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dc.contributor.authorNevill, Alan
dc.contributor.authorDuncan, Michael
dc.contributor.authorCheung, Daphne SK
dc.contributor.authorWong, Anthony SW
dc.contributor.authorKwan, Rick Yiu Cho
dc.contributor.authorLai, Claudia KY
dc.date.accessioned2020-07-31T15:27:07Z
dc.date.available2020-07-31T15:27:07Z
dc.date.issued2020-07-07
dc.identifier.citationNevill, A., Duncan, M., Cheung, D. S. K., Wong, A. S. W. et al. (2020) The use of functional performance tests and simple anthropomorphic measures to screen for comorbidity in primary care, International Journal of Older People Nursing, 00:e12333. DOI: 10.1111/opn.12333en
dc.identifier.issn1748-3735en
dc.identifier.doi10.1111/opn.12333en
dc.identifier.urihttp://hdl.handle.net/2436/623409
dc.descriptionThis is an accepted manuscript of an article published by Wiley in International Journal of Older People Nursing on 07/07/2020, available online: https://onlinelibrary.wiley.com/doi/abs/10.1111/opn.12333 The accepted version of the publication may differ from the final published version.en
dc.description.abstractBackground Many older adults are unaware that they have comorbid diseases. Increased adiposity and reduced muscle mass are identified as key contributors to many chronic diseases in older adults. Understanding the role they play in the development of comorbidities in older populations is of prime importance. Objectives To identify the optimal body shape associated with three common functional performance tests and to determine which anthropometric and functional performance test best explains comorbidity in a sample of older adults in Hong Kong. Methods A total of 432 older adults participated in this cross‐sectional study. Researchers assessed their body height, body mass index, waist circumference, waist‐to‐hip ratio, handgrip strength (kg), functional reach (cm) and results in the timed‐up‐and‐go (TUG) test (seconds). The Charlson Comorbidity Index was used to assess comorbidity. Results Allometric modelling indicated that the optimal body shape associated with all functional performance tests would have required the participants to be taller and leaner. The only variable that predicted comorbidity was the TUG test. The inclusion of body size/shape variables did not improve the prediction model. Conclusion Performance in the TUG test alone was found to be capable of identifying participants at risk of developing comorbidities. The TUG test has potential as a screening tool for the early detection of chronic diseases in older adults. Implications for Practice Many older people are unaware of their own co‐existing illnesses when they consult physicians for a medical condition. TUG can be a quick and useful screening measure to alert nurses in primary care to the need to proceed with more detailed assessments. It is an especially useful screening measure in settings with high patient volumes and fiscal constraints. TUG is low cost and easy to learn and is therefore also relevant for nurses and health workers in low‐resource, low‐income countries.en
dc.description.sponsorshipSchool of Nursing, The Hong Kong Polytechnic Universityen
dc.formatapplication/pdfen
dc.languageen
dc.language.isoenen
dc.publisherWileyen
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/abs/10.1111/opn.12333en
dc.subjectallometricen
dc.subjectbody massen
dc.subjectcomorbidityen
dc.subjecthealth screeningen
dc.subjectmultiplicative modelen
dc.subjectolder peopleen
dc.subjectprimary careen
dc.subjecttimed-up-and-goen
dc.subjectwaist circumferenceen
dc.titleThe use of functional performance tests and simple anthropomorphic measures to screen for comorbidity in primary careen
dc.typeJournal articleen
dc.identifier.eissn1748-3743
dc.identifier.journalInternational Journal of Older People Nursingen
dc.date.updated2020-07-14T08:02:06Z
dc.date.accepted2020-06-09
rioxxterms.funderSchool of Nursing, The Hong Kong Polytechnic Universityen
rioxxterms.identifier.projectUOW31072020ANen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2021-07-07en
dc.description.versionPublished online
refterms.dateFCD2020-07-31T15:26:21Z
refterms.versionFCDAM


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