Evidence map›Paper›PMID 20210817›Full record

ArticleJournal of the American Geriatrics Society2010

Biopsychosocial characteristics of community-dwelling older adults with limited ability to walk one-quarter of a mile.

Susan E Hardy, David J McGurl, Stephanie A Studenski, Howard B Degenholtz

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A Comparison of Self-report Indices of Major Mobility Disability to Failure on the 400-m Walk Test: The LIFE Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018
    Trial
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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.

Susan E HardyDepartment of Medicine, School of Medicine, University of Pittsburgh, 3471 Fifth Avenue, Suite 500, Pittsburgh, PA 15213, USA. hardys@dom.pitt.edu
David J McGurl
Stephanie A Studenski
Howard B Degenholtz

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Functional Recovery in Post-Acute CareK23AG030977 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARDY, SUSAN E · 2008 to 2012
$545k
Post-acute Care and Functional Recovery after HospitalizationR03AG032291 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARDY, SUSAN E · 2008 to 2009
$124k
NIA NIH HHS K23 AG030977NIA NIH HHS K23AG030977NIA NIH HHS P30 AG-024827NIA NIH HHS P30 AG024827NIA NIH HHS R03 AG032291NIA NIH HHS R03AG032291
6 · The paper itself

Abstract

objectivesTo establish nationally representative estimates of the prevalence of self-reported difficulty and inability of older adults to walk one-quarter of a mile and to identify the characteristics independently associated with difficulty or inability to walk one-quarter of a mile.

designCross-sectional analysis of data from the 2003 Cost and Use Medicare Current Beneficiary Survey.

settingCommunity.

participantsNine thousand five hundred sixty-three community-dwelling Medicare beneficiaries aged 65 and older, representing an estimated total population of 34.2 million older adults. MEASUREMENTS: Self-reported ability to walk one-quarter of a mile, sociodemographics, chronic conditions, body mass index, smoking, functional status.

resultsIn 2003, an estimated 9.5 million older Medicare beneficiaries had difficulty walking one-quarter of a mile, and 5.9 million were unable to do so. Of the 20.2 million older adults with no difficulty in activities of daily living (ADLs) or instrumental activities of daily living (IADLs), an estimated 4.3 million (21%) had limited ability to walk one-quarter of a mile. Having difficulty or being unable to walk one-quarter of a mile was independently associated with older age, female sex, non-Hispanic ethnicity, lower educational level, Medicaid entitlement, most chronic medical conditions, current smoking, and being overweight or obese.

conclusionAlmost half of older adults and 20% of those reporting no ADL or IADL limitations report limited ability to walk one-quarter of a mile. For functionally independent older adults, reported ability to walk one-quarter of a mile can identify vulnerable older adults with greater medical problems and fewer resources and may be a valuable clinical marker in planning their care. Future work is needed to determine the association between ability to walk one-quarter of a mile walk and subsequent functional decline and healthcare use.

Indexed as

Mobility LimitationActivities of Daily LivingAgedBody Mass IndexCase-Control StudiesChronic DiseaseCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMedicareMultivariate AnalysisPrevalenceRisk FactorsSmoking

Identifiers

PMID20210817
PMCPMC2874422

What OpenQuestion holds

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Registered trials

None linked

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.