The Association Between Self-Reported and Performance-Based Physical Function With Activities of Daily Living Disability in the Canadian Longitudinal Study on Aging
The Association Between Self-Reported and Performance-Based Physical Function With Activities of Daily Living Disability in the Canadian Longitudinal Study on Aging
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DOI：
10.1093/gerona/glz122
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发表时间：
2020-01-01
影响因子：
5.1
通讯作者：
Raina, Parminder
中科院分区：
文献类型：
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作者：
Mayhew, Alexandra J.;Griffith, Lauren E.;Raina, Parminder
背景：身体功能限制先于残疾，是预防或延迟老年人残疾的目标。本文的目的是评估自我报告和基于性能的措施与disability.Methods的身体功能之间的关系：基线数据（2012-2015）从加拿大老龄化纵向研究（n = 51,338）。残疾被定义为14项日常生活活动中至少有一项受到限制。使用三个领域（上半身，下半身和灵巧性）的14个问题和五个基于性能的测试（步态速度，计时起身，单腿站立，椅子上升和握力）来测量身体功能。Logistic回归被用来评估身体功能之间的关系，操作为（i）至少一个限制，（ii）在每个单独的领域/测试中存在或不存在限制，（iii）有限制的领域/测试的数量，与disability.Results：在21，241名参与者自我报告的功能数据中，残疾的几率为1.87（95% CI：1.56-2.24）、6.78（5.68-8.08）和14.43（11.50-18.1）。在30,097名参与者与性能为基础的措施的功能，残疾的几率范围从1.53（1.33-1.76）为一个测试限制到14.91（11.56-19.26）为所有五个testslimited.Conclusions：这两个性能为基础的措施和自我报告的身体功能与残疾。在对其他领域和测试进行调整后，每个领域和性能测试仍然与残疾相关。当自我报告领域的数量和基于表现的限制增加时，残疾风险更高。
Background: Physical function limitations precede disability and are a target to prevent or delay disability in aging adults. The objective of this article was to assess the relationship between self-report and performance-based measures of physical function with disability.Methods: Baseline data (2012-2015) from the Canadian Longitudinal Study on Aging (n = 51,338) was used. Disability was defined as having a limitation for at least one of 14 activities of daily living. Physical function was measured using 14 questions across three domains (upper body, lower body, and dexterity) and five performance-based tests (gait speed, timed up and go, single leg stance, chair rise, and grip strength). Logistic regression was used to assess the relationship between physical function operationalized as (i) at least one limitation, (ii) presence or absence of limitations in each individual domain/test, and (iii) number of domains/tests with limitations, with disability.Results: In the 21,241 participants with self-reported function data, the odds of disability were 1.87 (95% CI: 1.56-2.24), 6.78 (5.68-8.08), and 14.43 (11.50-18.1) for one, two, and three limited domains, respectively. In the 30,097 participants with performance-based measures of function, the odds of disability ranged from 1.53 (1.33-1.76) for one test limited to 14.91 (11.56-19.26) for all five tests limited.Conclusions: Both performance-based and self-report measures of physical function were associated with disability. Each domain and performance test remained associated with disability after adjustment for the other domains and tests. Disability risk was higher when the number of self-report domains and performance-based limitations increased.