Format

Send to

Choose Destination
See comment in PubMed Commons below
Ethn Dis. 1998 Winter;8(1):52-9.

Impact of selected medical conditions on self-reported lower-extremity function in Mexican-American elderly.

Author information

1
Gilead Sciences, Foster City, CA, USA.

Abstract

OBJECTIVE:

To examine the independent impact of common medical conditions on lower-extremity function in Mexican-American elderly.

DESIGN:

Cross-sectional study using a probability sample of non-institutionalized Mexican Americans aged 65 or older.

SETTING:

The five Southwestern states, Texas, New Mexico, Arizona, Colorado and California.

PARTICIPANTS:

All subjects were interviewed in person (n = 2,873) or by proxy (n = 177) in their homes during late 1993 and early 1994.

MAIN OUTCOME MEASURES:

Respondents were asked whether they could perform four activities related to lower-extremity function without help: walking across a small room, getting from a bed to a chair, walking up and down stairs, and walking half a mile. A summary measure of lower body disability created from these four items was regressed on seven common medical conditions plus five control variables using multiple logistic regression.

RESULTS:

Adjusted Odds Ratios (OR) suggested that impaired lower-extremity function was associated with previous diagnosis of hip fracture (OR = 4.28), stroke (OR = 3.47), lower extremity arthritis (OR = 2.60), heart attack (OR = 2.29), diabetes (OR = 2.03) and obesity (OR = 1.50). Impaired lower-extremity function was significantly associated with older age (75+ years old), gender (female) and marital status (unmarried). In addition, there was a linear increase in the risk of function loss by number of medical conditions.

CONCLUSIONS:

It appears that Mexican-American elderly diagnosed with medical conditions, especially stroke and hip fracture, have a high risk for lower-extremity dysfunction. These findings have implications for efforts to prevent or reduce lower-extremity dysfunction, as well as for the provision of community-based long-term care services for Mexican-American elderly.

PMID:
9595248
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center