Verghese J, Wang C, Xue X, Holtzer R. Self-reported difficulty in climbing up or down stairs in nondisabled elderly.
To examine clinical and functional correlates of self-reported difficulty in climbing up or climbing down stairs in older adults.
Older adults (N=310; mean age, 79.7y; 62% women), without disability or dementia.
Main Outcome Measures
Clinical and functional status as well as activity limitations (able to perform activities of daily living [ADLs] with some difficulty).
Of the 310 subjects, 140 reported difficulties in climbing up and 83 in climbing down stairs (59 both). Self-reported difficulty in climbing up stairs was associated with hypertension, arthritis, and depressive symptoms. Difficulty in climbing up stairs was also associated with poor balance and grip strength as well as neurologic gait abnormalities. Subjects with difficulty climbing down stairs had more falls. Both activities were associated with leg claudication, fear of falling, non-neurologic gait abnormalities, and slow gait. Examined individually, self-reported difficulty climbing down stairs captured a wider spectrum of ADL limitations than climbing up stairs. However, combined difficulty in both phases of stair climbing had a stronger association with activity limitations (vs no difficulty; odds ratio, 6.58; 95% confidence interval, 3.35−12.91) than difficulty in any one phase alone.
Self-reported difficulty in climbing up and down stairs revealed commonalities as well as differences in related clinical correlates. Difficulty in both climbing up and down stairs should be separately assessed to better capture clinical and functional status in older adults.
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- An epidemiology of disability among adults in the United States.Milbank Mem Fund Q Health Soc. 1976; 54: 439-467
- The burden and patterns of disability in activities of daily living among community-living older persons.J Gerontol A Biol Sci Med Sci. 2003; 58: 70-75
- The disablement process.Soc Sci Med. 1994; 38: 1-14
- Examining the disablement process among older Mexican American adults.Soc Sci Med. 2003; 57: 413-425
- Preclinical mobility disability predicts incident mobility disability in older women.J Gerontol A Biol Sci Med Sci. 2000; 55: M43-M52
- Characterization of older adults who attribute functional decrements to “old age”.J Am Geriatr Soc. 1996; 44: 1429-1434
- Stair negotiation in older people: a review.J Am Geriatr Soc. 2000; 48: 567-580
- Is stair negotiation measured appropriately in functional assessment scales?.Clin Rehabil. 2003; 17: 325-333
- Stair performance in people aged 75 and older.J Am Geriatr Soc. 2004; 52: 563-567
- Functional task benchmarks for stroke rehabilitation.Arch Phys Med Rehabil. 1998; 79: 497-504
- Care needs and level of care difficulty related to hip fractures in geriatric populations during the post-discharge transition period.J Nurs Res. 2006; 14: 251-260
- Energy cost of stair climbing and descending on the college alumnus questionnaire.Med Sci Sports Exerc. 1997; 29: 1250-1254
- Risk factors for falls among elderly persons living in the community.N Engl J Med. 1988; 319: 1701-1707
- Screening for dementia by telephone using the memory impairment screen.J Am Geriatr Soc. 2003; 51: 1382-1390
- Epidemiology of gait disorders in community residing elderly.J Am Geriatr Soc. 2006; 54: 255-261
- Diagnostic and statistical manual of mental disorders.4th ed. APA, Washington (DC)1994
- Cognitive processes related to gait velocity: results from the Einstein Aging Study.Neuropsychology. 2006; 20: 215-223
- The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects.Br J Psychiatry. 1968; 114: 797-811
- Development and validation of a geriatric depression rating scale: a preliminary report.J Psychiatr Res 1982-. 1983; 17: 37-49
- Gait characteristics in nondisabled community-residing nonagenarians.Arch Phys Med Rehabil. 2006; 87: 541-545
- Walking while talking: effect of task prioritization in the elderly.Arch Phys Med Rehabil. 2007; 88: 50-53
- Midlife hand grip strength as a predictor of old age disability.JAMA. 1999; 281: 558-560
- Unipedal stance testing as an indicator of fall risk among older outpatients.Arch Phys Med Rehabil. 2000; 81: 587-591
- Statistical methods for rates and proportions.in: 2nd ed. John Wiley, New York1981: 38-46
- The staircase: studies of hazards, falls, and safer design.MIT Pr, Cambridge1992
- The prevalence and correlates of fear of falling in elderly persons living in the community.Am J Public Health. 1994; 84: 565-570
Supported by National Institutes on Aging (grant nos. AGO3949, RO1 AGO25119) and a Paul B. Beeson Career Development Award (grant no. NIA-K23 AG024848).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
© 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.