Table 2.
Evolution of the ADL score at 6 and 12 months among nursing home residents according to the three definitions of vitality (mental, physical and combined)
| Mental Vitality’ | ||||||||
|---|---|---|---|---|---|---|---|---|
| High vitality | Low vitality | High vitality | p | Low vitality | p | Between group Adjusted Mean Difference (Standard Error; p) | βCoefficient for time-by-Vitality Group interaction (95% CI; p)a | |
| ADL | ADL Score (Standard Error) | Within Group Adjusted Mean Difference (Standard Error)a, b | ||||||
| T0 | 3.1 (0.1) | 3.0 (0.1) | ||||||
| T6 | 2.4 (0.1) | 2.6 (0.1) | −0.7 (0.1) | <0.001 | −0.4 (0.1) | <0.001 | 0.2 (0.1; 0.1) | − 0.2 (−0.5 to −0.01; 0.04) |
| T12 | 2.3 (0.1) | 2.6 (0.1) | −0.8 (0.1) | <0.001 | −0.4 (0.1) | <0.001 | 0.3 (0.1; 0.02) | − 0.3 (−0.6 to −0.1; 0.006) |
| Physical Vitality” | ||||||||
| High vitality | Low vitality | High vitality | p | Low vitality | p | Between group Adjusted Mean Difference (Standard Error; p) | β Coefficient for time-by-Vitality Group interaction (95% CI; p)a | |
| ADL | ADL Score (Standard Error) | Within Group Adjusted Mean Difference (Standard Error)a, b | ||||||
| T0 | 3.2 (0.1) | 3.0 (0.1) | ||||||
| T6 | 2.7 (0.1) | 2.4 (0.1) | −0.5 (0.1) | <0.001 | −0.5 (0.1) | <0.001 | −0.2 (0.1; 0.1) | − 0.001 (−0.2 to 0.2; 0.9) |
| T12 | 2.7 (0.1) | 2.4 (0.1) | −0.5 (0.1) | <0.001 | −0.6 (0.1) | <0.001 | −0.3 (0.1; 0.02) | 0.1 (−0.1 to 0.4; 0.4) |
| Combined Vitality’” | ||||||||
| High vitality | Low vitality | High vitality | p | Low vitality | p | Between group Adjusted Mean Difference (Standard Error; p) | βCoefficient for time-by-Vitality Groupinteraction (95% CI; p) | |
| ADL | ADL Score (Standard Error) | Within Group Adjusted Mean Difference (Standard Error)a, b | ||||||
| T0 | 3.1 (0.2) | 3.0 (0.1) | ||||||
| T6 | 2.5 (0.2) | 2.5 (0.1) | −0.5 (0.2) | 0.004 | −0.5 (0.1) | <0.001 | 0.02 (0.2; 0.9) | −0.01 (−0.4 to 0.4; 0.9) |
| T12 | 2.5 (0.2) | 2.5 (0.01) | −0.6 (0.2) | 0.002 | −0.5 (0.1) | <0.001 | 0.02 (0.2; 0.9) | 0.06 (−0.5 to 0.3; 0.7) |
a. Negative values indicates decrease in the ADL score compared to ADL at T0; b. The ADL score at T0 was the reference value; Analysis adjusted for age, sex, duration of institutionalization, IADL, SPPB, MNA and Charlson Comorbidity Index at inclusion, post 6 months and post 12 months; ‘Mental Vitality defined as a Score of 0 based on three questions from the Geriatric Depression Scale, “Physical Vitality defined as HGS≥23Kg in male and ≥13.5 Kg in female (4th quartile), “‘Combined Vitality defined as presenting both Mental and Physical vitality, °ADL; Activity of Daily Living; (Mental Vital group: 204, Mental Low Vitality group: 337) patients were entered into the regression model (adjusted for age, sex, duration of institutionalization, IADL, SPPB, MNA and Charlson Comorbidity Index)