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Associations Between Peak Expiratory Flow and Community Mobility Loss Among Older Adults in the United States.

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Title: Associations Between Peak Expiratory Flow and Community Mobility Loss Among Older Adults in the United States.
Authors: Mathis, Lindsey M., Sun, Na, Ho, Simon K., White, Lane S., Addison, Odessa, Savin, Douglas N., Falvey, Jason R.
Source: Journal of the American Geriatrics Society. Jun2025, Vol. 73 Issue 6, p1863-1869. 7p.
Subjects: Risk assessment, Pulmonary function tests, Self-evaluation, Disabilities, Independent living, African Americans, Research funding, Hospital care, Logistic regression analysis, Multivariate analysis, Functional status, Descriptive statistics, Expiratory flow, Assistive technology, Odds ratio, Lung diseases, Geriatric assessment, Pain, Sociodemographic factors, Confidence intervals, Physical mobility, Social isolation, Comorbidity, Disease complications, Old age
Geographic Terms: United States
Abstract: Background: Community mobility is a vital patient‐centered outcome for older adults living in the community. These deficits in mobility are linked to social isolation, increased hospitalizations, and higher mortality rates. Impaired pulmonary function may be a modifiable risk factor for mobility decline, with existing inequities in lung health potentially contributing disproportionately to mobility loss among Black older adults. Materials/Methods: A cohort of 4742 community‐dwelling older adults (weighted n = 29,180,893) with self‐reported ability to walk 3 or more blocks in their community was drawn from the National Health and Aging Trends Study (NHATS). Pulmonary function was measured by PEF in NHATS. Community mobility loss was defined as self‐reported inability to walk ≥ 3 blocks in the 1‐year follow‐up assessment. Hierarchical multivariable logistic regression was used and adjusted for demographics, comorbidities, pain, and assistive device use. Results: Overall, 73.7% of the sample had normal PEF, 18.6% had moderate impairment, and 7.7% had severe impairment. Those with severe impairment were more likely to be male and identify as Black. In unadjusted analyses, 8.8% of older adults with normal PEF experienced mobility loss, compared with 12.7% of those with moderate impairment, and 19.7% with severe impairment. Odds of mobility loss were 111% higher for those with severe PEF impairment as compared to those with normal PEF (OR = 2.1, 95% CI 1.2–3.7) in fully adjusted models, with weaker relationships being observed for those with moderately impaired PEF (OR = 1.2, 95% CI 0.8–1.8). Conclusions: Nearly 8%, or an estimated 1 million community‐ambulating U.S. older adults, had severe impairments in peak expiratory flow in 2015; these older adults have a substantially higher risk of losing the ability to ambulate community distances over the subsequent year. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Associations Between Peak Expiratory Flow and Community Mobility Loss Among Older Adults in the United States.
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  Data: <searchLink fieldCode="AR" term="%22Mathis%2C+Lindsey+M%2E%22">Mathis, Lindsey M.</searchLink><br /><searchLink fieldCode="AR" term="%22Sun%2C+Na%22">Sun, Na</searchLink><br /><searchLink fieldCode="AR" term="%22Ho%2C+Simon+K%2E%22">Ho, Simon K.</searchLink><br /><searchLink fieldCode="AR" term="%22White%2C+Lane+S%2E%22">White, Lane S.</searchLink><br /><searchLink fieldCode="AR" term="%22Addison%2C+Odessa%22">Addison, Odessa</searchLink><br /><searchLink fieldCode="AR" term="%22Savin%2C+Douglas+N%2E%22">Savin, Douglas N.</searchLink><br /><searchLink fieldCode="AR" term="%22Falvey%2C+Jason+R%2E%22">Falvey, Jason R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Jun2025, Vol. 73 Issue 6, p1863-1869. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Pulmonary+function+tests%22">Pulmonary function tests</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Disabilities%22">Disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Expiratory+flow%22">Expiratory flow</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+technology%22">Assistive technology</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Lung+diseases%22">Lung diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Geriatric+assessment%22">Geriatric assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+mobility%22">Physical mobility</searchLink><br /><searchLink fieldCode="DE" term="%22Social+isolation%22">Social isolation</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Community mobility is a vital patient‐centered outcome for older adults living in the community. These deficits in mobility are linked to social isolation, increased hospitalizations, and higher mortality rates. Impaired pulmonary function may be a modifiable risk factor for mobility decline, with existing inequities in lung health potentially contributing disproportionately to mobility loss among Black older adults. Materials/Methods: A cohort of 4742 community‐dwelling older adults (weighted n = 29,180,893) with self‐reported ability to walk 3 or more blocks in their community was drawn from the National Health and Aging Trends Study (NHATS). Pulmonary function was measured by PEF in NHATS. Community mobility loss was defined as self‐reported inability to walk ≥ 3 blocks in the 1‐year follow‐up assessment. Hierarchical multivariable logistic regression was used and adjusted for demographics, comorbidities, pain, and assistive device use. Results: Overall, 73.7% of the sample had normal PEF, 18.6% had moderate impairment, and 7.7% had severe impairment. Those with severe impairment were more likely to be male and identify as Black. In unadjusted analyses, 8.8% of older adults with normal PEF experienced mobility loss, compared with 12.7% of those with moderate impairment, and 19.7% with severe impairment. Odds of mobility loss were 111% higher for those with severe PEF impairment as compared to those with normal PEF (OR = 2.1, 95% CI 1.2–3.7) in fully adjusted models, with weaker relationships being observed for those with moderately impaired PEF (OR = 1.2, 95% CI 0.8–1.8). Conclusions: Nearly 8%, or an estimated 1 million community‐ambulating U.S. older adults, had severe impairments in peak expiratory flow in 2015; these older adults have a substantially higher risk of losing the ability to ambulate community distances over the subsequent year. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186342516
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jgs.19367
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 1863
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Pulmonary function tests
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Disabilities
        Type: general
      – SubjectFull: Independent living
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Functional status
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Expiratory flow
        Type: general
      – SubjectFull: Assistive technology
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Lung diseases
        Type: general
      – SubjectFull: Geriatric assessment
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Sociodemographic factors
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Physical mobility
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      – SubjectFull: Social isolation
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      – SubjectFull: Old age
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      – SubjectFull: United States
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      – TitleFull: Associations Between Peak Expiratory Flow and Community Mobility Loss Among Older Adults in the United States.
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              Text: Jun2025
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              Y: 2025
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