Association Between Free-Living Sit-to-Stand Transition Characteristics, and Lower-Extremity Performance, Fear of Falling, and Stair Negotiation Difficulties Among Community-Dwelling 75 to 85-Year-Old Adults
Löppönen, A., Karavirta, L., Koivunen, K., Portegijs, E., Rantanen, T., Finni, T., Delecluse, C., Van Roie, E., & Rantalainen, T. (2022). Association Between Free-Living Sit-to-Stand Transition Characteristics, and Lower-Extremity Performance, Fear of Falling, and Stair Negotiation Difficulties Among Community-Dwelling 75 to 85-Year-Old Adults. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 77(8), 1644-1653. https://doi.org/10.1093/gerona/glac071
Julkaistu sarjassa
Journals of Gerontology Series A: Biological Sciences and Medical SciencesTekijät
Päivämäärä
2022Oppiaine
Gerontologia ja kansanterveysBiomekaniikkaGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöGerontology and Public HealthBiomechanicsGerontology Research CenterSchool of WellbeingTekijänoikeudet
© 2022 the Authors
Background
Good sit-to-stand (STS) performance is an important factor in maintaining functional independence. This study investigated whether free-living STS transition volume and intensity, assessed by a thigh-worn accelerometer, is associated with characteristics related to functional independence.
Methods
Free-living thigh-worn accelerometry was recorded continuously for 3–7 days in a population-based sample of 75-, 80-, and 85-year-old community-dwelling people (479 participants; women n = 287, men n = 192). The records were used to evaluate the number and intensity (angular velocity of the STS phase) of STS transitions. Associations with short physical performance battery (SPPB), 5-times-sit-to-stand test (5×STS), isometric knee extension force, self-reported fear of falls, and self-reported difficulty in negotiating stairs were also assessed.
Results
The number of STS transitions, mean and maximal angular velocity were lower in older age groups (p < .05). All variables were higher in men than in women (p < .001) and were positively associated with SPPB total points, knee extension force (r ranged from 0.18 to 0.39, all p < .001) and negatively associated with 5×STS (r = −0.13 – −0.24, all p < .05), lower extremity functional limitations (p < .01), fear of falls (p < .01), and stair negotiation difficulties (p < .01).
Conclusions
Free-living STS characteristics were related to lower-extremity performance, lower extremity functional limitations, self-reported fear of falls, and stair negotiation difficulties, which can be a sensitive indicator of impending functional decline. Moreover, STS transitions may provide an indicator of adequacy of lower-limb muscle strength among older individuals.
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Julkaisija
Oxford University Press (OUP)ISSN Hae Julkaisufoorumista
1079-5006Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/119037021
Metadata
Näytä kaikki kuvailutiedotKokoelmat
- Liikuntatieteiden tiedekunta [3139]
Rahoittaja(t)
Suomen Akatemia; Euroopan komissioRahoitusohjelmat(t)
Akatemiatutkijan tutkimuskulut, SA; Akatemiatutkija, SA; Akatemiahanke, SA
The content of the publication reflects only the author’s view. The funder is not responsible for any use that may be made of the information it contains.
Lisätietoja rahoituksesta
The AGNES-study was financially supported by an Advanced Grant from the European Research Council (Grant 693045 to T.R.), the Academy of Finland (Grant 310526 to T.R.). This work was furthermore supported by the Academy Research Fellow (Academy of Finland Grant 321336 and 328818 to Ti.R.), the Finnish Ministry of Education and Culture (Grant to E.P.), and the Research Foundation Flanders, Belgium (senior postdoctoral fellowship 12Z5720N to E.V.R.). ...Lisenssi
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Free-Living Sit-to-Stand Characteristics as Predictors of Lower Extremity Functional Decline Among Older Adults
Löppönen, Antti; Karavirta, Laura; Finni, Taija; Palmberg, Lotta; Portegijs, Erja; Rantanen, Taina; Delecluse, Christophe; Van Roie, Evelien; Rantalainen, Timo (Lippincott Williams & Wilkins, 2024)Purpose Habitual strength and power-demanding activities of daily life may support the maintenance of adequate lower-extremity functioning with ageing, but this has been sparingly explored. Hence, we examined whether the ... -
Day-to-Day Variability and Year-to-Year Reproducibility of Accelerometer-Measured Free-Living Sit-to-Stand Transitions Volume and Intensity among Community-Dwelling Older Adults
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Free-living sit-to-stand kinematics as an indicator of lower extremity physical function
Löppönen, Antti (Jyväskylän yliopisto, 2023)Strength-demanding daily activities such as sit-to-stand (STS) transitions are essential for independent living among older adults. Measurement of STS transitions using advanced wearables offers a broader picture of physical ... -
Associations Between Physical and Executive Functions Among Community-Dwelling Older Men and Women
Tirkkonen, Anna; Kulmala, Jenni; Hänninen, Tuomo; Törmäkangas, Timo; Stigsdotter, Neely Anna; Sipilä, Sarianna (Human Kinetics, 2022)Walking is a complex task requiring the interplay of neuromuscular, sensory, and cognitive functions. Owing to the age-related decline in cognitive and physical functions, walking may be compromised in older adults, for ... -
Association of sit-to-stand capacity and free-living performance using thigh-worn accelerometers among 60-90-year-old adults
Löppönen, Antti; Delecluse, Christophe; Suorsa, Kristin; Karavirta, Laura; Leskinen, Tuija; Meulemans, Lien; Portegijs, Erja; Finni, Taija; Rantanen, Taina; Stenholm, Sari; Rantalainen, Timo; Van Roie, Evelien (Oxford University Press (OUP), 2023)Abstract Introduction Five times sit-to-stand (STS) test is commonly used as a clinical assessment of lower-extremity functional ability, but its association with free-living performance has not been studied. Therefore, ...
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