Detectable changes in physical performance measures in elderly African Americans.
BACKGROUND
African American older adults have higher rates of self-reported disability and lower physical performance scores compared with white older adults. Measures of physical performance are used to predict future morbidity and to determine the effect of exercise. Characteristics of performance measures are not known for African American older adults.


OBJECTIVE
The purpose of this study was to estimate the standard error of measurement (SEM) and minimal detectable change (MDC) for the Short Physical Performance Battery (SPPB), Timed "Up & Go" Test (TUG) time, free gait speed, fast gait speed, and Six-Minute Walk Test (6MWT) distance in frail African American adults.


METHODS
This observational measurement study used a test-retest design.


METHODS
Individuals were tested 2 times over a 1-week period. Demographic data collected included height, weight, number of medications, assistive device use, and Mini-Mental Status Examination (MMSE) scores. Participants then completed the 5 physical performance tests.


RESULTS
Fifty-two participants (mean age=78 years) completed the study. The average MMSE score was 25 points, and the average body mass index was 29.4 kg/m(2). On average, participants took 7 medications, and the majority used assistive devices. Intraclass correlation coefficients (ICC [2,1]) were greater than .90, except for the SPPB score (ICC=.81). The SEMs were 1.2 points for the SPPB, 1.7 seconds for the TUG, 0.08 m/s for free gait speed, 0.09 m/s for fast gait speed, and 28 m for 6MWT distance. The MDC values were 2.9 points for the SPPB, 4 seconds for the TUG, 0.19 m/s for free gait speed, 0.21 m/s for fast gait speed, and 65 m for 6MWT distance.


CONCLUSIONS
The entire sample was from an urban area.


CONCLUSIONS
The SEMs were similar to previously reported values and can be used when working with African American and white older adults. Estimates of MDC were calculated to assist in clinical interpretation.
Mangione
Kathleen Kline
KK
Department of Physical Therapy, Arcadia University, 450 S Easton Rd, Glenside, PA 19038, USA. mangione@arcadia.edu
Craik
Rebecca L
RL
McCormick
Alyson A
AA
Blevins
Heather L
HL
White
Meaghan B
MB
Sullivan-Marx
Eileen M
EM
Tomlinson
James D
JD
D001741:Black or African American; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D005684:Gait / Q000502:physiology; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D004856:Postural Balance / Q000502:physiology