Brittney S Lange-Maia1, Sheila A Dugan2, Melissa M Crane3, Joselyn L Williams3, Rev Steve M Epting4, Elizabeth B Lynch5. 1. Department of Preventive Medicine, Rush University Medical Center, Chicago, Illinois; Center for Community Health Equity, Rush University Medical Center, Chicago, Illinois. Electronic address: brittney_lange-maia@rush.edu. 2. Department of Physical Medicine and Rehabilitation, Rush University Medical Center, Chicago, Illinois. 3. Department of Preventive Medicine, Rush University Medical Center, Chicago, Illinois. 4. Hope Community Church, Chicago, Illinois. 5. Department of Preventive Medicine, Rush University Medical Center, Chicago, Illinois; Center for Community Health Equity, Rush University Medical Center, Chicago, Illinois.
Abstract
INTRODUCTION: Limitations in physical function are predictive of adverse health outcomes, and screening has been recommended in clinical settings for older adults. Rarely assessed in community-based settings, physical function could provide insight for tailoring health-related community-based programs and raise awareness about this important aspect of health. This cross-sectional study seeks to demonstrate the feasibility of integrating physical function assessments into health screenings in African American churches in Chicago, Illinois, through a large health partnership and to determine the prevalence and correlates of physical function limitations among midlife (aged 40-59 years) and late-life (aged ≥60 years) participants. METHODS: Screenings were held in 7 churches in Spring 2018. Physical function was assessed using the Short Physical Performance Battery. Demographics, medical history, health status, and health behaviors were assessed. Age-stratified logistic regression identified independent associations with physical function limitations (Score ≤9) among midlife and late-life participants (data were analyzed in 2018-2019). RESULTS: Among 731 participants (median age=57 [IQR=51-65] years, 58% women, 97% African American), 25% of midlife and 56% of late-life participants had physical function limitations. For midlife participants, fair/poor health (OR=1.83, 95% CI=1.10, 3.05), stroke/neurologic conditions (OR=2.42, 95% CI=1.07, 5.46), and arthritis (OR=2.25, 95% CI=1.32, 3.81) were associated with higher odds of limitations. Fair/poor health (OR=1.97, 95% CI=1.11, 3.50) and stroke/neurologic conditions (OR=7.85, 95% CI=2.22, 27.74) were related to limitations among late-life participants. CONCLUSIONS: Physical function screening was successfully implemented into this large-scale church-based health screening program. Physical function limitations were prevalent, particularly at midlife; this information will be used to guide future programs.
INTRODUCTION: Limitations in physical function are predictive of adverse health outcomes, and screening has been recommended in clinical settings for older adults. Rarely assessed in community-based settings, physical function could provide insight for tailoring health-related community-based programs and raise awareness about this important aspect of health. This cross-sectional study seeks to demonstrate the feasibility of integrating physical function assessments into health screenings in African American churches in Chicago, Illinois, through a large health partnership and to determine the prevalence and correlates of physical function limitations among midlife (aged 40-59 years) and late-life (aged ≥60 years) participants. METHODS: Screenings were held in 7 churches in Spring 2018. Physical function was assessed using the Short Physical Performance Battery. Demographics, medical history, health status, and health behaviors were assessed. Age-stratified logistic regression identified independent associations with physical function limitations (Score ≤9) among midlife and late-life participants (data were analyzed in 2018-2019). RESULTS: Among 731 participants (median age=57 [IQR=51-65] years, 58% women, 97% African American), 25% of midlife and 56% of late-life participants had physical function limitations. For midlife participants, fair/poor health (OR=1.83, 95% CI=1.10, 3.05), stroke/neurologic conditions (OR=2.42, 95% CI=1.07, 5.46), and arthritis (OR=2.25, 95% CI=1.32, 3.81) were associated with higher odds of limitations. Fair/poor health (OR=1.97, 95% CI=1.11, 3.50) and stroke/neurologic conditions (OR=7.85, 95% CI=2.22, 27.74) were related to limitations among late-life participants. CONCLUSIONS: Physical function screening was successfully implemented into this large-scale church-based health screening program. Physical function limitations were prevalent, particularly at midlife; this information will be used to guide future programs.
Authors: J M Guralnik; L Ferrucci; C F Pieper; S G Leveille; K S Markides; G V Ostir; S Studenski; L F Berkman; R B Wallace Journal: J Gerontol A Biol Sci Med Sci Date: 2000-04 Impact factor: 6.053
Authors: Elizabeth B Lynch; Joselyn Williams; Elizabeth Avery; Melissa M Crane; Brittney Lange-Maia; Christy Tangney; LaDawne Jenkins; Sheila A Dugan; Erin E Emery-Tiburcio; Steve M Epting Journal: J Community Health Date: 2020-02
Authors: Stephanie Studenski; Subashan Perera; Dennis Wallace; Julie M Chandler; Pamela W Duncan; Earl Rooney; Michael Fox; Jack M Guralnik Journal: J Am Geriatr Soc Date: 2003-03 Impact factor: 5.562
Authors: Brittney S Lange-Maia; Carrie A Karvonen-Gutierrez; Rasa Kazlauskaite; Elsa S Strotmeyer; Kelly Karavolos; Bradley M Appelhans; Imke Janssen; Elizabeth F Avery; Sheila A Dugan; Howard M Kravitz Journal: J Gerontol A Biol Sci Med Sci Date: 2020-06-18 Impact factor: 6.053
Authors: Rebecca T Brown; L Grisell Diaz-Ramirez; W John Boscardin; Sei J Lee; Michael A Steinman Journal: Ann Intern Med Date: 2017-10-31 Impact factor: 25.391
Authors: Brittney S Lange-Maia; Kelly Karavolos; Elizabeth F Avery; Elsa S Strotmeyer; Carrie A Karvonen-Gutierrez; Bradley M Appelhans; Imke Janssen; Sheila A Dugan; Howard M Kravitz Journal: Womens Midlife Health Date: 2020-07-28