Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients

Shea, Cristina; Ward, Rachel E.; Welch, Sarah A.; Kiely, Dan K.; Goldstein, Richard; Bean, Jonathan F.

doi:10.1097/phm.0000000000000889

Cited by 18 publications

(7 citation statements)

References 32 publications

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“…A score of 0 is given if the participant deems the task too unsafe to attempt or attempts the task but is unable to complete it. 20 The three component scores are summed to yield a total score ranging from 0 to 12. This is a widely used scale exploring the reduction of physical performance in older persons, particularly muscle strength, walking speed at usual pace, and balance.…”

Section: Methodsmentioning

confidence: 99%

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Wu¹,

Hou²,

Han³

et al. 2021

CIA

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We aimed to propose a serial mediational model to further analyze the relationship between poor physical performance, malnutrition, depression and cognitive impairment in Chinese community-dwelling older adults. Patients and Methods: This study consisted of 1386 community-dwelling Chinese older adults aged 65 years and older in Shanghai, China. Mild cognitive impairment (MCI) was assessed by the Mini-Mental State Examination (MMSE) and Instrumental Activities Of Daily Living (IADL). Physical performance was assessed by short physical performance battery (SPPB). Malnutrition was defined with the Mini Nutritional Assessment (MNA). Depressive symptoms were evaluated by the 30-item Geriatric Depression Scale (GDS). Serial multiple mediator models were used. Results: The mean age of the final analysis sample was 73.62±6.14, and 57.6% (n=809) were females. The prevalence of MCI was 14.35% (n=199). Physical performance (p<0.001), nutritional status (p=0.025), and depressive symptoms (p=0.002) were correlated with MCI. The serial mediational model revealed that MNA and GDS scores significantly mediated association of SPPB and MMSE scores (c'=0.4728, p<0.001). Furthermore, depressive symptoms significantly mediated the association of physical performance and cognition (p=0.0311), while malnutrition had no independent mediating effect between these two factors (p=0.794). Conclusion:Our study examined the serial multiple mediation roles of nutritional status and depressive symptoms on the relationship between physical performance and cognitive function in community-dwelling Chinese older adults. Older adults who were in poor physical condition tend to have worse nutritional status, more severe depression, and poorer cognitive function.

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Section: Methodsmentioning

confidence: 99%

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Wu¹,

Hou²,

Han³

et al. 2021

CIA

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“…The sit-to-stand (STS) test 7 is an easy, rapid, and commonly used low-cost functional performance measure that evaluates the time taken to stand from a seated position a certain number of times or the number of repetitions undertaken in a given time period. STS performance is known to be associated with disability 8 , 9 , falls 10 , 11 , hip fracture 12 , 13 and mortality 12 , 14 among older adults. Although STS performance has traditionally been correlated with lower-limb muscle strength and power 15 , 16 , it does not represent per se an estimate of muscle strength or power, since the latter need to be expressed as N and W, respectively.…”

Section: Introductionmentioning

confidence: 99%

Relation between leg extension power and 30-s sit-to-stand muscle power in older adults: validation and translation to functional performance

Alcázar

Kamper

Aagaard

et al. 2020

Sci Rep

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This study aimed to assess the validity and functional relevance of a standardized procedure to assess lower limb muscle power by means of the 30-s sit-to-stand (STS) test when compared to leg extension power (LEP), traditional STS performance and handgrip strength. A total of 628 community-dwelling older subjects (60–93 years) from the Copenhagen Sarcopenia Study were included. Physical performance was assessed by the 30-s STS and 10-m maximal gait speed tests. Handgrip strength and LEP were recorded by a hand-held dynamometer and the Nottingham power rig, respectively. STS muscle power was calculated using the subjects’ body mass and height, chair height and the number of repetitions completed in the 30-s STS test. We found a small albeit significant difference between LEP and unilateral STS power in older men (245.5 ± 88.8 vs. 223.4 ± 81.4 W; ES = 0.26; p < 0.05), but not in older women (135.9 ± 51.9 vs. 138.5 ± 49.6 W; ES = 0.05; p > 0.05). Notably, a large positive correlation was observed between both measures (r = 0.75; p < 0.001). Relative STS power was more strongly related with maximal gait speed than handgrip strength, repetition-based STS performance and relative LEP after adjusting for age (r = 0.53 vs 0.35–0.45; p < 0.05). In conclusion, STS power obtained from the 30-s STS test appeared to provide a valid measure of bilateral lower limb power and was more strongly related with physical performance than maximal handgrip strength, repetition-based STS performance and LEP.

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“…The chair stand test, a measure of lower extremity muscle strength, has been demonstrated to be beneficial in determining fall risk [ 32 ]. Older persons who had lower chair stand test scores were reported to be associated with a higher risk of fall-related injuries [ 33 ]. Moreover, lower extremity weakness was reported to increase the odds of occasional and recurrent falls in older persons [ 34 ] since it was associated with abnormal gait, loss of balance, declined mobility, flexibility and functional performance [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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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.

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Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients

Abstract: Inability to perform the repeated chair stand task was associated with increased hazard of an injurious fall for 2 yrs among a cohort of older adult primary care patients.

Cited by 18 publications

References 32 publications

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Relation between leg extension power and 30-s sit-to-stand muscle power in older adults: validation and translation to functional performance

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

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