Mobility and Muscle Strength Together are More Strongly Correlated with Falls in Suburb-Dwelling Older Chinese
Identifieur interne : 000680 ( Main/Exploration ); précédent : 000679; suivant : 000681Mobility and Muscle Strength Together are More Strongly Correlated with Falls in Suburb-Dwelling Older Chinese
Auteurs : Xiuyang Wang [République populaire de Chine] ; Yixuan Ma [République populaire de Chine] ; Jiazhong Wang [République populaire de Chine] ; Peipei Han [République populaire de Chine] ; Renwei Dong [République populaire de Chine] ; Li Kang [République populaire de Chine] ; Wen Zhang [République populaire de Chine] ; Suxing Shen [République populaire de Chine] ; Jing Wang [République populaire de Chine] ; Dongfang Li [République populaire de Chine] ; Maoran Zhou [République populaire de Chine] ; Liancheng Wang [République populaire de Chine] ; Kaijun Niu [République populaire de Chine] ; Qi Guo [République populaire de Chine]Source :
- Scientific Reports [ 2045-2322 ] ; 2016.
Abstract
Falls are common in older adults and result in adverse outcomes. Impaired mobility and poor muscle strength have been consistently identified as the main contributors to falls. We choose three easy-to-perform tests (i.e. Timed Up and Go test (TUGT), walking speed (WS) and grip strength (GS)) in order to assess mobility and muscle strength to further define their relationship with falls. This study is cross-sectional, consisting of 1092 residents over 60-year-old; 589 were female. 204 (18.68%) participants reported falling at least once in the past year. It was found that, of the three tests evaluated independently, a TUGT < 9.1750 s had the strongest association with fewer falls. When evaluating these tests as pairs, the combination of a TUGT < 9.1750 s and a WS < 0.9963 m/s was the best protective indicator of falls after adjusting for age, sex and other variables. When evaluating all three tests in conjunction with each other, the combination of a TUGT < 9.1750 s, a WS < 0.9963 m/s, and a GS > 0.3816 was most correlated with less possibility of falls. The combination of a better TUGT performance, a stronger GS, and a slower WS is the most strongly correlated with less possibility of falls.
Url:
DOI: 10.1038/srep25420
PubMed: 27146721
PubMed Central: 4857074
Affiliations:
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country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ma, Yixuan" sort="Ma, Yixuan" uniqKey="Ma Y" first="Yixuan" last="Ma">Yixuan Ma</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Jiazhong" sort="Wang, Jiazhong" uniqKey="Wang J" first="Jiazhong" last="Wang">Jiazhong Wang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Han, Peipei" sort="Han, Peipei" uniqKey="Han P" first="Peipei" last="Han">Peipei Han</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dong, Renwei" sort="Dong, Renwei" uniqKey="Dong R" first="Renwei" last="Dong">Renwei Dong</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Li" sort="Kang, Li" uniqKey="Kang L" first="Li" last="Kang">Li Kang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Wen" sort="Zhang, Wen" uniqKey="Zhang W" first="Wen" last="Zhang">Wen Zhang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Suxing" sort="Shen, Suxing" uniqKey="Shen S" first="Suxing" last="Shen">Suxing Shen</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Dongfang" sort="Li, Dongfang" uniqKey="Li D" first="Dongfang" last="Li">Dongfang Li</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhou, Maoran" sort="Zhou, Maoran" uniqKey="Zhou M" first="Maoran" last="Zhou">Maoran Zhou</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Liancheng" sort="Wang, Liancheng" uniqKey="Wang L" first="Liancheng" last="Wang">Liancheng Wang</name><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Rehabilitation Medicine, Tianjin Hospital</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Niu, Kaijun" sort="Niu, Kaijun" uniqKey="Niu K" first="Kaijun" last="Niu">Kaijun Niu</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Nutritional Epidemiology Institute, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a5"><institution>School of Public Health, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Guo, Qi" sort="Guo, Qi" uniqKey="Guo Q" first="Qi" last="Guo">Qi Guo</name><affiliation wicri:level="1"><nlm:aff 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sort="Wang, Xiuyang" uniqKey="Wang X" first="Xiuyang" last="Wang">Xiuyang Wang</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ma, Yixuan" sort="Ma, Yixuan" uniqKey="Ma Y" first="Yixuan" last="Ma">Yixuan Ma</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Jiazhong" sort="Wang, Jiazhong" uniqKey="Wang J" first="Jiazhong" last="Wang">Jiazhong Wang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Han, Peipei" sort="Han, Peipei" uniqKey="Han P" first="Peipei" last="Han">Peipei Han</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dong, Renwei" sort="Dong, Renwei" uniqKey="Dong R" first="Renwei" last="Dong">Renwei Dong</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Li" sort="Kang, Li" uniqKey="Kang L" first="Li" last="Kang">Li Kang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Wen" sort="Zhang, Wen" uniqKey="Zhang