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

Li Kang,1,2 Peipei Han,2 Jiazhong Wang,2 Yixuan Ma,2 Liye Jia,2 Liyuan Fu,2 Hairui Yu,2 Xiaoyu Chen,2 Kaijun Niu,3,4 Qi Guo1,2 1Department of Rehabilitation Medicine, Tianjin Economic-Technological Development Area International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Me...

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Autores principales:	Kang L, Han P, Wang J, Ma Y, Jia L, Fu L, Yu H, Chen X, Niu K, Guo Q
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Community-dwelling Elderly Fall TUGT Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b941662afddd4727a2f47fdcddf6efb4
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spelling	oai:doaj.org-article:b941662afddd4727a2f47fdcddf6efb42021-12-02T06:56:09ZTimed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China1178-1998https://doaj.org/article/b941662afddd4727a2f47fdcddf6efb42017-11-01T00:00:00Zhttps://www.dovepress.com/timed-up-and-go-test-can-predict-recurrent-falls-a-longitudinal-study--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Li Kang,1,2 Peipei Han,2 Jiazhong Wang,2 Yixuan Ma,2 Liye Jia,2 Liyuan Fu,2 Hairui Yu,2 Xiaoyu Chen,2 Kaijun Niu,3,4 Qi Guo1,2 1Department of Rehabilitation Medicine, Tianjin Economic-Technological Development Area International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, 2Department of Rehabilitation Medicine, 3Nutritional Epidemiology Institute, 4School of Public Health, Tianjin Medical University, Tianjin, 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 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. Keywords: community dwelling, elderly, fall, TUGTKang LHan PWang JMa YJia LFu LYu HChen XNiu KGuo QDove Medical PressarticleCommunity-dwellingElderlyFallTUGTGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 2009-2016 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Community-dwelling Elderly Fall TUGT Geriatrics RC952-954.6
spellingShingle	Community-dwelling Elderly Fall TUGT Geriatrics RC952-954.6 Kang L Han P Wang J Ma Y Jia L Fu L Yu H Chen X Niu K Guo Q Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China
description	Li Kang,1,2 Peipei Han,2 Jiazhong Wang,2 Yixuan Ma,2 Liye Jia,2 Liyuan Fu,2 Hairui Yu,2 Xiaoyu Chen,2 Kaijun Niu,3,4 Qi Guo1,2 1Department of Rehabilitation Medicine, Tianjin Economic-Technological Development Area International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, 2Department of Rehabilitation Medicine, 3Nutritional Epidemiology Institute, 4School of Public Health, Tianjin Medical University, Tianjin, 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 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. Keywords: community dwelling, elderly, fall, TUGT
format	article
author	Kang L Han P Wang J Ma Y Jia L Fu L Yu H Chen X Niu K Guo Q
author_facet	Kang L Han P Wang J Ma Y Jia L Fu L Yu H Chen X Niu K Guo Q
author_sort	Kang L
title	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_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_sort	timed up and go test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in china
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/b941662afddd4727a2f47fdcddf6efb4
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Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China

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