Joint Trajectories of Performance-Based and Self-Reported Physical Functioning in Older Adults: A 20-Year Longitudinal Study in the Netherlands

Background The well-known disablement process has been conceptualized as a series of transitions between progressive states of functional decline. We studied joint patterns of change within disablement states defined as walking speed, grip strength, and self-reported disability. Methods 1702 participants aged 65 and over were included from the Longitudinal Aging Study Amsterdam, spanning seven waves over 20 years (1996–2016). Group-based multi-trajectory modeling yielded trajectory clusters (TCs) of different patterns of change, further characterized by baseline sociodemographic characteristic... Mehr ...

Verfasser: Deeg, Dorly J. H.
Hoogendijk, Emiel O.
van Schoor, Natasja M.
Schaap, Laura A.
Lima Passos, Valéria
Dokumenttyp: Artikel
Erscheinungsdatum: 2024
Reihe/Periodikum: Journal of Aging and Health ; ISSN 0898-2643 1552-6887
Verlag/Hrsg.: SAGE Publications
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29214339
Datenquelle: BASE; Originalkatalog
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Link(s) : http://dx.doi.org/10.1177/08982643241273298

Background The well-known disablement process has been conceptualized as a series of transitions between progressive states of functional decline. We studied joint patterns of change within disablement states defined as walking speed, grip strength, and self-reported disability. Methods 1702 participants aged 65 and over were included from the Longitudinal Aging Study Amsterdam, spanning seven waves over 20 years (1996–2016). Group-based multi-trajectory modeling yielded trajectory clusters (TCs) of different patterns of change, further characterized by baseline sociodemographic characteristics, physical and cognitive health, and survival rate. Results Five TCs were identified, distinguished by increasing baseline age. Walking speed and disability showed generally concomitant trajectories. Women had poorer trajectories in grip strength than men, but not in walking speed and disability. Poor physical health distinguished especially the poorest, and cognitive impairment distinguished especially the one-before-poorest from the better TCs. Discussion The findings suggest that the disablement states are not generally distinct or sequential.