دورية أكاديمية
أعرض في EDS

Short physical performance battery as a predictor of mortality in community-dwelling older adults: a longitudinal study in the Brazilian Amazon region.

التفاصيل البيبلوغرافية
العنوان: Short physical performance battery as a predictor of mortality in community-dwelling older adults: a longitudinal study in the Brazilian Amazon region.
المؤلفون: Silva CFR; Universidade Federal do Amapá, Macapá, Brazil., Gonçalves Ohara D; Universidade Federal do Amapá, Macapá, Brazil., Pena Matos A; Universidade Federal do Amapá, Macapá, Brazil., Nunes Pinto ACP; Universidade Federal do Amapá, Macapá, Brazil., Sousa Pegorari M; Universidade Federal do Amapá, Macapá, Brazil.
المصدر: PeerJ [PeerJ] 2022 Jul 12; Vol. 10, pp. e13630. Date of Electronic Publication: 2022 Jul 12 (Print Publication: 2022).
نوع المنشور: Observational Study; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: PeerJ Inc Country of Publication: United States NLM ID: 101603425 Publication Model: eCollection Cited Medium: Print ISSN: 2167-8359 (Print) Linking ISSN: 21678359 NLM ISO Abbreviation: PeerJ
أسماء مطبوعة: Original Publication: Corte Madera, CA : PeerJ Inc.
مواضيع طبية MeSH: Independent Living* , Gait*, Male ; Humans ; Female ; Aged ; Longitudinal Studies ; Brazil/epidemiology ; Physical Functional Performance
مستخلص: Background: The Short Physical Performance Battery (SPPB) is an instrument for assessing physical performance widely used in research among the elderly in multiple settings. We did not find Brazilian longitudinal studies that aimed to analyze the predictive capacity and accuracy of the SPPB among community-dwelling older adults and no systematic reviews were found on the accuracy of the SPPB in predicting mortality in community- dwelling older adults. This study aimed to analyze the capacity and accuracy of the SPPB for predicting mortality in community-dwelling older adults, as well as to determine cut-off points for men and women.
Method: Longitudinal observational study conducted with 411 (70.1 ± 7.25 years) community-dwelling older adults, between 2017 and 2020 (37.7 ± 6.24 months). Physical performance was evaluated using the SPPB and information on the all-cause mortality rate was also recorded. Multivariate Cox regression analyses and curves were performed using the Kaplan-Meier method. Receiver Operating Characteristic (ROC) curves were constructed, with the parameters of area under the ROC curve (AUC) to determine cutoff points for discriminating mortality, considering a significance level of 5% ( p  < 0.05) and 95% confidence interval (CI) 95%.
Results: Older adults with very low and low physical performance in the SPPB, showed higher risks of mortality (HR = 9.67; 95% CI [1.20-77.65]; HR = 4.06; 95% CI [1.09-15.01]), respectively. In the subtest's analysis, older adults with low performance in the balance (HR = 0.54; 95% CI [0.36-0.81]) and gait speed tests (HR = 0.50; 95% CI [0.33-0.76]) showed greater risks of dying. The same was reproduced for categories in each test (participants that scored 2 points in the balance test had an HR = 5.86; 95% CI [1.84-18.61] and 2 points in the gait speed test, HR = 5.07; 95% CI [1.76-14.58]. The cutoff point ≤ 9 in the SPPB set the discriminator criterion for mortality in older people of both sexes.
Conclusions: The SPPB, as well as the balance and gait speed subtests were predictors of mortality, and the SPPB is accurate in predicting mortality among community-dwelling older adults.
Competing Interests: The authors declare there are no competing interests.
(©2022 Silva et al.)
