scholarly journals Incidence and multidimensional predictors of occasional and recurrent falls among Malaysian community‐dwelling older persons

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Theng Choon Ooi ◽  
Devinder Kaur Ajit Singh ◽  
Suzana Shahar ◽  
Nor Fadilah Rajab ◽  
Divya Vanoh ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Older Persons ◽  
Test Score ◽  
Community Dwelling ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test ◽  
Recurrent Falls ◽  
History Of

Abstract Background Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. In this study, we aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls. This was done in the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Methods Data from 1,763 Malaysian community-dwelling older persons aged ≥ 60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Results Three hundred and nine (17.53 %) participants reported fall occurrences at an 18-month follow-up, of whom 85 (27.51 %) had two or more falls. The incidence rate for occasional and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being female (OR: 1.57; 95 % CI: 1.04–2.36), being single (OR: 5.31; 95 % CI: 3.36–37.48), having history of fall (OR: 1.86; 95 % CI: 1.19–2.92) higher depression scale score (OR: 1.10; 95 % CI: 1.02–1.20), lower hemoglobin levels (OR: 0.90; 95 % CI: 0.81-1.00) and lower chair stand test score (OR: 0.93; 95 % CI: 0.87-1.00) remained independent predictors of occasional falls. While, having history of falls (OR: 2.74; 95 % CI: 1.45–5.19), being a stroke survivor (OR: 8.57; 95 % CI: 2.12–34.65), higher percentage of body fat (OR: 1.04; 95 % CI: 1.01–1.08) and lower chair stand test score (OR: 0.87; 95 % CI: 0.77–0.97) appeared as recurrent falls predictors. Conclusions Having history of falls and lower muscle strength were predictors for both occasional and recurrent falls among Malaysian community-dwelling older persons. Modifying these predictors may be beneficial in falls prevention and management strategies among older persons.

scholarly journals Incidence and Multidimensional Predictors of Occasional and Recurrent Falls among Malaysian Community-Dwelling Older Adults

2020 ◽  
Author(s):  
Theng Choon Ooi ◽  
Devinder Kaur Ajit Singh ◽  
Suzana Shahar ◽  
Nor Fadilah Rajab ◽  
Divya Vanoh ◽  
...  
Keyword(s):  
Older Adults ◽  
Incidence Rate ◽  
Depression Score ◽  
Hemoglobin Level ◽  
Community Dwelling ◽  
Chair Stand ◽  
Stand Test ◽  
Recurrent Falls ◽  
Community Dwelling Older Adults

Abstract Background: Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. This study aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls within the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Methods: Data from 1,763 Malaysian community-dwelling older adults aged ≥60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Results: Three hundred and nine (17.5%) participants reported fall occurrence at 18-month follow-up, of whom 85 (27.5%) had two or more falls. The incidence rate for occasional falls and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being single (OR: 5.310: 95% CI: 1.963-14.361), having higher depression score (OR: 1.123; 95% CI: 1.045-1.207), lower hemoglobin level (OR: 0.873; 95% CI: 0.797-0.956), and taking a longer time to complete the chair stand test (OR: 0.936; 95% CI: 0.881-0.995) remained independent predictors of occasional falls. While, having higher depression score (OR: 1.116; 95% CI: 1.010-1.233), being a stroke survivor (OR: 5.639; 95% CI: 1.502-21.129), having higher percentage of body fat (OR: 1.038; 95% CI: 1.010-1.067), lower hemoglobin level (OR: 0.853; 95% CI: 0.741-0.982), and taking longer time to complete the chair stand test (OR: 0.907; 95% CI: 0.824-0.998) appeared as recurrent falls predictors.Conclusions: Having depression, lower muscle strength and hemoglobin levels predict both occasional and recurrent falls among Malaysian community-dwelling older adults. This finding has implications for future research planning, which should aim to identify effective strategies for preventing falls among older adults by modifying these identified predictors.

scholarly journals Relationship between Performance in the 30-sec Chair-Stand Test and Physical Function of Community-dwelling Elderly People

2016 ◽  
Vol 31 (5) ◽  
pp. 759-763
Author(s):  
Masayuki SOUMA ◽  
Shin MURATA ◽  
Hiroaki IWASE ◽  
Jun MURATA ◽  
Kenji KAMIJOU ◽  
...  
Keyword(s):  
Physical Function ◽  
Elderly People ◽  
Community Dwelling ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test

scholarly journals Temporal Patterns in Performance of the 30 s Chair-Stand Test Evince Differences in Physical and Mental Characteristics among Community-Dwelling Older Adults in Japan

