Rethinking functional limitation pathways.
Rethinking functional limitation pathways.
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重新思考功能限制途径。
DOI：
10.1093/geront/40.2.137
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Wyrwich,KW
中科院分区：
文献类型：
--
作者：
Wolinsky,FD;Armbrecht,ES;Wyrwich,KW
功能受限在老年学和老年医学中受到相当大的关注。大部分的工作都集中在缺乏背景的单波转换，而不是随着时间的推移，构成轨迹的转换模式。这篇论坛文章表明，现在是时候用不同的方式来看待功能限制途径了。它侧重于轨迹。三个Rosow和Breslau 1966和两个Nagi 1976项目，要求12，998老年人参加了多达七波的数据收集，作为老年人流行病学研究的一部分，被用来说明这种方法，强调其概念和实用的优势。这些结果提供了更清晰的功能受限者、更多功能受限者或恢复者以及可能失访者，以及随时间推移与这些个体相关的结局。
Functional limitation has received considerable attention in gerontology and geriatrics. Much of this work has focused on single-wave transitions devoid of context rather than on the pattern of transitions over time that constitute trajectories. This Forum article suggests that it is time for a different way of looking at functional limitation pathways. It focuses on trajectories. Responses to three Rosow and Breslau 1966 and two Nagi 1976 items, asked of 12,998 older adults who participated in up to seven waves of data collection as part of the Established Populations for the Epidemiologic Study of the Elderly, are used to illustrate this approach, emphasizing both its conceptual and pragmatic advantages. The results provide greater clarity in terms of those who become functionally limited, take on more functional limitations, or recover as well as those who are likely to be lost to follow-up and in terms of the outcomes associated with those individuals over time.