Self-Reported Difficulty in Climbing Up or Down Stairs in Nondisabled Elderly

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Abstract

Verghese J, Wang C, Xue X, Holtzer R. Self-reported difficulty in climbing up or down stairs in nondisabled elderly. Objective: To examine clinical and functional correlates of self-reported difficulty in climbing up or climbing down stairs in older adults. Design: Cross-sectional survey. Setting: Community sample. Participants: Older adults (N=310; mean age, 79.7y; 62% women), without disability or dementia. Interventions: Not applicable. Main Outcome Measures: Clinical and functional status as well as activity limitations (able to perform activities of daily living [ADLs] with some difficulty). Results: Of the 310 subjects, 140 reported difficulties in climbing up and 83 in climbing down stairs (59 both). Self-reported difficulty in climbing up stairs was associated with hypertension, arthritis, and depressive symptoms. Difficulty in climbing up stairs was also associated with poor balance and grip strength as well as neurologic gait abnormalities. Subjects with difficulty climbing down stairs had more falls. Both activities were associated with leg claudication, fear of falling, non-neurologic gait abnormalities, and slow gait. Examined individually, self-reported difficulty climbing down stairs captured a wider spectrum of ADL limitations than climbing up stairs. However, combined difficulty in both phases of stair climbing had a stronger association with activity limitations (vs no difficulty; odds ratio, 6.58; 95% confidence interval, 3.35-12.91) than difficulty in any one phase alone. Conclusions: Self-reported difficulty in climbing up and down stairs revealed commonalities as well as differences in related clinical correlates. Difficulty in both climbing up and down stairs should be separately assessed to better capture clinical and functional status in older adults.

Original languageEnglish (US)
Pages (from-to)100-104
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume89
Issue number1
DOIs
StatePublished - Jan 2008

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Gait
Activities of Daily Living
Accidental Falls
Nervous System Malformations
Stair Climbing
Hand Strength
Arthritis
Fear
Dementia
Leg
Cross-Sectional Studies
Odds Ratio
Outcome Assessment (Health Care)
Confidence Intervals
Depression
Hypertension

Keywords

  • Activities of daily living
  • Aged
  • Rehabilitation
  • Walking

ASJC Scopus subject areas

  • Rehabilitation

Cite this

@article{1146623d0c37462bafe882ee44985b5a,
title = "Self-Reported Difficulty in Climbing Up or Down Stairs in Nondisabled Elderly",
abstract = "Verghese J, Wang C, Xue X, Holtzer R. Self-reported difficulty in climbing up or down stairs in nondisabled elderly. Objective: To examine clinical and functional correlates of self-reported difficulty in climbing up or climbing down stairs in older adults. Design: Cross-sectional survey. Setting: Community sample. Participants: Older adults (N=310; mean age, 79.7y; 62{\%} women), without disability or dementia. Interventions: Not applicable. Main Outcome Measures: Clinical and functional status as well as activity limitations (able to perform activities of daily living [ADLs] with some difficulty). Results: Of the 310 subjects, 140 reported difficulties in climbing up and 83 in climbing down stairs (59 both). Self-reported difficulty in climbing up stairs was associated with hypertension, arthritis, and depressive symptoms. Difficulty in climbing up stairs was also associated with poor balance and grip strength as well as neurologic gait abnormalities. Subjects with difficulty climbing down stairs had more falls. Both activities were associated with leg claudication, fear of falling, non-neurologic gait abnormalities, and slow gait. Examined individually, self-reported difficulty climbing down stairs captured a wider spectrum of ADL limitations than climbing up stairs. However, combined difficulty in both phases of stair climbing had a stronger association with activity limitations (vs no difficulty; odds ratio, 6.58; 95{\%} confidence interval, 3.35-12.91) than difficulty in any one phase alone. Conclusions: Self-reported difficulty in climbing up and down stairs revealed commonalities as well as differences in related clinical correlates. Difficulty in both climbing up and down stairs should be separately assessed to better capture clinical and functional status in older adults.",
keywords = "Activities of daily living, Aged, Rehabilitation, Walking",
author = "Joe Verghese and Cuiling Wang and Xue, {Xiaonan (Nan)} and Roee Holtzer",
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N2 - Verghese J, Wang C, Xue X, Holtzer R. Self-reported difficulty in climbing up or down stairs in nondisabled elderly. Objective: To examine clinical and functional correlates of self-reported difficulty in climbing up or climbing down stairs in older adults. Design: Cross-sectional survey. Setting: Community sample. Participants: Older adults (N=310; mean age, 79.7y; 62% women), without disability or dementia. Interventions: Not applicable. Main Outcome Measures: Clinical and functional status as well as activity limitations (able to perform activities of daily living [ADLs] with some difficulty). Results: Of the 310 subjects, 140 reported difficulties in climbing up and 83 in climbing down stairs (59 both). Self-reported difficulty in climbing up stairs was associated with hypertension, arthritis, and depressive symptoms. Difficulty in climbing up stairs was also associated with poor balance and grip strength as well as neurologic gait abnormalities. Subjects with difficulty climbing down stairs had more falls. Both activities were associated with leg claudication, fear of falling, non-neurologic gait abnormalities, and slow gait. Examined individually, self-reported difficulty climbing down stairs captured a wider spectrum of ADL limitations than climbing up stairs. However, combined difficulty in both phases of stair climbing had a stronger association with activity limitations (vs no difficulty; odds ratio, 6.58; 95% confidence interval, 3.35-12.91) than difficulty in any one phase alone. Conclusions: Self-reported difficulty in climbing up and down stairs revealed commonalities as well as differences in related clinical correlates. Difficulty in both climbing up and down stairs should be separately assessed to better capture clinical and functional status in older adults.

AB - Verghese J, Wang C, Xue X, Holtzer R. Self-reported difficulty in climbing up or down stairs in nondisabled elderly. Objective: To examine clinical and functional correlates of self-reported difficulty in climbing up or climbing down stairs in older adults. Design: Cross-sectional survey. Setting: Community sample. Participants: Older adults (N=310; mean age, 79.7y; 62% women), without disability or dementia. Interventions: Not applicable. Main Outcome Measures: Clinical and functional status as well as activity limitations (able to perform activities of daily living [ADLs] with some difficulty). Results: Of the 310 subjects, 140 reported difficulties in climbing up and 83 in climbing down stairs (59 both). Self-reported difficulty in climbing up stairs was associated with hypertension, arthritis, and depressive symptoms. Difficulty in climbing up stairs was also associated with poor balance and grip strength as well as neurologic gait abnormalities. Subjects with difficulty climbing down stairs had more falls. Both activities were associated with leg claudication, fear of falling, non-neurologic gait abnormalities, and slow gait. Examined individually, self-reported difficulty climbing down stairs captured a wider spectrum of ADL limitations than climbing up stairs. However, combined difficulty in both phases of stair climbing had a stronger association with activity limitations (vs no difficulty; odds ratio, 6.58; 95% confidence interval, 3.35-12.91) than difficulty in any one phase alone. Conclusions: Self-reported difficulty in climbing up and down stairs revealed commonalities as well as differences in related clinical correlates. Difficulty in both climbing up and down stairs should be separately assessed to better capture clinical and functional status in older adults.

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