Consistency and change in functional status among older adults over time

Fredric D. Wolinsky, Timothy E. Stump, Christopher M. Callahan, Robert J. Johnson

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Consistency and change between 1984 and the last reinterview (either two, four, or six years later) on 22 individual functional status markers and the five summary scales that they form are examined among the 5,986 members of the Longitudinal Study on Aging who were reinterviewed at least once. At baseline, at least three-fifths of the respondents are without limitations on any individual marker. At the last reinterview, at least 43.4% of the respondents are without such limitations. Among those who had limitations at baseline, at least one-fifth get better. For those without limitations at baseline, one-seventeenth to two-fifths get worse. Difficulties in walking and doing heavy housework were the most common, most likely to develop, and least likely to resolve of any of the ADL or IADL items, and lower body limitations were more common, more likely to develop, and less likely to resolve than upper body limitations. Linear panel analysis of the five summary scales indicates that the top predictors of increased functional limitation are baseline levels of functional limitation, older age, decedent status, and poorer perceived health (in that order). Other less consistent and less robust predictors include the length of the exposure window, being female, having a history of arthritis, lower educational attainment, having fewer nonkin social supports, higher prior physician visit levels, and not living alone.

Original languageEnglish (US)
Pages (from-to)155-182
Number of pages28
JournalJournal of Aging and Health
Volume8
Issue number2
DOIs
StatePublished - May 13 1996

Fingerprint

Mobility Limitation
Housekeeping
housework
Activities of Daily Living
Social Support
Arthritis
Longitudinal Studies
social support
longitudinal study
physician
Physicians
Health
history
health
Surveys and Questionnaires
time

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

Cite this

Consistency and change in functional status among older adults over time. / Wolinsky, Fredric D.; Stump, Timothy E.; Callahan, Christopher M.; Johnson, Robert J.

In: Journal of Aging and Health, Vol. 8, No. 2, 13.05.1996, p. 155-182.

Research output: Contribution to journalArticle

Wolinsky, Fredric D. ; Stump, Timothy E. ; Callahan, Christopher M. ; Johnson, Robert J. / Consistency and change in functional status among older adults over time. In: Journal of Aging and Health. 1996 ; Vol. 8, No. 2. pp. 155-182.
@article{3af1d9721ef0444e91199d65fd13ec09,
title = "Consistency and change in functional status among older adults over time",
abstract = "Consistency and change between 1984 and the last reinterview (either two, four, or six years later) on 22 individual functional status markers and the five summary scales that they form are examined among the 5,986 members of the Longitudinal Study on Aging who were reinterviewed at least once. At baseline, at least three-fifths of the respondents are without limitations on any individual marker. At the last reinterview, at least 43.4{\%} of the respondents are without such limitations. Among those who had limitations at baseline, at least one-fifth get better. For those without limitations at baseline, one-seventeenth to two-fifths get worse. Difficulties in walking and doing heavy housework were the most common, most likely to develop, and least likely to resolve of any of the ADL or IADL items, and lower body limitations were more common, more likely to develop, and less likely to resolve than upper body limitations. Linear panel analysis of the five summary scales indicates that the top predictors of increased functional limitation are baseline levels of functional limitation, older age, decedent status, and poorer perceived health (in that order). Other less consistent and less robust predictors include the length of the exposure window, being female, having a history of arthritis, lower educational attainment, having fewer nonkin social supports, higher prior physician visit levels, and not living alone.",
author = "Wolinsky, {Fredric D.} and Stump, {Timothy E.} and Callahan, {Christopher M.} and Johnson, {Robert J.}",
year = "1996",
month = "5",
day = "13",
doi = "10.1177/089826439600800201",
language = "English (US)",
volume = "8",
pages = "155--182",
journal = "Journal of Aging and Health",
issn = "0898-2643",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Consistency and change in functional status among older adults over time

AU - Wolinsky, Fredric D.

AU - Stump, Timothy E.

AU - Callahan, Christopher M.

AU - Johnson, Robert J.

PY - 1996/5/13

Y1 - 1996/5/13

N2 - Consistency and change between 1984 and the last reinterview (either two, four, or six years later) on 22 individual functional status markers and the five summary scales that they form are examined among the 5,986 members of the Longitudinal Study on Aging who were reinterviewed at least once. At baseline, at least three-fifths of the respondents are without limitations on any individual marker. At the last reinterview, at least 43.4% of the respondents are without such limitations. Among those who had limitations at baseline, at least one-fifth get better. For those without limitations at baseline, one-seventeenth to two-fifths get worse. Difficulties in walking and doing heavy housework were the most common, most likely to develop, and least likely to resolve of any of the ADL or IADL items, and lower body limitations were more common, more likely to develop, and less likely to resolve than upper body limitations. Linear panel analysis of the five summary scales indicates that the top predictors of increased functional limitation are baseline levels of functional limitation, older age, decedent status, and poorer perceived health (in that order). Other less consistent and less robust predictors include the length of the exposure window, being female, having a history of arthritis, lower educational attainment, having fewer nonkin social supports, higher prior physician visit levels, and not living alone.

AB - Consistency and change between 1984 and the last reinterview (either two, four, or six years later) on 22 individual functional status markers and the five summary scales that they form are examined among the 5,986 members of the Longitudinal Study on Aging who were reinterviewed at least once. At baseline, at least three-fifths of the respondents are without limitations on any individual marker. At the last reinterview, at least 43.4% of the respondents are without such limitations. Among those who had limitations at baseline, at least one-fifth get better. For those without limitations at baseline, one-seventeenth to two-fifths get worse. Difficulties in walking and doing heavy housework were the most common, most likely to develop, and least likely to resolve of any of the ADL or IADL items, and lower body limitations were more common, more likely to develop, and less likely to resolve than upper body limitations. Linear panel analysis of the five summary scales indicates that the top predictors of increased functional limitation are baseline levels of functional limitation, older age, decedent status, and poorer perceived health (in that order). Other less consistent and less robust predictors include the length of the exposure window, being female, having a history of arthritis, lower educational attainment, having fewer nonkin social supports, higher prior physician visit levels, and not living alone.

UR - http://www.scopus.com/inward/record.url?scp=0030007121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030007121&partnerID=8YFLogxK

U2 - 10.1177/089826439600800201

DO - 10.1177/089826439600800201

M3 - Article

C2 - 10160556

AN - SCOPUS:0030007121

VL - 8

SP - 155

EP - 182

JO - Journal of Aging and Health

JF - Journal of Aging and Health

SN - 0898-2643

IS - 2

ER -