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Akio Goda ◽  
Shin Murata ◽  
Hideki Nakano ◽  
Hina Matsuda ◽  
Kana Yokoe ◽  
...  
Keyword(s):  
Older Adults ◽  
Temporal Patterns ◽  
Knee Extension ◽  
Community Dwelling ◽  
Term Care ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test ◽  
Community Dwelling Older Adults ◽  
Mental Characteristics

Studies involving the 30 s chair-stand test (CS-30) have shown that subjects’ movements can vary during the test, and that these variations may follow several patterns. The present study aimed to define these different patterns and their respective incidences among a population of community-dwelling older adults in Japan. We also investigated, among the patterns identified, potential associations with physical and mental characteristics. The study population comprised 202 community-dwelling older adults. Subjects were classified into four groups based on how their CS-30 performance (defined through sit–stand–sit cycle count) changed over three successive 10 s segments: “steady-goers,” “fluctuators,” “decelerators,” and “accelerators.” Several other measures were also evaluated, including sit-up count, knee-extension strength, toe-grip strength, and Mini-Mental State Examination score. We found that steady-goers and decelerators comprised 70% of the sample. Fluctuators and steady-goers showed comparable physical function. Decelerators exhibited significant correlations between CS-30 score (total cycles) and tasks involving persistence and repetitive actions (p < 0.05). In addition, accelerators showed significantly stronger knee extension than steady-goers (p < 0.01). Differences in temporal patterns of CS-30 performance corresponded to differences in certain dimensions of physical and mental function. Our findings may be useful for planning and evaluating intervention programs aimed at long-term-care prevention among community-dwelling older adults.

scholarly journals SINGLE PHYSICAL PERFORMANCE MEASURES CANNOT IDENTIFY GERIATRIC OUTPATIENTS WITH SARCOPENIA

2018 ◽  
pp. 1-6
Author(s):  
S.M.L.M. Looijaard ◽  
S.J. Oudbier ◽  
E.M. Reijnierse ◽  
G.J. Blauw ◽  
C.G.M. Meskers ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Muscle Mass ◽  
Physical Performance ◽  
Performance Measures ◽  
Handgrip Strength ◽  
Performance Measure ◽  
Community Dwelling ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test

Background: Sarcopenia is highly prevalent in the older population and is associated with several adverse health outcomes. Equipment to measure muscle mass and muscle strength to diagnose sarcopenia is often unavailable in clinical practice due to the related expenses while an easy physical performance measure to identify individuals who could potentially have sarcopenia is lacking. Objectives: This study aimed to assess the association between physical performance measures and definitions of sarcopenia in a clinically relevant population of geriatric outpatients. Design, setting and participants: A cross-sectional study was conducted, consisting of 140 community-dwelling older adults that were referred to a geriatric outpatient clinic. No exclusion criteria were applied. Measurements: Physical performance measures included balance tests (side-by-side, semi-tandem and tandem test with eyes open and -closed), four-meter walk test, timed up and go test, chair stand test, handgrip strength and two subjective questions on mobility. Direct segmental multi-frequency bioelectrical impedance analysis was used to measure muscle mass. Five commonly used definitions of sarcopenia were applied. Diagnostic accuracy was determined by sensitivity, specificity and area under the curve.Results: Physical performance measures, i.e. side-by-side test, tandem test, chair stand test and handgrip strength, were associated with at least one definition of sarcopenia. Diagnostic accuracy of these physical performance measures was poor. Conclusions: Single physical performance measures could not identify older individuals with sarcopenia, according to five different definitions of sarcopenia.

scholarly journals Reference Values for Five-Repetition Chair Stand Test Among Middle-Aged and Elderly Community-Dwelling Chinese Adults

2021 ◽  
Vol 8 ◽  
Author(s):  
Shan-Yan Gao ◽  
Yang Xia ◽  
Qi-Jun Wu ◽  
Qing Chang ◽  
Yu-Hong Zhao
Keyword(s):  
Reference Values ◽  
Large Population ◽  
Community Dwelling ◽  
Normative Values ◽  
Baseline Survey ◽  
Middle Aged ◽  
Chinese Adults ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test

