Lower body function and mortality in Mexican American elderly people
Abstract
BACKGROUND: The purpose of this analysis was to examine the differential impact of performance-based and self-reported lower body measures on 2-year mortality in Mexican American elderly persons. METHODS: Data employed are from the Hispanic Established Population for Epidemiological Studies of the Elderly, a probability survey of 3050 community-dwelling Mexican Americans aged 65 and older from the five Southwestern states interviewed in 1993 and 1994. Of the baseline sample with complete data, 198 persons were confirmed deceased 2 years later. A three-task, performance-based, lower body function measure consisting of a short walk, balance, and repeated chair stands tests was used. Self-reported lower body function was measured by a 4-item Activities of Daily Living (ADL) measure involving the lower body. RESULTS: The three-task, lower body function measure was a significant predictor of 2-year mortality. The short walk alone was as predictive as the summary measure. The predictive ability of both measures was minimally reduced by the inclusion of the self-reported ADL measure and life-threatening medical conditions. Finally, the ADL measure was not a significant predictor of mortality with all the other variables in the analysis. CONCLUSION: Objective measures of lower body function were significant predicators of mortality in Mexican American elderly persons, as found in the general population. Unlike previous studies, the ADL measure was not an independent predictor of mortality after controlling for the objective measure and other risk factors. Additional research is needed to address why objective measures of function are such strong predictors of death.
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In the H-EPESE cohort, participants unable to perform the 8-foot walk had an odds ratio of 7.47 (95% CI 3.83-14.55) for mortality compared to the fastest quartile.
“Compared to the fastest quartile, the participants who were unable to perform the task raised their risk of death to an OR of 7.47 (95% CI 3.83-14.55).”
In the H-EPESE cohort, the highest quartile of performance on an 8-foot walk compared to the lowest had an odds ratio of 3.64 (95% CI 1.93-6.85) for risk of mortality.
“The highest quartile of performance, on an 8-foot walk, was compared to the lowest, finding an OR of 3.64 (95% CI 1.93-6.85) for risk of mortality”
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Cites
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., Scherr, P. A., & Wallace, R. B. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.2.m85 · Cited by 9,792 · see citing works
Self-citationProgress in Development of the Index of ADL
Katz, S., Downs, T. D., Cash, H., & Grotz, R. C. (1970) · The Gerontologist · doi:10.1093/geront/10.1_part_1.20 · Cited by 4,129 · see citing works
Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability
Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Salive, M. E., & Wallace, R. B. (1995) · New England Journal of Medicine · doi:10.1056/nejm199503023320902 · Cited by 4,083 · see citing works
Self-citationPerformance‐Oriented Assessment of Mobility Problems in Elderly Patients
Tinetti, M. E. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb05480.x · Cited by 3,352 · see citing works
Verbrugge, L. M., & Jette, A. M. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90294-1 · Cited by 3,310 · see citing works
Guralnik, J. M., Ferrucci, L., Pieper, C. F., Leveille, S. G., Markides, K. S., Ostir, G. V., Studenski, S., Berkman, L. F., & Wallace, R. B. (2000) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/55.4.m221 · Cited by 2,898 · see citing works
Self-citationAn epidemiology of disability among adults in the United States.
Nagi, S. Z. (1976) · The Milbank Memorial Fund Quarterly. Health and Society · doi:10.2307/3349677 · Cited by 1,431 · see citing works
A Guttman Health Scale for the Aged
Rosow, I., & Breslau, N. (1966) · Journal of Gerontology · doi:10.1093/geronj/21.4.556 · Cited by 1,132 · see citing works
An Objective Measure of Physical Function of Elderly Outpatients
Reuben, D. B., & Siu, A. L. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb01373.x · Cited by 722 · see citing works
A Longitudinal Study of Functional Change and Mortality in the United States
Mantón, K. G. (1988) · Journal of Gerontology · doi:10.1093/geronj/43.5.s153 · Cited by 512 · see citing works
Johnson, R. J., & Wolinsky, F. D. (1993) · Journal of Health and Social Behavior · doi:10.2307/2137238 · Cited by 461 · see citing works
The Predictive Validity of Self-Report and Performance-based Measures of Function and Health
Reuben, D. B., Siu, A. L., & Kimpau, S. (1992) · Journal of Gerontology · doi:10.1093/geronj/47.4.m106 · Cited by 363 · see citing works
A prospective study of functional status among community elders.
