Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment
Daniel A Andersen1,5, Bernard A Roos1–4, Damian C Stanziano1,3, Natasha M Gonzalez3, Joseph F Signorile1–31Stein Gerontological Institute, Miami, FL; 2Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Miami, FL; 3Department of Exercise and Sport...
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Dove Medical Press
2007
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oai:doaj.org-article:86a0ff3b9708427782b0c8bf2c0735d42021-12-02T00:21:36ZWalker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment1178-1998https://doaj.org/article/86a0ff3b9708427782b0c8bf2c0735d42007-04-01T00:00:00Zhttps://www.dovepress.com/walker-use-but-not-falls-is-associated-with-lower-physical-functioning-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Daniel A Andersen1,5, Bernard A Roos1–4, Damian C Stanziano1,3, Natasha M Gonzalez3, Joseph F Signorile1–31Stein Gerontological Institute, Miami, FL; 2Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Miami, FL; 3Department of Exercise and Sport Sciences, University of Miami, Coral Gables, FL; 4Departments of Medicine and Neurology, University of Miami Miller School of Medicine, Miami, FL; 5Department of Epidemiology and Public Health, University of Miami School of Medicine, Miami, FL, USAAbstract: The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 ± 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA) with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers.Keywords: physical function, threshold, walking aid, elderly, perceived healthDaniel A AndersenBernard A RoosDamian C StanzianoNatasha M GonzalezJoseph F SignorileDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 2, Pp 123-137 (2007) |
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Geriatrics RC952-954.6 Daniel A Andersen Bernard A Roos Damian C Stanziano Natasha M Gonzalez Joseph F Signorile Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
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Daniel A Andersen1,5, Bernard A Roos1–4, Damian C Stanziano1,3, Natasha M Gonzalez3, Joseph F Signorile1–31Stein Gerontological Institute, Miami, FL; 2Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Miami, FL; 3Department of Exercise and Sport Sciences, University of Miami, Coral Gables, FL; 4Departments of Medicine and Neurology, University of Miami Miller School of Medicine, Miami, FL; 5Department of Epidemiology and Public Health, University of Miami School of Medicine, Miami, FL, USAAbstract: The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 ± 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA) with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers.Keywords: physical function, threshold, walking aid, elderly, perceived health |
format |
article |
author |
Daniel A Andersen Bernard A Roos Damian C Stanziano Natasha M Gonzalez Joseph F Signorile |
author_facet |
Daniel A Andersen Bernard A Roos Damian C Stanziano Natasha M Gonzalez Joseph F Signorile |
author_sort |
Daniel A Andersen |
title |
Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
title_short |
Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
title_full |
Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
title_fullStr |
Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
title_full_unstemmed |
Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
title_sort |
walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment |
publisher |
Dove Medical Press |
publishDate |
2007 |
url |
https://doaj.org/article/86a0ff3b9708427782b0c8bf2c0735d4 |
work_keys_str_mv |
AT danielaandersen walkerusebutnotfallsisassociatedwithlowerphysicalfunctioningandhealthofresidentsinanassistedlivingenvironment AT bernardaroos walkerusebutnotfallsisassociatedwithlowerphysicalfunctioningandhealthofresidentsinanassistedlivingenvironment AT damiancstanziano walkerusebutnotfallsisassociatedwithlowerphysicalfunctioningandhealthofresidentsinanassistedlivingenvironment AT natashamgonzalez walkerusebutnotfallsisassociatedwithlowerphysicalfunctioningandhealthofresidentsinanassistedlivingenvironment AT josephfsignorile walkerusebutnotfallsisassociatedwithlowerphysicalfunctioningandhealthofresidentsinanassistedlivingenvironment |
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