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Asociación entre las velocidades angulares relativas del muslo en transiciones de sentarse a levantarse en
Antti Löppönen1, Kaisa Koivunen2, Taina Rantanen2
1Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyväskylä, PO Box 35, Jyväskylä, FI-40014, Finland. antti.ej.lopponen@jyu.fi.
Background:
Sit-to-stand (STS) transitions are common daily activities, and we postulate that completing them with high effort relative to one's capacity may indicate functional difficulties in older age.
Aims:
We examined the association between relative free-living STS thigh angular velocity and difficulties in activities of daily living (ADL) and instrumental activities of daily living (IADL), as well as walking and negotiating stairs.
Methods:
This cross-sectional study included 230 individuals (53% women) aged 79-89 years. STS capacity was assessed with an instrumented five-times STS test. Free-living STS transitions were monitored in 2-hour intervals over four days using an accelerometer. Associations were examined using Wilcoxon rank-sum test and logistic regression analyses.
Results:
In total, 47% had ADL/IADL difficulties, 26% reported walking difficulties, and 17% had difficulties negotiating stairs. Participants with any difficulties performed STS transitions at a higher proportion of their STS capacity compared to those without difficulties (p < 0.05). Higher relative free-living STS thigh angular velocity was associated with walking and stair negotiation difficulties in both crude (OR 1.23-1.53; p < 0.05) and adjusted models (OR 1.20-1.40; p < 0.05), while the association with ADL/IADL difficulties weakened after adjustment.
Conclusions:
Our findings suggest that performing STS transitions at high intensity may reflect emerging mobility difficulties.
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