Branch, L. G., Katz, S., Kniepmann, K., & Papsidero, J. A. (1984) · American Journal of Public Health · doi:10.2105/ajph.74.3.266 · Cited by 363 · see citing works
Lower Body Functioning as a Predictor of Subsequent Disability Among Older Mexican Americans
Ostir, G. V., Markides, K. S., Black, S. A., & Goodwin, J. S. (1998) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/53a.6.m491 · Cited by 243 · see citing works
Self-citationLongitudinal studies of dependence in daily life activities among elderly persons.
Sonn, U. (1996) · PubMed · Cited by 199 · see citing works
Impairment and disability in the aged
Jette, A. M., & Branch, L. G. (1985) · Journal of Chronic Diseases · doi:10.1016/0021-9681(85)90008-6 · Cited by 186 · see citing works
The effect of medical conditions on the functional limitations of Mexican-American elderly
Markides, K. S., Stroup‐Benham, C. A., Goodwin, J. S., Perkowski, L. C., Lichtenstein, M. J., & Ray, L. A. (1996) · Annals of Epidemiology · doi:10.1016/s1047-2797(96)00061-0 · Cited by 134 · see citing works
Self-citationThe Structure of Health Status Among Hispanic, African American, and White Older Adults
Stump, T. E., Clark, D. O., Johnson, R. J., & Wolinsky, F. D. (1997) · The Journals of Gerontology Series B · doi:10.1093/geronb/52b.special_issue.49 · Cited by 99 · see citing works
Health Status of Hispanic Elderly
Markides, K. S., Rudkin, L., Angel, R. J., et al. (1997) · Cited by 93 · see citing works
Self-citationLower‐Extremity Functioning in Older Mexican Americans and Its Association with Medical Problems
Perkowski, L. C., Stroup‐Benham, C. A., Markides, K. S., Lichtenstein, M. J., Angel, R. J., Guralnik, J. M., & Goodwin, J. S. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb02459.x · Cited by 53 · see citing works
Self-citationMortality and Physical Functioning in Epidemiologic Studies of Three Older Populations
Brock, D. B., Lemke, J. H., Branch, L. G., et al. (1995) · Journal of Aging & Social Policy · doi:10.1300/j031v06n03_04 · Cited by 31 · see citing works
Clark, D. O., Mungai, S. M., Stump, T. E., et al. (1997) · The Journals of Gerontology Series A · doi:10.1093/gerona/52a.2.m97 · Cited by 27 · see citing works
Functional Disability in Older Mexican Americans
Rudkin, L., Markides, K. S., & Espino, D. V. (1997) · Topics in Geriatric Rehabilitation · doi:10.1097/00013614-199703000-00006 · Cited by 27 · see citing works
Self-citation
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Research works printed but not linked: 1
- Markides KS, Stroup-Benham CA, Black SA, Satish S, Perkowski LC, Ostir G. The health of Mexican American elderly: Selected findings from the Hispanic EPESE. In: Wykle ML, Ford AB, eds. Serving Mi- nority Elders in the 21st Century . New York: Springer; 1999.
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Gait speed and survival in older adults.
