title: Mobility and Muscle Strength Together are More Strongly Correlated with Falls in Suburb-Dwelling Older Chinese.
abstract: Falls are common in older adults and result in adverse outcomes. Impaired mobility and poor muscle strength have been consistently identified as the main contributors to falls. We choose three easy-to-perform tests (i.e. Timed Up and Go test (TUGT), walking speed (WS) and grip strength (GS)) in order to assess mobility and muscle strength to further define their relationship with falls. This study is cross-sectional, consisting of 1092 residents over 60-year-old; 589 were female. 204 (18.68%) participants reported falling at least once in the past year. It was found that, of the three tests evaluated independently, a TUGT < 9.1750 s had the strongest association with fewer falls. When evaluating these tests as pairs, the combination of a TUGT < 9.1750 s and a WS < 0.9963 m/s was the best protective indicator of falls after adjusting for age, sex and other variables. When evaluating all three tests in conjunction with each other, the combination of a TUGT < 9.1750 s, a WS < 0.9963 m/s, and a GS > 0.3816 was most correlated with less possibility of falls. The combination of a better TUGT performance, a stronger GS, and a slower WS is the most strongly correlated with less possibility of falls.
authors.affiliation: Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China.|Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Xiuyang
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Yixuan
authors.initials: Y
authors.lastname: Ma
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Jiazhong
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Peipei
authors.initials: P
authors.lastname: Han
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Renwei
authors.initials: R
authors.lastname: Dong
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Li
authors.initials: L
authors.lastname: Kang
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Wen
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Suxing
authors.initials: S
authors.lastname: Shen
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Dongfang
authors.initials: D
authors.lastname: Li
authors.affiliation: Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Maoran
authors.initials: M
authors.lastname: Zhou
authors.affiliation: Department of Rehabilitation Medicine, Tianjin Hospital, Tianjin, China.
authors.forename: Liancheng
authors.initials: L
authors.lastname: Wang
authors.affiliation: Nutritional Epidemiology Institute, Tianjin Medical University, Tianjin, China.|School of Public Health, Tianjin Medical University, Tianjin, China.
authors.forename: Kaijun
authors.initials: K
authors.lastname: Niu
authors.affiliation: Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China.|Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Guo
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012111:Residence Characteristics; D018570:Risk Assessment; D000072797:Walking Speed / Q000502:physiology*