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Psychosocial and Health-Related Factors Associated With Discordance Between 13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based Physical Functioning in Old Age
Objective: The objective of this study was to examine correlates of discordance between 13-year trajectories of self-reported functional limitations and performance-based physical functioning in older adults. Method: We included 2,135 participants from the population-based Longitudinal Aging Study A...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731649/ https://www.ncbi.nlm.nih.gov/pubmed/31686583 http://dx.doi.org/10.1177/0898264319884404 |
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author | Kok, Almar A. L. Henstra, Marieke J. van der Velde, Nathalie Rhebergen, Didi van Schoor, Natasja M. |
author_facet | Kok, Almar A. L. Henstra, Marieke J. van der Velde, Nathalie Rhebergen, Didi van Schoor, Natasja M. |
author_sort | Kok, Almar A. L. |
collection | PubMed |
description | Objective: The objective of this study was to examine correlates of discordance between 13-year trajectories of self-reported functional limitations and performance-based physical functioning in older adults. Method: We included 2,135 participants from the population-based Longitudinal Aging Study Amsterdam, the Netherlands, followed across 1995-2008. Self-reported functional limitations included six (instrumental) activities of daily living. Performance-based functioning was a composite of four tests. We used latent class growth analysis and multinomial logistic regression to examine discordance and its correlates. Results: Patterns of discordance and concordance (41% concordance, 46% “overestimation” of daily functioning, 13% “underestimation”) appeared to be persistent over 13 years. Older age, male sex, cognitive impairment, absence of pain, and light alcohol use were associated with overestimation. Younger age, female sex, and lower self-rated health were associated with underestimation. Discussion: Factors associated with overestimation partly differ from those associated with underestimation. Factors that are highly stable over time are particularly good indicators of persistent discordance. |
format | Online Article Text |
id | pubmed-7731649 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77316492021-01-08 Psychosocial and Health-Related Factors Associated With Discordance Between 13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based Physical Functioning in Old Age Kok, Almar A. L. Henstra, Marieke J. van der Velde, Nathalie Rhebergen, Didi van Schoor, Natasja M. J Aging Health Articles Objective: The objective of this study was to examine correlates of discordance between 13-year trajectories of self-reported functional limitations and performance-based physical functioning in older adults. Method: We included 2,135 participants from the population-based Longitudinal Aging Study Amsterdam, the Netherlands, followed across 1995-2008. Self-reported functional limitations included six (instrumental) activities of daily living. Performance-based functioning was a composite of four tests. We used latent class growth analysis and multinomial logistic regression to examine discordance and its correlates. Results: Patterns of discordance and concordance (41% concordance, 46% “overestimation” of daily functioning, 13% “underestimation”) appeared to be persistent over 13 years. Older age, male sex, cognitive impairment, absence of pain, and light alcohol use were associated with overestimation. Younger age, female sex, and lower self-rated health were associated with underestimation. Discussion: Factors associated with overestimation partly differ from those associated with underestimation. Factors that are highly stable over time are particularly good indicators of persistent discordance. SAGE Publications 2019-11-05 2020-10 /pmc/articles/PMC7731649/ /pubmed/31686583 http://dx.doi.org/10.1177/0898264319884404 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Kok, Almar A. L. Henstra, Marieke J. van der Velde, Nathalie Rhebergen, Didi van Schoor, Natasja M. Psychosocial and Health-Related Factors Associated With Discordance Between 13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based Physical Functioning in Old Age |
title | Psychosocial and Health-Related Factors Associated With Discordance Between
13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based
Physical Functioning in Old Age |
title_full | Psychosocial and Health-Related Factors Associated With Discordance Between
13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based
Physical Functioning in Old Age |
title_fullStr | Psychosocial and Health-Related Factors Associated With Discordance Between
13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based
Physical Functioning in Old Age |
title_full_unstemmed | Psychosocial and Health-Related Factors Associated With Discordance Between
13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based
Physical Functioning in Old Age |
title_short | Psychosocial and Health-Related Factors Associated With Discordance Between
13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based
Physical Functioning in Old Age |
title_sort | psychosocial and health-related factors associated with discordance between
13-year trajectories of self-reported functional limitations and performance-based
physical functioning in old age |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731649/ https://www.ncbi.nlm.nih.gov/pubmed/31686583 http://dx.doi.org/10.1177/0898264319884404 |
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