Association of lung function with functional limitation in older adults: A cross-sectional study.

<h4>Introduction</h4>Impaired lung function is independently associated with higher rates of disability, however, few studies have examined the association between lung function and functional limitation. This study aimed to assess this association and dose-response relationship in older...

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Autores principales: Yu Gao, Liang Shen, Runqing Zhan, Xiaoxu Wang, Huanhuan Chen, Xiaoli Shen
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:d73e7d27db524ffdb1fca8c2ce29b68f2021-12-02T20:09:51ZAssociation of lung function with functional limitation in older adults: A cross-sectional study.1932-620310.1371/journal.pone.0253606https://doaj.org/article/d73e7d27db524ffdb1fca8c2ce29b68f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253606https://doaj.org/toc/1932-6203<h4>Introduction</h4>Impaired lung function is independently associated with higher rates of disability, however, few studies have examined the association between lung function and functional limitation. This study aimed to assess this association and dose-response relationship in older adults.<h4>Methods</h4>Data from the National Health and Nutrition Examination Survey (2007-2012) was used as a cross-sectional study. Lung function was determined by Forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Functional limitation in older adults was identified by six self-reported questions on physical function. 3070 adults aged 60 and over were enrolled in our study. Logistic regression models and restricted cubic spline models were applied to examine the association between lung function and the risk of functional limitation.<h4>Results</h4>FEV1 and FVC were inversely associated with the risk of functional limitation. In the full adjusted model, compared with the lowest tertile of FEV1, the odds ratios (95% confidence intervals) of functional limitation for tertile 2 and tertile 3 were 0.5422 (0.3848-0.7639) and 0.4403 (0.2685-0.7220), and the odds ratios (95% confidence intervals) of functional limitation for tertile 2 and tertile 3 of FVC were 0.5243 (0.3503-0.7848) and 0.3726 (0.2072-0.6698). Furthermore, an inverse association persisted after stratified analysis by gender and sensitivity analysis. Dose-response analyses showed that the odds of functional limitation declined with increase in FEV1 and FVC in a nonlinear manner.<h4>Conclusions</h4>Lung function was inversely associated with functional limitation among older adults.Yu GaoLiang ShenRunqing ZhanXiaoxu WangHuanhuan ChenXiaoli ShenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253606 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yu Gao
Liang Shen
Runqing Zhan
Xiaoxu Wang
Huanhuan Chen
Xiaoli Shen
Association of lung function with functional limitation in older adults: A cross-sectional study.
description <h4>Introduction</h4>Impaired lung function is independently associated with higher rates of disability, however, few studies have examined the association between lung function and functional limitation. This study aimed to assess this association and dose-response relationship in older adults.<h4>Methods</h4>Data from the National Health and Nutrition Examination Survey (2007-2012) was used as a cross-sectional study. Lung function was determined by Forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Functional limitation in older adults was identified by six self-reported questions on physical function. 3070 adults aged 60 and over were enrolled in our study. Logistic regression models and restricted cubic spline models were applied to examine the association between lung function and the risk of functional limitation.<h4>Results</h4>FEV1 and FVC were inversely associated with the risk of functional limitation. In the full adjusted model, compared with the lowest tertile of FEV1, the odds ratios (95% confidence intervals) of functional limitation for tertile 2 and tertile 3 were 0.5422 (0.3848-0.7639) and 0.4403 (0.2685-0.7220), and the odds ratios (95% confidence intervals) of functional limitation for tertile 2 and tertile 3 of FVC were 0.5243 (0.3503-0.7848) and 0.3726 (0.2072-0.6698). Furthermore, an inverse association persisted after stratified analysis by gender and sensitivity analysis. Dose-response analyses showed that the odds of functional limitation declined with increase in FEV1 and FVC in a nonlinear manner.<h4>Conclusions</h4>Lung function was inversely associated with functional limitation among older adults.
format article
author Yu Gao
Liang Shen
Runqing Zhan
Xiaoxu Wang
Huanhuan Chen
Xiaoli Shen
author_facet Yu Gao
Liang Shen
Runqing Zhan
Xiaoxu Wang
Huanhuan Chen
Xiaoli Shen
author_sort Yu Gao
title Association of lung function with functional limitation in older adults: A cross-sectional study.
title_short Association of lung function with functional limitation in older adults: A cross-sectional study.
title_full Association of lung function with functional limitation in older adults: A cross-sectional study.
title_fullStr Association of lung function with functional limitation in older adults: A cross-sectional study.
title_full_unstemmed Association of lung function with functional limitation in older adults: A cross-sectional study.
title_sort association of lung function with functional limitation in older adults: a cross-sectional study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/d73e7d27db524ffdb1fca8c2ce29b68f
work_keys_str_mv AT yugao associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
AT liangshen associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
AT runqingzhan associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
AT xiaoxuwang associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
AT huanhuanchen associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
AT xiaolishen associationoflungfunctionwithfunctionallimitationinolderadultsacrosssectionalstudy
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