Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults

Abstract The purposes of this study were: (i) to evaluate the association of sit-to-stand (STS) power and body composition parameters [body mass index (BMI) and legs skeletal muscle index (SMI)] with age; (ii) to provide cut-off points for low relative STS power (STSrel), (iii) to provide normative...

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Autores principales: Ivan Baltasar-Fernandez, Julian Alcazar, Asier Mañas, Luis M. Alegre, Ana Alfaro-Acha, Leocadio Rodriguez-Mañas, Ignacio Ara, Francisco J. García-García, Jose Losa-Reyna
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:d4d639cd036f4a0d9a689669f0c4c85d2021-12-02T17:37:34ZRelative sit-to-stand power cut-off points and their association with negatives outcomes in older adults10.1038/s41598-021-98871-32045-2322https://doaj.org/article/d4d639cd036f4a0d9a689669f0c4c85d2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98871-3https://doaj.org/toc/2045-2322Abstract The purposes of this study were: (i) to evaluate the association of sit-to-stand (STS) power and body composition parameters [body mass index (BMI) and legs skeletal muscle index (SMI)] with age; (ii) to provide cut-off points for low relative STS power (STSrel), (iii) to provide normative data for well-functioning older adults and (iv) to assess the association of low STSrel with negative outcomes. Cross-sectional design (1369 older adults). STS power parameters assessed by validated equations, BMI and Legs SMI assessed by dual-energy X-ray absorptiometry were recorded. Sex- and age-adjusted segmented and logistic regression analyses and receiver operator characteristic curves were used. Among men, STSrel showed a negative association with age up to the age of 85 years (− 1.2 to − 1.4%year−1; p < 0.05). In women, a negative association with age was observed throughout the old adult life (− 1.2 to − 2.0%year−1; p < 0.001). Cut-off values for low STSrel were 2.5 W kg−1 in men and 1.9 W kg−1 in women. Low STSrel was associated with frailty (OR [95% CI] = 5.6 [3.1, 10.1]) and low habitual gait speed (HGS) (OR [95% CI] = 2.7 [1.8, 3.9]) in men while low STSrel was associated with frailty (OR [95% CI] = 6.9 [4.5, 10.5]) low HGS (OR [95% CI] = 2.9 [2.0, 4.1]), disability in activities of daily living (OR [95% CI] = 2.1 [1.4, 3.2]), and low quality of life (OR [95%CI] = 1.7 [1.2, 2.4]) in women. STSrel declined with increasing age in both men and women. Due to the adverse outcomes related to STSrel, the reported cut-off points can be used as a clinical tool to identify low STSrel among older adults.Ivan Baltasar-FernandezJulian AlcazarAsier MañasLuis M. AlegreAna Alfaro-AchaLeocadio Rodriguez-MañasIgnacio AraFrancisco J. García-GarcíaJose Losa-ReynaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ivan Baltasar-Fernandez
Julian Alcazar
Asier Mañas
Luis M. Alegre
Ana Alfaro-Acha
Leocadio Rodriguez-Mañas
Ignacio Ara
Francisco J. García-García
Jose Losa-Reyna
Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
description Abstract The purposes of this study were: (i) to evaluate the association of sit-to-stand (STS) power and body composition parameters [body mass index (BMI) and legs skeletal muscle index (SMI)] with age; (ii) to provide cut-off points for low relative STS power (STSrel), (iii) to provide normative data for well-functioning older adults and (iv) to assess the association of low STSrel with negative outcomes. Cross-sectional design (1369 older adults). STS power parameters assessed by validated equations, BMI and Legs SMI assessed by dual-energy X-ray absorptiometry were recorded. Sex- and age-adjusted segmented and logistic regression analyses and receiver operator characteristic curves were used. Among men, STSrel showed a negative association with age up to the age of 85 years (− 1.2 to − 1.4%year−1; p < 0.05). In women, a negative association with age was observed throughout the old adult life (− 1.2 to − 2.0%year−1; p < 0.001). Cut-off values for low STSrel were 2.5 W kg−1 in men and 1.9 W kg−1 in women. Low STSrel was associated with frailty (OR [95% CI] = 5.6 [3.1, 10.1]) and low habitual gait speed (HGS) (OR [95% CI] = 2.7 [1.8, 3.9]) in men while low STSrel was associated with frailty (OR [95% CI] = 6.9 [4.5, 10.5]) low HGS (OR [95% CI] = 2.9 [2.0, 4.1]), disability in activities of daily living (OR [95% CI] = 2.1 [1.4, 3.2]), and low quality of life (OR [95%CI] = 1.7 [1.2, 2.4]) in women. STSrel declined with increasing age in both men and women. Due to the adverse outcomes related to STSrel, the reported cut-off points can be used as a clinical tool to identify low STSrel among older adults.
format article
author Ivan Baltasar-Fernandez
Julian Alcazar
Asier Mañas
Luis M. Alegre
Ana Alfaro-Acha
Leocadio Rodriguez-Mañas
Ignacio Ara
Francisco J. García-García
Jose Losa-Reyna
author_facet Ivan Baltasar-Fernandez
Julian Alcazar
Asier Mañas
Luis M. Alegre
Ana Alfaro-Acha
Leocadio Rodriguez-Mañas
Ignacio Ara
Francisco J. García-García
Jose Losa-Reyna
author_sort Ivan Baltasar-Fernandez
title Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
title_short Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
title_full Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
title_fullStr Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
title_full_unstemmed Relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
title_sort relative sit-to-stand power cut-off points and their association with negatives outcomes in older adults
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d4d639cd036f4a0d9a689669f0c4c85d
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