Evidence map›Paper›PMID 31133002›Full record

Observational studyBMC geriatrics2019

Health deficits in community dwelling adults aged 40 to 75 years.

Susan Gordon, Michael Kidd, Anthony Maeder, Nicky Baker, Tania Marin, Karen Grimmer

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Health Deficits Among People Experiencing Homelessness in an Australian Capital City: An Observational Study.International journal of environmental research and public health · 2025
    Observational
  2. Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement.International journal of environmental research and public health · 2024
    Article
  3. Article
  4. 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

6 authors.

Susan GordonCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia. Sue.gordon@flinders.edu.au.ORCID 0000-0002-4760-1212
Michael KiddProfessor and Chair, Department of Family & Community Medicine, University of Toronto, Toronto, Canada.
Anthony MaederDigital Health Research Centre, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Nicky BakerCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia.
Tania MarinCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia.
Karen GrimmerCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia.

Funding

EPIDEMIOLOGY--ALCOHOL, DRUG ABUSE, AND MENTAL DISORDERSR01MH046376 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KESSLER, RONALD C · 1989 to 2000
$744k
PATTERNS AND PREDICTORS OF USE OF MENTAL HEALTH SERVICESR01MH049098 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KESSLER, RONALD C · 1992 to 1994
–
CLINICAL BRAIN IMAGINGZ01MH000507 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI COHEN, ROBERT MARTIN · 1985 to 2005
–
Intramural NIH HHS Z01 MH000507NIMH NIH HHS R01 MH046376NIMH NIH HHS R01 MH049098
6 · The paper itself

Abstract

backgroundMiddle and older years are associated with age related health deficits but how early this begins and progresses is poorly understood. Better understanding is needed to address early decline and support healthier ageing outcomes.

methodsSeemingly healthy, community dwelling adults aged 40 to 75 years were recruited via local council and business networks. They completed online surveys about sleep quality, distress and physical activity, and two hours of objective testing of physiologic and anthropometric measures, mobility, cognition, grip strength, foot sensation, dexterity and functional hearing. Analysis compared outcomes for age, gender, and age and gender groups with population norms for 21 health assessments. The total number of non-compliant tests for each participant was calculated by summing the number of non-compliant tests, and the frequency of these scores across the sample was reported. Gender and age effects were tested using ANOVA models. Combined age and gender categories were used for subsequent logistic regression modelling, with females aged 40-49 years being the default comparator.

resultsOf 561 participants (67% female; mean age 60 years (SD 10.3)), everyone had at least one deficit and median deficits was 5 (IQR 2). More than 50% of participants did not meet anthropometric and exercise norms, while 30 to 40% had reduced functional hearing and cognition. Overall, men performed worse and deficits increased with age particularly for physical activity, audiology, mobility, anthropometry, oximetry and foot sensation. Heart rate, body temperature and dyspnoea were the only variables where compliance was within 95% of expected values. Multiple areas of functional decline were found in people aged in their 40s and 50s.

conclusionsThe health deficits identified are mostly mutable hence identification and interventions to address the multi-system functional decline in people as young as 40 has the capacity to ensure healthier ageing.

Indexed as

Health StatusAdultAgedAnthropometryCognitionCross-Sectional StudiesExerciseFemaleHealthy AgingHumansIndependent LivingMaleMiddle AgedSurveys and QuestionnairesHealth statusHealthy ageingNormal valuesScreening assessments

Identifiers

PMID31133002
PMCPMC6537146

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.