Evidence map›Paper›PMID 24635756›Full record

Trial reportJournal of the American Geriatrics Society2014

Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons.

Carlos A Vaz Fragoso, Daniel P Beavers, John L Hankinson, Gail Flynn, Kathy Berra, Stephen B Kritchevsky, Christine K Liu, Mary M McDermott, Todd M Manini, W Jack Rejeski and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04559659 (Study of the Relationship Between Respiratory Muscle Strenght, Peripheral Muscle Blood Flow and Gait Speed in the Elderly), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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.

NCT04559659 unknown statusnot on this mapstarted 2019, after this paper: background citation

Study of the Relationship Between Respiratory Muscle Strenght, Peripheral Muscle Blood Flow and Gait Speed in the Elderly

TypeobservationalSponsorHospital Israelita Albert EinsteinRan2019 to 2022Enrolled50ConditionsAge ProblemArmsRespiratory muscle strength
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Effect of Menthol on Dyspnea During Exercise in Individuals With COPD.Archives of rehabilitation research and clinical translation · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. FEVRespiratory care · 2020
    Article
  19. Article
  20. Association of Breathing Reserve at Peak Exercise With Body Composition and Physical Function in Older Adults With Obesity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Article
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

12 authors at 7 institutions in 1 country.

Carlos A Vaz FragosoVeterans Affairs Connecticut, West Haven, Connecticut; Department of Medicine, School of Medicine, Yale University, New Haven, Connecticut.
Daniel P Beavers
John L Hankinson
Gail Flynn
Kathy Berra
Stephen B Kritchevsky
Christine K Liu
Mary M McDermott
Todd M Manini
W Jack Rejeski
Thomas M Gill
Lifestyle Interventions Independence for Elders Study Investigators
Wake Forest University · USYale University · USBoston University · USNorthwestern University · USStanford University · USUniversity of Florida · USVA Connecticut Healthcare System · US

Funding

UF FIELD CENTERU01AG022376 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PAHOR, MARCO · 2003 to 2015
$83.3M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI LEWIS LIPSITZ · 2008 to 2026
$23.9M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Stephen D Anton · 2007 to 2026
$22.8M
UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
MtDNA variant modifiers of cardiopulmonary responsiveness to physical activityR01HL121023 · NHLBI · UNIVERSITY OF FLORIDA · PI FRAGOSO, CARLOS A. VAZ, MANINI, TODD · 2014 to 2017
$1.3M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
Respiratory Impairment in Aging PopulationsI01CX000927 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI FRAGOSO, CARLOS A. VAZ · 2014 to 2016
–
CSRD VA I01 CX000927Intramural NIH HHSNCATS NIH HHS UL1 TR000064NCRR NIH HHS UL1 RR029890NHLBI NIH HHS R01 HL121023NIA NIH HHS 1 P30 AG028740NIA NIH HHS 1P30AG031679NIA NIH HHS 3U01AG022376-05A2SNIA NIH HHS K07 AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30AG021342NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG028740NIA NIH HHS P30 AG031679NIA NIH HHS U01 AG022376NIA NIH HHS U01 AG22376
6 · The paper itself

Abstract

objectivesTo evaluate the prevalence of respiratory impairment and dyspnea and their associations with objectively measured physical inactivity and performance-based mobility in sedentary older persons.

designCross-sectional.

settingLifestyle Interventions and Independence for Elders Study.

participantsCommunity-dwelling older persons (n = 1,635, mean age 78.9) who reported being sedentary (<20 min/wk of regular physical activity and <125 min/wk of moderate physical activity in past month). MEASUREMENTS: Respiratory impairment was defined as low ventilatory capacity (forced expiratory volume in 1 second less than lower limit of normal (LLN)) and respiratory muscle weakness (maximal inspiratory pressure <LLN). Dyspnea was defined as moderate to severe ratings on the modified Borg index, immediately after a 400-m walk test (400-MWT). Physical inactivity was defined according to high sedentary time as the highest quartile of participants with accelerometry-measured activity of <100 counts/min. Performance-based mobility was evaluated using the Short Physical Performance Battery (≤ 7 defined as moderate to severe mobility impairment) and 400-MWT gait speed (<0.8 m/s defined as slow).

resultsPrevalence rates were 17.7% for low ventilatory capacity, 14.7% for respiratory muscle weakness, 31.6% for dyspnea, 44.7% for moderate to severe mobility impairment and 43.6% for slow gait speed. Significant associations were found between low ventilatory capacity and slow gait speed (adjusted odds ratio (aOR) = 1.41, 95% confidence interval (CI) = 1.03-1.92), between respiratory muscle weakness and moderate to severe mobility impairment (aOR = 1.42, 95% CI = 1.03-1.95), and between dyspnea and high sedentary time (aOR = 1.98, 95% CI = 1.28-3.06) and slow gait speed (aOR = 1.70, 95% CI = 1.22-2.38).

conclusionRespiratory impairment and dyspnea are prevalent in sedentary older persons and are associated with objectively measured physical inactivity and poor performance-based mobility. Because they are modifiable, respiratory impairment and dyspnea should be considered in the evaluation of sedentary older persons.

Indexed as

Geriatric AssessmentLife StyleMobility LimitationAgedAged, 80 and overCross-Sectional StudiesDyspneaExercise TherapyFemaleFollow-Up StudiesForced Expiratory VolumeHumansMalePatient Education as TopicPrevalenceRespiratory InsufficiencydyspneaFEV1mobilityrespiratory muscle weaknesssedentary

Identifiers

PMID24635756
PMCPMC3989438
OpenAlexW2057930904

What OpenQuestion holds

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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.