Abstract
Standard functional assessment instruments often fail to capture subtle impairment in community‐dwelling older persons. To create a scale to measure function at the Advanced Activities of Daily Living (AADL) level, we chose three questions to separate a community sample into four levels: frequent vigorous exercisers (8.0%), frequent long walkers (10.8%), frequent short walkers (23.7%), and nonexercisers (57.5%). These levels of exercise formed a hierarchical scale that correlated positively in a graduated manner with progressively advanced social activities of daily living, current health status, and mental health. At 1‐year follow‐up, 20% of persons declined in exercise level, 63% showed no change in exercise level, and 17% improved their exercise level. Changes in exercise level in both directions were associated with changes in mental health status. The Advanced Activities of Daily Living scale may be a sensitive measure of earlier functional decline, but longer follow‐up will be necessary to determine its clinical usefulness.
Keywords
Activities of daily livingMedicineGerontologyScale (ratio)Physical therapy
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Publication Info
- Year
- 1990
- Type
- article
- Volume
- 38
- Issue
- 8
- Pages
- 855-861
- Citations
- 212
- Access
- Closed
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Cite This
David B. Reuben,
Linda Laliberte,
Jeffrey Hiris
et al.
(1990).
A Hierarchical Exercise Scale to Measure Function at the Advanced Activities of Daily Living (AADL) Level.
Journal of the American Geriatrics Society
, 38
(8)
, 855-861.
https://doi.org/10.1111/j.1532-5415.1990.tb05699.x
Identifiers
- DOI
- 10.1111/j.1532-5415.1990.tb05699.x