The SF-36: a simple, effective measure of mobility-disability for epidemiological studies.
BACKGROUND: Mobility disability is a major problem in older people. Numerous scales exist for the measurement of disability but often these do not permit comparisons between study groups. The physical functioning (PF) domain of the established and widely used Short Form-36 (SF-36) questionnaire asks...
Main Authors: | , , , , |
---|---|
Format: | Journal article |
Language: | English |
Published: |
2009
|
_version_ | 1797092355729260544 |
---|---|
author | Syddall, H Martin, H Harwood, R Cooper, C Aihie Sayer, A |
author_facet | Syddall, H Martin, H Harwood, R Cooper, C Aihie Sayer, A |
author_sort | Syddall, H |
collection | OXFORD |
description | BACKGROUND: Mobility disability is a major problem in older people. Numerous scales exist for the measurement of disability but often these do not permit comparisons between study groups. The physical functioning (PF) domain of the established and widely used Short Form-36 (SF-36) questionnaire asks about limitations on ten mobility activities. OBJECTIVES: To describe prevalence of mobility disability in an elderly population, investigate the validity of the SF-36 PF score as a measure of mobility disability, and to establish age and sex specific norms for the PF score. METHODS: We explored relationships between the SF-36 PF score and objectively measured physical performance variables among 349 men and 280 women, 59-72 years of age, who participated in the Hertfordshire Cohort Study (HCS). Normative data were derived from the Health Survey for England (HSE) 1996. RESULTS: 32% of men and 46% of women had at least some limitation in PF scale items. Poor SF-36 PF scores (lowest fifth of the gender-specific distribution) were related to: lower grip strength; longer timed-up-and-go, 3m walk, and chair rises test times in men and women; and lower quadriceps peak torque in women but not men. HSE normative data showed that median PF scores declined with increasing age in men and women. CONCLUSION: Our results are consistent with the SF-36 PF score being a valid measure of mobility disability in epidemiological studies. This approach might be a first step towards enabling simple comparisons of prevalence of mobility disability between different studies of older people. The SF-36 PF score could usefully complement existing detailed schemes for classification of disability and it now requires validation against them. |
first_indexed | 2024-03-07T03:44:53Z |
format | Journal article |
id | oxford-uuid:bf21361c-ac80-4706-8aef-23f080856372 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T03:44:53Z |
publishDate | 2009 |
record_format | dspace |
spelling | oxford-uuid:bf21361c-ac80-4706-8aef-23f0808563722022-03-27T05:45:03ZThe SF-36: a simple, effective measure of mobility-disability for epidemiological studies.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bf21361c-ac80-4706-8aef-23f080856372EnglishSymplectic Elements at Oxford2009Syddall, HMartin, HHarwood, RCooper, CAihie Sayer, ABACKGROUND: Mobility disability is a major problem in older people. Numerous scales exist for the measurement of disability but often these do not permit comparisons between study groups. The physical functioning (PF) domain of the established and widely used Short Form-36 (SF-36) questionnaire asks about limitations on ten mobility activities. OBJECTIVES: To describe prevalence of mobility disability in an elderly population, investigate the validity of the SF-36 PF score as a measure of mobility disability, and to establish age and sex specific norms for the PF score. METHODS: We explored relationships between the SF-36 PF score and objectively measured physical performance variables among 349 men and 280 women, 59-72 years of age, who participated in the Hertfordshire Cohort Study (HCS). Normative data were derived from the Health Survey for England (HSE) 1996. RESULTS: 32% of men and 46% of women had at least some limitation in PF scale items. Poor SF-36 PF scores (lowest fifth of the gender-specific distribution) were related to: lower grip strength; longer timed-up-and-go, 3m walk, and chair rises test times in men and women; and lower quadriceps peak torque in women but not men. HSE normative data showed that median PF scores declined with increasing age in men and women. CONCLUSION: Our results are consistent with the SF-36 PF score being a valid measure of mobility disability in epidemiological studies. This approach might be a first step towards enabling simple comparisons of prevalence of mobility disability between different studies of older people. The SF-36 PF score could usefully complement existing detailed schemes for classification of disability and it now requires validation against them. |
spellingShingle | Syddall, H Martin, H Harwood, R Cooper, C Aihie Sayer, A The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title | The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title_full | The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title_fullStr | The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title_full_unstemmed | The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title_short | The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. |
title_sort | sf 36 a simple effective measure of mobility disability for epidemiological studies |
work_keys_str_mv | AT syddallh thesf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT martinh thesf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT harwoodr thesf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT cooperc thesf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT aihiesayera thesf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT syddallh sf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT martinh sf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT harwoodr sf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT cooperc sf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies AT aihiesayera sf36asimpleeffectivemeasureofmobilitydisabilityforepidemiologicalstudies |