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The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults.
J Gerontol A Biol Sci Med Sci. 2017 Jul 01; 72(suppl_1):S11-S15.JG

Abstract

Background

Physical function decline is a major public health concern and can predict later mortality. This study aims to examine the sociodemographic factors associated with physical function decline among U.S. Chinese older adults through a longitudinal population-based study.

Methods

Data were derived from the Population Study of Chinese Elderly (PINE) at two time points: 2011-2013 and 2013-2015. Physical function was measured by observed physical performance testing, including chair stand, tandem stand, and timed walk. Mixed-effect models were used to analyze the demographic risk factors associated with physical function decline.

Results

Of the 2,713 participants in waves 1 and 2, their average age was 72.6 years old, 58.4% were female, with 8.7 years of education average, and 85.8% had an annual individual income of less than $10,000. Our findings show subjects of older age, female sex, lower education, lower income, and a greater number of medical comorbidities had lower physical function levels at baseline. Older adults experienced a faster decline in physical function for the overall performance measure (β = -.02, p < .001). Additionally, elderly adults with higher education have a faster decline of physical function in the overall performance measure (β = -.03, p < .01).

Discussion

As the first to examine physical function decline among U.S. Chinese older adults, our study finds older age and higher education are two factors associated with a faster rate of physical function decline. In future research, long-term follow up and multiple waves of data are needed to investigate risk or resilience factors for disability or recovering from disability.

Authors+Show Affiliations

Chinese Health, Aging, and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.Chinese Health, Aging, and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28575270

Citation

Dong, XinQi, et al. "The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults." The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, vol. 72, no. suppl_1, 2017, pp. S11-S15.
Dong X, Bergren SM, Simon MA. The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults. J Gerontol A Biol Sci Med Sci. 2017;72(suppl_1):S11-S15.
Dong, X., Bergren, S. M., & Simon, M. A. (2017). The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 72(suppl_1), S11-S15. https://doi.org/10.1093/gerona/glx046
Dong X, Bergren SM, Simon MA. The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults. J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S11-S15. PubMed PMID: 28575270.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Decline of Directly Observed Physical Function Performance Among U.S. Chinese Older Adults. AU - Dong,XinQi, AU - Bergren,Stephanie M, AU - Simon,Melissa A, PY - 2017/01/17/received PY - 2017/03/08/accepted PY - 2017/6/3/entrez PY - 2017/6/3/pubmed PY - 2017/8/22/medline KW - epidemiology KW - functional performance KW - minority aging KW - risk factors SP - S11 EP - S15 JF - The journals of gerontology. Series A, Biological sciences and medical sciences JO - J. Gerontol. A Biol. Sci. Med. Sci. VL - 72 IS - suppl_1 N2 - Background: Physical function decline is a major public health concern and can predict later mortality. This study aims to examine the sociodemographic factors associated with physical function decline among U.S. Chinese older adults through a longitudinal population-based study. Methods: Data were derived from the Population Study of Chinese Elderly (PINE) at two time points: 2011-2013 and 2013-2015. Physical function was measured by observed physical performance testing, including chair stand, tandem stand, and timed walk. Mixed-effect models were used to analyze the demographic risk factors associated with physical function decline. Results: Of the 2,713 participants in waves 1 and 2, their average age was 72.6 years old, 58.4% were female, with 8.7 years of education average, and 85.8% had an annual individual income of less than $10,000. Our findings show subjects of older age, female sex, lower education, lower income, and a greater number of medical comorbidities had lower physical function levels at baseline. Older adults experienced a faster decline in physical function for the overall performance measure (β = -.02, p < .001). Additionally, elderly adults with higher education have a faster decline of physical function in the overall performance measure (β = -.03, p < .01). Discussion: As the first to examine physical function decline among U.S. Chinese older adults, our study finds older age and higher education are two factors associated with a faster rate of physical function decline. In future research, long-term follow up and multiple waves of data are needed to investigate risk or resilience factors for disability or recovering from disability. SN - 1758-535X UR - https://www.unboundmedicine.com/medline/citation/28575270/The_Decline_of_Directly_Observed_Physical_Function_Performance_Among_U_S__Chinese_Older_Adults_ L2 - https://academic.oup.com/biomedgerontology/article-lookup/doi/10.1093/gerona/glx046 DB - PRIME DP - Unbound Medicine ER -