Fatigability and functional performance among older adults with low-normal ankle-brachial index: Cross-sectional findings from the Baltimore Longitudinal Study of Aging

Abstract Personality and disturbed sleep are tied to medical morbidity in older adults. We examined associations of personality dimensions and facets from the five-factor model with reports of insomnia symptoms in 1,069 well-functioning older adults 60-97 (SD=8.64) years (51% women) from the Baltimore Longitudinal Study of Aging. Personality was assessed by the Revised NEO Personality Inventory, and insomnia symptoms measured by the Women’s Health Initiative Insomnia Rating Scale. Adjusting for demographics and depressive symptoms, higher neuroticism (B=0.05, SE=-0.01, p<.001) and lower conscientiousness (B=-0.03, SE=-0.01, p<.05) were associated with greater insomnia severity. Although openness, extraversion and agreeableness were not associated with insomnia, a facet of each was. Higher scores on the “positive emotions” facet of extraversion (B =-0.03, SE=-0.01, p<.05) “ideas” facet of openness (B=-0.03, SE=-0.01, p<.05) and altruism facet of agreeableness (B=-0.03, SE=-0.01, p<.05) were associated with lower insomnia severity. Sleep disturbances may partially mediate personality’s influence on health. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.

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Orientation and verbal fluency in the English Longitudinal Study of Ageing: modifiable risk factors for falls?

International Psychogeriatrics ◽

10.1017/s1041610218002065 ◽

2018 ◽

Vol 31 (10) ◽

pp. 1491-1498 ◽

Cited By ~ 3

Author(s):

T. O. Smith ◽

S. R. Neal ◽

G. Peryer ◽

K. J. Sheehan ◽

M. P. Tan ◽

...

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Verbal Fluency ◽

Functional Performance ◽

Community Dwelling ◽

Cognitive Domain ◽

Cognitive Domains ◽

Risk Factors For Falls ◽

Prospective Longitudinal ◽

English Longitudinal Study

ABSTRACTObjectives:To determine the relationship between falls and deficits in specific cognitive domains in older adults.Design:An analysis of the English Longitudinal Study of Ageing (ELSA) cohort.Setting:United Kingdom community-based.Participants:5197 community-dwelling older adults recruited to a prospective longitudinal cohort study.Measurements:Data on the occurrence of falls and number of falls, which occurred during a 12-month follow-up period, were assessed against the specific cognitive domains of memory, numeracy skills, and executive function. Binomial logistic regression was performed to evaluate the association between each cognitive domain and the dichotomous outcome of falls in the preceding 12 months using unadjusted and adjusted models.Results:Of the 5197 participants included in the analysis, 1308 (25%) reported a fall in the preceding 12 months. There was no significant association between the occurrence of a fall and specific forms of cognitive dysfunction after adjusting for self-reported hearing, self-reported eyesight, and functional performance. After adjustment, only orientation (odds ratio [OR]: 0.80; 95% confidence intervals [CI]: 0.65–0.98, p = 0.03) and verbal fluency (adjusted OR: 0.98; 95% CI: 0.96–1.00; p = 0.05) remained significant for predicting recurrent falls.Conclusions:The cognitive phenotype rather than cognitive impairmentper semay predict future falls in those presenting with more than one fall.

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Strength training is associated with better functional fitness and perceived healthy aging among physically active older adults: a cross-sectional analysis of the Canadian Longitudinal Study on Aging

Aging Clinical and Experimental Research ◽

10.1007/s40520-018-1079-6 ◽

2018 ◽

Vol 31 (9) ◽

pp. 1257-1263 ◽

Cited By ~ 4

Author(s):

Jennifer L. Copeland ◽

Joshua Good ◽

Shilpa Dogra

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Strength Training ◽

Healthy Aging ◽

Functional Fitness ◽

Cross Sectional ◽

Physically Active ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Energy Metabolism and the Burden of Multimorbidity in Older Adults: Results From the Baltimore Longitudinal Study of Aging

The Journals of Gerontology Series A ◽

10.1093/gerona/glu209 ◽

2014 ◽

Vol 70 (11) ◽

pp. 1297-1303 ◽

Cited By ~ 37

Author(s):

Elisa Fabbri ◽

Yang An ◽

Jennifer A. Schrack ◽

Marta Gonzalez-Freire ◽

Marco Zoli ◽

...

