Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study

Abstract Background This study aimed to determine whether sex-specific timed up and go (TUG) test results are associated with injurious fall occurrence in older adults and to identify risk factors for injurious falls based on TUG test results. Methods Data were obtained from an older adult cohort da...

Full description

Saved in:
Bibliographic Details
Main Authors: Jiyun Kim, Sookja Choi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05588-9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846100924139831296
author Jiyun Kim
Sookja Choi
author_facet Jiyun Kim
Sookja Choi
author_sort Jiyun Kim
collection DOAJ
description Abstract Background This study aimed to determine whether sex-specific timed up and go (TUG) test results are associated with injurious fall occurrence in older adults and to identify risk factors for injurious falls based on TUG test results. Methods Data were obtained from an older adult cohort database provided by the National Health Insurance Service, which included 34,030 individuals aged 66 years or older who underwent life-transition health examinations in 2007 and 2008 and were followed up until 2019. To identify the risk factors for injurious falls, this study performed a Cox proportional hazard regression analysis by sex, with individual characteristics, including TUG test results, as independent variables. Results The TUG test was associated with injurious falls occurrence in older adult men, but not in older adult women. Among men with abnormal TUG results, those with abnormal systolic blood pressure had a greater risk of injurious falls. In women, dysuria, hearing impairment, underweight, abnormal systolic blood pressure, diabetes, depressive mood, and low bone mineral density (osteopenia and osteoporosis) were identified as risk factors for injurious falls, regardless of the TUG test results. Risk factors for injurious falls after the TUG test differed by sex. Conclusions The TUG test is useful for detecting injurious falls in older adult men. This study identified important risk factors for injurious falls in older adult women that can be targeted in prevention strategies.
format Article
id doaj-art-c3f0f1f9e8c34ff1b7986ce8c0c2e0db
institution Kabale University
issn 1471-2318
language English
publishDate 2024-12-01
publisher BMC
record_format Article
series BMC Geriatrics
spelling doaj-art-c3f0f1f9e8c34ff1b7986ce8c0c2e0db2024-12-29T12:46:25ZengBMCBMC Geriatrics1471-23182024-12-012411910.1186/s12877-024-05588-9Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort studyJiyun Kim0Sookja Choi1College of Nursing, Research Institute of AI and Nursing Science, Gachon UniversityRed Cross College of Nursing, Chung-Ang UniversityAbstract Background This study aimed to determine whether sex-specific timed up and go (TUG) test results are associated with injurious fall occurrence in older adults and to identify risk factors for injurious falls based on TUG test results. Methods Data were obtained from an older adult cohort database provided by the National Health Insurance Service, which included 34,030 individuals aged 66 years or older who underwent life-transition health examinations in 2007 and 2008 and were followed up until 2019. To identify the risk factors for injurious falls, this study performed a Cox proportional hazard regression analysis by sex, with individual characteristics, including TUG test results, as independent variables. Results The TUG test was associated with injurious falls occurrence in older adult men, but not in older adult women. Among men with abnormal TUG results, those with abnormal systolic blood pressure had a greater risk of injurious falls. In women, dysuria, hearing impairment, underweight, abnormal systolic blood pressure, diabetes, depressive mood, and low bone mineral density (osteopenia and osteoporosis) were identified as risk factors for injurious falls, regardless of the TUG test results. Risk factors for injurious falls after the TUG test differed by sex. Conclusions The TUG test is useful for detecting injurious falls in older adult men. This study identified important risk factors for injurious falls in older adult women that can be targeted in prevention strategies.https://doi.org/10.1186/s12877-024-05588-9FallOlder adultTimed up and go testRisk factorSex difference
spellingShingle Jiyun Kim
Sookja Choi
Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
BMC Geriatrics
Fall
Older adult
Timed up and go test
Risk factor
Sex difference
title Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
title_full Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
title_fullStr Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
title_full_unstemmed Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
title_short Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study
title_sort association of timed up and go test results with future injurious falls among older adults by sex a population based cohort study
topic Fall
Older adult
Timed up and go test
Risk factor
Sex difference
url https://doi.org/10.1186/s12877-024-05588-9
work_keys_str_mv AT jiyunkim associationoftimedupandgotestresultswithfutureinjuriousfallsamongolderadultsbysexapopulationbasedcohortstudy
AT sookjachoi associationoftimedupandgotestresultswithfutureinjuriousfallsamongolderadultsbysexapopulationbasedcohortstudy