Background: Previous studies on the five-repetition chair stand test (CS-5) are limited by the representativeness of the sample or the lack of reference equations for CS-5. Defined reference values for CS-5 in a large population are not available for middle-aged and elderly Chinese adults.Objective: We established age- and sex-stratified reference values for CS-5 times in a large population in China, and to investigate the associations between demographic and anthropometric factors and CS-5 times.Methods: Analysis of data from the national baseline survey of the China Health and Retirement Longitudinal Study, a nationally representative longitudinal survey that includes 450 urban communities and rural villages within 28 provinces, municipalities, and autonomous regions of China.Results: Twelve thousand six hundred five of seventeen thousand seven hundred eight participants were included for the reference value analyses. Twelve thousand three hundred out of seventeen thousand seven hundred eight participants were included for the risk factor analyses. Of 12,605 participants, the mean CS-5 time was 10.13 s (SD, 3.32) in men and 11.03 s (SD, 3.54) in women aged 40+ year. The CS-5 times were shorter in men than women of all age categories (P &lt; 0.001). The cut-off points ranged from 5.36 to 9.98 s and from 6.48 to 10.29 s in men and women, respectively. Mean velocity was higher in men than in women (P &lt; 0.001). Age, waist circumference, living in a rural village, and having chronic diseases were positively associated with CS-5 time, whereas male, handgrip strength, currently married, income, and current or ex-drinker were negatively associated with CS-5 time in this population (all P &lt; 0.001).Conclusions: The comprehensive normative values for CS-5 are essential for enabling clinicians to better evaluate functional performance, determine the appropriate interventional strategy, and promote healthy aging of older adults.

scholarly journals Automatic and Real-Time Computation of the 30-Seconds Chair-Stand Test without Professional Supervision for Community-Dwelling Older Adults

Sensors ◽  
2020 ◽  
Vol 20 (20) ◽  
pp. 5813
Author(s):  
Antonio Cobo ◽  
Elena Villalba-Mora ◽  
Rodrigo Pérez-Rodríguez ◽  
Xavier Ferre ◽  
Walter Escalante ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Low Cost ◽  
Community Dwelling ◽  
Chair Stand ◽  
Stand Test ◽  
Professional Supervision ◽  
Chair Stand Test ◽  
Sit To Stand ◽  
Community Dwelling Older Adults

The present paper describes a system for older people to self-administer the 30-s chair stand test (CST) at home without supervision. The system comprises a low-cost sensor to count sit-to-stand (SiSt) transitions, and an Android application to guide older people through the procedure. Two observational studies were conducted to test (i) the sensor in a supervised environment (n = 7; m = 83.29 years old, sd = 4.19; 5 female), and (ii) the complete system in an unsupervised one (n = 7; age 64–74 years old; 3 female). The participants in the supervised test were asked to perform a 30-s CST with the sensor, while a member of the research team manually counted valid transitions. Automatic and manual counts were perfectly correlated (Pearson’s r = 1, p = 0.00). Even though the sample was small, none of the signals around the critical score were affected by harmful noise; p (harmless noise) = 1, 95% CI = (0.98, 1). The participants in the unsupervised test used the system in their homes for a month. None of them dropped out, and they reported it to be easy to use, comfortable, and easy to understand. Thus, the system is suitable to be used by older adults in their homes without professional supervision.

scholarly journals “Chair Stand” Test as Predictor of Brazilian Elderly Men Fallers

2014 ◽  
Vol 2 (2) ◽  
pp. 316-318 ◽  
Author(s):  
Raildo Coqueiro ◽  
Kleyton Santos ◽  
Ludmila Schettino ◽  
Aline Barbosa ◽  
Rafael Pereira ◽  
...  
Keyword(s):  
Roc Curve ◽  
Secondary Data ◽  
The Elderly ◽  
Population Based ◽  
Community Dwelling ◽  
Elderly Men ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test ◽  
And Performance

AIM: The aim of this study was to investigate the association between fall and performance in the “chair stand” test; and evaluate this test as a predictor of community-dwelling Brazilian elderly men fallers.MATERIAL AND METHODS: This was a study based on secondary data derived from a population-based epidemiological study involving 143 elderly men. The association between fall and performance in the “chair stand” test was tested with the Poisson regression technique (robust model adjusted by age). The discriminatory power of the “chair stand” test was determined by the ROC curve. In all analyses the level of significance adopted was 5% (α = 0.05). The data were analyzed in the IBM SPSS and MedCalc. The participants’ age ranged from 60 to 105 years (73.4 ± 9.4 years). The time for performing the test ranged from 6 s to 31 s (13.2 ± 5.0 s) and 17.7% (n = 25) reported having suffered at least one fall in the last 12 months.RESULTS: The Poisson multiple regression model (adjusted by age) showed that the spent time to perform the “chair stand” test was positively associated (PR = 1.08; CI95% = 1.02 - 1.14; P = 0.009) with the occurrence of fall in the last 12 months. The power of the “chair stand” test to discriminating the elderly who suffered fall may be visualized by means of the ROC curve parameters. The value of AUC indicates that the “chair stand” test was able to discriminate individuals who suffered and those who did not suffered fall. The cut-off point of 12 s was the one that best discriminated the occurrence of fall, presenting sensitivity = 68.4% and specificity = 60.0%.CONCLUSIONS: The results indicated that the “chair stand” test was associated with fall and presented predictive potential for elderly men fallers.

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