Journals of Gerontology Series A: Biological Sciences and Medical Sciences Large Type Edition
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]
Author:
Keyword(s):
Year:  Vol:  Page: 


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Cited by other online articles
Google Scholar
Right arrow Articles by Simonsick, E. M.
Right arrow Articles by for the Health ABC Study Group,
Right arrow Articles citing this Article
PubMed
Right arrow PubMed Citation
Right arrow Articles by Simonsick, E. M.
Right arrow Articles by for the Health ABC Study Group,
The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 56:M644-M649 (2001)
© 2001 The Gerontological Society of America

Measuring Higher Level Physical Function in Well-Functioning Older Adults

Expanding Familiar Approaches in the Health ABC Study

Eleanor M. Simonsicka, Anne B. Newmanb, Michael C. Nevittc, Stephen B. Kritchevskyd, Luigi Ferruccie, Jack M. Guralnika, Tamara Harrisa and for the Health ABC Study Group

a Epidemiology, Demography, and Biometry Program, National Institute on Aging, Bethesda, Maryland
b Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania
c Department of Epidemiology and Biostatistics, University of California, San Francisco
d Department of Preventive Medicine, University of Tennessee, Memphis
e Geriatric Department "I Fraticini, " National Research Institute (INRCA), Florence, Italy

Eleanor M. Simonsick, Laboratory of Clinical Investigation, Gerontology Research Center, National Institute on Aging, 5600 Nathan Shock Drive, Box 06, Baltimore, MD 21224 E-mail: simonsickel{at}grc.nia.nih.gov.

Decision Editor: John E. Morley, MB, BCh

Background. To evaluate development and progression of functional limitation and retain comparability with established approaches, we raised the measurement ceiling of commonly used self-report and performance-based measures of function. This study evaluated the utility and concurrent validity of these expanded measures.

Methods. The study population consisted of 3075 black and white men and women aged 70 to 79 years, with no reported mobility limitations or disability, participating in the Health, Aging, and Body Composition, or Health ABC study. Self-report measures were expanded by ascertaining ease of performance and including more demanding levels of some tasks. A single foot stand and narrow walk supplemented an established performance battery. For walking endurance, we developed the Long Distance Corridor Walk (LDCW), which includes distance covered in 2 minutes and the time to walk 400 m.

Results. The expanded self-report items identified one half of the men and one third of the women as exceptionally well functioning and 10% to 13% of men and 21% to 36% of women with lower capacity. The supplemented and rescored performance battery discriminated function over the full range. The LDCW further differentiated walking capacity at the high end and also identified a subgroup with limitations. The self-report and performance measures were significantly, but weakly, correlated (0.13–0.35) and were independent predictors of walking endurance.

Conclusions. Well-functioning persons in their 70s exhibit a broad range of functional capacity readily ascertained by expanded self-report and performance tests. Significant associations among these measures support their concurrent validity, but generally weak correlations indicate they tap different, but important, dimensions of physical function.




This article has been cited by other articles: (Search Google Scholar for Other Citing Articles)


Home page
Diabetes CareHome page
M. K. Figaro, S. B. Kritchevsky, H. E. Resnick, R. I. Shorr, J. Butler, A. Shintani, B. W. Penninx, E. M. Simonsick, B. H. Goodpaster, A. B. Newman, A. V. Schwartz, T. B. Harris, and for the Health Aging and Body Composition study
Diabetes, Inflammation, and Functional Decline in Older Adults: Findings from the Health, Aging and Body Composition (ABC) study
Diabetes Care, September 1, 2006; 29(9): 2039 - 2045.
[Abstract] [Full Text] [PDF]


Home page
ptjournalHome page
M E. Cress, J. K Petrella, T. L Moore, and M. L Schenkman
Continuous-Scale Physical Functional Performance Test: Validity, Reliability, and Sensitivity of Data for the Short Version
Physical Therapy, April 1, 2005; 85(4): 323 - 335.
[Abstract] [Full Text] [PDF]


