Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older

Donoghue, Orna A.; Savva, George M.; Cronin, Hilary; Kenny, Rose Anne; Horgan, N Frances

doi:10.1016/j.apmr.2014.06.008

Cited by 125 publications

(93 citation statements)

References 29 publications

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“…Physical performance, including grip strength, lower‐extremity muscle strength, and walking speed, could be significant predictors of adverse health events such as disability,2, 3, 4 hospitalization,5 and mortality6, 7, 8 among older adults. Age‐related declines in muscle strength and mobility have been investigated, and ethnicity‐ and sex‐based differences have been reported 9, 10, 11…”

Section: Introductionmentioning

confidence: 99%

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Makizako

Shimada

Doi

et al. 2017

J cachexia sarcopenia muscle

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BackgroundThe aim of this study was to describe the age‐dependent changes in the parameters of physical performance and body composition in Japanese older adults who are independently dwelling in the community. We also examined whether the age‐dependent changes differ among physical performance and body composition parameters.MethodsCross‐sectional data from 10 092 community‐dwelling older adults (mean age 73.6 years; 5296 women) were analyzed. The measures of physical performance included hand‐grip strength, the five‐times‐sit‐to‐stand test, and walking speed. Body composition parameters (body weight, fat mass, and appendicular skeletal muscle mass) were measured with a bioelectrical impedance analyser. Correlations between age and the physical performance and body composition parameters were tested. The T‐scores of physical performance and body composition measurements were calculated and presented according to 5‐year age groups to examine the differences in age‐dependent changes in physical performance and body composition parameters.ResultsAll physical performance measures significantly decreased with aging. The cumulative mean T‐scores according to age group showed different age‐dependent changes between body mass index (BMI) and appendicular skeletal muscle mass index (ASMI) (cumulative mean T‐score change of BMI and ASMI of −5.7 to −2.9 and −12.7 to −12.1, respectively). The slope declines in age‐associated changes were greater in grip strength (β = −0.77, 95% confidence interval = −0.82 to −0.76) for men and in walking speed (β = −0.95, 95% confidence interval = −0.99 to −0.90) for women.ConclusionsThe patterns of age‐dependent decreases in physical performance measures differed among parameters and between sexes. There is a possibility of a difference in the age‐related slope patterns among parameters; decreases in grip strength in men and walking speed in women may be more prominent with advancing age. Furthermore, the decrease in ASMI with age is more striking than that of BMI.

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Section: Introductionmentioning

confidence: 99%

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Makizako

Shimada

Doi

et al. 2017

J cachexia sarcopenia muscle

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“…The average time to complete each of two trials was recorded in seconds, with faster times (i.e., smaller values) indicating better performance. Performance on the TUG is an ideal measure of mobility for our study, given that it predicts behaviours relevant for functional independence, including falls (Shumway-Cook, Brauer, & Woollacott, 2000) and instrumental activities of daily living (IADLs) (Donoghue, Savva, Coronin, Kenny, & Horgan, 2014).…”

Section: Methodsmentioning

confidence: 99%

White Matter Volume Mediates the Relationship Between Self-Efficacy and Mobility in Older Women

Nagamatsu

Hsu

Davis

et al. 2016

Experimental Aging Research

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“…The TUG was the primary outcome measured used as the patient stated that she had a fear of falls and was active in the community prior to the onset of rhabdomyolysis. The TUG has been shown to have good predictive ability for ADL disability and difficulty in higher level tasks in community-dwelling older adults (Donoghue, Savva, Cronin, Kenny, & Horgan, 2014). A score of 20 seconds indicated a higher probability of ADL disability (probability = 0.43) and a score of 13 seconds indicated a lower probability of disability (probability = 0.09) (Donoghue et al, 2014).…”

Section: Functional Assessmentmentioning

confidence: 99%

“…The TUG has been shown to have good predictive ability for ADL disability and difficulty in higher level tasks in community-dwelling older adults (Donoghue, Savva, Cronin, Kenny, & Horgan, 2014). A score of 20 seconds indicated a higher probability of ADL disability (probability = 0.43) and a score of 13 seconds indicated a lower probability of disability (probability = 0.09) (Donoghue et al, 2014). Good sensitivity (0.87) and specificity (0.87) in predicting falls has been shown with the TUG (Shumway-Cook, Brauer, & Woollacott, 2000).…”

Section: Functional Assessmentmentioning

confidence: 99%

Case Report: Rehabilitation of a 65 Year-Old Female with Statin-Induced Rhabdomyolysis

Swartz¹,

Cech²,

Evans³

et al. 2017

IJHS

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Statin-induced rhabdomyolysis is a debilitating condition of muscle breakdown that can lead to severe functional limitations. Prior reports of physical therapy treatment have focused on athletes and military personal following acute exertional rhabdomyolysis, however there is minimal information for treatment of statin-induced rhabdomyolysis in the geriatric population. A 65 year-old female with a diagnosis of rhabdomyolysis due to the interaction of atorvastatin and clarithromycin was seen in an out-patient orthopedic clinic for weakness, fatigue, and difficulty completing daily tasks. The treatment approach was adapted from work based on previous military programs in managing acute exertional rhabdomyolysis by decreasing the pace and intensity of the exercises to accommodate an elderly patient, but still maintaining a focus on achieving active range of motion before progressing to isotonic exercises and functional activities. Primary outcome measures included the Timed Up and Go (TUG), 6 Minute Walk Test (6MWT), and 5 Time Sit to Stand (5xSTS). By discharge all outcome measures demonstrated improvement and the patient was able to return to work.

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Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older

Cited by 125 publications

References 29 publications

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

White Matter Volume Mediates the Relationship Between Self-Efficacy and Mobility in Older Women

Case Report: Rehabilitation of a 65 Year-Old Female with Statin-Induced Rhabdomyolysis

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