Timed up and go test and risk of falls in older adults: A systematic review

Beauchet, Olivier; Fantino, Bruno; Allali, Gilles; Muir, Susan W.; Montero‐Odasso, Manuel; Annweiler, Cédric

doi:10.1007/s12603-011-0062-0

Cited by 316 publications

(262 citation statements)

References 29 publications

(151 reference statements)

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“…The authors concluded that, even though they had good sensitivity and specificity, the implementation of them in clinical practice is expensive both in time and practice, and they could not yet replace the empirical judgment 61 . One of the tests used for assessment mobility and fall risk is the Timed Up and Go Test (TUG), which in accordance to some studies, has a limited predictive ability for communitydwelling elderly 47,[62][63] , but has better predictions in less healthy and lower functioning older people 64 . TUG with a Dual Task (TUG-DT) is a better predictor for measuring mobility among community-dwelling elderly, but it has a poor prognostic validity for the quality assessment 62,[64][65][66] .…”

Section: Predicting the Risk Of Fallmentioning

confidence: 81%

“…Apart from estrogens, there is an interaction between the adipose tissue and bone cell 42 . Adipocytes produce adiponectin, a molecule that is inversely related to BMI but seems to work as a marker of a disrupted adaptive response in overweight individuals [43][44][45][46][47][48][49][50][51] . A study found higher serum levels of adiponectin in obese women with fractures when compared with obese women without fractures 52 .…”

Section: Bone Mass and Obesity In Elder Womenmentioning

confidence: 99%

“…On the other hand, when leptin acts via central nervous system, it is responsible for decreased bone formation 52 . Another adipose tissue product is inflammatory cytokines that could affect the balance between bone absorption and formation [43][44][45][46][47][48][49][50][51] .…”

Section: Bone Mass and Obesity In Elder Womenmentioning

confidence: 99%

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Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

Sotiriadi-Vlachou¹

2017

JFSF

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Section: Predicting the Risk Of Fallmentioning

confidence: 81%

Section: Bone Mass and Obesity In Elder Womenmentioning

confidence: 99%

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Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

Sotiriadi-Vlachou¹

2017

JFSF

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“…Most studies show that the prevalence of these disorders is directly related to age [2,9,10]. Thus, 25% of people living with HIV infection who are >45 years and only 3-5% of people >65 years in the general population suffer from these disorders [2,[5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…Functional motor limitations were measured as the level of personal capacity to perform (alone, without technical help) basic actions such as walking, kneeling, using the hands, picking up an object and carrying 5 kg for 10 m. The limitations were scored as performance "without difficulty", "with some difficulty", "with great difficulty" or "cannot do at all" [5]. Locomotor function was assessed in a battery of standardized, validated tests by trained personnel [5][6][7][8]:…”

Section: Study Conductmentioning

confidence: 99%

Aging with HIV Infection and Locomotors Disorders: Experience of the Infectious and Tropical Diseases Unit, Abidjan, Côte d’Ivoire

Tanon¹,

Diallo²,

Lenaud³

et al. 2017

J AIDS Clin Res

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Objective: The aim of the study was to estimate the prevalence of locomotor disorders among people living with HIV in Abidjan. Methods:A cross-sectional study was conducted in April-July 2014 at the Department of Infectious and Tropical Diseases in Abidjan. Data were collected with a questionnaire and four tests of locomotor function: 4-m walking speed, five timings from sit-to-stand, the timed "up and go" test and standing on one leg with the eyes closed. Logistic regression models were used to find factors associated with locomotors disorders. Results:Of the 308 patients included in our study, 67.5% were women, and the median age was 45 years. The median duration of HIV infection was 91 months, and 97.4% were receiving antiretroviral therapy. The locomotor test that showed the most frequent alteration (87% of patients) was standing on one leg with the eyes closed. The prevalence of locomotors disorders was estimated to be 34% (95% confidence interval (CI), 28.8-39.4). In the multivariate analysis, age (odds ratio (OR), 1.9; 95% CI, 1.1-3.2; p=0.014) and body mass index (OR, 2.5; 95% CI, 1.5-4.3; p=0.001) were significantly associated with the presence of locomotors disorders. No association was found with time since diagnosis of HIV infection or antiretroviral therapy. Conclusion:The prevalence of locomotors disorders among people living with HIV is high. Strategies should be developed to screen and treat these disorders in order to limit functional impairment in this population.

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Enhancing healthcare access for an older population: The age‐friendly emergency department

Lee,

Skains,

Magidson

et al. 2024

JACEP Open

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Healthcare systems face significant challenges in meeting the unique needs of older adults, particularly in the acute setting. Age‐friendly healthcare is a comprehensive approach using the 4Ms framework—what matters, medications, mentation, and mobility—to ensure that healthcare settings are responsive to the needs of older patients. The Age‐Friendly Emergency Department (AFED) is a crucial component of a holistic age‐friendly health system. Our objective is to provide an overview of the AFED model, its core principles, and the benefits to older adults and healthcare clinicians. The AFED optimizes the delivery of emergency care by integrating age‐specific considerations into various aspects of (1) ED physical infrastructure, (2) clinical care policies, and (3) care transitions. Physical infrastructure incorporates environmental modifications to enhance patient safety, including adequate lighting, nonslip flooring, and devices for sensory and ambulatory impairment. Clinical care policies address the physiological, cognitive, and psychosocial needs of older adults while preserving focus on emergency issues. Care transitions include communication and involving community partners and case management services. The AFED prioritizes collaboration between interdisciplinary team members (ED clinicians, geriatric specialists, nurses, physical/occupational therapists, and social workers). By adopting an age‐friendly approach, EDs have the potential to improve patient‐centered outcomes, reduce adverse events and hospitalizations, and enhance functional recovery. Moreover, healthcare clinicians benefit from the AFED model through increased satisfaction, multidisciplinary support, and enhanced training in geriatric care. Policymakers, healthcare administrators, and clinicians must collaborate to standardize guidelines, address barriers to AFEDs, and promote the adoption of age‐friendly practices in the ED.

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Timed up and go test and risk of falls in older adults: A systematic review

Cited by 316 publications

References 29 publications

Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

Aging with HIV Infection and Locomotors Disorders: Experience of the Infectious and Tropical Diseases Unit, Abidjan, Côte d’Ivoire

Enhancing healthcare access for an older population: The age‐friendly emergency department

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