What contributes most to the SPPB and its subscores in hospitalized geriatric patients: an ICF model-based approach.
Comprehensive geriatric assessment
Fear of falling
Grip strength
International classification of functioning, disability and health
Mobility deficits
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
13 08 2022
13 08 2022
Historique:
received:
23
04
2022
accepted:
02
08
2022
entrez:
13
8
2022
pubmed:
14
8
2022
medline:
17
8
2022
Statut:
epublish
Résumé
Mobility deficits are highly prevalent among geriatric patients and have serious impact on quality of life, hospitalizations, and mortality. This study aims to capture predictors of mobility deficits in hospitalized geriatric patients using the International Classification of Functioning, Disability and Health (ICF) model as a framework. Data were obtained from n = 397 patients (78 ± 7 years, 15 ± 7 ICD-11 diagnoses) on a geriatric ward at time of admission. Mobility was assessed using the Short Physical Performance Battery (SPPB) total score and gait, static balance and transfer subscores. Parameters from an extensive assessment including medical history, neuropsychological and motor examination, and questionnaires were assigned to the five components of the ICF model. Spearman's Correlation and multiple linear regression analyses were calculated to identify predictors for the SPPB total score and subscores. Use of walking aid, fear of falling (FOF, but not occurrence of previous falls), participation in society, ADL and grip strength were strongly associated with the SPPB total score and all subscores (p < .001). FOF and grip strength were significant predictors for the SPPB total score as well as for gait and transfer subscores. FOF also showed a strong association with the static balance subscore. The clinical parameters of the ICF model could only partially explain the variance in the SPPB total score (24%) and subscores (12-23%), with no parameter from the activities and participation component being significantly predictive. FOF and reduced grip strength are associated with mobility deficits in a hospitalized geriatric cohort. Further research should focus on interventions to reduce FOF and increase muscle strength in geriatric patients. Moreover, there is a need for ICF-based assessments instruments (especially in the activities and participation components) that allow a holistic view on mobility and further daily life-relevant health aspects in geriatric patients.
Sections du résumé
BACKGROUND
Mobility deficits are highly prevalent among geriatric patients and have serious impact on quality of life, hospitalizations, and mortality. This study aims to capture predictors of mobility deficits in hospitalized geriatric patients using the International Classification of Functioning, Disability and Health (ICF) model as a framework.
METHODS
Data were obtained from n = 397 patients (78 ± 7 years, 15 ± 7 ICD-11 diagnoses) on a geriatric ward at time of admission. Mobility was assessed using the Short Physical Performance Battery (SPPB) total score and gait, static balance and transfer subscores. Parameters from an extensive assessment including medical history, neuropsychological and motor examination, and questionnaires were assigned to the five components of the ICF model. Spearman's Correlation and multiple linear regression analyses were calculated to identify predictors for the SPPB total score and subscores.
RESULTS
Use of walking aid, fear of falling (FOF, but not occurrence of previous falls), participation in society, ADL and grip strength were strongly associated with the SPPB total score and all subscores (p < .001). FOF and grip strength were significant predictors for the SPPB total score as well as for gait and transfer subscores. FOF also showed a strong association with the static balance subscore. The clinical parameters of the ICF model could only partially explain the variance in the SPPB total score (24%) and subscores (12-23%), with no parameter from the activities and participation component being significantly predictive.
CONCLUSIONS
FOF and reduced grip strength are associated with mobility deficits in a hospitalized geriatric cohort. Further research should focus on interventions to reduce FOF and increase muscle strength in geriatric patients. Moreover, there is a need for ICF-based assessments instruments (especially in the activities and participation components) that allow a holistic view on mobility and further daily life-relevant health aspects in geriatric patients.
Identifiants
pubmed: 35963992
doi: 10.1186/s12877-022-03358-z
pii: 10.1186/s12877-022-03358-z
pmc: PMC9375907
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
668Informations de copyright
© 2022. The Author(s).
