Differences in physical-fitness test scores between actively and passively recruited older adults:Consequences for norm-based classification

This study investigated differences in physical-fitness test scores between actively and passively recruited older adults and the consequences thereof for norm-based classification of individuals. Walking endurance, grip strength, hip flexibility, balance, manual dexterity, and reaction time were measured in participants age 57 years or older: 1 sample recruited through media announcements (passively recruited) and 1 sample recruited through personal contact (actively recruited). Classifications on a 5-point scale based on norms were cross-tabulated. Compared with the actively recruited sample, performance of the passively recruited sample was significantly better on all tests except, for women, hip flexibility and manual dexterity. Cross-tabulation of the 2 classifications showed that percentages of agreement varied from 27.4% to 87.4%. Cohen's Kappa varied from. 11 to .84. Caution should be used when giving feedback on test performance and subsequently making physical activity recommendations if norms are based on the performance of passively recruited older adults.