Association of sarcopenia and fall risk according to five-times sit to stand test in older adults

Context: Falls and loss of autonomy are often attributed in large part to musculoskeletal impairments in later adulthood. Age-related declines in flexibility contribute to late adulthood musculoskeletal impairment. The novel sitting-rising test has been proposed to be a quick, effective screening of musculoskeletal fitness, fall risk, and all-cause mortality in older adults. The timed up and go and 5 times sit-to-stand tests are two of the 3 most evidence-supported performance measures to assess fall risk. Objective: This study aimed to determine if 5 weeks of flexibility training could increase sitting-rising test, timed up and go, and 5 times sit-to-stand scores in community-dwelling older adults. Participants: Forty-seven adults aged 60 years and older (mean age = 66.7 y, SD = 4.1) participated in this study. Participants completed a static stretching protocol consisting of 3 weekly 1-hour stretching sessions. Results: The protocol improved flexibility as seen in sit-and-reach scores and improved scores on all outcome variables. Specifically, there was a significant increase in sitting-rising test scores from preintervention (M = 7.45, SD = 1.45) to postintervention (M = 8.04, SD = 1.36), t(42) = −5.21, P < .001. Timed up and go scores demonstrated a significant decrease from preintervention (M = 8.85, SD = 1.32) to postintervention (M = 8.20, SD = 1.35), t(46) = 5.10, P < .001. Five times sit-to-stand scores demonstrated a significant decrease from preintervention (M = 12.57, SD = 2.68) to postintervention (M = 10.46, SD = 2.06), t(46) = 6.62, P < .001. Finally, significant increases in sit-and-reach scores were associated with improved functional performance (r = −.308, P = .03). Conclusion: Findings suggest that flexibility training can be an effective mode of low-level exercise to improve functional outcomes. Static stretching may help to improve musculoskeletal health, promote autonomy, and decrease mortality in community-dwelling older adults.

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The repetitive Five-Times-Sit-To-Stand test: its reliability in older adults

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2013.20.3.122 ◽

2013 ◽

Vol 20 (3) ◽

pp. 122-130 ◽

Cited By ~ 5

Author(s):

Tilda WL Teo ◽

Yiqin Mong ◽

Shamay SM Ng

Keyword(s):

Older Adults ◽

Stand Test ◽

Sit To Stand

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The Instrumented Sit-to-Stand Test (iSTS) Has Greater Clinical Relevance than the Manually Recorded Sit-to-Stand Test in Older Adults

PLoS ONE ◽

10.1371/journal.pone.0157968 ◽

2016 ◽

Vol 11 (7) ◽

pp. e0157968 ◽

Cited By ~ 27

Author(s):

Rob C. van Lummel ◽

Stefan Walgaard ◽

Andrea B. Maier ◽

Erik Ainsworth ◽

Peter J. Beek ◽

...

Keyword(s):

Older Adults ◽

Clinical Relevance ◽

Stand Test ◽

Sit To Stand

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The Psychometric Properties of a Modified Sit-to-Stand Test With Use of the Upper Extremities in Institutionalized Older Adults

Perceptual and Motor Skills ◽

10.1177/0031512516653388 ◽

2016 ◽

Vol 123 (1) ◽

pp. 138-152 ◽

Cited By ~ 5

Author(s):

Melanie Le Berre ◽

David Apap ◽

Jade Babcock ◽

Sarah Bray ◽

Esther Gareau ◽

...

Keyword(s):

Older Adults ◽

Psychometric Properties ◽

Upper Extremities ◽

Stand Test ◽

Sit To Stand

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An Experimental Study on the Validity and Reliability of a Smartphone Application to Acquire Temporal Variables during the Single Sit-to-Stand Test with Older Adults

Sensors ◽

10.3390/s21062050 ◽

2021 ◽

Vol 21 (6) ◽

pp. 2050

Author(s):

Diogo Luís Marques ◽

Henrique Pereira Neiva ◽

Ivan Miguel Pires ◽

Eftim Zdravevski ◽

Martin Mihajlov ◽

...

Keyword(s):

Older Adults ◽

Low Cost ◽

Intraclass Correlation ◽

Smartphone Application ◽

Ease Of Use ◽

Systematic Bias ◽

Validity And Reliability ◽

Stand Test ◽

Sit To Stand ◽

Temporal Variables

Smartphone sensors have often been proposed as pervasive measurement systems to assess mobility in older adults due to their ease of use and low-cost. This study analyzes a smartphone-based application’s validity and reliability to quantify temporal variables during the single sit-to-stand test with institutionalized older adults. Forty older adults (20 women and 20 men; 78.9 ± 8.6 years) volunteered to participate in this study. All participants performed the single sit-to-stand test. Each sit-to-stand repetition was performed after an acoustic signal was emitted by the smartphone app. All data were acquired simultaneously with a smartphone and a digital video camera. The measured temporal variables were stand-up time and total time. The relative reliability and systematic bias inter-device were assessed using the intraclass correlation coefficient (ICC) and Bland-Altman plots. In contrast, absolute reliability was assessed using the standard error of measurement and coefficient of variation (CV). Inter-device concurrent validity was assessed through correlation analysis. The absolute percent error (APE) and the accuracy were also calculated. The results showed excellent reliability (ICC = 0.92–0.97; CV = 1.85–3.03) and very strong relationships inter-devices for the stand-up time (r = 0.94) and the total time (r = 0.98). The APE was lower than 6%, and the accuracy was higher than 94%. Based on our data, the findings suggest that the smartphone application is valid and reliable to collect the stand-up time and total time during the single sit-to-stand test with older adults.

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Functional capacity associated with work ability in older university staff employed by the state

Fisioterapia em Movimento ◽

10.1590/1980-5918.030.004.ao03 ◽

2017 ◽

Vol 30 (4) ◽

pp. 681-690

Author(s):

Juleimar Soares Coelho de Amorim ◽

Celita Salmaso Trelha

Keyword(s):

Older Adults ◽

Functional Capacity ◽

Work Ability ◽

Older Workers ◽

Pearson Correlation ◽

Outcome Variable ◽

Work Ability Index ◽

Stand Test ◽

Sit To Stand ◽

Ability Index

Abstract Introduction: The increase in numbers of older adults in the workplace and in the number of years they spend in work prior to retiring has challenged health professionals to provide enable health conditions such that they may undertake occupational activity. Objective: To analyze the variables for functional ability, associated with work ability, in older adults who were government employees at a university. Methods: A cross-sectional design, with older workers aged 60 years old or over, located in different university centers and departments. A structured sociodemographic questionnaire was used to characterize the sample, and the Work Ability Index was used as an outcome variable for the associations, using the Timed Up and Go test, the handgrip strength test, the walking speed test and the chair sit to stand test. The Chi-squared test and Pearson correlation coefficient were used in the statistical analysis. The association of the factors of functional capacity was based on the odds ratio and 95% confidence interval, calculated using the Logistic Regression Model, as part of the SPSS statistical package for Windows. Results: A total of 258 staff participated in the investigation, with men (57.7%) and a lower age range (60 to 62 years old) predominating. Women differed in relation to falls after the age of 60 (p = 0.007) and in the last 12 months (p = 0.017). The mean Work Ability Index was 39.70 ± 5.64 points and a statistical association was ascertained between performance in the chair sit to stand test (OR = 2.26; p = 0.043). Muscle strength (r = 0.72; p < 0.000) and the chair sit to stand test (r = 0.73; p < 0.000) showed excellent correlation with work ability. Conclusion: The variables for functional capacity were associated with work ability.

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