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Psychosocial and Health-Related Factors Associated With Discordance Between 13-Year Trajectories of Self-Reported Functional Limitations and Performance-Based Physical Functioning in Old Age

Bibliographic Data

ID12797261
AuthorsAlmar A L Kok (0000-0001-6398-2484, Amsterdam UMC—Vrije Universiteit Amsterdam, The Netherlands, corresponding author), Marieke Henstra (0000-0003-3207-8825, University of Amsterdam), Marieke J Henstra (Amsterdam UMC—University of Amsterdam, The Netherlands), Nathalie van der Velde (0000-0002-6477-6209, Amsterdam UMC—University of Amsterdam, The Netherlands), Didi Rhebergen (0000-0002-3741-9767, Amsterdam UMC—Vrije Universiteit Amsterdam, The Netherlands), Natasja M Van Schoor (0000-0002-0870-0795, Amsterdam UMC—Vrije Universiteit Amsterdam, The Netherlands)
Year2019
Volume32
Issue9
Pages1084-1097
Publication date2019-11-05
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0898264319884404
PMID31686583
OpenAlexW2985226250
LanguageEN
Citations received1
References cited42

Objective: The objective of this study was to examine correlates of discordance between 13-year trajectories of self-reported functional limitations and performance-based physical functioning in older adults. Method: We included 2,135 participants from the population-based Longitudinal Aging Study Amsterdam, the Netherlands, followed across 1995-2008. Self-reported functional limitations included six (instrumental) activities of daily living. Performance-based functioning was a composite of four tests. We used latent class growth analysis and multinomial logistic regression to examine discordance and its correlates. Results: Patterns of discordance and concordance (41% concordance, 46% "overestimation" of daily functioning, 13% "underestimation") appeared to be persistent over 13 years. Older age, male sex, cognitive impairment, absence of pain, and light alcohol use were associated with overestimation. Younger age, female sex, and lower self-rated health were associated with underestimation. Discussion: Factors associated with overestimation partly differ from those associated with underestimation. Factors that are highly stable over time are particularly good indicators of persistent discordance

Activities of daily living · Cognition · Cognitive skill · Concordance · Environmental health · Latent class model · Logistic regression · Multinomial logistic regression · Population · Psychiatry · Psychosocial · Clinical Psychology · Demography · Frailty in Older Adults · Health disparities and outcomes · Medicine · Nutrition and Health in Aging · Psychology · Gerontology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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