TY  - JOUR
PY  - 2015//
TI  - Comparative study of four physical performance measures as predictors of death, incident disability, and falls in unselected older persons: the Insufficienza Cardiaca negli Anziani Residenti a Dicomano Study
JO  - Journal of the American Geriatrics Society
A1  - Minneci, Cristina
A1  - Mello, Anna Maria
A1  - Mossello, Enrico
A1  - Baldasseroni, Samuele
A1  - Macchi, Loredana
A1  - Cipolletti, Stefano
A1  - Marchionni, Niccolo
A1  - Di Bari, Mauro
SP  - 136
EP  - 141
VL  - 63
IS  - 1
N2  - OBJECTIVES: To compare the ability of the Short Physical Performance Battery (SPPB), 4-m walk test (4mWT), 6-minute walk test (6MWT), and handgrip strength to predict mortality, incident disability, worsening mobility, and falls in older community dwellers. <br><br>DESIGN: Cohort study. SETTING: Population-based. PARTICIPANTS: Individuals aged 65 and older n = 561) without prevalent basic activity of daily living (ADL) disability participating. MEASUREMENTS: Separate logistic regression models were developed to predict incident ADL disability, worsening mobility, and falls in 3 years, and Cox regression models were used to assess 7-year risk of death as a function of the four tests, adjusting for covariates. <br><br>RESULTS: Performance tests were reciprocally correlated at baseline. After 3 years, 33 (7.3%) of 453 participants reexamined were disabled in ADLs, 87 (20%) had worsening mobility, and 99 (22%) reported falls. Of the 561 baseline participants, 141 (25%) died over the 7 years. All measures predicted incident ADL disability, with adjusted odds ratios (ORs) per unit increase of 0.85 (95% confidence interval (CI) = 0.77-0.93) for handgrip strength, 0.08 (95% CI = 0.02-0.36) for 4mWT, 0.74 (95% CI = 0.61-0.89) for SPPB, and 0.993 (95% CI = 0.988-0.997) for 6MWT. Handgrip strength (OR = 0.88, 95% CI = 0.83-0.93), 4mWT (OR = 0.33, 95% CI = 0.11-0.94), and SPPB (OR = 0.81, 95%CI = 0.71-0.93) predicted worsening mobility. No measure predicted falls; only SPPB (hazard ratio (HR) = 0.92, 95% CI = 0.85-0.997) and 6MWT (HR = 0.997, 95% CI = 0.995-0.999) predicted death. <br><br>CONCLUSION: Performance measures are independent predictors of relevant health outcomes, with the exception of falls. Because SPPB is easily applied and is the only measure predicting incident ADL disability, worsening mobility, and death, it is preferable to the other tests.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-8614
UR  - http://dx.doi.org/10.1111/jgs.13195
ID  - ref1
ER  -