Evidence map›Paper›PMID 37725132›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2024

Global Positioning System Indicators of Community Mobility and Future Health Outcomes Among Older Adults.

Pamela M Dunlap, Breanna M Crane, Subashan Perera, Kyle D Moored, Michelle C Carlson, Jennifer S Brach, Brooke N Klatt, Andrea L Rosso

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Neighborhood Walkability Is Associated With Global Positioning System-Derived Community Mobility of Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

8 authors at 2 institutions in 1 country.

Pamela M DunlapDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-9181-4533
Breanna M CraneDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-3822-1752
Subashan PereraDivision of Geriatric Medicine and Department of Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kyle D MooredDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0001-8938-6357
Michelle C CarlsonDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jennifer S BrachDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-7793-2004
Brooke N KlattDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andrea L RossoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USJohns Hopkins University · US

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Corinne Pettigrew · 2020 to 2026
$29.3M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
EPIDEMIOLOGY AND BIOSTATISTICS OF AGINGT32AG000247 · NIA · JOHNS HOPKINS UNIVERSITY · PI Karen J. Bandeen-Roche · 1996 to 2026
$13.2M
Research Training in Age-Related Cognitive DisordersT32AG027668 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2007 to 2026
$6.3M
TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000181 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 1989 to 2025
$6.2M
Task Specific Timing and Coordination Exercises to Improve Mobility in Older AdultsR01AG045252 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRACH, JENNIFER S · 2015 to 2019
$2.7M
Restoring Central Motor Control to Improve Community Mobility of Older AdultsR01AG057671 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROSSO, ANDREA L · 2018 to 2021
$2.5M
MIDCAREER INVESTIGATOR AWARD IN TRANSLATIONAL PATIENT-ORIENTED RESEARCH IN AGINGK24AG057728 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRACH, JENNIFER S · 2018 to 2022
$658k
Critical Life K23 Administrative SupplementK23DC020215 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Brooke Klatt · 2022 to 2026
$656k
NIA NIH HHS K24 AG057728NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG066507NIA NIH HHS R01 AG045252NIA NIH HHS R01 AG057671NIA NIH HHS T32 AG000181NIA NIH HHS T32 AG000247NIA NIH HHS T32 AG027668NIDCD NIH HHS K23 DC020215NIH HHS R01 AG045252
6 · The paper itself

Abstract

backgroundWe examined the relationship between global positioning system (GPS) indicators of community mobility and incident hospitalizations, emergency department (ED) visits, and falls over 1-year in community-dwelling older adults.

methodsWe performed a secondary analysis of a randomized trial investigating a physical therapy intervention to improve mobility in older adults. One hundred and forty-eight participants (mean age: 76.9 ± 6.2 years; 65% female) carried a GPS device following the postintervention visit. Over 1-year, new hospitalizations, falls, and ED visits were reported. GPS indicators of community mobility included the median area and compactness of the standard deviation ellipse (SDE), the median percentage of time spent outside of home (TOH), and median maximum distance from home. Generalized linear models assessed the association between 1-year risk of outcomes and GPS measures adjusted for age, race, gender, body mass index, comorbidity burden, and fall history.

resultsThe mean ± standard deviation of the median SDE area was 4.4 ± 8.5 km2, median SDE compactness 0.7 ± 0.2, median percentage TOH 14.4 ± 12.0%, and median maximum distance from home was 38 ± 253 km. Each 5% increase in median percentage TOH was associated with a 24% lower risk of hospitalization (incident rate ratio = IRR = 0.76, 95%CI: 0.61-0.95; p = .01). The association persisted after covariate adjustment (IRR = 0.78, 95%CI: 0.63-0.98; p = .03). No significant associations appeared for any GPS indicators with incident falls or ED visits.

conclusionsIncreased TOH was associated with a lower risk of incident hospitalization over 1 year among community-dwelling older adults. Restricted community mobility may be an indicator of activity limitations related to future health outcomes, but further study is warranted.

Indexed as

Emergency Service, HospitalGeographic Information SystemsAgedAged, 80 and overFemaleHumansIndependent LivingMaleOutcome Assessment, Health CareEmergency departmentFallsHospitalizationIndependent livingPhysical therapy

Identifiers

PMID37725132
PMCPMC10733187
OpenAlexW4386878583

What OpenQuestion holds

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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.