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    Factors associated with poor physical performance in older adults of 11 peruvian high andean communities

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    Author
    Urrunaga-Pastor, D.
    Runzer-Colmenares, F.M.
    Arones, T.M.
    Date
    2019
    Journal
    F1000Research
    Publisher
    F1000 Research Ltd
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.12688/f1000research.17513.1
    Abstract
    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. Copyright 2019 Urrunaga-Pastor D et al.
    Description
    version 1; peer review: 3 approved, 1 approved with reservations
    Keyword
    Altitude
    Elderly
    Latin America
    Peru
    Physical performance
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063713102&doi=10.12688%2ff1000research.17513.1&partnerID=40&md5=25f5a6648010106c14f19d49c5ae155f; http://hdl.handle.net/10713/10633
    ae974a485f413a2113503eed53cd6c53
    10.12688/f1000research.17513.1
    Scopus Count
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    UMB Open Access Articles 2019

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