Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older

Abstract Objectives To compare the ability of Timed Up and Go (TUG) and usual gait speed (UGS) to predict incident disability completing basic activities of daily living (ADL) and instrumental ADL (IADL) in older adults free of disability at baseline, and to provide estimates for the probability of...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Archives of physical medicine and rehabilitation 2014-10, Vol.95 (10), p.1954-1961
Hauptverfasser: Donoghue, Orna A., PhD, Savva, George M., PhD, Cronin, Hilary, MB, PhD, Kenny, Rose Anne, MD, Horgan, N. Frances, PhD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1961
container_issue 10
container_start_page 1954
container_title Archives of physical medicine and rehabilitation
container_volume 95
creator Donoghue, Orna A., PhD
Savva, George M., PhD
Cronin, Hilary, MB, PhD
Kenny, Rose Anne, MD
Horgan, N. Frances, PhD
description Abstract Objectives To compare the ability of Timed Up and Go (TUG) and usual gait speed (UGS) to predict incident disability completing basic activities of daily living (ADL) and instrumental ADL (IADL) in older adults free of disability at baseline, and to provide estimates for the probability of incident disability at different levels of baseline mobility performance. Design Data from the first 2 waves of The Irish Longitudinal Study on Ageing, a study assessing health, economic, and social aspects of ageing in adults aged ≥50 years. Setting A nationally representative, population-based sample of community-dwelling adults. Participants Participants aged ≥65 years who completed mobility tests during a health assessment, had no reported difficulty in ADL/IADL, and had a Mini-Mental State Examination score ≥24 were re-interviewed after 2 years (n=1664). Interventions Not applicable. Main Outcome Measures Participants completed the TUG and UGS at baseline and indicated difficulty in a number of basic ADL and IADL at follow-up. Results Receiver operating characteristic analysis indicated that TUG and UGS are acceptable tools to predict disability in ADL and IADL (area under the curve [AUC]=.65–.75) with no significant difference between them ( P >.05). Both were excellent predictors of difficulty in higher-level functioning tasks such as preparing hot meals, taking medications, and managing money (AUC>.80). Predictive probabilities were obtained across a range of performance levels. Conclusions TUG and UGS have similar predictive ability in relation to incident disability in basic ADL and IADL. Predictive probabilities can be used to identify those most at risk and in need of particular services. Since improving physical function can prevent or delay dependence in ADL/IADL, TUG and UGS can also provide performance goals and feedback during exercise interventions.
doi_str_mv 10.1016/j.apmr.2014.06.008
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1566823971</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999314004390</els_id><sourcerecordid>1566823971</sourcerecordid><originalsourceid>FETCH-LOGICAL-c547t-e534a7b93ac189fc9fe1a298ad5bbe5b7b273b3f3f63ea93daf914838df5b9f03</originalsourceid><addsrcrecordid>eNp9UstuFDEQtBCILIEf4IB85DKDPZ6XJYS02iVLpEhBSlbiZnnsnqiXeWF7Eu1X8MvxZAMHDpxaVldVt6uakPecpZzx8tMh1VPv0ozxPGVlylj9gqx4IbKkzviPl2TFGBOJlFKckTfeH-KzLAR_Tc6yXFaVFHxFfu89Dnf0FnuwdD9RPVi6G5_K3s-6ozuNgd5MENthpN8dWDSBXg4GLQyBbtHrBjsMR4oD3WrsjnRtAt5jQPB03Y9RfTP2_TxETLJ9gK5bBq7t3IXYv4u6ZfE077qz4N6SV63uPLx7rudkf_H1dvMtubreXW7WV4kp8iokUIhcV40U2vBatka2wHUma22LpoGiqZqsEo1oRVsK0FJY3Uqe16K2bdHIlolz8vGkO7nx1ww-qB69icvpAcbZK16UZZ0JWfEIzU5Q40bvHbRqcthrd1ScqSUIdVBLEGoJQrFSxSAi6cOz_txEa_9S_jgfAZ9PAIi_vEdwyhuEwUR_HZig7Ij_1__yD91EX9Ho7iccwR_G2Q3RP8WVzxRTN8spLJfAc8ZyIZl4BADMr1w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1566823971</pqid></control><display><type>article</type><title>Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Donoghue, Orna A., PhD ; Savva, George M., PhD ; Cronin, Hilary, MB, PhD ; Kenny, Rose Anne, MD ; Horgan, N. Frances, PhD</creator><creatorcontrib>Donoghue, Orna A., PhD ; Savva, George M., PhD ; Cronin, Hilary, MB, PhD ; Kenny, Rose Anne, MD ; Horgan, N. Frances, PhD</creatorcontrib><description>Abstract Objectives To compare the ability of Timed Up and Go (TUG) and usual gait speed (UGS) to predict incident disability completing basic activities of daily living (ADL) and instrumental ADL (IADL) in older adults free of disability at baseline, and to provide estimates for the probability of incident disability at different levels of baseline mobility performance. Design Data from the first 2 waves of The Irish Longitudinal Study on Ageing, a study assessing health, economic, and social aspects of ageing in adults aged ≥50 years. Setting A nationally representative, population-based sample of community-dwelling adults. Participants Participants aged ≥65 years who completed mobility tests during a health assessment, had no reported difficulty in ADL/IADL, and had a Mini-Mental State Examination score ≥24 were re-interviewed after 2 years (n=1664). Interventions Not applicable. Main Outcome Measures Participants completed the TUG and UGS