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The Cumulative Burden of Social Risk Factors and 10-Year Change in Quality of Life.
J Gerontol A Biol Sci Med Sci
December 2024
Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Background: Social risk factors are linked to adverse health outcomes, but their total impact on long-term quality of life is obscure. We hypothesized that a higher burden of social risk factors is associated with greater decline in quality of life over 10 years.
Methods: We examined associations between social risk factors count and decline >5 points in (i) physical component summary, and (ii) mental component summary scores from the Short Form-12 among Black and White participants in the Reasons for Geographic and Racial Differences in Stroke study (n = 14 401).
Development of a physical performance summary score in middle age: Findings from the CARDIA Function study.
Am J Epidemiol
December 2024
Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC.
Few physical performance batteries exist that appropriately evaluate physical limitations in middle-aged adults. We aimed to develop a physical performance summary score that is appropriate for use in epidemiology studies of middle-aged adults using data from the Coronary Artery Risk Development in Young Adults (CARDIA) Function study, which assessed self-reported function (PROMIS-SF20a) and physical performance measures (gait speed, balance, lower-body strength, grip strength, and cardiovascular endurance). The CARDIA Physical Performance (CAPP) score was developed using sex-specific quartiles, assigning points based on these quartiles (0 for not attempted, 1-4 for each quartile), and summing points across all performance measures (0-20, higher scores reflect greater performance).
View Article and Find Full Text PDFIntegrating Acceptance and Commitment Therapy with Selective Optimization with Compensation to Predict Wellbeing.
Clin Gerontol
December 2024
Department of Psychology, Bowling Green State University and Chiang Mai University, Bowling Green, Ohio, USA.
Objectives: Selective Optimization with Compensation (SOC) is an empirically supported model of successful aging. Acceptance and Commitment Therapy (ACT) is an empirically supported intervention that has a theoretical model which is complementary to the SOC model. Combining the two models can provide a more comprehensive view of successful aging.
View Article and Find Full Text PDFMultimorbidity Trajectories From Early to Middle Adulthood and Physical Activity.
Am J Prev Med
December 2024
Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama.
Introduction: Multimorbidity is associated with lower physical function in older adults. Less is known about multimorbidity and physical activity earlier in the life course. This study examined multimorbidity trajectories across adulthood with physical activity and explores if multimorbidity accelerates age-related activity decline.
View Article and Find Full Text PDFOutcomes of Community-Acquired Acute Kidney Injury: A Cohort Study of US Veterans.
Med Care
February 2025
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Background: Community-acquired acute kidney injury (CA-AKI) occurs outside of the hospital and is the most common form of AKI. CA-AKI is not well understood, which hinders efforts to prevent, identify, and manage CA-AKI.
Objective: Examine 30-day outcomes following CA-AKI using national administrative and lab data from the Veterans Health Administration (VA).
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