Relationship between Acceleration in a Sit-To-Stand Movement and Physical Function in Older Adults

Acceleration parameters in sit-to-stand (STS) movements are useful for measuring lower-limb function in older adults. The purpose of this study was to examine the relationship between acceleration in STS movements and physical function and the test-retest reliability of acceleration parameters in older adults. We performed cross-sectional analyses on 244 older adults including 107 men (mean age: 77.4 ± 4.7) and 137 women (mean age: 75.6 ± 5.3). Four acceleration parameters were measured in STS movements: maximum acceleration (MA), maximum velocity (MV), maximum power (MP), and stand-up time (ST). Good intraclass correlation coefficients (ICC > 0.70) were observed for all parameters. For the acceleration parameters, MA, MV, and MP were relatively strongly associated with the 5-time STS test (men: r = −0.36~−0.47; women: r = −0.37~−0.45) and the timed up and go test (men: r = −0.39~0.47, women: r = −0.43~−0.51): MP was also strongly associated with grip strength (men: r = 0.48, women: r = 0.43). All acceleration parameters were poorer in participants reporting mobility limitations than in those reporting no mobility limitations. These findings support the usefulness of sensor-based STS measurement. The system is expected to be useful in various settings where care prevention is addressed.

[1]  Takuro Shoji,et al.  The association of the Japan Science and Technology Agency Index of Competence with physical and cognitive function in community‐dwelling older adults , 2022, Geriatrics & gerontology international.

[2]  J. Adsuar,et al.  Test-Retest Reliability of Five Times Sit to Stand Test (FTSST) in Adults: A Systematic Review and Meta-Analysis , 2021, Biology.

[3]  Nuno M. Garcia,et al.  An Experimental Study on the Validity and Reliability of a Smartphone Application to Acquire Temporal Variables during the Single Sit-to-Stand Test with Older Adults , 2021, Sensors.

[4]  Christina K. Nguyen,et al.  Toward Remote Assessment of Physical Frailty Using Sensor-based Sit-to-stand Test. , 2021, The Journal of surgical research.

[5]  E. Růžička,et al.  The timed up & go test sit-to-stand transition: Which signals measured by inertial sensors are a viable route for continuous analysis? , 2020, Gait & posture.

[6]  Brajesh K. Shukla,et al.  Instrumented Analysis of the Sit-to-Stand Movement for Geriatric Screening: A Systematic Review , 2020, Bioengineering.

[7]  J. Alcazar,et al.  Relation between leg extension power and 30-s sit-to-stand muscle power in older adults: validation and translation to functional performance , 2020, Scientific Reports.

[8]  Ivan Miguel Pires,et al.  Accelerometer data from the performance of sit-to-stand test by elderly people , 2020, Data in brief.

[9]  L. Peng,et al.  Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. , 2020, Journal of the American Medical Directors Association.

[10]  Richard W. Bohannon,et al.  Grip Strength: An Indispensable Biomarker For Older Adults , 2019, Clinical interventions in aging.

[11]  Stephen James Redmond,et al.  Wavelet-Based Sit-To-Stand Detection and Assessment of Fall Risk in Older People Using a Wearable Pendant Device , 2017, IEEE Transactions on Biomedical Engineering.

[12]  M. Gray,et al.  An Evaluation of Functional Sit-to-Stand Power in Cohorts of Healthy Adults Aged 18-97 Years. , 2017, Journal of aging and physical activity.

[13]  Keisuke Fujii,et al.  Study protocol and overview of the Kasama Study: Creating a comprehensive, community-based system for preventive nursing care and supporting successful aging , 2017 .

[14]  Jaap H. van Dieën,et al.  The Instrumented Sit-to-Stand Test (iSTS) Has Greater Clinical Relevance than the Manually Recorded Sit-to-Stand Test in Older Adults , 2016, PloS one.

[15]  Kathleen Chassé,et al.  The Psychometric Properties of a Modified Sit-to-Stand Test With Use of the Upper Extremities in Institutionalized Older Adults , 2016, Perceptual and motor skills.

[16]  Wiebren Zijlstra,et al.  Accuracy and concurrent validity of a sensor-based analysis of sit-to-stand movements in older adults. , 2016, Gait & posture.

[17]  J. Farthing,et al.  Lower leg muscle density is independently associated with fall status in community-dwelling older adults , 2016, Osteoporosis International.

[18]  Maren S Fragala,et al.  Comparison of Handgrip and Leg Extension Strength in Predicting Slow Gait Speed in Older Adults , 2016, Journal of the American Geriatrics Society.

