There was a clear gradient in health care use with greatest use at S2 being reported by those in Group 1, and lowest use reported by those in Group 2b. In most instances (67% of proxies at S3), the proxy wrote down the participant's verbal answers; only a minority of surveys were completed based on the proxy's judgement of the participant's condition. Many variables were significantly associated with group classification on bivariate analyses ( P < 0.001). This alternative tree had a sensitivity of 70% and a specificity of 56%. By the time you reach your 50s, your strength, balance and endurance are already beginning to wane — much earlier than previously thought, according to a new study. As we age, many of our cognitive abilities start to decline. In fact, it could very well be that cognitive decline precedes physical decline in older adults. Pignatti F, Rozzini R, Trabucchi M. Physical Activity and Cognitive Decline in Elderly Persons. In a recent structured review of generic self-assessed instruments for older people, Haywood et al. These include impairments to short term working memory, processing speed, retrieval of memories/information, attention, and problem-solving. Of the 1,788 older women who completed S2 but did not complete S3, 216 withdrew because they were ‘too frail’ (by their own or an informant's report) and 474 had died. Many variables were found to be statistically significantly associated with women's physical functional health. The sensitivity of the tree in predicting declining physical functional health was 76%. This procedure is continued on each subset until the minimum subset size (default is five) is reached. Problems with feet was another important variable. There were 1,665 (24%) women in Group 1, 557 (8%) women in Group 2a, and 4,803 (68%) women in Group 2b. A similar decision tree was produced, satisfied with physical ability and the number of medications taken being key decision points. Gill et al. Crocco P(#)(1), Hoxha E(#)(1), Dato S(1), De Rango F(1), Montesanto A(1), Rose G(#)(1), Passarino G(#)(1). 3. Sign up for our monthly Lifestyle newsletter for entertainment news, healthy living tips and more. A meta-analysis of controlled trials, Survival, functional limitations and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. Study Design and Setting: participants were women from the Australian Longitudinal Study on Women's Health, who responded to three separate Surveys conducted in 1996 (when they were aged 70–75 years), 1999 and 2002. The analysis also allows assessment of the clinical usefulness of the decision structure in terms of predictive values. The distribution of some key variables across these categories is shown in Table 1 and Figure 1 . AARP is a nonprofit, nonpartisan organization that empowers people to choose how they live as they age. Published by Oxford University Press on behalf of the British Geriatrics Society. Results of bivariate analyses are consistent with other studies of factors associated with physical decline. Results: bivariate analyses reported a large number of variables significantly associated with physical decline ( P < 0.001), including age, falls, number of diagnoses, symptoms, doctor visits and medications, days spent in hospital, body mass index, living arrangements and social support. The women were aged from 70 to 75 years when randomly selected from the national Health Insurance Commission database, which covers all people in Australia, for the baseline postal survey in 1996 (Survey 1–S1) [ 9 ]. "Our research reinforces a life-span approach to maintaining physical ability — don't wait until you are 80 years old and cannot get out of a chair," lead author Katherine Hall, assistant professor of medicine at Duke, said in a statement. The women with decline in PCS scores are likely to be heterogenous in terms of the rate of decline. Excessive Physical Weakness. Loneliness is a serious problem amongst the older members of our population because it causes a decline in both mental and physical well-being in the elderly. You will be asked to register or log in. Identifying information for each woman was matched annually with the National Death Index [ 11 ]. Yale study tracks factors leading to physical decline in older adults. The performance of the decision tree is shown in Figure 2 . An individual's own rating of satisfaction with their physical ability, problems with feet and, taking five or more medications were the strongest predictors of subsequent decline. Decision tree for determining the physical functional health of older women. Free chapter from AARP’s book by Dr. Sanjay Gupta. Researchers with Duke University's School of Medicine suggest that physical decline begins in the decade of the 50s and worsens as we age, especially for those who don't exercise. 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