Aging effect on the instrumented Timed-Up-and-Go test variables in nursing home women aged 80–93 years

Zarzeczny, Ryszard; Nawrat–Szołtysik, Agnieszka; Polak, Anna; Maliszewski, Jakub; Kiełtyka, Adam; Matyja, Beata; Dudek, Magdalena; Zborowska, Joanna; Wajdman, Adam

doi:10.1007/s10522-017-9717-5

Cited by 37 publications

(45 citation statements)

References 55 publications

(73 reference statements)

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“…Previous studies show that an age-related decline in the measurements of physical fitness could have been expected [ 49 – 51 ] since muscle strength and power decline with age [ 52 ]. Within none of the groups no difference from baseline was found in TUG and STS indicating that both interventions might have slowed down the typical age-related decline of physical fitness.…”

Section: Discussionmentioning

confidence: 99%

Long-time follow up of physical activity level among older adults with rheumatoid arthritis

Lange

Gjertsson

Mannerkorpi

2020

Eur Rev Aging Phys Act

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Background: Physical activity and exercise are acknowledged as important parts in the management of rheumatoid arthritis (RA). However, long-term maintenance of exercise is known to be difficult. The aim of this study was to evaluate change in physical activity and physical fitness after four years in older adults with RA who had previously participated in exercise with person-centred guidance compared to controls. Method: A follow-up study was performed where older adults (> 65 years) who had participated in a randomized controlled trial where they were allocated to either exercise with person-centred guidance or home-based, lightintensity exercise (controls) were invited to one visit and assessed with performance-based test, blood-sampling and self-reported questionnaires. Forty-seven out of 70 older adults accepted participation, 24 from the exercise group and 23 from the control group. Comparisons of the result with baseline values were performed and explanatory factors for increase of physical activity were examined with logistic regression. Results: The result show that there was no significant difference in weekly hours of physical activity when groups where compared. However, participants in the exercise group rated significantly increased weekly hours of physical activity after four years (p = 0.004) when compared to baseline. Higher levels of fatigue, BMI and physical activity, at baseline were negatively associated with increased physical activity after four years. There was no significant difference in change of physical fitness between the groups. Within group analysis showed that the control group reported increased pain (p = 0.035), fatigue (p = 0.023) increased number of tender joints (p = 0.028) higher disease activity (p = 0.007) and worsening of global health (p = 0.004) when compared to baseline while the exercise group remained at the same level as at baseline. Conclusion: These results indicate that introducing moderate-to high intensity exercise with person-centred guidance might favor increased physical activity after four years in older adults with RA. Previous partaking in moderate-to high intensity exercise might also be protective against increased disease activity, pain and fatigue over time.

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Section: Discussionmentioning

confidence: 99%

Long-time follow up of physical activity level among older adults with rheumatoid arthritis

Lange

Gjertsson

Mannerkorpi

2020

Eur Rev Aging Phys Act

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“…The time or gait velocity on TUG is reported to be insufficient to assess the effects of the tap test, including for diagnosing iNPH and selecting shunt candidates, especially in patients with mild gait disturbance [13, 15]. The cutoff times on TUG at a fast walking speed were reported to be 11-13.5 s for identifying individuals at an increased risk of falls [3, 8, 16-21]. Particularly, the most popular cutoff time on TUG at a fast pace for predicting falls is ≥13.5s [3, 8, 16, 18].…”

Section: Discussionmentioning

confidence: 99%

“…The cutoff times on TUG at a fast walking speed were reported to be 11-13.5 s for identifying individuals at an increased risk of falls [3, 8, 16-21]. Particularly, the most popular cutoff time on TUG at a fast pace for predicting falls is ≥13.5s [3, 8, 16, 18]. In this study, tap-positive iNPH patients with an initial TUG time of ≥13.5 s showed improved TUG time after the tap test, whereas those with a TUG time of <13.5 s did not demonstrate reduced time but showed increased ellipsoid volume on iTUG.…”

Section: Discussionmentioning

confidence: 99%

“…The 3-m timed up-and-go test (TUG) is widely used as a quantitative measure for assessing general mobility in healthy elderly and patients with various diseases [1-8]. The TUG is also used for quantitatively evaluating the improvement in gait disturbance after a shunt surgery or tap test involving 30-50 mL removal of cerebrospinal fluid (CSF) via a lumbar tap in patients with idiopathic normal-pressure hydrocephalus (iNPH)[9-13].…”

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confidence: 99%

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Quantitative Evaluation of Gait Disturbance on an Instrumented Timed Up-and-go Test

Yamada¹,

Aoyagi²,

Yamamoto³

et al. 2019

Aging and disease

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Although the 3-m timed up-and-go test (TUG) is reliable for evaluating mobility, TUG time is insufficient to evaluate mild gait disturbance; we, therefore aimed to investigate other measurements with instrumented TUG (iTUG) using a free smartphone application. Our inclusion criterion in this study is only that participants can walk without any assistance. This study included three heterogeneous groups; patients who underwent a tap test or shunt surgery, 29 inpatients hospitalized for other reasons, and 87 day-care users. After the tap test, 28 were diagnosed with tap-positive idiopathic normal-pressure hydrocephalus (iNPH) and 8 were diagnosed with tap-negative. Additionally, 18 patients were assessed iTUG before and after shunt surgery. During iTUG, time and 3-dimensional (3D) acceleration were automatically recorded every 0.01 s. A volume of the 95% confidence ellipsoid (95%CE) of all plots for 3D acceleration was calculated. Additionally, an iTUG score was defined as (95%CE volume) 0.8 / 1.9 - 1.9 × (time) + 60. The measurement reliability was evaluated using intraclass correlations and Bland-Altman plots. The participants with mild gait disturbance who accomplished within 13.5 s on the iTUG time had the 95%CE volumes for 3D acceleration of ≥70 m3/s6 and iTUG scores of ≥50. The mean iTUG time was shortened and the mean 95%CE volumes and iTUG scores were increased after the tap test among 28 patients with tap-positive iNPH and after shunt surgery among 18 patients with definite iNPH. Conversely, the mean iTUG score among 8 patients with tap-negative was decreased after the tap test. The intraclass correlations for the time, 95%CE volume and iTUG score were 0.97, 0.80 and 0.90, respectively. Not only the iTUG time but also the 95%CE volume was important for evaluating mobility. Therefore, the novel iTUG score consisting both is useful for the quantitative assessment of mobility.

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“…Mitnitski et al ( 2017 ) present their network model of health deficits to better understand how changes in health are captured by the frailty index, FI. Similarly, the condition of the elderly is measurable by using simple tests, such as Up-and Go test, which can be very useful for assessing the muscle strength (Zarzeczny et al 2017 ), and the frailty syndrome involving the role of the dopaminergic system (Seiffert et al 2017 ).…”

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confidence: 99%

The Future of Ageing: not more of the same

Sikora

Rattan

2017

Biogerontology

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Aging effect on the instrumented Timed-Up-and-Go test variables in nursing home women aged 80–93 years

Cited by 37 publications

References 55 publications

Long-time follow up of physical activity level among older adults with rheumatoid arthritis

Long-time follow up of physical activity level among older adults with rheumatoid arthritis

Quantitative Evaluation of Gait Disturbance on an Instrumented Timed Up-and-go Test

The Future of Ageing: not more of the same

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