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Geriatr Nurs. 2018 Mar - Apr;39(2):162-169. doi: 10.1016/j.gerinurse.2017.08.002. Epub 2017 Sep 1.

The impact of mobility limitations on health outcomes among older adults.

Author information

1
Advanced Analytics, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA. Electronic address: shirley.musich@optum.com.
2
Advanced Analytics, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA. Electronic address: sara.wang@optum.com.
3
Medicare & Retirement, United Healthcare Alliances, PO Box 9472, Minneapolis, MN 55440, USA. Electronic address: joann_ruiz@uhc.com.
4
Advanced Analytics, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA. Electronic address: kevin.hawkins@optum.com.
5
AARP Services, Inc., 601 E. Street, N.W., Washington, D.C. 20049, USA. Electronic address: ewicker@aarp.org.

Abstract

The purpose of this study was to stratify an older adult population for subsequent interventions based on functional ability, and to estimate prevalence, characteristics and impact of mobility limitations on health outcomes. In 2016, surveys were sent to a stratified random sample of AARP® Medicare Supplement insureds; mobility limitations were defined using two screening questions. Responses were stratified to three mobility limitation levels. Multivariate regression models determined characteristics and impact on health outcomes. Among weighted survey respondents (N = 15,989), severe, moderate and no limitation levels were 21.4%, 18.4% and 60.3%, respectively. The strongest predictors of increased limitations included pain and poor health. Individuals with more severe limitations had increased falls, decreased preventive services compliance and increased healthcare utilization and expenditures. Utilizing two screening questions stratified this population to three meaningful mobility limitation levels. Higher levels of mobility limitations were strongly associated with negative health outcomes. Mobility-enhancing interventions could promote successful aging.

KEYWORDS:

Falls; Health outcomes; Medicare; Medicare supplement; Mobility limitations; Older adults

PMID:
28866316
DOI:
10.1016/j.gerinurse.2017.08.002
[Indexed for MEDLINE]
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