Studenski, S. (2011) · JAMA · doi:10.1001/jama.2010.1923 · Cited by 4,558 · see citing works
“8 79 (74-83) 65 (57-71) 49 (35-61) 91 (89-93) 82 (78-86) 74 (69-78) 57 (52-62) 31 (24-38) 11 (3-28) 74 (71-77) 52 (46-57) 23 (18-28)”
Abellan Van Kan, G., Rolland, Y., Andrieu, S., Bauer, J., Beauchet, O., Bonnefoy, M., Cesari, M., Donini, L. M., Gillette-Guyonnet, S., Inzitari, M., et al. (2009) · The Journal of nutrition, health and aging · doi:10.1007/s12603-009-0246-z · Cited by 2,003 · see citing works
Physical performance measures in the clinical setting
Studenski, S., Perera, S., Wallace, D., Chandler, J. M., Duncan, P. W., Rooney, E., Fox, M., & Guralnik, J. M. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51104.x · Cited by 1,218 · see citing works
Self-citationCesari, M., Kritchevsky, S. B., Penninx, B. W. H. J., Nicklas, B. J., Simonsick, E. M., Newman, A. B., Tylavsky, F. A., Brach, J. S., Satterfield, S., Bauer, D. C., et al. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53501.x · Cited by 1,192 · see citing works
Objectively measured physical capability levels and mortality: systematic review and meta-analysis
Cooper, R., Kuh, D., Hardy, R., Mortality Review Group, & teams, O. B. O. T. F. A. H. S. (2010) · BMJ · doi:10.1136/bmj.c4467 · Cited by 1,166 · see citing works
Cesari, M., Kritchevsky, S. B., Newman, A. B., Simonsick, E. M., Harris, T. B., Penninx, B. W., Brach, J. S., Tylavsky, F. A., Satterfield, S., Bauer, D. C., et al. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.02126.x · Cited by 702 · see citing works
Onder, G., Penninx, B. W. J. H., Ferrucci, L., Fried, L. P., Guralnik, J. M., & Pahor, M. (2005) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/60.1.74 · Cited by 347 · see citing works
Self-citationReligious Attendance and Mortality: An 8-Year Follow-Up of Older Mexican Americans
Hill, T. D., Angel, J. L., Ellison, C. G., & Angel, R. J. (2005) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/60.2.s102 · Cited by 202 · see citing works
Self-citationWu, P.-Y., Huang, K.-S., Chen, K.-M., Chou, C.-P., & Tu, Y.-K. (2021) · Maturitas · doi:10.1016/j.maturitas.2020.12.009 · Cited by 168 · see citing works
Ponzetto, M., Maero, B., Maina, P., Rosato, R., Ciccone, G., Merletti, F., Rubenstein, L. Z., & Fabris, F. (2003) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/58.11.m1049 · Cited by 109 · see citing works
Sweegers, M. G., Altenburg, T. M., Brug, J., May, A. M., van Vulpen, J. K., Aaronson, N. K., Arbane, G., Bohus, M., Courneya, K. S., Daley, A. J., et al. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-099191 · Cited by 109 · see citing works
Hill, T. D., Burdette, A. M., Taylor, J., & Angel, J. L. (2016) · Journal of Health and Social Behavior · doi:10.1177/0022146515627850 · Cited by 31 · see citing works
- Authors
- Markides, K. S., Black, S. A., Ostir, G. V., Angel, R. J., Guralnik, J. M., & Lichtenstein, M.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- National Institutes of Health (US)
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Markides, K. S.
- Venue
- The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-04-01
- Volume
- 56
- Issue
- 4
- Pages
- M243-M247
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- OpenAlex
- W2121312932
- Cited by
- 107
- References
- 23
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 7 · 2012: 5
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journals of Gerontology Series A (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (17231)
- National Institute on Aging (AG 10939, R01AG010939)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- mortality, balance, chair stand
- MeSH terms
- Activities of Daily Living, Aged, Aging, Postural Balance, Female, Humans, Male, Mortality, Predictive Value of Tests, Risk Factors, Cohort Studies, Walking, Critical Illness, Mexican Americans
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