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Foot and leg problems are important determinants of functional status in community dwelling older people
BARR ELM; BROWNING C; LORD SR; MENZ HB; KENDIG H
DISABIL REHABIL , 2005, vol. 27, n° 16, p. 917-923 Doc n°: 121055 Localisation : Documentation IRR Descripteurs : MA - GERONTOLOGIE, DE11 - GENERALITES - MEMBRE INFERIEUR Purpose. To determine whether foot and leg problems are independently associated with functional status in a community sample of older people after adjusting for the influence of socio-demographic, physical and medical factors. Method. Data were analysed from the Health Status of Older People project, a population-based study involving a random sample of 1000 community-dwelling people aged 65-94 years (533 females, 467 males, mean age 73.4 years +/- 5.87). A structured interview and brief physical examination were used to investigate the associations between self-reported foot and leg problems and functional status. Functional status was assessed using: (i) timed 'Up & Go' test, (ii) self-reported difficulty climbing stairs, (iii) self-reported difficulty walking one kilometer, (iv) self-reported difficulty performing instrumental activities of daily living (IADLs), and (v) self-reported history of one or more falls in the previous 12 months. These associations were then explored after adjusting for socio-demographic, physical and medical factors. Results. Thirty-six percent of the sample reported having foot or leg problems. Univariate analyses revealed that people with foot and leg problems were significantly more likely to exhibit poorer functional status in all parameters measured. After adjusting for socio-demographic, physical and medical factors, foot and leg problems remained significantly associated with impaired timed 'Up & Go' performance (OR=2.15, 95%CI 1.55-2.97), difficulty climbing stairs (OR=3.33, 95%CI 1.98 - 5.6 1), difficulty walking one kilometer (OR = 3.13, 95%Cl 2.09 - 4.69), and history of falling Langue : ANGLAIS |
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