Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations]
Background: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors as...
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doaj-e8e3b3aade584d94a4caaeeec9a4aa2e2020-11-25T02:31:39ZengF1000 Research LtdF1000Research2046-14022019-09-01810.12688/f1000research.17513.222460Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations]Diego Urrunaga-Pastor0Fernando M. Runzer-Colmenares1Tania M. Arones2Rosario Meza-Cordero3Silvana Taipe-Guizado4Jack M. Guralnik5Jose F. Parodi6Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, 15024, PeruUniversidad de San Martín de Porres, Facultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Lima, PeruSociedad Científica de Estudiantes de Medicina de la Universidad de San Martín de Porres, Universidad de San Martín de Porres, Lima, 15024, PeruSociedad Científica de Estudiantes de Medicina de la Universidad de San Martín de Porres, Universidad de San Martín de Porres, Lima, 15024, PeruSociedad Científica de Estudiantes de Medicina de la Universidad de San Martín de Porres, Universidad de San Martín de Porres, Lima, 15024, PeruUniversity of Maryland, School of Medicine, Baltimore, Maryland, 21211, USAUniversidad de San Martín de Porres, Facultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Lima, PeruBackground: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors associated with poor physical performance by using the Short Physical Performance Battery (SPPB) in older adults living in 11 Peruvian high Andean communities. Methods: An analytical cross-sectional study was carried out in inhabitants aged 60 or over from 11 high-altitude Andean communities of Peru during 2013-2017. Participants were categorized in two groups according to their SPPB score: poor physical performance (0-6 points) and medium/good physical performance (7-12 points). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor physical performance. Prevalence ratio (PR) with 95% confidence intervals (95 CI%) are presented. Results: A total of 407 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60-94 years) and 181 (44.5%) participants had poor physical performance (0-6 points). In the adjusted Poisson regression analysis, the factors associated with poor physical performance were: female gender (PR=1.29; 95%CI: 1.03-1.61), lack of social support (PR=2.10; 95%CI: 1.17-3.76), number of drugs used (PR=1.09; 95%CI: 1.01-1.17), urinary incontinence (PR=1.45; 95%CI: 1.16-1.82), exhaustion (PR=1.35; 95%CI: 1.03-1.75) and cognitive impairment (PR=1.89; 95%CI: 1.40-2.55). Conclusions: Almost half of the population evaluated had poor physical performance based on the SPPB. Factors that would increase the possibility of suffering from poor physical performance were: female gender, lack of social support, number of drugs used, urinary incontinence, exhaustion and cognitive impairment. Future studies with a larger sample and longitudinal follow-up are needed to design beneficial interventions for the high Andean population.https://f1000research.com/articles/8-59/v2 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Diego Urrunaga-Pastor Fernando M. Runzer-Colmenares Tania M. Arones Rosario Meza-Cordero Silvana Taipe-Guizado Jack M. Guralnik Jose F. Parodi |
spellingShingle |
Diego Urrunaga-Pastor Fernando M. Runzer-Colmenares Tania M. Arones Rosario Meza-Cordero Silvana Taipe-Guizado Jack M. Guralnik Jose F. Parodi Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] F1000Research |
author_facet |
Diego Urrunaga-Pastor Fernando M. Runzer-Colmenares Tania M. Arones Rosario Meza-Cordero Silvana Taipe-Guizado Jack M. Guralnik Jose F. Parodi |
author_sort |
Diego Urrunaga-Pastor |
title |
Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
title_short |
Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
title_full |
Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
title_fullStr |
Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
title_full_unstemmed |
Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
title_sort |
factors associated with poor physical performance in older adults of 11 peruvian high andean communities [version 2; peer review: 3 approved, 1 approved with reservations] |
publisher |
F1000 Research Ltd |
series |
F1000Research |
issn |
2046-1402 |
publishDate |
2019-09-01 |
description |
Background: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors associated with poor physical performance by using the Short Physical Performance Battery (SPPB) in older adults living in 11 Peruvian high Andean communities. Methods: An analytical cross-sectional study was carried out in inhabitants aged 60 or over from 11 high-altitude Andean communities of Peru during 2013-2017. Participants were categorized in two groups according to their SPPB score: poor physical performance (0-6 points) and medium/good physical performance (7-12 points). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor physical performance. Prevalence ratio (PR) with 95% confidence intervals (95 CI%) are presented. Results: A total of 407 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60-94 years) and 181 (44.5%) participants had poor physical performance (0-6 points). In the adjusted Poisson regression analysis, the factors associated with poor physical performance were: female gender (PR=1.29; 95%CI: 1.03-1.61), lack of social support (PR=2.10; 95%CI: 1.17-3.76), number of drugs used (PR=1.09; 95%CI: 1.01-1.17), urinary incontinence (PR=1.45; 95%CI: 1.16-1.82), exhaustion (PR=1.35; 95%CI: 1.03-1.75) and cognitive impairment (PR=1.89; 95%CI: 1.40-2.55). Conclusions: Almost half of the population evaluated had poor physical performance based on the SPPB. Factors that would increase the possibility of suffering from poor physical performance were: female gender, lack of social support, number of drugs used, urinary incontinence, exhaustion and cognitive impairment. Future studies with a larger sample and longitudinal follow-up are needed to design beneficial interventions for the high Andean population. |
url |
https://f1000research.com/articles/8-59/v2 |
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