Abstract
Background and Objectives: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. Methods and Setting: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. Results: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. Conclusion: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1289-1298 |
| Number of pages | 10 |
| Journal | Journal of Clinical Epidemiology |
| Volume | 58 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2005 |
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Keywords
- Activities of daily living
- Aging
- Disability assessment
- Hip fractures
- Performance-based measures
ASJC Scopus subject areas
- Medicine(all)
- Public Health, Environmental and Occupational Health
- Epidemiology
Cite this
Female hip fracture patients had poorer performance-based functioning than community-dwelling peers over 2-year follow-up period. / Fredman, Lisa; Magaziner, Jay; Hawkes, William; Hebel, J. Richard; Fried, Linda P; Kasper, Judith D.; Guralnik, Jack.
In: Journal of Clinical Epidemiology, Vol. 58, No. 12, 12.2005, p. 1289-1298.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Female hip fracture patients had poorer performance-based functioning than community-dwelling peers over 2-year follow-up period
AU - Fredman, Lisa
AU - Magaziner, Jay
AU - Hawkes, William
AU - Hebel, J. Richard
AU - Fried, Linda P
AU - Kasper, Judith D.
AU - Guralnik, Jack
PY - 2005/12
Y1 - 2005/12
N2 - Background and Objectives: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. Methods and Setting: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. Results: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. Conclusion: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
AB - Background and Objectives: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. Methods and Setting: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. Results: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. Conclusion: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
KW - Activities of daily living
KW - Aging
KW - Disability assessment
KW - Hip fractures
KW - Performance-based measures
UR - http://www.scopus.com/inward/record.url?scp=27744494791&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27744494791&partnerID=8YFLogxK
U2 - 10.1016/j.jclinepi.2004.04.016
DO - 10.1016/j.jclinepi.2004.04.016
M3 - Article
VL - 58
SP - 1289
EP - 1298
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
SN - 0895-4356
IS - 12
ER -