BACKGROUND AND OBJECTIVES: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. METHODS AND SETTING: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. RESULTS: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. CONCLUSION: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
BACKGROUND AND OBJECTIVES: Compare performance-based functioning over 2 years among elderly womenhip fracturepatients vs. community-dwelling older women. METHODS AND SETTING: 268 hip fracturepatients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. RESULTS: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracturepatients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracturepatients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. CONCLUSION: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
Authors: P Thingstad; K Taraldsen; I Saltvedt; O Sletvold; B Vereijken; S E Lamb; J L Helbostad Journal: Osteoporos Int Date: 2015-09-14 Impact factor: 4.507
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Authors: J Magaziner; L Wehren; W G Hawkes; D Orwig; J R Hebel; L Fredman; K Stone; S Zimmerman; M C Hochberg Journal: Osteoporos Int Date: 2006-04-07 Impact factor: 4.507
Authors: L Reider; T J Beck; M C Hochberg; W G Hawkes; D Orwig; J A YuYahiro; J R Hebel; J Magaziner Journal: Osteoporos Int Date: 2009-07-02 Impact factor: 4.507
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