Evidence map›Paper›PMID 28244570›Full record

ArticleThe journal of nutrition, health & aging2017

Factors Affecting Functional Impairment among Elderly Germans - Results of a Longitudinal Study.

A Hajek, T Luck, C Brettschneider, T Posselt, C Lange, B Wiese, S Steinmann, S Weyerer, J Werle, M Pentzek and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Editorial: Population Health and Aging.The journal of nutrition, health & aging · 2019
    Article
  5. Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults.International journal of environmental research and public health · 2017
    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

20 authors at 9 institutions in 1 country.

A HajekDr. André Hajek, University Medical Center, Hamburg-Eppendorf, Hamburg Center for Health Economics, Department of Health Economics and Health Services Research, Telephone +49 40 7410 52877; Fax +49 40 7410 40261, E-mail: a.hajek@uke.de.
T Luck
C Brettschneider
T Posselt
C Lange
B Wiese
S Steinmann
S Weyerer
J Werle
M Pentzek
A Fuchs
J Stein
H Bickel
E Mösch
M Wagner
K Heser
W Maier
J M Scherer
S G Riedel-Heller
H-H König
Medizinische Hochschule Hannover · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Bonn · DEHeinrich Heine University Düsseldorf · DELeipzig University · DETechnical University of Munich · DEHeidelberg University · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate causal factors of functional impairment in old age in a longitudinal approach.

designA population-based prospective cohort study.

settingElderly individuals were recruited via GP offices at six study centers in Germany. They were observed every 1.5 years over six waves.

participantsThree thousand two hundred fifty-six people aged 75 years and older at baseline. MEASUREMENTS: Functional impairment was quantified by the Lawton and Brody Instrumental Activities of Daily Living scale (IADL) and the Barthel-Index (BI).

resultsFixed effects regressions revealed that functional impairment (IADL; BI) increased significantly with ageing (β=-.2; β=-1.1), loss of a spouse (β= .5; β=-3.1), not living alone in private household (β=-1.2; β=-5.5), depression (solely significant for IADL: β= .6) and dementia (β=-2.3; β=-18.2). The comorbidity score did not affect functional impairment.

conclusionOur findings underline the relevance of changes in sociodemographic variables as well as the occurrence of depression or dementia for functional impairment. While several of these causal factors for functional decline in the oldest old are inevitable, some may not be, such as depression. Therefore, developing interventional strategies to prevent depression might be a fruitful approach in order to delay functional impairment in old age.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAgingCognitive DysfunctionCohort StudiesComorbidityDementiaDepressionFemaleGermanyHumansLongitudinal StudiesMaleProspective StudiesdementiadepressionFunctional impairmentlongitudinal studyolder people

Identifiers

PMID28244570
PMCPMC12879755
OpenAlexW2468109783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.