Hierarchy of higher-level physical functions: a longitudinal investigation on a nationally representative population of community-dwelling middle-aged and elderly persons.

Abstract:

PURPOSE:Understanding the hierarchy of higher-level physical functions to infer disability level (mild, moderate or severe) is essential for the precise targeting of preventive interventions and has been examined previously in a cross-sectional study. Based on longitudinal data, this study evaluated the hierarchy of higher-level physical functions. METHODS:Data from a cohort of 2729 community-dwelling persons aged over 50 with no initial disability were drawn from the "Survey of Health and Living Status of the Elderly in Taiwan" from 1996 through 2007. The three-level hierarchy of eight chosen activities was examined by the median ages to disability onset with survival analyses and by Cox regressions, which examined the effects of sex and age on the development of this hierarchy. RESULTS:The progression of incident disability was as follows: mild level-running, carrying weight, and squatting; moderate level-climbing stairs, walking, and standing; and severe level-grasping and raising arms up. Women and older persons were at greater risk of developing more severe levels of disability. Another Cox regression with one index activity from each hierarchical level revealed similar results. CONCLUSIONS:The three-level hierarchy of higher-level physical functions has been validated longitudinally, suggesting rich research and clinical implications.

journal_name

Disabil Rehabil

authors

Yeh CJ,Wang CY,Tang PF,Lee MC,Lin HS,Chen HY

doi

10.3109/09638288.2011.641657

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

1271-6

issue

15

eissn

0963-8288

issn

1464-5165

journal_volume

34

pub_type

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