Evidence map›Paper›PMID 24952575›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2015

Declines in mobility and changes in performance in the instrumental activities of daily living among mildly disabled community-dwelling older adults.

Steven M Albert, Jane Bear-Lehman, Stewart J Anderson

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 2% 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.

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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  11. Lived experience of people living with HIV in Blantyre, Malawi: an exploratory qualitative study.Malawi medical journal : the journal of Medical Association of Malawi · 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

3 authors at 2 institutions in 1 country.

Steven M AlbertDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pennsylvania. smalbert@pitt.edu.
Jane Bear-LehmanDepartment of Occupational Therapy, New York University.
Stewart J AndersonDepartment of Biostatistics, University of Pittsburgh, Pennsylvania.
University of Pittsburgh · USNew York University · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
COGNITIVE AND PHYSICAL BASIS OF DISABLEMENTR01AG018234 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALBERT, STEVEN M · 2001 to 2005
$1.6M
NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG018234NIA NIH HHS R01 AG18234
6 · The paper itself

Abstract

backgroundGait speed is as an important predictor of mortality, volume of medical care, hospitalization, onset of activities of daily living (ADL) disability, and nursing home placement. We examined associations between change in gait speed and change in observed performance in the instrumental ADL (IADL) in a sample of mild-to-moderately disabled older adults.

methodsParticipants in the Sources of Independence in the Elderly project (n = 375) were approached to complete a 4-m gait assessment and a performance test of IADL competency at three points over 2 years. IADL competency was assessed by occupational therapists, who rated participants using the Assessment of Motor and Process Skills (AMPS) and who also made a global rating of need for help or supervision. Linear mixed models were developed to assess change in motor AMPS score relative to baseline status and change in gait speed and AMPS process scores.

resultsBaseline gait and change in gait were significant correlates of change in the AMPS motor ability measures in models that adjusted for cognitive status and AMPS process ability. Even respondents with gait speeds of 1 m/s at baseline were at risk of declining AMPS motor ability and an occupational therapist rating of IADL disability if gait speed declined.

conclusionsSlowing in gait speed is an important risk factor for IADL disability in mild to moderately disabled older adults.

Indexed as

Activities of Daily LivingGaitPersons with DisabilitiesAgedAged, 80 and overAgingCognitionDisability EvaluationFemaleGeriatric AssessmentHumansMaleMotor SkillsNew York CityRisk FactorsWalkingDisablement processFunctional performanceGaitGeriatric assessmentPhysical function.

Identifiers

PMID24952575
PMCPMC4296164
OpenAlexW2102117915

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.