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Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges

People with serious mental illness (SMI) are more likely to experience chronic health conditions at younger ages, which increases the risk of premature death. Co-morbid health conditions and risk for premature death are well-studied in the population, however less is understood about the impact of a...

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Autores principales: Zechner, Michelle, Anderson, Ellen, Gill, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679828/
http://dx.doi.org/10.1093/geroni/igab046.1586
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author Zechner, Michelle
Anderson, Ellen
Gill, Kenneth
author_facet Zechner, Michelle
Anderson, Ellen
Gill, Kenneth
author_sort Zechner, Michelle
collection PubMed
description People with serious mental illness (SMI) are more likely to experience chronic health conditions at younger ages, which increases the risk of premature death. Co-morbid health conditions and risk for premature death are well-studied in the population, however less is understood about the impact of aging and SMI on functional ability. Research suggests that the population walk less and may have lower fitness levels than other populations (Gill et al., 2016). Specific data exploring functional age of people with SMI is sparse. The authors compared published standardized geriatric functional fitness values for people over 65 to baseline values of a community sample of people living with SMI who participated in a community health promotion intervention. The average age of the sample was 50 (SD=11). Three physical functioning measures were used in the comparison to measure physical functioning; the Sit to Stand Test, 6 Minute Walk, and Single Legged Stance. Results indicated significant differences in mean physical functioning values between the sample and standardized geriatric values. The sample performed at levels 20-30 years older than their chronological age. This finding suggests that mental health and aging services may need to adjust interventions, services and methods to improve physical functioning in middle-aged and older adults living with SMI. Premature functional decline impacts community living skills, independent living, housing choice, vocational options, and may impede personal goal attainment. Recommendations for interventions will be offered, as will suggestions for policies targeting services that cross aging and mental health silos.
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spelling pubmed-86798282021-12-17 Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges Zechner, Michelle Anderson, Ellen Gill, Kenneth Innov Aging Abstracts People with serious mental illness (SMI) are more likely to experience chronic health conditions at younger ages, which increases the risk of premature death. Co-morbid health conditions and risk for premature death are well-studied in the population, however less is understood about the impact of aging and SMI on functional ability. Research suggests that the population walk less and may have lower fitness levels than other populations (Gill et al., 2016). Specific data exploring functional age of people with SMI is sparse. The authors compared published standardized geriatric functional fitness values for people over 65 to baseline values of a community sample of people living with SMI who participated in a community health promotion intervention. The average age of the sample was 50 (SD=11). Three physical functioning measures were used in the comparison to measure physical functioning; the Sit to Stand Test, 6 Minute Walk, and Single Legged Stance. Results indicated significant differences in mean physical functioning values between the sample and standardized geriatric values. The sample performed at levels 20-30 years older than their chronological age. This finding suggests that mental health and aging services may need to adjust interventions, services and methods to improve physical functioning in middle-aged and older adults living with SMI. Premature functional decline impacts community living skills, independent living, housing choice, vocational options, and may impede personal goal attainment. Recommendations for interventions will be offered, as will suggestions for policies targeting services that cross aging and mental health silos. Oxford University Press 2021-12-17 /pmc/articles/PMC8679828/ http://dx.doi.org/10.1093/geroni/igab046.1586 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Zechner, Michelle
Anderson, Ellen
Gill, Kenneth
Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title_full Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title_fullStr Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title_full_unstemmed Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title_short Functional Mobility, Aging, and People With Mental Illness: Issues and Challenges
title_sort functional mobility, aging, and people with mental illness: issues and challenges
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679828/
http://dx.doi.org/10.1093/geroni/igab046.1586
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