope declines in age‐associated changes were greater in grip strength (β = −0.77, 95% confidence interval = −0.82 to −0.76) for men and in walking speed (β = −0.95, 95% confidence interval = −0.99 to −0.90) for women.ConclusionsThe patterns of age‐dependent decreases in physical performance measures differed among parameters and between sexes. There is a possibility of a difference in the age‐related slope patterns among parameters; decreases in grip strength in men and walking speed in women may be more prominent with advancing age. Furthermore, the decrease in ASMI with age is more striking than that of BMI.

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Physical function measurements predict mortality in ambulatory older men

Abstract: The assessment of physical functioning is important in the evaluation of older persons. We encourage the use of the TUG as a reliable, quick and feasible screening tool in clinical settings.

Cited by 85 publications

References 40 publications

Mobility as a predictor of all-cause mortality in older men and women: 11.8 year follow-up in the Tromsø study

Mobility as a predictor of all-cause mortality in older men and women: 11.8 year follow-up in the Tromsø study

Functional Changes during Hospital Stay in Older Patients Admitted to an Acute Care Ward: A Multicenter Observational Study

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

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