Mobility Difficulties Are Not Only a Problem of Old Age
BACKGROUND: Lower extremity mobility difficulties often result from common medical conditions and can disrupt both physical and emotional well‐being. OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic...
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| Veröffentlicht in: | Journal of general internal medicine : JGIM 2001-04, Vol.16 (4), p.235-243 |
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| creator | Iezzoni, Lisa I. McCarthy, Ellen P. Davis, Roger B. Siebens, Hilary |
| description | BACKGROUND: Lower extremity mobility difficulties often result from common medical conditions and can disrupt both physical and emotional well‐being.
OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic characteristics and other physical and mental health problems.
DESIGN: Cross‐sectional survey using the 1994–1995 National Health Interview Survey‐Disability Supplement (NHIS‐D). We constructed measures of minor, moderate, and major lower extremity mobility difficulties using questions about ability to walk, climb stairs, and stand, and use of mobility aids (e.g., canes, wheelchairs). Age and gender adjustment used direct standardization methods in Software for the Statistical Analysis of Correlated Data (SUDAAN).
PARTICIPANTS: Noninstitutionalized, civilian U.S. residents aged 18 years and older. National Health Interview Survey sampling weights with SUDAAN provided nationally representative population estimates.
RESULTS: An estimated 19 million people (10.1%) reported some mobility difficulty. The mean age of those with minor, moderate, or major difficulty ranged from 59 to 67 years. Of those reporting major difficulties, 32% said their problems began at aged 50 years or younger. Adjusted problem rates were higher among women (11.8%) than men (8.8%), and higher among African American (15.0%) than whites (10.0%). Persons with mobility difficulties were more likely to be poorly educated, living alone, impoverished, obese, and having problems conducting daily activities. Among persons with major mobility difficulties, 30.6% reported being frequently depressed or anxious, compared to 3.8% for persons without mobility difficulties.
CONCLUSIONS: Reports of mobility difficulties are common, including among middle‐aged adults. Associations with poor performance of daily activities, depression, anxiety, and poverty highlight the need for comprehensive care for persons with mobility problems. |
| doi_str_mv | 10.1046/j.1525-1497.2001.016004235.x |
| format | Article |
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OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic characteristics and other physical and mental health problems.
DESIGN: Cross‐sectional survey using the 1994–1995 National Health Interview Survey‐Disability Supplement (NHIS‐D). We constructed measures of minor, moderate, and major lower extremity mobility difficulties using questions about ability to walk, climb stairs, and stand, and use of mobility aids (e.g., canes, wheelchairs). Age and gender adjustment used direct standardization methods in Software for the Statistical Analysis of Correlated Data (SUDAAN).
PARTICIPANTS: Noninstitutionalized, civilian U.S. residents aged 18 years and older. National Health Interview Survey sampling weights with SUDAAN provided nationally representative population estimates.
RESULTS: An estimated 19 million people (10.1%) reported some mobility difficulty. The mean age of those with minor, moderate, or major difficulty ranged from 59 to 67 years. Of those reporting major difficulties, 32% said their problems began at aged 50 years or younger. Adjusted problem rates were higher among women (11.8%) than men (8.8%), and higher among African American (15.0%) than whites (10.0%). Persons with mobility difficulties were more likely to be poorly educated, living alone, impoverished, obese, and having problems conducting daily activities. Among persons with major mobility difficulties, 30.6% reported being frequently depressed or anxious, compared to 3.8% for persons without mobility difficulties.
