Vol. 4 No. 2 (2021): International Journal of Aging Research
Research Articles

The Usefulness of Short Physical Performance Battery Score for Predicting the Ability of Toilet Activity in Hospitalized Older Patients

Daisuke Takagi, PhD1*, Masatoshi Kageyama2,3, Kenta Yamamoto4, Hiroshi Matsumoto, MD5
1Department of Shizuoka Physical Therapy, Faculty of Health Science, Tokoha University. 2Long-Term Care Health Facilities Sunrise Ohama. 3Graduate School, Hamamatsu University School of Medicine, Cooperative Major in Medical Photonics (Doctoral Course). 4Department of Rehabilitation, Toyoda Eisei Hospital. 5Department of Orthopedic Surgery, Toyoda Eisei Hospital.

Keywords

  • Toilet activity; Activities of daily living; Short physical performance battery; Hospitalized older patients

How to Cite

Daisuke Takagi, PhD1*, Masatoshi Kageyama2,3, Kenta Yamamoto4, Hiroshi Matsumoto, MD5. (2021). The Usefulness of Short Physical Performance Battery Score for Predicting the Ability of Toilet Activity in Hospitalized Older Patients. International Journal of Aging Research, 4(2), 80. https://doi.org/10.28933/ijoar-2021-04-0205

Abstract

Background: It has been still unclear whether the cut-off value of the short physical performance battery for predicting the ability of the toilet activity in the hospitalized older patients. The aim of this study was to reveal the relationship between the short physical performance battery and the ability of toilet activity, and also to determine the cut-off value of the short physical performance battery score for the ability of toilet activity in the hospitalized older patients.

Methods: In this cross-sectional study, 71 hospitalized older patients were recruited. The short physical performance battery and the ability of toilet activity using the Barthel index (BI) were measured. The patients were split into two groups, according to the ability of toilet activity (Group 1: 10 point; Group 2: 5 point or less in BI score). A multiple logistic regression analysis was used to assess the relationship between the two groups. Moreover, the cut-off value for dividing into two groups, (Group 1 and Group 2) using the short physical performance battery score, which was calculated by a receiver operating characteristic curve.

Results: The short physical performance battery score was an independent explanator for the ability of toilet activity using multiple logistic regression analysis. Besides, the cut-off value of the short physical performance battery for the ability of toilet activity was set in this study.

Conclusion: The findings of this study suggest that the cut-off value of the short physical performance battery score could be a useful index to predict the ability of toilet activity in the hospitalized older patients.

 

References

  1. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol (1985), 2003; 95(5): 1851-1860.
  2. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther; 1984; 64(7): 1067-1070.
  3. Bohannon R W. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing,1997; 26(1): 15-19.
  4. Xue QL, Bandeen-Roche K, Varadhan R, Zhou J, Fried LP. Initial manifestations of frailty criteria and the development of frailty phenotype in the women’s health and aging study ?. J Gerontol A Biol Sci Med Sci, 2008; 63(9): 984-990.
  5. Okamoto N, Masumi S, Yamada M, Arihisa E, Ko-dama T. Analysis of FIM factors affecting discharge to home from a recovery rehabilitation hospital. Rigakuryoho Kagaku, 2012; 27(2): 103–107. (in jap-anese)
  6. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in older adult. Age Ageing, 2010; 39(4): 412-423.
  7. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF et al. A short physical performance bat-tery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol, 1994; 49: M85-94.
  8. Working Group on Functional Outcome Measures for Clinical Trials. Functional outcomes for clinical trials in frail older persons: time to be moving. J Gerontol A Biol Sci Med Sci, 2008; 63(2): 160-164.
  9. Wennie-Huang WN, Perera S, VanSwearingen J, Studenski S. Performance measures predict onset of activity of daily living difficulty in community-dwelling older adults. J Am Geriatr Soc, 2010; 58(5): 844-852.
  10. Takagi D, Kageyama M, Morikami A. Determining a cut-off point for evaluating the ability of activities of daily living using the short physical performance battery score in older adults requiring care. Int J Phys Ther Rehab, 2020; 6: 162.
  11. Akobeng AK. Understanding diagnostic tests 3: Re-ceiver operating characteristic curves. Acta Paediatr, 2007; 96(5): 644-647.
  12. Mahoney FI, Barthel DW. Functional evaluation: the barthel Index. Md State Med J, 1965; 14: 61-65.
  13. Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc, 2020; 21(3): 300-307.
  14. Guralnik JM, Ferrucci L, Pieper CF Leveille SG, Markides KS, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci, 2000; 55: M221-231.
  15. Mandrekar JN. Receiver operating characte- ristic curve in diagnostic test assessment. J Thorac Oncol, 2010; 5(9):1315-1316
  16. Streiner DL, Cairney J. What’s under the ROC? An introduction to receiver operating characteristics curves. Can J Psychiatry, 2007; 52: 121-128.