Effect of subclinical status in functional limitation and disability on adverse health outcomes 3 years later

Fredric D. Wolinsky, Douglas K. Miller, Elena Andresen, Theodore K. Malmstrom, J. Philip Miller, Thomas R. Miller

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Background. This article examines the effect of self-reported, baseline subclinical status (i.e., independent but adaptive performance) for functional limitation and disability on adverse health outcomes. Methods. Nine hundred ninety-eight African-American men and women aged 49-65 years received in-home evaluations at baseline, and 853 were re-evaluated 3 years later. Baseline subclinical status was ascertained for five lower body tasks and seven activities of daily living (ADLs)/instrumental ADLs (IADLs). Outcomes included difficulty with lower body limitations, ADLs/IADLs, physical performance, physician visits, hospitalization, nursing home placement, and mortality. Results. The baseline proportion of subclinical status evidence for the five lower body items was 0.33 (standard deviation [SD] = 0.20), and for the seven ADLs/IADLs was 0.20 (SD = 0.30). Significant independent effects of subclinical status for lower body limitations were observed on physician visits and hospitalization. Significant independent effects of subclinical status for ADLs/IADLs were observed on ADLs/IADLs and physician visits. Conclusions. Subclinical status for functional limitation and disability independently predicts several subsequent adverse health outcomes, although the effects of the latter (ADLs/IADLs) are stronger. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system.

Original languageEnglish (US)
Pages (from-to)101-106
Number of pages6
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume62
Issue number1
StatePublished - Jan 2007
Externally publishedYes

Fingerprint

Activities of Daily Living
Health
Physicians
Hospitalization
Nursing Homes
African Americans

ASJC Scopus subject areas

  • Aging

Cite this

Effect of subclinical status in functional limitation and disability on adverse health outcomes 3 years later. / Wolinsky, Fredric D.; Miller, Douglas K.; Andresen, Elena; Malmstrom, Theodore K.; Miller, J. Philip; Miller, Thomas R.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 62, No. 1, 01.2007, p. 101-106.

Research output: Contribution to journalArticle

Wolinsky, Fredric D. ; Miller, Douglas K. ; Andresen, Elena ; Malmstrom, Theodore K. ; Miller, J. Philip ; Miller, Thomas R. / Effect of subclinical status in functional limitation and disability on adverse health outcomes 3 years later. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2007 ; Vol. 62, No. 1. pp. 101-106.
@article{2cb774ced1864481aed0aa7bbcbf463e,
title = "Effect of subclinical status in functional limitation and disability on adverse health outcomes 3 years later",
abstract = "Background. This article examines the effect of self-reported, baseline subclinical status (i.e., independent but adaptive performance) for functional limitation and disability on adverse health outcomes. Methods. Nine hundred ninety-eight African-American men and women aged 49-65 years received in-home evaluations at baseline, and 853 were re-evaluated 3 years later. Baseline subclinical status was ascertained for five lower body tasks and seven activities of daily living (ADLs)/instrumental ADLs (IADLs). Outcomes included difficulty with lower body limitations, ADLs/IADLs, physical performance, physician visits, hospitalization, nursing home placement, and mortality. Results. The baseline proportion of subclinical status evidence for the five lower body items was 0.33 (standard deviation [SD] = 0.20), and for the seven ADLs/IADLs was 0.20 (SD = 0.30). Significant independent effects of subclinical status for lower body limitations were observed on physician visits and hospitalization. Significant independent effects of subclinical status for ADLs/IADLs were observed on ADLs/IADLs and physician visits. Conclusions. Subclinical status for functional limitation and disability independently predicts several subsequent adverse health outcomes, although the effects of the latter (ADLs/IADLs) are stronger. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system.",
author = "Wolinsky, {Fredric D.} and Miller, {Douglas K.} and Elena Andresen and Malmstrom, {Theodore K.} and Miller, {J. Philip} and Miller, {Thomas R.}",
year = "2007",
month = "1",
language = "English (US)",
volume = "62",
pages = "101--106",
journal = "Journals of Gerontology - Series A Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Effect of subclinical status in functional limitation and disability on adverse health outcomes 3 years later

AU - Wolinsky, Fredric D.

AU - Miller, Douglas K.

AU - Andresen, Elena

AU - Malmstrom, Theodore K.

AU - Miller, J. Philip

AU - Miller, Thomas R.

PY - 2007/1

Y1 - 2007/1

N2 - Background. This article examines the effect of self-reported, baseline subclinical status (i.e., independent but adaptive performance) for functional limitation and disability on adverse health outcomes. Methods. Nine hundred ninety-eight African-American men and women aged 49-65 years received in-home evaluations at baseline, and 853 were re-evaluated 3 years later. Baseline subclinical status was ascertained for five lower body tasks and seven activities of daily living (ADLs)/instrumental ADLs (IADLs). Outcomes included difficulty with lower body limitations, ADLs/IADLs, physical performance, physician visits, hospitalization, nursing home placement, and mortality. Results. The baseline proportion of subclinical status evidence for the five lower body items was 0.33 (standard deviation [SD] = 0.20), and for the seven ADLs/IADLs was 0.20 (SD = 0.30). Significant independent effects of subclinical status for lower body limitations were observed on physician visits and hospitalization. Significant independent effects of subclinical status for ADLs/IADLs were observed on ADLs/IADLs and physician visits. Conclusions. Subclinical status for functional limitation and disability independently predicts several subsequent adverse health outcomes, although the effects of the latter (ADLs/IADLs) are stronger. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system.

AB - Background. This article examines the effect of self-reported, baseline subclinical status (i.e., independent but adaptive performance) for functional limitation and disability on adverse health outcomes. Methods. Nine hundred ninety-eight African-American men and women aged 49-65 years received in-home evaluations at baseline, and 853 were re-evaluated 3 years later. Baseline subclinical status was ascertained for five lower body tasks and seven activities of daily living (ADLs)/instrumental ADLs (IADLs). Outcomes included difficulty with lower body limitations, ADLs/IADLs, physical performance, physician visits, hospitalization, nursing home placement, and mortality. Results. The baseline proportion of subclinical status evidence for the five lower body items was 0.33 (standard deviation [SD] = 0.20), and for the seven ADLs/IADLs was 0.20 (SD = 0.30). Significant independent effects of subclinical status for lower body limitations were observed on physician visits and hospitalization. Significant independent effects of subclinical status for ADLs/IADLs were observed on ADLs/IADLs and physician visits. Conclusions. Subclinical status for functional limitation and disability independently predicts several subsequent adverse health outcomes, although the effects of the latter (ADLs/IADLs) are stronger. Interventions to reduce frailty should focus on self-reported subclinical status as an early warning system.

UR - http://www.scopus.com/inward/record.url?scp=34047136101&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34047136101&partnerID=8YFLogxK

M3 - Article

C2 - 17301046

AN - SCOPUS:34047136101

VL - 62

SP - 101

EP - 106

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

IS - 1

ER -