Evidence map›Paper›PMID 39048949›Full record

ArticleBMC geriatrics2024

Clinical and physiological risk factors contributing to the restricted mobility in older adults: a longitudinal analysis.

Xin Jiang, Huiying Tan, Huixia Ren, Huiting Zhou, Jingmei Chen, Zhen Wang, Yi Guo, Junhong Zhou

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

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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.

Xin JiangDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China. jiangxinsz@163.com.
Huiying TanDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Huixia RenDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Huiting ZhouDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Jingmei ChenDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Zhen WangDepartment of Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Yi GuoThe Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China. xuanyi_guo@163.com.
Junhong ZhouHebrew SeniorLife, Hinda and Arthur Marcus Institute for Aging Research, Roslindale, MA, USA.

Funding

"Five Threes" clinical research program of Shenzhen People's Hospital SYWGSLCYJ202204Shenzhen Key Medical Discipline Construction Fund No. SZXK012Sustainable Development Science and Technology Project of Shenzhen Science and Technology Innovation Commission KCXFZ20201221173411032the Natural Science Foundation of China 82371471the Natural Science Foundation of Guangdong Province 2021A1515010983
6 · The paper itself

Abstract

backgroundMobility limitations (e.g., using wheelchair) have been closely linked to diminished functional independence and quality of life in older adults. The regulation of mobility is pertaining to multiple neurophysiologic and sociodemographic factors. We here aimed to characterize the relationships of these factors to the risk of restricted mobility in older adults.

methodsIn this longitudinal study, 668 older adults with intact mobility at baseline completed the baseline assessments of clinical characteristics, cognitive function, sleep quality, activities of daily living (ADL), walking performance, beat-to-beat blood pressure, and structural MRI of the brain. Then 506 of them (mean age = 70.7 ± 7.5 years) responded to the follow-up interview on the mobility limitation (as defined by if using wheelchair, cane, or walkers, or being disabled and lying on the bed) after 18 ± 3.5 months. Logistic regression analyses were performed to examine the relationships between the baseline characteristics and the follow-up mobility restriction.

resultsAt baseline, compared to intact-mobility group (n = 475), restricted-mobility group (n = 31) were older, with lower score of ADL and the Montreal Cognitive Assessment (MoCA), greater score of Pittsburgh Sleep Quality Index (PSQI), poorer cardio- and cerebral vascular function, and slower walking speeds (ps < 0.05). The logistic regression analysis demonstrated that participants who were with history of falls, uncontrolled-hypertension, and/or greater Fazekas scale (odds ratios (ORs):1.3 ~ 13.9, 95% confidence intervals (CIs) = 1.1 ~ 328.2), walked slower, and/or with lower ADL score (ORs: 0.0026 ~ 0.9; 95%CI: 0.0001 ~ 0.99) at baseline, would have significantly greater risk of restricted mobility (p < 0.05; VIFs = 1.2 ~ 1.9).

conclusionsThese findings provide novel profile of potential risk factors, including vascular characteristics, psycho-cognitive and motor performance, for the development of restricted mobility in near future in older adults, ultimately helping the design of appropriate clinical and rehabilitative programs for mobility in this population.

Indexed as

Activities of Daily LivingMobility LimitationAgedAged, 80 and overFemaleGeriatric AssessmentHumansLongitudinal StudiesMaleRisk FactorsActivities of daily livingCognitive-motor performanceMobility restrictionVascular function

Identifiers

PMID39048949
PMCPMC11267748

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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.