at baseline and indicated difficulty in a number of basic ADL and IADL at follow-up. Results Receiver operating characteristic analysis indicated that TUG and UGS are acceptable tools to predict disability in ADL and IADL (area under the curve [AUC]=.65–.75) with no significant difference between them ( P &gt;.05). Both were excellent predictors of difficulty in higher-level functioning tasks such as preparing hot meals, taking medications, and managing money (AUC&gt;.80). Predictive probabilities were obtained across a range of performance levels. Conclusions TUG and UGS have similar predictive ability in relation to incident disability in basic ADL and IADL. Predictive probabilities can be used to identify those most at risk and in need of particular services. Since improving physical function can prevent or delay dependence in ADL/IADL, TUG and UGS can also provide performance goals and feedback during exercise interventions.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2014.06.008</identifier><identifier>PMID: 24977931</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Aged ; Aging - physiology ; Area Under Curve ; Disability Evaluation ; Exercise Test ; Female ; Frail elderly ; Gait - physiology ; Humans ; Independent Living ; Ireland ; Longitudinal Studies ; Male ; Mobility limitation ; Physical Medicine and Rehabilitation ; Predictive Value of Tests ; Rehabilitation ; ROC Curve ; Walking</subject><ispartof>Archives of physical medicine and rehabilitation, 2014-10, Vol.95 (10), p.1954-1961</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2014 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-e534a7b93ac189fc9fe1a298ad5bbe5b7b273b3f3f63ea93daf914838df5b9f03</citedby><cites>FETCH-LOGICAL-c547t-e534a7b93ac189fc9fe1a298ad5bbe5b7b273b3f3f63ea93daf914838df5b9f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2014.06.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24977931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donoghue, Orna A., PhD</creatorcontrib><creatorcontrib>Savva, George M., PhD</creatorcontrib><creatorcontrib>Cronin, Hilary, MB, PhD</creatorcontrib><creatorcontrib>Kenny, Rose Anne, MD</creatorcontrib><creatorcontrib>Horgan, N. Frances, PhD</creatorcontrib><title>Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objectives To compare the ability of Timed Up and Go (TUG) and usual gait speed (UGS) to predict incident disability completing basic activities of daily living (ADL) and instrumental ADL (IADL) in older adults free of disability at baseline, and to provide estimates for the probability of incident disability at different levels of baseline mobility performance. Design Data from the first 2 waves of The Irish Longitudinal Study on Ageing, a study assessing health, economic, and social aspects of ageing in adults aged ≥50 years. Setting A nationally representative, population-based sample of community-dwelling adults. Participants Participants aged ≥65 years who completed mobility tests during a health assessment, had no reported difficulty in ADL/IADL, and had a Mini-Mental State Examination score ≥24 were re-interviewed after 2 years (n=1664). Interventions Not applicable. Main Outcome Measures Participants completed the TUG and UGS at baseline and indicated difficulty in a number of basic ADL and IADL at follow-up. Results Receiver operating characteristic analysis indicated that TUG and UGS are acceptable tools to predict disability in ADL and IADL (area under the curve [AUC]=.65–.75) with no significant difference between them ( P &gt;.05). Both were excellent predictors of difficulty in higher-level functioning tasks such as preparing hot meals, taking medications, and managing money (AUC&gt;.80). Predictive probabilities were obtained across a range of performance levels. Conclusions TUG and UGS have similar predictive ability in relation to incident disability in basic ADL and IADL. Predictive probabilities can be used to identify those most at risk and in need of particular services. Since improving physical function can prevent or delay dependence in ADL/IADL, TUG and UGS can also provide performance goals and feedback during exercise interventions.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging - physiology</subject><subject>Area Under Curve</subject><subject>Disability Evaluation</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Frail elderly</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Ireland</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mobility limitation</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Predictive Value of Tests</subject><subject>Rehabilitation</subject><subject>ROC Curve</subject><subject>Walking</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UstuFDEQtBCILIEf4IB85DKDPZ6XJYS02iVLpEhBSlbiZnnsnqiXeWF7Eu1X8MvxZAMHDpxaVldVt6uakPecpZzx8tMh1VPv0ozxPGVlylj9gqx4IbKkzviPl2TFGBOJlFKckTfeH-KzLAR_Tc6yXFaVFHxFfu89Dnf0FnuwdD9RPVi6G5_K3s-6ozuNgd5MENthpN8dWDSBXg4GLQyBbtHrBjsMR4oD3WrsjnRtAt5jQPB03Y9RfTP2_TxETLJ9gK5bBq7t3IXYv4u6ZfE077qz4N6SV63uPLx7rudkf_H1dvMtubreXW7WV4kp8iokUIhcV40U2vBatka2wHUma22LpoGiqZqsEo1oRVsK0FJY3Uqe16K2bdHIlolz8vGkO7nx1ww-qB69icvpAcbZK16UZZ0JWfEIzU5Q40bvHbRqcthrd1ScqSUIdVBLEGoJQrFSxSAi6cOz_txEa_9S_jgfAZ9PAIi_vEdwyhuEwUR_HZig7Ij_1__yD91EX9Ho7iccwR_G2Q3RP8WVzxRTN8spLJfAc8ZyIZl4BADMr1w</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Donoghue, Orna