Références
Lancet Neurol. 2020 May;19(5):462-470
pubmed: 32059811
Md State Med J. 1965 Feb;14:61-5
pubmed: 14258950
Z Gerontol Geriatr. 2010 Jun;43(3):170-6
pubmed: 19760357
Ann Intern Med. 1990 May 1;112(9):699-706
pubmed: 2334082
Health Technol Assess. 2016 Jul;20(56):1-206
pubmed: 27480813
Z Gerontol Geriatr. 2020 Jul;53(4):340-346
pubmed: 32430766
Neurosci Biobehav Rev. 2016 Feb;61:26-34
pubmed: 26645499
J Am Geriatr Soc. 2005 Jun;53(6 Suppl):S245-56
pubmed: 15963180
Rev Esp Geriatr Gerontol. 2019 Mar - Apr;54(2):68-74
pubmed: 30482460
BMJ. 2010 Aug 18;341:c4165
pubmed: 20724399
N Engl J Med. 1995 Mar 2;332(9):556-61
pubmed: 7838189
Neuroepidemiology. 2016;46(3):222-7
pubmed: 26967747
J Geriatr Phys Ther. 2013 Jan-Mar;36(1):13-23
pubmed: 22790588
Age Ageing. 2011 Jul;40(4):423-9
pubmed: 21624928
JAMA. 1963 Sep 21;185:914-9
pubmed: 14044222
Age Ageing. 2012 Nov;41(6):712-21
pubmed: 22885845
BMC Geriatr. 2020 Feb 6;20(1):45
pubmed: 32028945
J Gerontol A Biol Sci Med Sci. 2020 Jan 1;75(1):181-188
pubmed: 30753306
Mov Disord. 2021 Jan;36(1):76-82
pubmed: 33191498
Curr Opin Clin Nutr Metab Care. 2015 Sep;18(5):465-70
pubmed: 26147527
Phys Ther. 2018 Jul 1;98(7):571-577
pubmed: 29548038
Gerontologist. 1969 Autumn;9(3):179-86
pubmed: 5349366
J Appl Physiol (1985). 2003 Nov;95(5):1851-60
pubmed: 14555665
Nervenarzt. 2015 Apr;86(4):420-30
pubmed: 25787725
J Am Geriatr Soc. 2008 Apr;56(4):615-20
pubmed: 18312314
PM R. 2016 Dec;8(12):1173-1180
pubmed: 27268565
J Physiother. 2012;58(2):97-104
pubmed: 22613239
Nervenarzt. 2015 Apr;86(4):475-80
pubmed: 25801949
J Am Geriatr Soc. 2009 Aug;57(8):1464-9
pubmed: 19555423
Aging Clin Exp Res. 2019 Oct;31(10):1435-1442
pubmed: 30515724
Z Gerontol Geriatr. 2022 Mar;55(2):116-122
pubmed: 35181808
BMC Med. 2016 Dec 22;14(1):215
pubmed: 28003033
Arch Gerontol Geriatr. 2014 Mar-Apr;58(2):278-82
pubmed: 24275121
Clin Geriatr Med. 2019 Feb;35(1):1-12
pubmed: 30390975
Z Gerontol Geriatr. 2019 Jul;52(4):316-323
pubmed: 31161336
J Am Geriatr Soc. 2006 Feb;54(2):255-61
pubmed: 16460376
Aging Clin Exp Res. 2021 Sep;33(9):2453-2460
pubmed: 33394456
Z Gerontol Geriatr. 2012 Jan;45(1):40-4
pubmed: 22278005
J Gerontol. 1994 Mar;49(2):M85-94
pubmed: 8126356
Mov Disord. 2008 Nov 15;23(15):2129-70
pubmed: 19025984
Age Ageing. 1996 Jul;25(4):313-6
pubmed: 8831878
Age Ageing. 2010 Jul;39(4):412-23
pubmed: 20392703
Sensors (Basel). 2020 Oct 20;20(20):
pubmed: 33092143
J Gerontol A Biol Sci Med Sci. 2000 Nov;55(11):M691-7
pubmed: 11078100
J Am Med Dir Assoc. 2019 Apr;20(4):420-425.e1
pubmed: 30448338
Int J Appl Sci Technol. 2014 Oct;4(5):9-19
pubmed: 25664257
Rejuvenation Res. 2021 Jun;24(3):213-219
pubmed: 33267668
J Am Geriatr Soc. 2005 Apr;53(4):695-9
pubmed: 15817019
Epidemiology. 2010 Sep;21(5):658-68
pubmed: 20585256
Am Fam Physician. 2011 Aug 15;84(4):405-11
pubmed: 21842786
PLoS One. 2017 May 22;12(5):e0176816
pubmed: 28531171
Age Ageing. 2008 Jan;37(1):19-24
pubmed: 18194967
BMC Geriatr. 2021 Jul 16;21(1):428
pubmed: 34271880
Age Ageing. 2010 Mar;39(2):210-6
pubmed: 20061508
Nature. 2008 Feb 7;451(7179):644-7
pubmed: 18256658
J Gerontol A Biol Sci Med Sci. 2008 Dec;63(12):1393-8
pubmed: 19126854
Arch Phys Med Rehabil. 2005 Jan;86(1):134-45
pubmed: 15641004
Clin Interv Aging. 2019 Apr 24;14:701-719
pubmed: 31190764
Clin Nutr. 2012 Oct;31(5):652-8
pubmed: 22414775
BMC Med Res Methodol. 2006 Dec 13;6:57
pubmed: 17166270
Digit Biomark. 2020 Nov 26;4(Suppl 1):13-27
pubmed: 33442578
J Gerontol A Biol Sci Med Sci. 2014 May;69(5):576-83
pubmed: 24737560
Clin Interv Aging. 2016 Aug 09;11:1043-9
pubmed: 27570449