CONCLUSIONS: Reports of mobility difficulties are common, including among middle‐aged adults. Associations with poor performance of daily activities, depression, anxiety, and poverty highlight the need for comprehensive care for persons with mobility problems.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1046/j.1525-1497.2001.016004235.x</identifier><identifier>PMID: 11318924</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science, Inc</publisher><subject>Activities of Daily Living ; Adolescent ; Adult ; Aged - physiology ; Americans with Disabilities Act 1990-US ; Biological and medical sciences ; Chronic Disease ; Climbing ; Cross-Sectional Studies ; Disability ; Diseases of the osteoarticular system ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Internal medicine ; Leg - physiology ; Male ; Medical sciences ; Medicine ; Miscellaneous ; Miscellaneous. Osteoarticular involvement in other diseases ; Mobility ; Original ; Primary care ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Sex Distribution ; Socioeconomic Factors ; Walking ; Walking - statistics & numerical data</subject><ispartof>Journal of general internal medicine : JGIM, 2001-04, Vol.16 (4), p.235-243</ispartof><rights>2001 INIST-CNRS</rights><rights>Blackwell Science Inc 2001</rights><rights>2001 by the Society of General Internal Medicine 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5407-90222b2319f2fb0829ed3e131e20e3230d0873b8d565d2a93f48327537888b373</citedby><cites>FETCH-LOGICAL-c5407-90222b2319f2fb0829ed3e131e20e3230d0873b8d565d2a93f48327537888b373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495195/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495195/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=973007$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11318924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iezzoni, Lisa I.</creatorcontrib><creatorcontrib>McCarthy, Ellen P.</creatorcontrib><creatorcontrib>Davis, Roger B.</creatorcontrib><creatorcontrib>Siebens, Hilary</creatorcontrib><title>Mobility Difficulties Are Not Only a Problem of Old Age</title><title>Journal of general internal medicine : JGIM</title><addtitle>J Gen Intern Med</addtitle><description>BACKGROUND: Lower extremity mobility difficulties often result from common medical conditions and can disrupt both physical and emotional well‐being.
OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic characteristics and other physical and mental health problems.
DESIGN: Cross‐sectional survey using the 1994–1995 National Health Interview Survey‐Disability Supplement (NHIS‐D). We constructed measures of minor, moderate, and major lower extremity mobility difficulties using questions about ability to walk, climb stairs, and stand, and use of mobility aids (e.g., canes, wheelchairs). Age and gender adjustment used direct standardization methods in Software for the Statistical Analysis of Correlated Data (SUDAAN).
PARTICIPANTS: Noninstitutionalized, civilian U.S. residents aged 18 years and older. National Health Interview Survey sampling weights with SUDAAN provided nationally representative population estimates.
RESULTS: An estimated 19 million people (10.1%) reported some mobility difficulty. The mean age of those with minor, moderate, or major difficulty ranged from 59 to 67 years. Of those reporting major difficulties, 32% said their problems began at aged 50 years or younger. Adjusted problem rates were higher among women (11.8%) than men (8.8%), and higher among African American (15.0%) than whites (10.0%). Persons with mobility difficulties were more likely to be poorly educated, living alone, impoverished, obese, and having problems conducting daily activities. Among persons with major mobility difficulties, 30.6% reported being frequently depressed or anxious, compared to 3.8% for persons without mobility difficulties.
