Timed Up and Go Test and the Risk of Parkinson's Disease: A Nation‐wide Retrospective Cohort Study

Background If mild parkinsonian signs can be a marker for Parkinson's disease (PD) development, an impaired Timed Up and Go test (TUG) should also be a marker for prodromal PD. Objectives To investigate whether the Timed Up and Go test is associated with PD. Methods We included 1,196,614 partic...

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Veröffentlicht in:Movement disorders 2020-07, Vol.35 (7), p.1263-1267
Hauptverfasser: Yoo, Jung Eun, Jang, Wooyoung, Shin, Dong Wook, Jeong, Su‐Min, Jung, Hee‐Won, Youn, Jinyoung, Han, Kyungdo, Kim, Bongseong
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container_end_page 1267
container_issue 7
container_start_page 1263
container_title Movement disorders
container_volume 35
creator Yoo, Jung Eun
Jang, Wooyoung
Shin, Dong Wook
Jeong, Su‐Min
Jung, Hee‐Won
Youn, Jinyoung
Han, Kyungdo
Kim, Bongseong
description Background If mild parkinsonian signs can be a marker for Parkinson's disease (PD) development, an impaired Timed Up and Go test (TUG) should also be a marker for prodromal PD. Objectives To investigate whether the Timed Up and Go test is associated with PD. Methods We included 1,196,614 participants at 66 years of age who underwent the National Screening Program for Transitional Ages for Koreans between 2009 and 2014. Timed Up and Go test times were classified into
doi_str_mv 10.1002/mds.28055
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Objectives To investigate whether the Timed Up and Go test is associated with PD. Methods We included 1,196,614 participants at 66 years of age who underwent the National Screening Program for Transitional Ages for Koreans between 2009 and 2014. Timed Up and Go test times were classified into &lt;10 and ≥10 seconds. Incidence of PD was defined using claims data. Results During the median follow‐up period of 3.5 years, participants with slow Timed Up and Go test time had significantly increased risk of developing PD compared with those with normal Timed Up and Go test time (adjusted hazard ratio: 1.28; 95% confidence interval: 1.20–1.37). Furthermore, participants with an abnormal Timed Up and Go test result, defined as ≥20 seconds, had a significantly increased risk of PD compared with those with a normal Timed Up and Go test result (adjusted hazard ratio: 2.18; 95% confidence interval: 1.63–2.92). Conclusion An indicator of subtle motor deficits, the Timed Up and Go test could be a prodromal marker for the risk of PD development. © 2020 International Parkinson and Movement Disorder Society</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.28055</identifier><identifier>PMID: 32293759</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Basal ganglia ; Central nervous system diseases ; Cohort analysis ; Confidence intervals ; Humans ; Incidence ; mild parkinsonian signs ; Movement disorders ; Neurodegenerative diseases ; Parkinson Disease - diagnosis ; Parkinson Disease - epidemiology ; Parkinson's disease ; Postural Balance ; prodromal Parkinson's disease ; Retrospective Studies ; Time and Motion Studies ; Timed Up and Go test</subject><ispartof>Movement disorders, 2020-07, Vol.35 (7), p.1263-1267</ispartof><rights>2020 International Parkinson and Movement Disorder Society</rights><rights>2020 International Parkinson and Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-2c46557ceaf4200078be17ea8f7768889dca83a576df628e359539cc4a4715203</citedby><cites>FETCH-LOGICAL-c3535-2c46557ceaf4200078be17ea8f7768889dca83a576df628e359539cc4a4715203</cites><orcidid>0000-0003-3350-5032</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmds.28055$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmds.28055$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32293759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoo, Jung Eun</creatorcontrib><creatorcontrib>Jang, Wooyoung</creatorcontrib><creatorcontrib>Shin, Dong Wook</creatorcontrib><creatorcontrib>Jeong, Su‐Min</creatorcontrib><creatorcontrib>Jung, Hee‐Won</creatorcontrib><creatorcontrib>Youn, Jinyoung</creatorcontrib><creatorcontrib>Han, Kyungdo</creatorcontrib><creatorcontrib>Kim, Bongseong</creatorcontrib><title>Timed Up and Go Test and the Risk of Parkinson's Disease: A Nation‐wide Retrospective Cohort Study</title><title>Movement disorders</title><addtitle>Mov Disord</addtitle><description>Background If mild parkinsonian signs can be a marker for Parkinson's disease (PD) development, an impaired Timed Up and Go test (TUG) should also be a marker for prodromal PD. Objectives To investigate whether the Timed Up and Go test is associated with PD. Methods We included 1,196,614 participants at 66 years of age who underwent the National Screening Program for Transitional Ages for Koreans between 2009 and 2014. Timed Up and Go test times were classified into &lt;10 and ≥10 seconds. Incidence of PD was defined using claims data. Results During the median follow‐up period of 3.5 years, participants with slow Timed Up and Go test time had significantly increased risk of developing PD compared with those with normal Timed Up and Go test time (adjusted hazard ratio: 1.28; 95% confidence interval: 1.20–1.37). Furthermore, participants with an abnormal Timed Up and Go test result, defined as ≥20 seconds, had a significantly increased risk of PD compared with those with a normal Timed Up and Go test result (adjusted hazard ratio: 2.18; 95% confidence interval: 1.63–2.92). 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subjects Basal ganglia
Central nervous system diseases
Cohort analysis
Confidence intervals
Humans
Incidence
mild parkinsonian signs
Movement disorders
Neurodegenerative diseases
Parkinson Disease - diagnosis
Parkinson Disease - epidemiology
Parkinson's disease
Postural Balance
prodromal Parkinson's disease
Retrospective Studies
Time and Motion Studies
Timed Up and Go test
title Timed Up and Go Test and the Risk of Parkinson's Disease: A Nation‐wide Retrospective Cohort Study
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