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Free-Living Sit-to-Stand Characteristics as Predictors of Lower Extremity Functional Decline among Older Adults

Authors: Lopponen, Antti; Karavirta, Laura; Finni, Taija; Palmberg, Lotta; Portegijs, Erja; Rantanen, Taina; Delecluse, Christophe; +2 Authors

Free-Living Sit-to-Stand Characteristics as Predictors of Lower Extremity Functional Decline among Older Adults

Abstract

ABSTRACT Purpose Habitual strength and power-demanding activities of daily life may support the maintenance of adequate lower extremity functioning with aging, but this has been sparingly explored. Hence, we examined whether the characteristics of free-living sit-to-stand (STS) transitions predict a decline in lower extremity functioning over a 4-yr follow-up. Methods A total of 340 community-dwelling older adults (60% women; age 75, 80, or 85 yr) participated in this prospective cohort study. At baseline, a thigh-worn accelerometer was used continuously (3–7 d) to monitor the number and intensity of free-living STS transitions. A decline in lower extremity functioning was defined as a drop of ≥2 points in the Short Physical Performance Battery (SPPB) from baseline to follow-up. Maximal isometric knee extension strength was measured in the laboratory. Results Eighty-five participants (75% women) declined in SPPB over 4 yr. After adjusting for age, sex, and baseline SPPB points, higher free-living peak STS angular velocity (odds ratio (OR), 0.70; 95% confidence interval (CI), 0.52–0.92, per 20°·s−1 increase) protected against a future decline. When adjusting the model for maximal isometric knee extension strength, the statistical significance was attenuated (OR = 0.72; 95% CI = 0.54–0.96, per 20°·s−1 increase). Conclusions Performing STS transitions at higher velocities in the free-living environment can prevent a future decline in lower extremity function. This indicates that changes in daily STS behavior may be useful in the early identification of functional loss. Free-living peak STS angular velocity may be a factor underlying the longitudinal association of lower extremity strength and performance.

Keywords

Male, 1106 Human Movement and Sports Sciences, STRENGTH, Accelerometry, Activities of Daily Living, 80 and over, Biomechanics, Prospective Studies, older adults, 4207 Sports science and exercise, Aged, 80 and over, Sitting Position, Gerontologia ja kansanterveys, MEANINGFUL CHANGE, ASSOCIATION, Physical Functional Performance, SEDENTARY TIME, CHAIR RISE, Lower Extremity, Standing Position, Biomekaniikka, Female, Independent Living, Lower Extremity/physiology, Life Sciences & Biomedicine, Gerontology and Public Health, ikääntyneet, DAILY LIFE, fyysinen toimintakyky, 1117 Public Health and Health Services, AGE, ACCELEROMETER, toimintakyky, Hyvinvoinnin tutkimuksen yhteisö, OLDER ADULTS, Humans, Muscle Strength, Aged, School of Wellbeing, suorituskyky, Science & Technology, Basic Sciences, 3202 Clinical sciences, daily life, PERFORMANCE, accelerometer, 3208 Medical physiology, ikääntyminen, PHYSICAL-ACTIVITY, DAILY-LIFE, 1116 Medical Physiology, Muscle Strength/physiology, chair rise, Sport Sciences

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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