ArticleJournal of the American Geriatrics Society2015
Lower Extremity Proximal Muscle Function and Dyspnea in Older Persons.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Validity and reliability of the Multidimensional Dyspnoea Profile in older adults.ERJ open research · 2021Article
- Antihypertensive medications and physical function in older persons.Experimental gerontology · 2020Article
- Dyspnea is associated with poor physical performance among community-dwelling older adults: a population-based cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina · 2020Article
- Association of Undifferentiated Dyspnea in Late Life With Cardiovascular and Noncardiovascular Dysfunction: A Cross-sectional Analysis From the ARIC Study.JAMA network open · 2019Article
- The Frailty Phenotype and Palliative Care Needs of Older Survivors of Critical Illness.Journal of the American Geriatrics Society · 2017Article
- Dyspnea in Community-Dwelling Older Persons: A Multifactorial Geriatric Health Condition.Journal of the American Geriatrics Society · 2016Article
- Review
- Patterns and predictors of low physical activity in patients with stable COPD: a longitudinal study.Therapeutic advances in respiratory diseaseArticle
- Relationships between self-reported dyspnea, health conditions and frailty among Brazilian community-dwelling older adults: a cross-sectional study.Sao Paulo medical journal = Revista paulista de medicinaArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo evaluate the association between performance on a single chair stand and moderate to severe exertional dyspnea.
designCross-sectional.
settingCardiovascular Health Study.
participantsCommunity-dwelling individuals aged 65 and older (N = 4,413; mean age 72.6; female, n = 2,518 (57.1%); nonwhite, n = 199 (4.5%); obese, n = 788 (17.9%); history of smoking, n = 2,410 (54.6%)). MEASUREMENTS: Performance on single chair stand (poor (unable to rise without arm use) vs normal (able to rise without arm use)), moderate to severe exertional dyspnea (American Thoracic Society grade ≥2), age, sex, ethnicity, obesity, smoking, frailty status (Fried-defined nonfrail, prefrail, frail), high cardiopulmonary risk (composite of cardiopulmonary diseases and diabetes mellitus), spirometric impairment, arthritis, depression, stroke, and kidney disease.
resultsPoor performance on the single chair stand was established in 369 (8.4%) and moderate to severe exertional dyspnea in 773 (17.5%). Prefrail status was established in 2,210 (50.1%), frail status in 360 (8.2%), arthritis in 2,241 (51.4%), high cardiopulmonary risk in 2,469 (55.9%), spirometric impairment in 1,076 (24.4%), kidney disease in 111 (2.5%), depression in 107 (2.4%), and stroke in 93 (2.1%). In multivariable regression models, poor performance on the single chair stand was associated with moderate to severe exertional dyspnea (unadjusted odds ratio (OR) = 3.48, 95% confidence interval (CI) = 2.78-4.36; adjusted OR = 1.85, 95% CI = 1.41-2.41).
conclusionPoor performance on a single chair stand was associated with an adjusted 85% greater likelihood of moderate to severe exertional dyspnea than normal performance. These results suggest that reduced proximal muscle function of the lower extremities is associated with moderate to severe exertional dyspnea, even after adjusting for multiple confounders.
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