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
Authors
Date
2022Discipline
Gerontologia ja kansanterveysBiomekaniikkaGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöGerontology and Public HealthBiomechanicsGerontology Research CenterSchool of WellbeingCopyright
© 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.
...
Publisher
Oxford University Press (OUP)ISSN Search the Publication Forum
1079-5006Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/119037021
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [3092]
Related funder(s)
Research Council of Finland; European CommissionFunding program(s)
Research costs of Academy Research Fellow, AoF; ERC European Research Council, H2020; Academy Research Fellow, AoF; Academy Project, AoF
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.
Additional information about funding
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.). ...License
Related items
Showing items with similar title or keywords.
-
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
Löppönen, Antti; Karavirta, Laura; Portegijs, Erja; Koivunen, Kaisa; Rantanen, Taina; Finni, Taija; Delecluse, Christophe; Van Roie, Evelien; Rantalainen, Timo (MDPI AG, 2021)(1) Background: The purpose of this study was to evaluate the day-to-day variability and year-to-year reproducibility of an accelerometer-based algorithm for sit-to-stand (STS) transitions in a free-living environment among ... -
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 ... -
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, ... -
Objectively assessed sit-to-stand reserve is associated with difficulties in activities of daily living (ADL) and instrumental activities of daily living (iADL) among community-dwelling older adults
Löppönen, Antti (Oxford University Press (OUP), 2024)