ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2016
Leg and Trunk Impairments Predict Participation in Life Roles in Older Adults: Results From Boston RISE.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- The effects of ageing on fatigue and endurance of the spinal extensor muscles: a systematic review and meta-analysis.GeroScience · 2026Pooled it
- Do Exercise Interventions Improve Participation in Life Roles in Older Adults? A Systematic Review and Meta-Analysis.Physical therapy · 2017Pooled it
- Is Tai Chi beneficial for multisite pain syndrome in older adults?Aging clinical and experimental research · 2023Review
- The Back Muscle Surface Electromyography-Based Fatigue Index: A Digital Biomarker of Human Neuromuscular Aging?Bioengineering (Basel, Switzerland) · 2023Article
- Recovery From Mobility Limitation in Middle-Aged African Americans: The Jackson Heart Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Article
- The Association of Pain Phenotype with Neuromuscular Impairments and Mobility Limitations Among Older Primary Care Patients: A Secondary Analysis of the Boston Rehabilitative Impairment Study of the Elderly.PM & R : the journal of injury, function, and rehabilitation · 2020Article
- Age- and sex-specific effects in paravertebral surface electromyographic back extensor muscle fatigue in chronic low back pain.GeroScience · 2020Article
- Age-specific differences in the time-frequency representation of surface electromyographic data recorded during a submaximal cyclic back extension exercise: a promising biomarker to detect early signs of sarcopenia.Journal of neuroengineering and rehabilitation · 2020Article
- The Association Between Self-Reported and Performance-Based Physical Function With Activities of Daily Living Disability in the Canadian Longitudinal Study on Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Trunk Muscle Composition 2 Months After Hip Fracture: Findings From the Baltimore Hip Studies.Archives of physical medicine and rehabilitation · 2019Article
- Neuromuscular Attributes Associated With Lower Extremity Mobility Among Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- Analysis of Chronic Illnesses and Disability in a Community-Based Sample of Elderly People in South-Eastern Poland.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Age, Race, and Gender Factors in Incident Disability.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- The association between social participation and lower extremity muscle strength, balance, and gait speed in US adults.Preventive medicine reports · 2016Article
- Targeted Exercise Training to Optimize Leg Power, Leg Speed, and Mobility in Older Adults.Journal of the American Geriatrics Society · 2016Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe physical impairments that affect participation in life roles among older adults have not been identified. Using the International Classification of Functioning Disability and Health as a conceptual framework, we aimed to determine the leg and trunk impairments that predict participation over 2 years, both directly and indirectly through mediation by changes in activities.
methodsWe analyzed 2 years of data from the Boston Rehabilitative Impairment Study of the Elderly, a cohort study of 430 primary care patients with self-reported mobility limitation (mean age 77 years; 68% female; average of four chronic conditions). Frequency of and limitations in participation were examined using the Late-Life Disability Instrument. Baseline physical impairments included: leg strength, leg speed of movement, knee range of motion (ROM), ankle ROM, leg strength asymmetry, kyphosis, and trunk extensor endurance. Structural equation modeling with latent growth curve analysis was used to identify the impairments that predicted participation at year 2, mediated by changes in activities. Models were adjusted for baseline participation, age, and gender.
resultsLeg speed and ankle ROM directly influenced participation in life roles during follow-up (βdirect = 1.39-4.53 and 4.70, respectively). Additionally, ankle ROM and trunk extensor endurance contributed indirectly to participation score at follow-up via effects on changes in activities (βindirect = -1.06 to -4.24 and 1.01 to 4.18, respectively).
conclusionsLeg speed, ankle ROM, and trunk extensor endurance are key physical impairments predicting participation in life roles in older adults. These results have implications for the development of exercise interventions to enhance participation.
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Registered trials
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