ArticlePloS one2019
Role of physical performance measures for identifying functional disability among Chinese older adults: Data from the China Health and Retirement Longitudinal Study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Measurement properties of the usual and fast gait speed tests in community-dwelling older adults: a COSMIN-based systematic review.Age and ageing · 2024Pooled it
- Joint Association of Functional Impairment and Depression with Advanced Cardiovascular-Kidney-Metabolic Syndrome: A Cross-Sectional and Cohort Study Using Two Large Datasets.Healthcare (Basel, Switzerland) · 2026Article
- A Prediction Model for 9-Year Depression Risk Among Patients With COPD in China.Depression and anxiety · 2026Article
- Longitudinal association between body mass index and handgrip strength in community-dwelling older adults: a population-based nationwide cohort study.BMC geriatrics · 2025Article
- Dynapenic abdominal obesity and the risks of heart disease and all-cause mortality: a 7-year longitudinal study among middle-aged and older Chinese adults.BMC public health · 2025Article
- Associations of sarcopenia status and its components with the risk of developing functional disability in older Chinese adults: evidence from the China health and retirement longitudinal study.BMC public health · 2025Article
- Association between grip strength level and fall experience among older Chinese adults: a cross-sectional study from the CHARLS.BMC geriatrics · 2025Article
- Association between sarcopenia and cardiovascular disease according to menopausal status: findings from the China Health and Retirement Longitudinal Study (CHARLS).BMC public health · 2025Article
- The relationship between anemia and sleep disturbances among older Chinese adults: The mediating role of handgrip strength.PloS one · 2025Article
- Association of handgrip strength and risk of cardiovascular disease: a population-based cohort study.Aging clinical and experimental research · 2024Article
- Association of Physical Performance with Mental and Physical Health-Related Quality of Life and Low Back Pain-Related Disabilities among Older Adults with Severe Obesity.Journal of clinical medicine · 2024Article
- Associations of muscle mass and strength with new-onset diabetes among middle-aged and older adults: evidence from the China health and retirement longitudinal study (CHARLS).Acta diabetologica · 2024Article
- Low grip strength and gait speed as markers of dependence regarding basic activities of daily living: the FIBRA study.Einstein (Sao Paulo, Brazil) · 2024Article
- The prevalence of disability and associated factors among community adults in the baseline of CHCN-BTH Cohort Study.BMC public health · 2023Article
- The Association of Sociodemographic Variables and Unhealthy Behaviors With Limitations in Activities of Daily Living Among Thai Older Adults: Cross-sectional Study and Projected Trends Over the Next 20 Years.Asian/Pacific Island nursing journal · 2023Article
- Association between handgrip strength and depression among Chinese older adults: a cross-sectional study from the China Health and Retirement Longitudinal Study.BMC geriatrics · 2023Article
- Measuring physical performance in later life: reliability of protocol variations for common performance-based mobility tests.Aging clinical and experimental research · 2023Article
- Predicting risk of declining functional ability in community-dwelling older people.Archives of gerontology and geriatrics · 2023Observational
- Sarcopenia Transitions and Influencing Factors Among Chinese Older Adults With Multistate Markov Model.Innovation in aging · 2023Article
- Novel physical performance-based models for activities of daily living disability prediction among Chinese older community population: a nationally representative survey in China.BMC geriatrics · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional disability is a common health burden in older adults and follows a hierarchical pattern. Physical performance measures are useful for the objective estimation of functional disability. This study primarily aimed to compare the validity of handgrip strength and gait speed, alone and in combination, for recognizing the functional disability among Chinese older adults. This study also aimed to stratify the functional disability according to the criterion-referenced values of handgrip strength and gait speed.
methodsWe selected 6127 respondents from the 2011 wave of the China Health and Retirement Longitudinal Study. Here, we defined functional disability as needing any help in any items of activities of daily living (ADL) and instrumental activities of daily living (IADL). To assess the validity of physical performance measures alone and in combination for the recognition of functional disability, we conducted the receiver operating characteristic analysis.
resultsCompared with handgrip strength, the gait speed could better discriminate ADL disability and showed a satisfactory discriminant validity (area under the curve ≥ 0.7) in men. However, this finding was not found in the recognition of IADL disability. When combining these two measures, the parallel test showed a high sensitivity with a poor specificity, whereas the serial test showed a perfect specificity with a poor sensitivity.
conclusionWe developed the hierarchical cut-off values of handgrip strength and gait speed for identifying and stratifying the functional disability among Chinese adults over 60 years old. The speed test was superior to handgrip strength in identifying ADL disability. The parallel tests of those with high sensitivity perhaps could help identify the functional disability. Further work on cost-utility analysis is warranted.
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