Metabolic Syndrome Predicts Mobility Decline in a Community-Based Sample of Older Adults
OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial community‐based prospective cohort study. SETTING: Urban and rural areas of central North Carolina. PARTICIPANTS: One thousand two hundred twenty‐ni...
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Published in | Journal of the American Geriatrics Society (JAGS) Vol. 54; no. 3; pp. 502 - 506 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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Malden, USA
Blackwell Publishing Inc
01.03.2006
Blackwell Wiley Subscription Services, Inc |
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Abstract | OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample.
DESIGN: Biracial community‐based prospective cohort study.
SETTING: Urban and rural areas of central North Carolina.
PARTICIPANTS: One thousand two hundred twenty‐nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly.
MEASUREMENTS: Sociodemographic data and data on mobility (a subset of items from the Rosow‐Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self‐report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High‐density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data.
RESULTS: Twenty‐nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility.
CONCLUSION: These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community‐dwelling older people. |
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AbstractList | OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial community-based prospective cohort study. SETTING: Urban and rural areas of central North Carolina. PARTICIPANTS: One thousand two hundred twenty-nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly. MEASUREMENTS: Sociodemographic data and data on mobility (a subset of items from the Rosow-Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self-report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High-density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data. RESULTS: Twenty-nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility. CONCLUSION: These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community-dwelling older people. Tables, y, References. Adapted from the source document. OBJECTIVESTo determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample.DESIGNBiracial community-based prospective cohort study.SETTINGUrban and rural areas of central North Carolina.PARTICIPANTSOne thousand two hundred twenty-nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly.MEASUREMENTSSociodemographic data and data on mobility (a subset of items from the Rosow-Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self-report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High-density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data.RESULTSTwenty-nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility.CONCLUSIONThese findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community-dwelling older people. To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. Biracial community-based prospective cohort study. Urban and rural areas of central North Carolina. One thousand two hundred twenty-nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly. Sociodemographic data and data on mobility (a subset of items from the Rosow-Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self-report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High-density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data. Twenty-nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility. These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community-dwelling older people. [PUBLICATION ABSTRACT] To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. Biracial community-based prospective cohort study. Urban and rural areas of central North Carolina. One thousand two hundred twenty-nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly. Sociodemographic data and data on mobility (a subset of items from the Rosow-Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self-report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High-density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data. Twenty-nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility. These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community-dwelling older people. OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial community‐based prospective cohort study. SETTING: Urban and rural areas of central North Carolina. PARTICIPANTS: One thousand two hundred twenty‐nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly. MEASUREMENTS: Sociodemographic data and data on mobility (a subset of items from the Rosow‐Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self‐report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High‐density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data. RESULTS: Twenty‐nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility. CONCLUSION: These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community‐dwelling older people. OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial community‐based prospective cohort study. SETTING: Urban and rural areas of central North Carolina. PARTICIPANTS: One thousand two hundred twenty‐nine older African Americans and whites, mean age 77.0, who were participants in the Duke Established Populations for Epidemiologic Studies of the Elderly. MEASUREMENTS: Sociodemographic data and data on mobility (a subset of items from the Rosow‐Breslau scale), depression (Center for Epidemiological Studies Depression Scale), self‐report of medical conditions, body mass index, cognitive function (Short Portable Mental Status Questionnaire), blood pressure, height, and waist circumference. High‐density lipoprotein cholesterol, triglycerides, and blood glucose were available from blood samples. Metabolic syndrome was calculated for subjects with complete data. RESULTS: Twenty‐nine percent of the sample met criteria for metabolic syndrome. In bivariate analyses, age, sex, race, education, cognitive impairment, depression, impairment in mobility, history of stroke and heart disease, and metabolic syndrome at baseline were associated with a decline in mobility 4 years later. Regression analysis controlling for the above variables demonstrated that metabolic syndrome persisted as an independent and highly significant predictor of decline in mobility. CONCLUSION: These findings suggest that metabolic syndrome may be a distinct risk factor for mobility decline in community‐dwelling older people. |
Author | Blazer, Dan G. Fillenbaum, Gerda G. Hybels, Celia F. |
