Ability to sit and rise from the floor as a predictor of all-cause mortality

Brito, Leonardo Barbosa Barreto de; Ricardo, Djalma Rabelo; Araújo, Denise Sardinha Mendes Soares de; Ramos, Plínio dos Santos; Myers, Jonathan; Araújo, Cláudio Gil Soares de

doi:10.1177/2047487312471759

Cited by 116 publications

(117 citation statements)

References 35 publications

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“…An interesting feature of this study is the use of the Flexitest, a dimensionless flexibility assessment protocol. Flexitest's intra-and interobserver reliabilities have been thoroughly evaluated (Araújo 2003), favorably contrasted with other methods used for joint range of motion assessment (Silva et al 2000), and it has been used in several research studies (Araújo 2008;Araújo and Araújo 2004;Araújo and Chaves 2005;Brito et al 2013Brito et al , 2012Chaves et al 2002;Coelho and Araújo 2000;Nobrega et al 2005;Signorelli et al 2012a, b;Silva et al 2000). Flexitest also presents several positive features, such as easiness by which mastering the measurement technique is achieved, standardization of no previous warming up routine, and the relatively short time for evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Although, by reading their data, indeed, it can be identified that most studies are relatively short (few weeks long) and that flexibility was most often assessed by multicomposite tests, such as sit-andreach, which, in our opinion, may compromise the interpretation of the information. While it is widely recognized that to have some degree of range of motion in the major body joints is needed for performing most of the daily living activities, such as sitting and rising from the floor (Brito et al 2013), an ability that have been recently shown to be predictive of all-cause mortality in middle age and older adults (Brito et al 2012), it is still unknown what the ideal overall flexibility level for health is (Jackson et al 1998) or if there is a cutoff value for FLX regarding personal autonomy. There are some evidence that low levels of flexibility could be related to risk of falls in older adults, leading the authors to recommend that flexibility training be a priority for those subjects (Menz et al 2006;Dai et al 2012).…”

Section: Discussionmentioning

confidence: 99%

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Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results

Medeiros

Araújo

2013

AGE

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Although aging is commonly linked to a reduction in joint range of motion, it is unclear if all body joints behave similarly. To address this issue, the main purpose of this study was to compare age-related loss of mobility of seven body joints. A total of 6,000 participants (3,835 men and 2,165 women) aged 5 to 92 years took part in this study. The maximal passive range of motion of 20 movements was evaluated by Flexitest, and each movement was scored from 0 to 4. Composite scores were obtained for each of seven joints and for overall flexibility (Flexindex (FLX)) by adding individual movement scores. Confirming previous findings, FLX systematically decreased with aging (p<.001), with female participants being more flexible for all ages (p<0.001) and having a more gradual, 0.6 % vs. 0.8 %/year, age reduction (p<.001). Starting at 30 and 40 years, respectively, for male and female participants, the relative contribution of each composite joint score to FLX dramatically changed. Shoulder contribution to FLX male's score went from 13.9 % at 28 years of age to only 5.2 % at 85 years of age. In general, proportionally, shoulder and trunk became less flexible, while elbow and knee mobility was preserved to a greater extent. Our findings indicated that age-related loss of mobility is rather joint-specific, which could be related to distinct routine usage patterns of the major body joints along life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results

Medeiros

Araújo

2013

AGE

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“…O envelhecimento aumenta o enfraquecimento muscular, caracterizada pela atrofia muscular das fibras tipo II, essa condição afeta a coordenação muscular, resultando em uma incapacidade funcional (Puthoff & Nielsen, 2007) e muitas vezes ocasionando a mortalidade (Brito, Ricardo, Araujo, Ramos, Myers, & Araujo, 2012).…”

Section: Discussionunclassified

“…Partindo do pressuposto de que a tarefa de sentar e levantar do chão são básicos para a autonomia do idoso, Brito et al (2012) realizaram estudo de coorte e identificaram que aqueles indivíduos com o menor escore no teste de sentar Figura 1. Área sob a curva ROC com o ponto de corte para o número de repetições no teste de sentar e levantar da cadeira como preditor para incapacidade funcional em homens idosos.…”

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Força de membros inferiores como indicador de incapacidade funcional em idosos

Santos

Tribess

Meneguci

et al. 2013

Motriz: rev. educ. fis.