[19]  I. Deary,et al.  A proposed panel of biomarkers of healthy ageing , 2015, BMC Medicine.

[20]  L. Rodríguez-Mañas,et al.  Association of regional muscle strength with mortality and hospitalisation in older people. , 2015, Age and ageing.

[21]  Kenji Tsunoda,et al.  Ground Reaction Force in Sit-to-stand Movement Reflects Lower Limb Muscle Strength and Power in Community-dwelling Older Adults , 2015 .

[22]  Wiebren Zijlstra,et al.  Sensor-based monitoring of sit-to-stand performance is indicative of objective and self-reported aspects of functional status in older adults. , 2015, Gait & posture.

[23]  Stefan Schmid,et al.  Reliability and validity of a smartphone-based application for the quantification of the sit-to-stand movement in healthy seniors. , 2015, Gait & posture.

[24]  Nora Millor,et al.  Kinematic Parameters to Evaluate Functional Performance of Sit-to-Stand and Stand-to-Sit Transitions Using Motion Sensor Devices: A Systematic Review , 2014, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[25]  Kenji Tsunoda,et al.  Age and gender differences in correlations of leisure‐time, household, and work‐related physical activity with physical performance in older Japanese adults , 2013, Geriatrics & gerontology international.

[26]  L. Ferrucci,et al.  Performance on Five Times Sit-to-Stand Task as a Predictor of Subsequent Falls and Disability in Older Persons , 2013, Journal of aging and health.

[27]  A. Bergland,et al.  Investigation into the reliability and validity of the measurement of elderly people's clinical walking speed: A systematic review , 2012, Physiotherapy theory and practice.

[28]  Heribert Baldus,et al.  A body-fixed-sensor-based analysis of power during sit-to-stand movements. , 2010, Gait & posture.

[29]  S. Seino,et al.  Validation of lower extremity performance tests for determining the mobility limitation levels in community-dwelling older women , 2009, Aging clinical and experimental research.

[30]  Henk J. Stam,et al.  Validity of accelerometry in assessing the duration of the sit-to-stand movement , 2008, Medical & Biological Engineering & Computing.

[31]  D. Nielsen,et al.  Relationships Among Impairments in Lower-Extremity Strength and Power, Functional Limitations, and Disability in Older Adults , 2007, Physical Therapy.

[32]  Richard W. Bohannon,et al.  RELIABILITY AND VALIDITY OF THREE STRENGTH MEASURES OBTAINED FROM COMMUNITY‐DWELLING ELDERLY PERSONS , 2005, Journal of strength and conditioning research.

[33]  S. Rubin,et al.  Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[34]  Luigi Ferrucci,et al.  A comparison of leg power and leg strength within the InCHIANTI study: which influences mobility more? , 2003, The journals of gerontology. Series A, Biological sciences and medical sciences.

[35]  Clemens Becker,et al.  Measuring power during the sit-to-stand transfer , 2003, European Journal of Applied Physiology.

[36]  M. Samson,et al.  Relationships between physical performance measures, age, height and body weight in healthy adults. , 2000, Age and ageing.

[37]  A. Nissinen,et al.  Self-reported and performance-based functional status and associated factors among elderly men: the Finnish cohorts of the Seven Countries Study. , 1998, Journal of clinical epidemiology.

[38]  A. Jette,et al.  Reliability of clinical balance outcome measures in the elderly. , 1998, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[39]  T. Glass.  Conjugating the "tenses" of function: discordance among hypothetical, experimental, and enacted function in older adults. , 1998, The Gerontologist.

[40]  L. Ferrucci,et al.  A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. , 1994, Journal of gerontology.

[41]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[42]  E. Dick.  Umbilicoplasty as a treatment for persistent umbilical infection. , 1970, The Australian and New Zealand journal of surgery.

[43]  Gareth R. Jones,et al.  Validity and reliability of an iPhone App to assess time, velocity and leg power during a sit-to-stand functional performance test. , 2018, Gait & posture.

[44]  M. Gray,et al.  Relationship of Sit-to-Stand Lower-Body Power With Functional Fitness Measures Among Older Adults With and Without Sarcopenia , 2017, Journal of geriatric physical therapy.

[45]  Wiebren Zijlstra,et al.  Sensitivity of sensor-based sit-to-stand peak power to the effects of training leg strength, leg power and balance in older adults. , 2014, Gait & posture.

[46]  D. Mccarty,et al.  Simple method for measurement of lower extremity muscle strength. , 1985, The American journal of medicine.