CONCLUSIONS: Reports of mobility difficulties are common, including among middle‐aged adults. Associations with poor performance of daily activities, depression, anxiety, and poverty highlight the need for comprehensive care for persons with mobility problems.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged - physiology</subject><subject>Americans with Disabilities Act 1990-US</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Climbing</subject><subject>Cross-Sectional Studies</subject><subject>Disability</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Leg - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Miscellaneous</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Mobility</subject><subject>Original</subject><subject>Primary care</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Sex Distribution</subject><subject>Socioeconomic Factors</subject><subject>Walking</subject><subject>Walking - statistics & numerical data</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqVkc1u1DAUhS0EokPhFVAEVXcJ13Yc2xJCHZW2FBWGBawtJ7GLR5642EnpvD2OZjT87Fh5cb977jk-CJ1gqDDUzZt1hRlhJa4lrwgArgA3ADWhrHp4hBaH4WO0ACHqUnBaH6FnKa0zTAkRT9ERxhQLSeoF4p9C67wbt8V7Z63rJj86k4plNMXnMBarwW8LXXyJofVmUwRbrHxfLG_Nc_TEap_Mi_17jL5dXnw9_1DerK6uz5c3Zcdq4KUEQkhLKJaW2BYEkaanJl83BAwlFHrI_lrRs4b1REtqa0EJZ5QLIVrK6TF6t9O9m9qN6TszjFF7dRfdRsetCtqpvyeD-65uw73KX8CwZFngdC8Qw4_JpFFtXOqM93owYUqKg4CmJvOlV_-A6zDFIYdTgjMhpWxoht7uoC6GlKKxBycY1FyPWqu5gfk8V3M96lCPesjrL_9M83t530cGXu8BnTrtbdRD59KBk5wCzFbPdtRP5832vyyoj1fXJKf9BRg2qGY</recordid><startdate>200104</startdate><enddate>200104</enddate><creator>Iezzoni, Lisa I.</creator><creator>McCarthy, Ellen P.</creator><creator>Davis, Roger B.</creator><creator>Siebens, Hilary</creator><general>Blackwell Science, Inc</general><general>Springer</general><general>Springer Nature B.V</general><general>Blackwell Science Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200104</creationdate><title>Mobility Difficulties Are Not Only a Problem of Old Age</title><author>Iezzoni, Lisa I. ; McCarthy, Ellen P. ; Davis, Roger B. ; Siebens, Hilary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5407-90222b2319f2fb0829ed3e131e20e3230d0873b8d565d2a93f48327537888b373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged - physiology</topic><topic>Americans with Disabilities Act 1990-US</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Climbing</topic><topic>Cross-Sectional Studies</topic><topic>Disability</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Leg - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Miscellaneous</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Mobility</topic><topic>Original</topic><topic>Primary care</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. 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OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic characteristics and other physical and mental health problems.
DESIGN: Cross‐sectional survey using the 1994–1995 National Health Interview Survey‐Disability Supplement (NHIS‐D). We constructed measures of minor, moderate, and major lower extremity mobility difficulties using questions about ability to walk, climb stairs, and stand, and use of mobility aids (e.g., canes, wheelchairs). Age and gender adjustment used direct standardization methods in Software for the Statistical Analysis of Correlated Data (SUDAAN).
PARTICIPANTS: Noninstitutionalized, civilian U.S. residents aged 18 years and older. National Health Interview Survey sampling weights with SUDAAN provided nationally representative population estimates.
RESULTS: An estimated 19 million people (10.1%) reported some mobility difficulty. The mean age of those with minor, moderate, or major difficulty ranged from 59 to 67 years. Of those reporting major difficulties, 32% said their problems began at aged 50 years or younger. Adjusted problem rates were higher among women (11.8%) than men (8.8%), and higher among African American (15.0%) than whites (10.0%). Persons with mobility difficulties were more likely to be poorly educated, living alone, impoverished, obese, and having problems conducting daily activities. Among persons with major mobility difficulties, 30.6% reported being frequently depressed or anxious, compared to 3.8% for persons without mobility difficulties.
CONCLUSIONS: Reports of mobility difficulties are common, including among middle‐aged adults. Associations with poor performance of daily activities, depression, anxiety, and poverty highlight the need for comprehensive care for persons with mobility problems.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science, Inc</pub><pmid>11318924</pmid><doi>10.1046/j.1525-1497.2001.016004235.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Journals; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Activities of Daily Living Adolescent Adult Aged - physiology Americans with Disabilities Act 1990-US Biological and medical sciences Chronic Disease Climbing Cross-Sectional Studies Disability Diseases of the osteoarticular system Female Fundamental and applied biological sciences. Psychology Humans Internal medicine Leg - physiology Male Medical sciences Medicine Miscellaneous Miscellaneous. Osteoarticular involvement in other diseases Mobility Original Primary care Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Sex Distribution Socioeconomic Factors Walking Walking - statistics & numerical data |
| title | Mobility Difficulties Are Not Only a Problem of Old Age |
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