W" first="Wen" last="Zhang">Wen Zhang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Suxing" sort="Shen, Suxing" uniqKey="Shen S" first="Suxing" last="Shen">Suxing Shen</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Li, Dongfang" sort="Li, Dongfang" uniqKey="Li D" first="Dongfang" last="Li">Dongfang Li</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zhou, Maoran" sort="Zhou, Maoran" uniqKey="Zhou M" first="Maoran" last="Zhou">Maoran Zhou</name><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Liancheng" sort="Wang, Liancheng" uniqKey="Wang L" first="Liancheng" last="Wang">Liancheng Wang</name><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Rehabilitation Medicine, Tianjin Hospital</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Niu, Kaijun" sort="Niu, Kaijun" uniqKey="Niu K" first="Kaijun" last="Niu">Kaijun Niu</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Nutritional Epidemiology Institute, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a5"><institution>School of Public Health, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Guo, Qi" sort="Guo, Qi" uniqKey="Guo Q" first="Qi" last="Guo">Qi Guo</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Department of Rehabilitation and Sports Medicine, Tianjin Medical University</institution>, Tianjin,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Scientific Reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Falls are common in older adults and result in adverse outcomes. Impaired mobility and poor muscle strength have been consistently identified as the main contributors to falls. We choose three easy-to-perform tests (i.e. Timed Up and Go test (TUGT), walking speed (WS) and grip strength (GS)) in order to assess mobility and muscle strength to further define their relationship with falls. This study is cross-sectional, consisting of 1092 residents over 60-year-old; 589 were female. 204 (18.68%) participants reported falling at least once in the past year. It was found that, of the three tests evaluated independently, a TUGT < 9.1750 s had the strongest association with fewer falls. When evaluating these tests as pairs, the combination of a TUGT < 9.1750 s and a WS < 0.9963 m/s was the best protective indicator of falls after adjusting for age, sex and other variables. When evaluating all three tests in conjunction with each other, the combination of a TUGT < 9.1750 s, a WS < 0.9963 m/s, and a GS > 0.3816 was most correlated with less possibility of falls. The combination of a better TUGT performance, a stronger GS, and a slower WS is the most strongly correlated with less possibility of falls.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sattin, R W" uniqKey="Sattin R">R. W. Sattin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tinetti, M E" uniqKey="Tinetti M">M. E. Tinetti</name></author><author><name sortKey="Williams, C S" uniqKey="Williams C">C. S. Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stevens, J A" uniqKey="Stevens J">J. A. Stevens</name></author><author><name sortKey="Corso, P S" uniqKey="Corso P">P. S. Corso</name></author><author><name sortKey="Finkelstein, E A" uniqKey="Finkelstein E">E. A. 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Makizako</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Wang, Xiuyang" sort="Wang, Xiuyang" uniqKey="Wang X" first="Xiuyang" last="Wang">Xiuyang Wang</name></noRegion><name sortKey="Dong, Renwei" sort="Dong, Renwei" uniqKey="Dong R" first="Renwei" last="Dong">Renwei Dong</name><name sortKey="Guo, Qi" sort="Guo, Qi" uniqKey="Guo Q" first="Qi" last="Guo">Qi Guo</name><name sortKey="Guo, Qi" sort="Guo, Qi" uniqKey="Guo Q" first="Qi" last="Guo">Qi Guo</name><name sortKey="Han, Peipei" sort="Han, Peipei" uniqKey="Han P" first="Peipei" last="Han">Peipei Han</name><name sortKey="Kang, Li" sort="Kang, Li" uniqKey="Kang L" first="Li" last="Kang">Li Kang</name><name sortKey="Li, Dongfang" sort="Li, Dongfang" uniqKey="Li D" first="Dongfang" last="Li">Dongfang Li</name><name sortKey="Ma, Yixuan" sort="Ma, Yixuan" uniqKey="Ma Y" first="Yixuan" last="Ma">Yixuan Ma</name><name sortKey="Niu, Kaijun" sort="Niu, Kaijun" uniqKey="Niu K" first="Kaijun" last="Niu">Kaijun Niu</name><name sortKey="Niu, Kaijun" sort="Niu, Kaijun" uniqKey="Niu K" first="Kaijun" last="Niu">Kaijun Niu</name><name sortKey="Shen, Suxing" sort="Shen, Suxing" uniqKey="Shen S" first="Suxing" last="Shen">Suxing Shen</name><name sortKey="Wang, Jiazhong" sort="Wang, Jiazhong" uniqKey="Wang J" first="Jiazhong" last="Wang">Jiazhong Wang</name><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><name sortKey="Wang, Liancheng" sort="Wang, Liancheng" uniqKey="Wang L" first="Liancheng" last="Wang">Liancheng Wang</name><name sortKey="Wang, Xiuyang" sort="Wang, Xiuyang" uniqKey="Wang X" first="Xiuyang" last="Wang">Xiuyang Wang</name><name sortKey="Zhang, Wen" sort="Zhang, Wen" uniqKey="Zhang W" first="Wen" last="Zhang">Wen Zhang</name><name sortKey="Zhou, Maoran" sort="Zhou, Maoran" uniqKey="Zhou M" first="Maoran" last="Zhou">Maoran Zhou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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