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A concordance of self‐reported and performance‐based assessments of mobility as a mortality predictor for older M exican A mericans
Author(s) -
Nam Sanggon,
Al Snih Soham,
Markides Kyriakos S
Publication year - 2017
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12734
Subject(s) - medicine , concordance , gerontology
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 M exican A mericans aged 75 years and older. Methods A longitudinal study of 2069 participants aged 75 years and older from the H ispanic E stablished P opulation for the E pidemiological S tudy of the E lderly wave 5 ( J une 2004 to J anuary 2006) and wave 6 ( F ebruary 2007 to F ebruary 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 M exican A mericans in the H ispanic E stablished P opulation for the E pidemiological S tudy of the E lderly. Geriatr Gerontol Int 2017; 17: 433–439.