HHS Public Access Author manuscript Author Manuscript
J Am Geriatr Soc. Author manuscript; available in PMC 2017 May 10. Published in final edited form as: J Am Geriatr Soc. 2016 May ; 64(5): 1046–1053. doi:10.1111/jgs.14108.
Associations of Asthma Control and Airway Obstruction with Performance of Activities of Daily Living Among Older Asthmatics Eric C. Woods, BA1, Rachel O’Conor, MPH2, Melissa Martynenko, MPH, MPP3, Michael S. Wolf, MPH, PhD2, Juan P. Wisnivesky, MD, DrPh3,4, and Alex D. Federman, MD, MPH3
Author Manuscript
1Icahn
School of Medicine at Mount Sinai, New York, NY
2Division
of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 3Division
of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
4Division
of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Abstract Background—Asthma’s impact on functional limitations of older adults in the United States has not been fully described.
Author Manuscript
Design—Analyses were conducted with data from the Asthma Beliefs and Literacy in the Elderly (ABLE) study, a prospective cohort study of asthmatics aged 60 and older. Setting—Patients were recruited from urban primary care and pulmonary specialty practices in New York City and Chicago between 2010 and 2012. Participants—380 women and 72 men, mean age 67.5 years (SD 6.8 range 60–98), 40% Latino, 30% black were included in the study. Measurements—Characteristics of patients with limitations in activities of daily living (ADLs) were compared to those without ADL limitations using the chi-square test. Generalized estimating
Author Manuscript
Corresponding Author: Alex D. Federman, MD, MPH, Icahn School of Medicine at Mount Sinai, Division of General Internal Medicine, One Gustave L. Levy Place, Box 1087, New York, NY 10029, Tel. (212) 824-7565, Fax (212) 824-2317, ; Email: [email protected] Alternate Corresponding Author: [email protected] Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. Author Contributions: Study design: Eric C. Woods, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Data acquisition: Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Data analysis: Eric C. Woods, Alex D. Federman Data Interpretation: Eric C. Woods, Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Drafting of manuscript: Eric C. Woods Critical revision of intellectual content: Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Final manuscript approval: Eric C. Woods, Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman
Woods et al.
Page 2
Author Manuscript
equations were used to model the relationships between poor asthma control (Asthma Control Questionnaire [ACQ] score of >1.5) and severity of airway obstruction (Forced Expiratory Volume in one second [FEV1]) and number of limitations of ADLs. Results—Patients with one or more ADL limitations were more likely to be female (90% vs. 81%, P=0.02), Latino (58% vs. 32%, P
J Am Geriatr Soc. Author manuscript; available in PMC 2017 May 10. Published in final edited form as: J Am Geriatr Soc. 2016 May ; 64(5): 1046–1053. doi:10.1111/jgs.14108.
Associations of Asthma Control and Airway Obstruction with Performance of Activities of Daily Living Among Older Asthmatics Eric C. Woods, BA1, Rachel O’Conor, MPH2, Melissa Martynenko, MPH, MPP3, Michael S. Wolf, MPH, PhD2, Juan P. Wisnivesky, MD, DrPh3,4, and Alex D. Federman, MD, MPH3
Author Manuscript
1Icahn
School of Medicine at Mount Sinai, New York, NY
2Division
of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 3Division
of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
4Division
of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Abstract Background—Asthma’s impact on functional limitations of older adults in the United States has not been fully described.
Author Manuscript
Design—Analyses were conducted with data from the Asthma Beliefs and Literacy in the Elderly (ABLE) study, a prospective cohort study of asthmatics aged 60 and older. Setting—Patients were recruited from urban primary care and pulmonary specialty practices in New York City and Chicago between 2010 and 2012. Participants—380 women and 72 men, mean age 67.5 years (SD 6.8 range 60–98), 40% Latino, 30% black were included in the study. Measurements—Characteristics of patients with limitations in activities of daily living (ADLs) were compared to those without ADL limitations using the chi-square test. Generalized estimating
Author Manuscript
Corresponding Author: Alex D. Federman, MD, MPH, Icahn School of Medicine at Mount Sinai, Division of General Internal Medicine, One Gustave L. Levy Place, Box 1087, New York, NY 10029, Tel. (212) 824-7565, Fax (212) 824-2317, ; Email: [email protected] Alternate Corresponding Author: [email protected] Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. Author Contributions: Study design: Eric C. Woods, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Data acquisition: Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Data analysis: Eric C. Woods, Alex D. Federman Data Interpretation: Eric C. Woods, Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Drafting of manuscript: Eric C. Woods Critical revision of intellectual content: Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman Final manuscript approval: Eric C. Woods, Rachel O’Conor, Melissa Martynenko, Michael S. Wolf, Juan P. Wisnivesky, Alex D. Federman
Woods et al.
Page 2
Author Manuscript
equations were used to model the relationships between poor asthma control (Asthma Control Questionnaire [ACQ] score of >1.5) and severity of airway obstruction (Forced Expiratory Volume in one second [FEV1]) and number of limitations of ADLs. Results—Patients with one or more ADL limitations were more likely to be female (90% vs. 81%, P=0.02), Latino (58% vs. 32%, P
