Evidence map›Paper›PMID 16970558›Full record

ArticleJournal of general internal medicine2006

Middle-aged and mobility-limited: prevalence of disability and symptom attributions in a national survey.

Elizabeth A Gardener, Felicia A Huppert, Jack M Guralnik, David Melzer

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03430271 (ENhancing Independence Using Group-based Community Interventions for Healthy AGing in Elders), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03430271 nacompletednot on this mapstarted 2015, after this paper: background citation

ENhancing Independence Using Group-based Community Interventions for Healthy AGing in Elders: The ENGAGE Pilot Study

TypeinterventionalSponsorTufts UniversityRan2015 to 2016Enrolled59ConditionsMobility LimitationArmsPhysical Activity Intervention, Healthy Aging Intervention
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  5. Adverse events associated with testosterone administration.The New England journal of medicine · 2010
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  14. Peroneal muscle response to single-leg drop-jump and unexpected leg-drop in young and middle-aged adults before and after one session of neuromuscular training.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Elizabeth A GardenerDepartment of Public Health and Primary Care, University of Cambridge, Institute of Public Health, Forvie Site, Cambridge, UK.
Felicia A Huppert
Jack M Guralnik
David Melzer
Addenbrooke's Hospital · GBNational Institute on Aging · USPeninsula College of Medicine and Dentistry · GBUniversity of Cambridge · GB

Funding

Disability of elders: US and England comparisonsR03AG022912 · NIA · UNIVERSITY OF CAMBRIDGE · PI MELZER, DAVID · 2004 to 2005
$108k
Intramural NIH HHSNIA NIH HHS R03 AG022912NIA NIH HHS R03-AG022912-01
6 · The paper itself

Abstract

backgroundLower limb mobility disabilities are well understood in older people, but the causes in middle age have attracted little attention.

objectivesTo estimate the prevalence of mobility disabilities among noninstitutionalized adults in England and to compare the disabling symptoms reported by middle-aged and older people.

designCross-sectional data from the 2002 English Longitudinal Study of Ageing (ELSA). Mobility disability was identified by level of reported difficulty walking a quarter mile.

participantsEleven thousand two hundred sixteen respondents aged 50 years and older living in private households in 2002.

resultsThe prevalence of difficulty walking a quarter mile increases sharply with age, but even in the middle-aged (50 to 64 years age-group) 18% (95% confidence interval [CI]: 16% to 19%) of men and 19% (95% CI: 17% to 20%) of women reported some degree of difficulty. Of the 16 main symptoms reported as causing mobility disability in middle age, 2 dominated: pain in the leg or the foot (43%; 95% CI: 40% to 46%) and shortness of breath/dyspnea (21%; 95% CI: 18% to 23%). Fatigue or tiredness, and stability problems were cited by only 5% and 6%, respectively. These proportions were slightly different from those in the 65 to 79-year age group: 40%, 23%, 6%, and 8%, respectively.

conclusionsMobility (walking) disabilities in the middle-aged are relatively common. The symptoms reported as causes in this age group differ little from those reported by older groups, and are dominated by lower limb pain and shortness of breath. More clinical attention paid to disabling symptoms may lead to disability reductions in later life.

Indexed as

Health SurveysMobility LimitationPersons with DisabilitiesActivities of Daily LivingAgedAged, 80 and overAge FactorsCross-Sectional StudiesEnglandFemaleHumansLogistic ModelsLongitudinal StudiesMaleMiddle AgedPrevalence

Identifiers

PMID16970558
PMCPMC1831629
OpenAlexW2041964898

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.