|
Sign In to gain access to subscriptions and/or personal tools.
|
Modifiable Impairments Predict Progressive Disability Among Older Persons
Mary E. Tinetti
Yale School of Medicine, mary.tinetti{at}yale.edu
Heather Allore
Yale School of Medicine
Katy L. B. Araujo
Yale School of Medicine
Teresa Seeman
University of California, Los Angeles
Our purpose was to determine the extent to which a predetermined set of modifiable impairments predicted progression of disability. Method: We conducted a 3-year follow-up of two community-based cohorts of older adults. The impairment areas included lower extremity, upper extremity, hearing, vision, and affect. Home management and social or productive activities were the domains of function investigated. Results: All five impairments were of at least borderline significance in predicting decline in both functional domains in both cohorts with the exception of hearing for home management activities. The five impairments together explained from 17% to 23% of the decline seen in the functional outcomes (partial R2s 0.17 to 0.23). Discussion: Five prevalent and potentially modifiable impairments explained much of the progressive disability experienced. Given the priority that older patients place on function as a health outcome, these impairments should be routinely assessed and modified.
Key Words: aging progressive disability modifiable impairments
Journal of Aging and Health, Vol. 17, No. 2,
239-256 (2005)
DOI: 10.1177/0898264305275176

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
L. Leinau, T. E. Murphy, E. Bradley, and T. Fried
Relationship between Conditions Addressed by Hemodialysis Guidelines and Non-ESRD-Specific Conditions Affecting Quality of Life
Clin. J. Am. Soc. Nephrol.,
March 1, 2009;
4(3):
572 - 578.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W. Chodzko-Zajko, A. Schwingel, and Chae Hee Park
Successful Aging: The Role of Physical Activity
American Journal of Lifestyle Medicine,
January 1, 2009;
3(1):
20 - 28.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Cheng, B. J. Gurland, and M. S. Maurer
Self-Reported Lack of Energy (Anergia) Among Elders in a Multiethnic Community
J Gerontol A Biol Sci Med Sci,
July 1, 2008;
63(7):
707 - 714.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. L. Lam, S. L. Christ, D. J. Lee, D. D. Zheng, and K. L. Arheart
Reported Visual Impairment and Risk of Suicide: The 1986-1996 National Health Interview Surveys
Arch Ophthalmol,
July 1, 2008;
126(7):
975 - 980.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. V. Sims, A. Ahmed, P. Sawyer, and R. M. Allman
Self-Reported Health and Driving Cessation in Community-Dwelling Older Drivers
J Gerontol A Biol Sci Med Sci,
July 1, 2007;
62(7):
789 - 793.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. J. Lee, O. Gomez-Marin, B. L. Lam, D. D. Zheng, K. L. Arheart, S. L. Christ, and A. J. Caban
Severity of Concurrent Visual and Hearing Impairment and Mortality: The 1986-1994 National Health Interview Survey
J Aging Health,
June 1, 2007;
19(3):
382 - 396.
[Abstract]
[PDF]
|
 |
|
|
|