Home page
JAMAHome page
A. B. Newman, E. M. Simonsick, B. L. Naydeck, R. M. Boudreau, S. B. Kritchevsky, M. C. Nevitt, M. Pahor, S. Satterfield, J. S. Brach, S. A. Studenski, and T. B. Harris
Association of Long-Distance Corridor Walk Performance With Mortality, Cardiovascular Disease, Mobility Limitation, and Disability
JAMA, May 3, 2006; 295(17): 2018 - 2026.
[Abstract] [Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
G. E. Hicks, E. M. Simonsick, T. B. Harris, A. B. Newman, D. K. Weiner, M. A. Nevitt, and F. A. Tylavsky
Trunk Muscle Composition as a Predictor of Reduced Functional Capacity in the Health, Aging and Body Composition Study: The Moderating Role of Back Pain
J. Gerontol. A Biol. Sci. Med. Sci., November 1, 2005; 60(11): 1420 - 1424.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
M. Cesari, S. B. Kritchevsky, B. J. Nicklas, B. W. H. J. Penninx, P. Holvoet, P. Koh-Banerjee, S. R. Cummings, T. B. Harris, A. B. Newman, and M. Pahor
Lipoprotein Peroxidation and Mobility Limitation: Results From the Health, Aging, and Body Composition Study
Archives of Internal Medicine, October 10, 2005; 165(18): 2148 - 2154.
[Abstract] [Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
J. S. Lee, S. B. Kritchevsky, F. Tylavsky, T. Harris, E. M. Simonsick, S. M. Rubin, A. B. Newman, and for the Health ABC Study
Weight Change, Weight Change Intention, and the Incidence of Mobility Limitation in Well-Functioning Community-Dwelling Older Adults
J. Gerontol. A Biol. Sci. Med. Sci., August 1, 2005; 60(8): 1007 - 1012.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
E. S. Strotmeyer, J. A. Cauley, A. V. Schwartz, M. C. Nevitt, H. E. Resnick, D. C. Bauer, F. A. Tylavsky, N. de Rekeneire, T. B. Harris, and A. B. Newman
Nontraumatic Fracture Risk With Diabetes Mellitus and Impaired Fasting Glucose in Older White and Black Adults: The Health, Aging, and Body Composition Study
Archives of Internal Medicine, July 25, 2005; 165(14): 1612 - 1617.
[Abstract] [Full Text] [PDF]


Home page
Obstet GynecolHome page
R A. Jackson, E Vittinghoff, A M. Kanaya, T P. Miles, H E. Resnick, S B. Kritchevsky, E M. Simonsick, and J S. Brown
Urinary Incontinence in Elderly Women: Findings From the Health, Aging, and Body Composition Study
Obstet. Gynecol., August 1, 2004; 104(2): 301 - 307.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Clin. Nutr.Home page
M.-Y. Song, E. Ruts, J. Kim, I. Janumala, S. Heymsfield, and D. Gallagher
Sarcopenia and increased adipose tissue infiltration of muscle in elderly African American women
Am. J. Clinical Nutrition, May 1, 2004; 79(5): 874 - 880.
[Abstract] [Full Text] [PDF]


Home page
Diabetes CareHome page
N. de Rekeneire, H. E. Resnick, A. V. Schwartz, R. I. Shorr, L. H. Kuller, E. M. Simonsick, B. Vellas, and T. B. Harris
Diabetes Is Associated With Subclinical Functional Limitation in Nondisabled Older Individuals: The Health, Aging, and Body Composition study
Diabetes Care, December 1, 2003; 26(12): 3257 - 3263.
[Abstract] [Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
J. E. Morley
Editorial: Sarcopenia Revisited
J. Gerontol. A Biol. Sci. Med. Sci., October 1, 2003; 58(10): M909 - 910.
[Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
A. B. Newman, C. L. Haggerty, S. B. Kritchevsky, M. C. Nevitt, and E. M. Simonsick
Walking Performance and Cardiovascular Response: Associations With Age and Morbidity--The Health, Aging and Body Composition Study
J. Gerontol. A Biol. Sci. Med. Sci., August 1, 2003; 58(8): M715 - 720.
[Abstract] [Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
J. E. Morley
Editorial. Mobility Performance: A High-Tech Test for Geriatricians
J. Gerontol. A Biol. Sci. Med. Sci., August 1, 2003; 58(8): M712 - 714.
[Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
J. E. Morley
The Need for a Men's Health Initiative
J. Gerontol. A Biol. Sci. Med. Sci., July 1, 2003; 58(7): M614 - 617.
[Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
D. R. Thomas
Guest Editorial: Focus on Functional Decline in Hospitalized Older Adults
J. Gerontol. A Biol. Sci. Med. Sci., September 1, 2002; 57(9): M567 - 568.
[Full Text] [PDF]


Home page
Am. J. Epidemiol.Home page
B. Sternfeld, L. Ngo, W. A. Satariano, and I. B. Tager
Sternfeld et al. Respond to: "Body Composition in Studies of Aging"
Am. J. Epidemiol., July 15, 2002; 156(2): 125 - 126.
[Full Text] [PDF]


Home page
Am. J. Epidemiol.Home page
T. B. Harris
Invited Commentary: Body Composition in Studies of Aging: New Opportunities to Better Understand Health Risks Associated with Weight
Am. J. Epidemiol., July 15, 2002; 156(2): 122 - 124.
[Abstract] [Full Text] [PDF]


Home page
J Gerontol A Biol Sci Med SciHome page
G. Onder, B. W.J.H. Penninx, P. Lapuerta, L. P. Fried, G. V. Ostir, J. M. Guralnik, and M. Pahor
Change in Physical Performance Over Time in Older Women: The Women's Health and Aging Study
J. Gerontol. A Biol. Sci. Med. Sci., May 1, 2002; 57(5): M289 - 293.
[Abstract] [Full Text]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All GSA journals The Gerontologist
Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2001 by The Gerontological Society of America.