A., PhD</creator><creator>Savva, George M., PhD</creator><creator>Cronin, Hilary, MB, PhD</creator><creator>Kenny, Rose Anne, MD</creator><creator>Horgan, N. Frances, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older</title><author>Donoghue, Orna A., PhD ; Savva, George M., PhD ; Cronin, Hilary, MB, PhD ; Kenny, Rose Anne, MD ; Horgan, N. Frances, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-e534a7b93ac189fc9fe1a298ad5bbe5b7b273b3f3f63ea93daf914838df5b9f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aging - physiology</topic><topic>Area Under Curve</topic><topic>Disability Evaluation</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Frail elderly</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Ireland</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mobility limitation</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Predictive Value of Tests</topic><topic>Rehabilitation</topic><topic>ROC Curve</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Donoghue, Orna A., PhD</creatorcontrib><creatorcontrib>Savva, George M., PhD</creatorcontrib><creatorcontrib>Cronin, Hilary, MB, PhD</creatorcontrib><creatorcontrib>Kenny, Rose Anne, MD</creatorcontrib><creatorcontrib>Horgan, N. Frances, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Donoghue, Orna A., PhD</au><au>Savva, George M., PhD</au><au>Cronin, Hilary, MB, PhD</au><au>Kenny, Rose Anne, MD</au><au>Horgan, N. Frances, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>95</volume><issue>10</issue><spage>1954</spage><epage>1961</epage><pages>1954-1961</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objectives To compare the ability of Timed Up and Go (TUG) and usual gait speed (UGS) to predict incident disability completing basic activities of daily living (ADL) and instrumental ADL (IADL) in older adults free of disability at baseline, and to provide estimates for the probability of incident disability at different levels of baseline mobility performance. Design Data from the first 2 waves of The Irish Longitudinal Study on Ageing, a study assessing health, economic, and social aspects of ageing in adults aged ≥50 years. Setting A nationally representative, population-based sample of community-dwelling adults. Participants Participants aged ≥65 years who completed mobility tests during a health assessment, had no reported difficulty in ADL/IADL, and had a Mini-Mental State Examination score ≥24 were re-interviewed after 2 years (n=1664). Interventions Not applicable. Main Outcome Measures Participants completed the TUG and UGS at baseline and indicated difficulty in a number of basic ADL and IADL at follow-up. Results Receiver operating characteristic analysis indicated that TUG and UGS are acceptable tools to predict disability in ADL and IADL (area under the curve [AUC]=.65–.75) with no significant difference between them ( P &gt;.05). Both were excellent predictors of difficulty in higher-level functioning tasks such as preparing hot meals, taking medications, and managing money (AUC&gt;.80). Predictive probabilities were obtained across a range of performance levels. Conclusions TUG and UGS have similar predictive ability in relation to incident disability in basic ADL and IADL. Predictive probabilities can be used to identify those most at risk and in need of particular services. Since improving physical function can prevent or delay dependence in ADL/IADL, TUG and UGS can also provide performance goals and feedback during exercise interventions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24977931</pmid><doi>10.1016/j.apmr.2014.06.008</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0003-9993
ispartof Archives of physical medicine and rehabilitation, 2014-10, Vol.95 (10), p.1954-1961
issn 0003-9993
1532-821X
language eng
recordid cdi_proquest_miscellaneous_1566823971
source MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals
subjects Activities of Daily Living
Aged
Aging - physiology
Area Under Curve
Disability Evaluation
Exercise Test
Female
Frail elderly
Gait - physiology
Humans
Independent Living
Ireland
Longitudinal Studies
Male
Mobility limitation
Physical Medicine and Rehabilitation
Predictive Value of Tests
Rehabilitation
ROC Curve
Walking
title Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T14%3A58%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Using%20Timed%20Up%20and%20Go%20and%20Usual%20Gait%20Speed%20to%20Predict%20Incident%20Disability%20in%20Daily%20Activities%20Among%20Community-Dwelling%20Adults%20Aged%2065%20and%20Older&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Donoghue,%20Orna%20A.,%20PhD&rft.date=2014-10-01&rft.volume=95&rft.issue=10&rft.spage=1954&rft.epage=1961&rft.pages=1954-1961&rft.issn=0003-9993&rft.eissn=1532-821X&rft_id=info:doi/10.1016/j.apmr.2014.06.008&rft_dat=%3Cproquest_cross%3E1566823971%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1566823971&rft_id=info:pmid/24977931&rft_els_id=S0003999314004390&rfr_iscdi=true