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Energy Metabolism ◽

Baltimore Longitudinal Study

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Differential associations between dual-task walking abilities and usual gait patterns in healthy older adults—Results from the Baltimore Longitudinal Study of Aging

Gait & Posture ◽

10.1016/j.gaitpost.2018.04.039 ◽

2018 ◽

Vol 63 ◽

pp. 63-67 ◽

Cited By ~ 4

Author(s):

Seung-uk Ko ◽

Gerald J. Jerome ◽

Eleanor M. Simonsick ◽

Stephanie Studenski ◽

Jeffrey M. Hausdorff ◽

...

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Dual Task ◽

Gait Patterns ◽

Healthy Older Adults ◽

Baltimore Longitudinal Study

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Age-associated differences in the gait pattern changes of older adults during fast-speed and fatigue conditions: results from the Baltimore longitudinal study of ageing

Age and Ageing ◽

10.1093/ageing/afq113 ◽

2010 ◽

Vol 39 (6) ◽

pp. 688-694 ◽

Cited By ~ 71

Author(s):

S.-u. Ko ◽

J. M. Hausdorff ◽

L. Ferrucci

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Gait Pattern ◽

Fast Speed ◽

Baltimore Longitudinal Study

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The relative temporal sequence of decline in mobility and cognition among initially unimpaired older adults: Results from the Baltimore Longitudinal Study of Aging

Age and Ageing ◽

10.1093/ageing/afw185 ◽

2016 ◽

Cited By ~ 9

Author(s):

Qu Tian ◽

Yang An ◽

Susan M Resnick ◽

Stephanie Studenski

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Temporal Sequence ◽

Baltimore Longitudinal Study

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Association between cognitive declines and disability in activities of daily living in older adults with COPD: evidence from the China health and retirement longitudinal study

BMJ Open ◽

10.1136/bmjopen-2020-040098 ◽

2020 ◽

Vol 10 (10) ◽

pp. e040098

Author(s):

Bingyan Gong ◽

Shaomei Shang ◽

Chao Wu

Keyword(s):

Older Adults ◽

Regression Analysis ◽

Longitudinal Study ◽

Cognitive Function ◽

Activities Of Daily Living ◽

Daily Living ◽

Visuospatial Ability ◽

Cross Sectional ◽

Adl Disability

ObjectivesThis study aimed to investigate the relationship between disability and domain-specific cognitive function in older adults with chronic obstructive pulmonary disease (COPD).DesignCross-sectional analyses combined with retrospective longitudinal analyses.SettingWe included 450 communities in China.ParticipantsIn this study, 1022 (mean age: 68.6±6.3; 612 males) and 152 (mean age: 67.0±5.2; 83 males) older adults with COPD from the China Health and Retirement Longitudinal Study were included in a cross-sectional multivariate linear regression analysis and a longitudinal logistic regression analysis, respectively.Outcome measuresDisability was determined by the difficulty or inability to complete 1 of the 12 activity items in basic activities of daily living (ADL) and instrumental ADL. The cognitive dimensions of episodic memory, attention/numerical ability, orientation to time, and visuospatial ability were assessed via the immediate/delayed recall task, serial sevens task, naming the current date and pentagon-figure-drawing tasks, respectively.ResultsOf 1022 older respondents with COPD at wave-4, 48.5% had ADL disability. Declines in the global cognitive function (β (95% CI)=−0.627 (−1.214 to –0.040)), orientation to time (β (95% CI)=−0.207 (−0.364 to –0.050)) and visuospatial ability (β (95% CI)=−0.068 (−0.127 to –0.009)) were significantly associated with the presence of ADL disability, when demographic and health-related variables were adjusted. Of 152 older participants with COPD and without ADL disability in wave-2, 61 (40.1 %) developed disability over a 2-year follow-up. Relative to the participants without a decline in orientation to tine, those with the condition had greater odds of incidence of ADL disability increased by a factor of about 1.46 over a 2-year follow-up.ConclusionsIn older adults with COPD, orientation to time and visuospatial inability are vulnerable to the presence of a disability. Prevention of a decline in orientation to time might help prevent disability in older people with COPD.

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