Nam Sanggon, Al Snih Soham, Markides Kyriakos S
Department of Health Administration, Division of Applied Health Sciences, Pfeiffer University, Morrisville, North Carolina, USA.
Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, Texas, USA.
Geriatr Gerontol Int. 2017 Mar;17(3):433-439. doi: 10.1111/ggi.12734. Epub 2016 Jan 22.
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.
A longitudinal study of 2069 participants aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly wave 5 (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.
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."
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 2017; 17: 433-439.
评估基于表现（定时10英尺步行；以表现为导向的移动性评估[POMA]）和自我评估（报告在无人或设备帮助下穿过一个小房间的行走能力；日常生活活动[ADL]）的移动性评估的一致性对75岁及以上墨西哥裔美国人死亡率预测的有效性。
对西班牙裔老年人流行病学研究既定人群第5波（2004年6月至2006年1月）和第6波（2007年2月至2008年2月）中2069名75岁及以上参与者进行了一项纵向研究。获取了社会人口统计学变量、基于表现（定时10英尺步行）和自我评估（报告在无人或设备帮助下穿过一个小房间的行走能力）的移动性以及死亡率数据。
ADL/POMA一致性评估显示，“正一致”组（完成步行并报告能够行走，ADL和POMA均为阳性）的患病率最高，其次是“悲观主义者”、“乐观主义者”和“负一致”组，分别为80.09%、10.50%、3.78%和5.63%。逻辑回归分析表明，与参照组“正一致”相比，“负一致”是死亡率的关键预测因素（比值比4.80；95%置信区间2.59 - 8.90），其次是“悲观主义者”（比值比1.94；95%置信区间1.12 - 3.36）。
ADL/POMA一致性是西班牙裔老年人流行病学研究既定人群中墨西哥裔美国老年人死亡率的有效预测指标。《老年医学与老年学国际杂志》2017年；17：433 - 439。
