Physical Functioning Among Older Adults New to Long-Term Services and Supports

Chase, Jo‐Ana D.; Hirschman, Karen B.; Hanlon, Alexandra L.; Huang, Liming; Bowles, Kathryn H.; Naylor, Mary D.

doi:10.1093/geront/gnx082

Cited by 6 publications

(3 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 A North American study indicated that monitoring physical functioning based on health, activity, and environmental factors may facilitate early identification of future long-term care and social support needs. 8 Handgrip strength might be an indicator of poor physical functioning since older adults with sarcopenia (decreased muscle mass) have poor physical functioning. 9 The 4-m timed walk test is a simple, low-cost, and rapid tool that can be a good marker of decline in physical functioning in community-dwelling older adults.…”

Section: Research Reportmentioning

confidence: 99%

“…Literature shows physical functioning measured by walking speed as an individual predictor of hospitalization in older adults with and without multimorbidity 7. A North American study indicated that monitoring physical functioning based on health, activity, and environmental factors may facilitate early identification of future long-term care and social support needs 8…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Physical Functioning and Time Until a New Hospitalization in Community-Dwelling Older Adults: A Prospective Cohort Study

Silva

Pereira

Torres

et al. 2022

Journal of Geriatric Physical Therapy

View full text Add to dashboard Cite

Hospitalization, a significant cause of increased health expenses among older people, when combined with preexisting impairments, is associated with poor health status in this population. 1 Frequent and prolonged hospitalizations negatively affect health, decrease quality of life and physical test, and gait speed using the 4-m walk test. The association between poor physical functioning and new hospitalization was verified using a Cox regression model, adjusted for sex, age, number of comorbidities, number of medications, and BMI. Models were implemented separately for each physical functioning test. Results: In the sample, 32% had been hospitalized at least once in 5 years. The Kaplan-Meier curve showed a decrease in the probability of nonhospitalization within the next 5 years. Cox regression analysis showed an association between hospitalization within the next 5 years and mobility on the TUG test of more than 12.4 seconds in the crude (hazard ratio [HR] = 1.33, 95% CI = 1.10-1.60) and adjusted models (HR = 1.26, 95% CI = 1.02-1.56), and balance using the step test of more than 7.5 seconds in the crude (HR = 1.27, 95% CI = 1.03-1.56) model. Conclusions: Physical functioning tests demonstrated that poor physical performance predicts new hospitalization, and reinforced the importance of their application in physical therapy practice in primary health care settings.

show abstract

Section: Research Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association Between Physical Functioning and Time Until a New Hospitalization in Community-Dwelling Older Adults: A Prospective Cohort Study

Silva

Pereira

Torres

et al. 2022

Journal of Geriatric Physical Therapy

View full text Add to dashboard Cite

show abstract

“…In congruence with this, a study in the United States revealed significant associations between diverse social and health-related activities and elders' independence in IADLs. [39] On the same line, the rates of independence in IADLs tend to be high in developed countries such as in Norway where Boulos et al [25] reported that 61.7% of the elderly were fully independent. Conversely, the rates are low in developing countries such as in Turkey, [29] where the rate was 25.3%, close to the rates in the present study.…”

Section: Discussionmentioning

confidence: 96%

Nutritional status and independence in instrumental activities of daily life in the elderly living in nursing homes and community dwellings: A comparative study

Mahmoud

Sheha²

2018

JNEP

View full text Add to dashboard Cite

Background and objective: Dietary habits and patterns have been shown to have strong influence on the mental wellbeing of elderly. Aim of the study: to compare the current nutritional status and independence in instrumental activities of daily life (IADL) in the elderly living in nursing homes and community dwellings.Methods: The study was carried out in nursing homes and elderly clubs in Cairo using descriptive comparative design. It involved a group of 125 institutionalized elderly from six nursing homes in Cairo and a second group (community dwellers) of 250 elderly from social clubs or elderly daycare centers in Cairo. The data collection tools were an interview questionnaire including the Mini Nutritional Assessment (MNA), the IADL, and the 24-hour recall for dietary intake in addition to an inventory checklist for the nursing homes. The data collection lasted from October 2016 to December 2017.Results: The institutionalized elderly had significantly higher median age, more divorced /widows, from urban areas, with higher education, and more insufficient income; they were more obese (p = .02). In MNA 62.0% of those in community dwellings were normal compared to only 17.6% of institutionalized (p < .001), but significantly more institutionalized elders had deficient caloric intake (80.0%) compared to 69.6% of those in community dwellings (p = .03). The IADL were significantly better among those in community dwellings. In multivariate analysis, having recreations was a positive predictor of MNA score, while smoking and institutionalization were negative predictors. As for the IADL score, the level of education was its positive predictor, whereas age and institutionalization were negative predictors. Body mass index (BMI) was positively predicted by female gender, educational level, and having recreations, and negatively predicted by age. For institutionalized elderly, income was a positive predictor of the MNA score, whereas the length of institutionalization was a negative predictor.Conclusion and recommendations: Malnutrition and dependency in IADL are more prevalent among elderly in nursing homes, and are related to the duration and characteristics of the institutionalization. The study recommends improving the dietary services in nursing homes, with training programs for their staff and regular monitoring of food services.

show abstract

Predictors of change over time in satisfaction with outdoor activities ratings among long-term care services and supports recipients

et al. 2022

View full text Add to dashboard Cite

Physical Functioning Among Older Adults New to Long-Term Services and Supports

Cited by 6 publications

References 55 publications

Association Between Physical Functioning and Time Until a New Hospitalization in Community-Dwelling Older Adults: A Prospective Cohort Study

Association Between Physical Functioning and Time Until a New Hospitalization in Community-Dwelling Older Adults: A Prospective Cohort Study

Nutritional status and independence in instrumental activities of daily life in the elderly living in nursing homes and community dwellings: A comparative study

Predictors of change over time in satisfaction with outdoor activities ratings among long-term care services and supports recipients

Contact Info

Product

Resources

About