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Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China

PURPOSE: Falling is a major health problem in community-dwelling elderly individuals. The aim of the present study was to conduct a prospective investigation to evaluate the accuracy of the Timed Up and Go Test (TUGT), 4-meter walking test, and grip strength test to screen for the risk of falls and...

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Autores principales: Kang, Li, Han, Peipei, Wang, Jiazhong, Ma, Yixuan, Jia, Liye, Fu, Liyuan, Yu, Hairui, Chen, Xiaoyu, Niu, Kaijun, Guo, Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716394/
https://www.ncbi.nlm.nih.gov/pubmed/29238175
http://dx.doi.org/10.2147/CIA.S138287
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author Kang, Li
Han, Peipei
Wang, Jiazhong
Ma, Yixuan
Jia, Liye
Fu, Liyuan
Yu, Hairui
Chen, Xiaoyu
Niu, Kaijun
Guo, Qi
author_facet Kang, Li
Han, Peipei
Wang, Jiazhong
Ma, Yixuan
Jia, Liye
Fu, Liyuan
Yu, Hairui
Chen, Xiaoyu
Niu, Kaijun
Guo, Qi
author_sort Kang, Li
collection PubMed
description PURPOSE: Falling is a major health problem in community-dwelling elderly individuals. The aim of the present study was to conduct a prospective investigation to evaluate the accuracy of the Timed Up and Go Test (TUGT), 4-meter walking test, and grip strength test to screen for the risk of falls and to determine a cutoff point to be used clinically. PATIENTS AND METHODS: This was a prospective study that included 541 participants. The fall data were obtained via face-to-face interview, and the date, site, and circumstances of any falls were recorded. TUGTs were recorded as part of a comprehensive geriatric assessment. We collected the same data at baseline and after follow-up via comprehensive geriatric assessment. RESULTS: The incidence of falls of our study subjects was 20.8%. The recurrent-fall group had a fall rate of 6.8% during the follow-up year. The standard area under the curve (AUC) of our screening tool was >0.70, and hence our tool can be used for clinical purposes. After adjusting for age and gender, the AUC of TUGT became 0.642, so it cannot be used as a predictive tool for measuring any types of falls. However, when recurrent falls were adjusted for age and gender, the TUGT’s AUC improved to 0.733 and a score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals. CONCLUSION: Future falls were best predicted by TUGT in recurrent fallers at baseline. A score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals.
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spelling pubmed-57163942017-12-13 Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China Kang, Li Han, Peipei Wang, Jiazhong Ma, Yixuan Jia, Liye Fu, Liyuan Yu, Hairui Chen, Xiaoyu Niu, Kaijun Guo, Qi Clin Interv Aging Original Research PURPOSE: Falling is a major health problem in community-dwelling elderly individuals. The aim of the present study was to conduct a prospective investigation to evaluate the accuracy of the Timed Up and Go Test (TUGT), 4-meter walking test, and grip strength test to screen for the risk of falls and to determine a cutoff point to be used clinically. PATIENTS AND METHODS: This was a prospective study that included 541 participants. The fall data were obtained via face-to-face interview, and the date, site, and circumstances of any falls were recorded. TUGTs were recorded as part of a comprehensive geriatric assessment. We collected the same data at baseline and after follow-up via comprehensive geriatric assessment. RESULTS: The incidence of falls of our study subjects was 20.8%. The recurrent-fall group had a fall rate of 6.8% during the follow-up year. The standard area under the curve (AUC) of our screening tool was >0.70, and hence our tool can be used for clinical purposes. After adjusting for age and gender, the AUC of TUGT became 0.642, so it cannot be used as a predictive tool for measuring any types of falls. However, when recurrent falls were adjusted for age and gender, the TUGT’s AUC improved to 0.733 and a score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals. CONCLUSION: Future falls were best predicted by TUGT in recurrent fallers at baseline. A score of 15.96 seconds is used as a cut-point to screen recurrent falls in community-dwelling elderly Chinese individuals. Dove Medical Press 2017-11-28 /pmc/articles/PMC5716394/ /pubmed/29238175 http://dx.doi.org/10.2147/CIA.S138287 Text en © 2017 Kang et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Kang, Li
Han, Peipei
Wang, Jiazhong
Ma, Yixuan
Jia, Liye
Fu, Liyuan
Yu, Hairui
Chen, Xiaoyu
Niu, Kaijun
Guo, Qi
Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title_full Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title_fullStr Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title_full_unstemmed Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title_short Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
title_sort timed up and go test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in china
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716394/
https://www.ncbi.nlm.nih.gov/pubmed/29238175
http://dx.doi.org/10.2147/CIA.S138287
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