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Resumo-O propósito deste estudo foi discriminar a quantidade de repetições no teste sentar e levantar da cadeira na estimativa da incapacidade funcional. Estudo epidemiológico de corte transversal com amostra probabilística de 622 indivíduos, idade > 60 anos. A capacidade funcional autopercebida foi analisada como variável dicotômica: ausência de dependência versus dependência na realização de atividade básicas (ABVD) e instrumentais da vida diária (AIVD). Aplicou-se o teste sentar e levantar da cadeira durante 30 segundos (número de repetições máximas) para avaliar a força de membros inferiores. O teste mostrou-se como discriminador da incapacidade funcional devido os valores apresentados pelas áreas sob as curvas ROC serem >0,60. O ponto de corte para determinar a incapacidade funcional nas ABVD foi < 10 repetições (homens) e < 9 repetições (mulheres); nas AIVD < 14 repetições (homens) e < 10 repetições (mulheres). A força de membros inferiores pode ser utilizada como preditor da incapacidade funcional nas ABVD e AIVD.Palavras-chaves: membros inferiores, força muscular, pessoa com incapacidade, idoso, curva ROC Abstract-"Lower limb strength as an indicator of functional disability in older individuals." The purpose of this study was to identify the number of repetitions of the sitting-rising test from a chair necessary to estimate a functional disability in older individuals. An epidemiological cross-sectional study was conducted with a random sample of 622 individuals, aged > 60 years. The functional capacity was investigated as a dichotomous variable: absence of dependency versus dependency for performing basic activities (BADL) and instrumental activities of daily living (IADL). We employed the sitting-rising test from a chair for 30 seconds (maximum repetitions) to assess the strength of the lower limbs. The test proved to be a good discriminator of functional disability due to the values >0.60 which were identified in the areas under the ROC curves. The cutoff point for determining disability in the BADL was: < 10 repetitions (men) and < 9 repetitions (women); in the IADL: < 14 repetitions (men) and < 10 repetitions (women). The strength of the lower limbs can be used as a predictor of functional disability in BADL and IADL.Keywords: lower extremity, muscle strength, functional disabilities, aging, ROC curveResumen-"Fuerza de las extremidades inferiores como un indicador de la incapacidad funcional en ancianos." El propósito de este estudio fue discriminar la cantidad de repeticiones en la prueba de sentarse y levantarse de la silla en la estimación de la discapacidad funcional. Estudio epidemiológico transversal con una muestra aleatoria de 622 individuos con edad > 60 años. La capacidad funcional autopercibida se analizó como una variable dicotómica: la falta de dependencia frente a la dependencia para realizar las actividades básicas (ABVD) y actividades instrumentales de la vida diaria (AIVD). Se aplicó la prueba de sentarse y levantarse de una silla durante 30 segundos (repeticiones máximas) para eva...

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Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement

et al. 2019

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Key Points Question Can exercise programs delivered at a later stage (>2 months) after total knee replacement improve the functional limitations that persist after surgery? Findings In this randomized clinical trial of 240 individuals at a later stage after knee replacement, all arms (physical therapy, community, and control) improved physical function. There were no differences between arms in the primary outcome of patient-reported physical function, whereas the secondary outcome of performance-based physical function demonstrated greater improvement in the physical therapy arm. Meaning While the primary outcome suggests no benefit of later-stage exercise programs, the secondary outcomes suggest beneficial effects of physical therapy but require confirmation.

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Ability to sit and rise from the floor as a predictor of all-cause mortality

Cited by 116 publications

References 35 publications

Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results

Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results

Força de membros inferiores como indicador de incapacidade funcional em idosos

Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement

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