Evidence map›Paper›PMID 28143509›Full record

ArticleBMC geriatrics2017

A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain.

Javier Virues-Ortega, Saturio Vega, Manuel Seijo-Martinez, Pedro Saz, Fernanda Rodriguez, Angel Rodriguez-Laso, Susana Perez de Las Heras, Raimundo Mateos, Pablo Martinez-Martin, Ignacio Mahillo-Fernandez and 9 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Meaning in life: resilience beyond reserve.Alzheimer's research & therapy · 2018
    Article
  6. 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

19 authors.

Javier Virues-OrtegaNational Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain. j.virues-ortega@auckland.ac.nz.ORCID 0000-0003-1713-012X
Saturio VegaArévalo Health Centre, Avila, Spain.
Manuel Seijo-MartinezNeurology Unit, Salnés Hospital, Pontevedra, Spain.
Pedro SazDepartment of Medicine and Psychiatry, Zaragoza University, Zaragoza, Spain.
Fernanda RodriguezNeurology Unit, Segovia Hospital, Segovia, Spain.
Angel Rodriguez-LasoMadrid Regional Health Authority, Madrid, Spain.
Susana Perez de Las HerasLlodio Health Center, Day Medical Center, Oroityu-Getxo-Vizcaya, Spain.
Raimundo MateosPsychiatry Department, University of Santiago de Compostela, Santiago de Compostela, Spain.
Pablo Martinez-MartinNational Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
Ignacio Mahillo-FernandezNational Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
Josep Garre-OlmoGirona Biomedical Research Institute Institut d'Assistència Sanitària, Salt, Spain.
Jordi GasconDementia Diagnosis and Treatment Unit, Neurology Department, Bellvitge University Teaching Hospital, Barcelona, Spain.
Francisco Jose Garcia-GarciaGeriatrics Unit. Virgen del Valle Geriatric Hospital, Toledo, Spain.
Manuel Fernandez-MartinezNeurology Unit, Virgen del Camino Hospital, Pamplona, Spain.
Felix Bermejo-ParejaNeurology Department, 12 de Octubre University Teaching Hospital and CIBERNED, Madrid, Spain.
Alberto BergarecheDepartment of Neurology, Hospital Universitario Donostia, San Sebastián Guipuzcoa, Spain.
Julian Benito-LeonNeurology Department, 12 de Octubre University Teaching Hospital and CIBERNED, Madrid, Spain.
Jesus de Pedro-CuestaNational Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
Spanish Epidemiological Studies on Ageing Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders.

methodsA total of 377 participants aged 75 years or over from nine locations across Spain participated in the study (Mean age: 80.9 years; 65.3% women). SOC levels were considered independent variables in two ordinal logistic models on disability and dependence, respectively. Disability was established with the World health Organization-Disability Assessment Schedule 2.0 (36-item version), while dependence was measured with the Extended Katz Index on personal and instrumental activities of daily living. The models included personal (sex, age, social contacts, availability of an intimate confidant), environmental (municipality size, access to social resources) and health-related covariates (morbidity).

resultsHigh Meaningfulness was a strong protective factor against both disability (Odds Ratio [OR] = 0.50; 95% Confidence Interval [CI] = 0.29-0.87) and dependence (OR = 0.33; 95% CI = 0.19-0.58) while moderate and high Comprehensibility was protective for disability (OR = 0.40; 95% CI = 0.22-0.70 and OR = 0.39; 95%CI = 0.21-0.74), but not for dependence. Easy access to social and health resources was also highly protective against both disability and dependence.

conclusionsOur results are consistent with the view that high levels of SOC are protective against disability and dependence in the elderly. Elderly individuals with limited access to social and health resources and with low SOC may be a group at risk for dependence and disability in Spain.

Indexed as

Self ReportSense of CoherenceActivities of Daily LivingAdaptation, PsychologicalAgedAged, 80 and overFemaleHumansLogistic ModelsMalePersons with DisabilitiesRegression AnalysisSpainSurveys and QuestionnairesDependenceDisabilityKatz indexSense of coherenceWHODAS 2.0

Identifiers

PMID28143509
PMCPMC5286674

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.