title: PTSD is negatively associated with physical performance and physical function in older overweight military Veterans.
abstract: This study examines the effect of posttraumatic stress disorder (PTSD) on function and physical performance in older overweight military Veterans with comorbid conditions. This is a secondary data analysis of older Veterans (mean age = 62.9 yr) participating in a physical activity counseling trial. Study participants with PTSD (n = 67) and without PTSD (n = 235) were identified. Self-reported physical function (36-item Short Form Health Survey) and directly measured physical performance (mobility, aerobic endurance, strength) were assessed. Multivariate analyses of variance controlling for demographic factors and psychiatric disorders demonstrated significant physical impairment among those with PTSD. PTSD was negatively associated with self-reported physical function, functioning in daily activities, and general health (p < 0.01). Those with PTSD also performed significantly worse on tests of lower-limb function (p < 0.05). Despite being significantly younger, Veterans with PTSD had comparable scores on gait speed, aerobic endurance, grip strength, and bodily pain compared with Veterans without PTSD. This study provides preliminary data for the negative association between PTSD and physical function in older military Veterans. These data highlight the importance of ongoing monitoring of physical performance among returning Veterans with PTSD and intervening in older overweight Veterans with PTSD, whose physical performance scores are indicative of accelerated risk of premature functional aging.
authors.affiliation: Durham VA Medical Center, GRECC (182), 508 Fulton St, Durham, NC 27705. katherine.hall@duke.edu.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: Hall
authors.forename: Jean C
authors.initials: JC
authors.lastname: Beckham
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
authors.forename: Richard
authors.initials: R
authors.lastname: Sloane
authors.forename: Carl F
authors.initials: CF
authors.lastname: Pieper
authors.forename: Miriam C
authors.initials: MC
authors.lastname: Morey
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D009043:Motor Activity / Q000502:physiology*; D011788:Quality of Life; D012189:Retrospective Studies; D013313:Stress Disorders, Post-Traumatic / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014728:Veterans
keywords: PTSD; SF-36; aging; comorbid; function; geriatrics; health; mobility; physical performance; psychological