Evidence map›Paper›PMID 30419857›Full record

ArticleBMC geriatrics2018

The pace and prognosis of peripheral sensory loss in advanced age: association with gait speed and falls.

Lewis A Lipsitz, Brad Manor, Daniel Habtemariam, Ikechukwu Iloputaife, Junhong Zhou, Thomas G Travison

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

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  18. Risk Factors Related to Falling in Patients after Stroke.Iranian journal of public health · 2021
    Article
  19. Article
  20. Diagnosis and Management of Cognitive Concerns in the Oldest-Old.Current treatment options in neurology · 2021
    Review
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

6 authors at 2 institutions in 1 country.

Lewis A LipsitzHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA. Lipsitz@hsl.harvard.edu.
Brad ManorHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA.
Daniel HabtemariamHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA.
Ikechukwu IloputaifeHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA.
Junhong ZhouHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA.
Thomas G TravisonHebrew SeniorLife Institute for Aging Research, 1200 Centre Street, Boston Roslindale, MA, 02131, USA.
Hebrew SeniorLife · USBeth Israel Deaconess Medical Center · US

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI COLLINS, JAMES J · 1985 to 2008
$13.2M
Health Outcomes of Tai Chi in Subsidized Senior HousingR01AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS, WAYNE, PETER MICHAEL · 2015 to 2019
$3.5M
Cerebrovascular Mechanisms of Slow Gait and FallsR01AG041785 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2013 to 2017
$2.4M
Modulating brain activity to preserve gait in older adults.K01AG044543 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI MANOR, BRADLEY D. · 2014 to 2016
$373k
Boston Claude D. Pepper Older Americans Independence Center P30-AG013679NIA NIH HHS K01 AG044543NIA NIH HHS P01 AG004390NIA NIH HHS R01 AG025037NIA NIH HHS R01 AG041785
6 · The paper itself

Abstract

backgroundPeripheral sensory loss is considered one of many risk factors for gait impairments and falls in older adults, yet no prospective studies have examined changes in touch sensation in the foot over time and their relationship to mobility and falls. Therefore, we aimed to determine the prevalence and progression of peripheral sensory deficits in the feet of older adults, and whether sensory changes are associated with the slowing of gait and development of falls over 5 years.

methodsUsing baseline, and 18 and 60 month followup data from the Maintenance Of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) Study in Boston, MA, we determined changes in the ability to detect stimulation of the great toe with Semmes Weinstein monofilaments in 351 older adults. We used covariate-adjusted repeated measures analysis of variance to determine relationships between sensory changes and gait speed or fall rates.

resultsSubjects whose sensory function was consistently impaired over 5 years had a significantly steeper decline in gait speed (- 0.23 m/s; 95% CI: -0.28 to - 0.18) compared to those with consistently intact sensory function (- 0.12 m/s; 95% CI: -0.15 to - 0.08) and those progressing from intact to impaired sensory function (- 0.13 m/s; - 0.16 to - 0.10). Compared to subjects with consistently intact sensation, those whose sensory function progressed to impairment during followup had the greatest risk of falls (adjusted risk ratio = 1.57 (95% confidence interval = 1.12 to 2.22).

conclusionsOur longitudinal results indicate that a progressive decline in peripheral touch sensation is a risk factor for mobility impairment and falls in older adults.

Indexed as

Accidental FallsAgedAged, 80 and overFemaleFollow-Up StudiesGait Disorders, NeurologicHumansLongitudinal StudiesMalePostural BalancePrevalencePrognosisProspective StudiesWalking SpeedWalk TestElderlyFeetLongitudinalMobilityNeuropathy

Identifiers

PMID30419857
PMCPMC6233369
OpenAlexW2900610101

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.