References: Age Ageing. 2015 Mar;44(2):261-8. (PMID: 25377744)
BMJ. 2010 Sep 09;341:c4467. (PMID: 20829298)
J Cachexia Sarcopenia Muscle. 2020 Feb;11(1):3-25. (PMID: 31788969)
J Nutr Health Aging. 2020;24(1):113-118. (PMID: 31886817)
J Am Geriatr Soc. 2009 Feb;57(2):251-9. (PMID: 19207142)
Age Ageing. 2010 Jul;39(4):412-23. (PMID: 20392703)
JAMA. 2011 Jan 5;305(1):50-8. (PMID: 21205966)
J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. (PMID: 11253156)
J Gerontol A Biol Sci Med Sci. 2015 Sep;70(9):1120-7. (PMID: 25991829)
J Gerontol A Biol Sci Med Sci. 2016 Dec;71(12):1609-1615. (PMID: 27084313)
JAMA. 2014 Jun 18;311(23):2387-96. (PMID: 24866862)
J Gerontol A Biol Sci Med Sci. 2020 Sep 25;75(10):1951-1959. (PMID: 32052013)
BMC Geriatr. 2008 Dec 22;8:34. (PMID: 19102751)
J Frailty Sarcopenia Falls. 2017 Dec 01;2(4):65-72. (PMID: 32300682)
Exp Gerontol. 2019 Jul 15;122:42-46. (PMID: 31026498)
J Gerontol A Biol Sci Med Sci. 2020 Jul 13;75(8):1594-1599. (PMID: 31562812)
Age Ageing. 2012 Nov;41(6):712-21. (PMID: 22885845)
Sao Paulo Med J. 2020 Mar;138(2):112-117. (PMID: 32294715)
J Am Med Dir Assoc. 2016 Feb;17(2):184.e1-7. (PMID: 26717805)
J Geriatr Cardiol. 2019 Jun;16(6):468-477. (PMID: 31308839)
Arch Gerontol Geriatr. 2018 Jan;74:77-82. (PMID: 29040888)
Rejuvenation Res. 2012 Feb;15(1):41-8. (PMID: 22004280)
Int J Environ Res Public Health. 2021 Oct 10;18(20):. (PMID: 34682359)
Exp Aging Res. 2013;39(5):481-92. (PMID: 24151912)
Eur J Epidemiol. 2006;21(2):113-22. (PMID: 16518679)
BMC Med. 2016 Dec 22;14(1):215. (PMID: 28003033)
J Gerontol A Biol Sci Med Sci. 2013 Sep;68(9):1129-33. (PMID: 23733856)
J Am Geriatr Soc. 2006 May;54(5):743-9. (PMID: 16696738)
J Gerontol A Biol Sci Med Sci. 2017 Mar 1;72(3):362-368. (PMID: 27470299)
J Am Geriatr Soc. 2014 Jun;62(6):1030-8. (PMID: 24802886)
J Physiother. 2018 Jan;64(1):61. (PMID: 28645532)
Circ J. 2020 Jun 25;84(7):1083-1089. (PMID: 32461504)
J Nutr Health Aging. 2018;22(8):952-958. (PMID: 30272099)
J Nutr Health Aging. 2017;21(2):202-206. (PMID: 28112777)
J Gerontol A Biol Sci Med Sci. 2019 Jan 16;74(2):233-239. (PMID: 29438556)
Br J Cancer. 2015 Jan 6;112(1):194-8. (PMID: 25393366)
Arq Neuropsiquiatr. 1999 Jun;57(2B):421-6. (PMID: 10450349)
Cad Saude Publica. 2008 Jan;24(1):103-12. (PMID: 18209838)
Am J Transplant. 2018 Jan;18(1):189-196. (PMID: 28710900)
Fam Pract. 2016 Feb;33(1):10-6. (PMID: 26560093)
J Frailty Aging. 2021;10(2):141-149. (PMID: 33575703)
Curr Opin Clin Nutr Metab Care. 2000 Jan;3(1):39-44. (PMID: 10642082)
J Am Geriatr Soc. 2012 Oct;60(10):1901-5. (PMID: 23002714)
J Card Fail. 2010 May;16(5):390-5. (PMID: 20447574)
BMJ Open. 2016 Jul 25;6(7):e008281. (PMID: 27456324)
Maturitas. 2020 Sep;139:6-11. (PMID: 32747042)
فهرسة مساهمة: Keywords: Elderly; Health of the elderly; Longitudinal studies; Mortality; Survival analysis
تواريخ الأحداث: Date Created: 20220718 Date Completed: 20230116 Latest Revision: 20231105
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9285644
DOI: 10.7717/peerj.13630
PMID: 35846876
قاعدة البيانات: MEDLINE
الوصف
تدمد:2167-8359
DOI:10.7717/peerj.13630