A concordance of self-reported and performance-based assessments of mobility as a mortality predictor for older Mexican Americans

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Abstract

Aim: To assess the efficacy in mortality prediction of a concordance of performance-based (timed 10-foot walk; performance-oriented mobility assessment [POMA]) and self-rated (reported ability to walk across a small room with no help from people or devices; activities of daily living [ADL]) assessments of mobility for Mexican Americans aged 75 years and older. Methods: A longitudinal study of 2069 participants aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly wave5 (June 2004 to January 2006) and wave 6 (February 2007 to February 2008) was carried out. Sociodemographic variables, performance-based (timed 10-foot walk) and self-rated assessments (reported ability to walk across a small room without the help of any people or devices) of mobility, and mortality data were obtained. Results: The ADL/POMA concordance assessment showed a prevalence of the "positively concordant" group (completed the walk and reported being able to walk, ADL and POMA both positive), followed by the "pessimist," "optimist," and "negatively concordant" groups at 80.09%, 10.50%, 3.78% and 5.63%, respectively. Logistic regression analyses showed that "negatively concordant" was a critical mortality predictor (OR 4.80; 95% CI 2.59-8.90) followed by "pessimist" (OR 1.94; 95% CI 1.12-3.36) as compared with the reference group, "positively concordant." Conclusion: The ADL/POMA concordance is an effective predictor of mortality for older Mexican Americans in the Hispanic Established Population for the Epidemiological Study of the Elderly. Geriatr Gerontol Int 2016;

Original languageEnglish (US)
JournalGeriatrics and Gerontology International
DOIs
StateAccepted/In press - 2016

Fingerprint

Activities of Daily Living
mortality
Aptitude
Mortality
Hispanic Americans
performance
Epidemiologic Studies
Equipment and Supplies
Population
Longitudinal Studies
reference group
Logistic Models
Regression Analysis
ability
self-assessment
longitudinal study
Group
logistics
regression

Keywords

  • Activities of daily living
  • Mortality
  • Older Mexican Americans
  • Performance-based assessments
  • Performance-oriented mobility assessment
  • Self-rated assessments

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)

Cite this

@article{a8574144aa8944fc871bc8d3c34df69c,
title = "A concordance of self-reported and performance-based assessments of mobility as a mortality predictor for older Mexican Americans",
abstract = "Aim: To assess the efficacy in mortality prediction of a concordance of performance-based (timed 10-foot walk; performance-oriented mobility assessment [POMA]) and self-rated (reported ability to walk across a small room with no help from people or devices; activities of daily living [ADL]) assessments of mobility for Mexican Americans aged 75 years and older. Methods: A longitudinal study of 2069 participants aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly wave5 (June 2004 to January 2006) and wave 6 (February 2007 to February 2008) was carried out. Sociodemographic variables, performance-based (timed 10-foot walk) and self-rated assessments (reported ability to walk across a small room without the help of any people or devices) of mobility, and mortality data were obtained. Results: The ADL/POMA concordance assessment showed a prevalence of the {"}positively concordant{"} group (completed the walk and reported being able to walk, ADL and POMA both positive), followed by the {"}pessimist,{"} {"}optimist,{"} and {"}negatively concordant{"} groups at 80.09{\%}, 10.50{\%}, 3.78{\%} and 5.63{\%}, respectively. Logistic regression analyses showed that {"}negatively concordant{"} was a critical mortality predictor (OR 4.80; 95{\%} CI 2.59-8.90) followed by {"}pessimist{"} (OR 1.94; 95{\%} CI 1.12-3.36) as compared with the reference group, {"}positively concordant.{"} Conclusion: The ADL/POMA concordance is an effective predictor of mortality for older Mexican Americans in the Hispanic Established Population for the Epidemiological Study of the Elderly. Geriatr Gerontol Int 2016;",
keywords = "Activities of daily living, Mortality, Older Mexican Americans, Performance-based assessments, Performance-oriented mobility assessment, Self-rated assessments",
author = "Sanggon Nam and {Al Snih al snih}, Soham and Kyriakos Markides",
year = "2016",
doi = "10.1111/ggi.12734",
language = "English (US)",
journal = "Geriatrics and Gerontology International",
issn = "1447-0594",
publisher = "Japan Geriatrics Society",

}

TY - JOUR

T1 - A concordance of self-reported and performance-based assessments of mobility as a mortality predictor for older Mexican Americans

AU - Nam, Sanggon

AU - Al Snih al snih, Soham

AU - Markides, Kyriakos

PY - 2016

Y1 - 2016

N2 - Aim: To assess the efficacy in mortality prediction of a concordance of performance-based (timed 10-foot walk; performance-oriented mobility assessment [POMA]) and self-rated (reported ability to walk across a small room with no help from people or devices; activities of daily living [ADL]) assessments of mobility for Mexican Americans aged 75 years and older. Methods: A longitudinal study of 2069 participants aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly wave5 (June 2004 to January 2006) and wave 6 (February 2007 to February 2008) was carried out. Sociodemographic variables, performance-based (timed 10-foot walk) and self-rated assessments (reported ability to walk across a small room without the help of any people or devices) of mobility, and mortality data were obtained. Results: The ADL/POMA concordance assessment showed a prevalence of the "positively concordant" group (completed the walk and reported being able to walk, ADL and POMA both positive), followed by the "pessimist," "optimist," and "negatively concordant" groups at 80.09%, 10.50%, 3.78% and 5.63%, respectively. Logistic regression analyses showed that "negatively concordant" was a critical mortality predictor (OR 4.80; 95% CI 2.59-8.90) followed by "pessimist" (OR 1.94; 95% CI 1.12-3.36) as compared with the reference group, "positively concordant." Conclusion: The ADL/POMA concordance is an effective predictor of mortality for older Mexican Americans in the Hispanic Established Population for the Epidemiological Study of the Elderly. Geriatr Gerontol Int 2016;

AB - Aim: To assess the efficacy in mortality prediction of a concordance of performance-based (timed 10-foot walk; performance-oriented mobility assessment [POMA]) and self-rated (reported ability to walk across a small room with no help from people or devices; activities of daily living [ADL]) assessments of mobility for Mexican Americans aged 75 years and older. Methods: A longitudinal study of 2069 participants aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly wave5 (June 2004 to January 2006) and wave 6 (February 2007 to February 2008) was carried out. Sociodemographic variables, performance-based (timed 10-foot walk) and self-rated assessments (reported ability to walk across a small room without the help of any people or devices) of mobility, and mortality data were obtained. Results: The ADL/POMA concordance assessment showed a prevalence of the "positively concordant" group (completed the walk and reported being able to walk, ADL and POMA both positive), followed by the "pessimist," "optimist," and "negatively concordant" groups at 80.09%, 10.50%, 3.78% and 5.63%, respectively. Logistic regression analyses showed that "negatively concordant" was a critical mortality predictor (OR 4.80; 95% CI 2.59-8.90) followed by "pessimist" (OR 1.94; 95% CI 1.12-3.36) as compared with the reference group, "positively concordant." Conclusion: The ADL/POMA concordance is an effective predictor of mortality for older Mexican Americans in the Hispanic Established Population for the Epidemiological Study of the Elderly. Geriatr Gerontol Int 2016;

KW - Activities of daily living

KW - Mortality

KW - Older Mexican Americans

KW - Performance-based assessments

KW - Performance-oriented mobility assessment

KW - Self-rated assessments

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U2 - 10.1111/ggi.12734

DO - 10.1111/ggi.12734

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C2 - 26799255

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JO - Geriatrics and Gerontology International

JF - Geriatrics and Gerontology International

SN - 1447-0594

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