Author_xml | – sequence: 1 givenname: Dan G. surname: Blazer fullname: Blazer, Dan G. organization: From theDepartment of Psychiatry and Behavioral Sciences, and †Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina‡Geriatrics Research and Clinical Center, Veterans Administration Medical Center, Durham, North Carolina – sequence: 2 givenname: Celia F. surname: Hybels fullname: Hybels, Celia F. organization: From theDepartment of Psychiatry and Behavioral Sciences, and †Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina‡Geriatrics Research and Clinical Center, Veterans Administration Medical Center, Durham, North Carolina – sequence: 3 givenname: Gerda G. surname: Fillenbaum fullname: Fillenbaum, Gerda G. organization: From theDepartment of Psychiatry and Behavioral Sciences, and †Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina‡Geriatrics Research and Clinical Center, Veterans Administration Medical Center, Durham, North Carolina |
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Keywords | Endocrinopathy Human Prediction Mobility Cardiovascular disease Metabolic diseases metabolic syndrome Gerontology functional status X Syndrome older adults Predictive factor Elderly Community Geriatrics |
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The 3C Study publication-title: Int J Obes Relat Metab Disord – volume: 25 start-page: 61 year: 2002 end-page: 67 article-title: Diabetes and incidence of functional disability in older women publication-title: Diabetes Care – volume: 137 start-page: 845 year: 1993 end-page: 857 article-title: Maintaining mobility in late life. I. Demographic characteristics and chronic conditions publication-title: Am J Epidemiol – volume: 46 start-page: M210 year: 1991 end-page: M215 article-title: The association of age and depression among the elderly publication-title: An epidemiologic exploration – volume: 27 start-page: 1243 year: 2004 article-title: The metabolic syndrome publication-title: The emperor needs some consistent clothes – volume: 23 start-page: 433 year: 1975 end-page: 441 article-title: A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients publication-title: J Am Geriatr Soc – volume: 48 start-page: 445 year: 1999 end-page: 469 article-title: Risk factors for functional status decline in community‐living elderly people publication-title: A systematic literature review – start-page: 3 year: 2004 end-page: 11 article-title: Major mental disorders and the metabolic syndrome publication-title: Curr Psychiatry – volume: 36 start-page: 1301 year: 2004 end-page: 1307 article-title: Associations of muscle strength and fitness with metabolic syndrome publication-title: Med Sci Sports Exerc – volume: 45 start-page: 92 year: 1997 end-page: 100 article-title: Disability in older adults. Evidence regarding significance etiology and risk publication-title: J Am Geriatr Soc – volume: 21 start-page: 556 year: 1966 end-page: 559 article-title: A Guttman health scale for the aged publication-title: J Gerontol – volume: 53 start-page: 198 year: 2005 end-page: 205 article-title: Just get out the door! Importance of walking outside the home for maintaining mobility publication-title: Findings from the Women's Health and Aging Study – volume: 27 start-page: 1243 year: 2004 ident: e_1_2_6_21_2 article-title: The metabolic syndrome publication-title: The emperor needs some consistent clothes contributor: fullname: Frank V – ident: e_1_2_6_22_2 doi: 10.1001/jama.292.18.2237 – start-page: 3 year: 2004 ident: e_1_2_6_6_2 article-title: Major mental disorders and the metabolic syndrome publication-title: Curr Psychiatry contributor: fullname: Janicak P – volume-title: Established Populations for Epidemiologic Studies of the Elderly: Resource Data Book year: 1990 ident: e_1_2_6_3_2 contributor: fullname: Cornoni‐Huntley J – ident: e_1_2_6_11_2 doi: 10.1038/sj.ijo.0802755 – ident: e_1_2_6_2_2 doi: 10.1111/j.1532-5415.1997.tb00986.x – volume: 22 start-page: 233 year: 1996 ident: e_1_2_6_9_2 article-title: A 3‐year follow‐up of stroke patients publication-title: Relationships between activities of daily living and personality characteristics contributor: fullname: Elmstahl S – ident: e_1_2_6_10_2 doi: 10.1249/01.MSS.0000135780.88930.A9 – ident: e_1_2_6_20_2 doi: 10.7326/0003-4819-139-10-200311180-00007 – volume: 46 start-page: M210 year: 1991 ident: e_1_2_6_16_2 article-title: The association of age and depression among the elderly publication-title: An epidemiologic exploration contributor: fullname: Blazer D – ident: e_1_2_6_18_2 doi: 10.1093/geronj/21.4.556 – ident: e_1_2_6_14_2 doi: 10.1080/13607869757092 – volume: 10 start-page: 127 year: 1998 ident: e_1_2_6_8_2 article-title: Functional abilities of elderly coronary heart disease patients publication-title: Aging (Milano) contributor: fullname: Ahto M – volume: 53 start-page: 198 year: 2005 ident: e_1_2_6_4_2 article-title: Just get out the door! Importance of walking outside the home for maintaining mobility publication-title: Findings from the Women's Health and Aging Study contributor: fullname: Simonsick E – ident: e_1_2_6_13_2 doi: 10.1093/gerona/56.12.M785 – ident: e_1_2_6_12_2 doi: 10.1093/oxfordjournals.aje.a116746 – ident: e_1_2_6_7_2 doi: 10.2337/diacare.25.1.61 – ident: e_1_2_6_17_2 doi: 10.1111/j.1532-5415.1975.tb00927.x – volume: 285 start-page: 2486 year: 2001 ident: e_1_2_6_5_2 article-title: Diagnosis and Treatment of High Cholesterol in Adults publication-title: Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) contributor: fullname: Expert Panel on the Detection – volume: 1 start-page: 385 year: 1977 ident: e_1_2_6_19_2 article-title: The CES‐D Scale publication-title: A self-report depression scale for research in the general population contributor: fullname: Radloff L. – ident: e_1_2_6_23_2 doi: 10.1093/gerona/59.3.M255 – volume: 48 start-page: 445 year: 1999 ident: e_1_2_6_15_2 article-title: Risk factors for functional status decline in community‐living elderly people publication-title: A systematic literature review contributor: fullname: Stuck A |
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Snippet | OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample.
DESIGN: Biracial... To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. Biracial community-based prospective... OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial... To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. Biracial community-based prospective... OBJECTIVES: To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN: Biracial... OBJECTIVESTo determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample.DESIGNBiracial... |
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SubjectTerms | Activities of Daily Living Aged Biological and medical sciences Community living Disease Progression Female Follow-Up Studies functional status General aspects Geriatrics Humans Male Medical sciences Metabolic diseases Metabolic syndrome Metabolic Syndrome - epidemiology Metabolic Syndrome - physiopathology Miscellaneous Mobility Mobility Limitation older adults Older people Other metabolic disorders Prognosis Prospective Studies Regression analysis Risk Factors Rural areas Urban areas Walking - physiology |
Title | Metabolic Syndrome Predicts Mobility Decline in a Community-Based Sample of Older Adults |
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