一般在宅健常高齢者を対象としたアップアンドゴーテストの有用性  [in Japanese] Validity of the timed up and go test in community-dwelling elderly people  [in Japanese]

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Abstract

本研究は地域に往往する一般在宅健常高齢者(男性512名,女性805名)を対象として,機能的移動能力をみるTUGテストを実施し,本法の信頼性,加齢変化や性差,さらにはその他の機能的体力(速歩,ジグザグ歩行,手のばし,椅子立ち上がり)との関係を検討した.TUGテストは2回実施したタイムの信頼性が男性でICC=0.746,女性でICC=0.776となり,フィールドテストとして高かった.TUGタイムは男女とも60-64歳群をコントロールとして各年齢群を比較したところ,70-74歳群以降の群で有意な低下が認められ,加齢とともに遅くなる傾向を示した.性差については60-64歳群,65-69歳群,70-74歳群,75-79歳群で男性に対し,女性のタイムが低下することを認めた.TUGタイムは機能的体力との間に-0.267~0.742の有意な相関関係を示した.TUGテストは信頼性に優れ,タイムは機能的体力とも相関関係を認め,一般在宅健常高齢者の機能的移動能力のテストとして有用性を示している.今後は虚弱高齢者を含めたTUGタイムのカットオフ値(基準範囲)を明らかにでされば介護予防運動のための指導,および運動処方の運用に期待される.

Functional mobility is essential for elderly people to perform their daily activities. The timed up and go (TUG) test measures basic motor agility and dynamic balance. This study evaluated the test-retest reliability of the TUG test, and the validity of functional fitness and age-related changes for the TUG test performance in elderly people. Five hundred and twelve elderly men (mean age=71.4 years, range=60-92 years) and 805 elderly women (mean age=67.1 years, range=60-89 years) participated in this study. The following physical performance measures were examined: the TUG, fast-paced and zigzag walking, modified functional reach, and a 30-sec chair stand. Based on the age groups (60-64, 65-69, 70-74, 75-79, and 80+ years) and gender, the TUG test performance was analyzed. The intraclass correlation coefficients for the TUG test time were 0.746 and 0.776 for the elderly men and women, respectively. For both men and women, age-related declines in the TUG test time were observed in the youngest subgroup (60-64 years) and the following subgroups: 70-74 (P <0. 001), 75-79 (P <0. 001), and 80+ years (P <0. 001). The TUG test time for men aged 60-64 (P <0. 001), 65-69 (P <0. 001), 70-74 (P <0. 01), and 75-79 years (P <0. 01) was faster than that for women. Pearson correlations between the TUG test time and the functional fitness measures ranged from -0.267 to 0.742. Thus, the TUG test performances were reliable and correlated with the functional fitness measures, age-related declines, and gender differences. Further research on standard TUG tests that include frail individuals is required for assessing the functional mobility.

Journal

  • Journal of exercise and sports physiology

    Journal of exercise and sports physiology 15(1), 1-10, 2008-02

    イセブ

Cited by:  2

Codes

  • NII Article ID (NAID)
    110006649659
  • NII NACSIS-CAT ID (NCID)
    AA11201699
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13403036
  • NDL Article ID
    9469286
  • NDL Source Classification
    ZS8(科学技術--医学--解剖学・生理学・生化学)
  • NDL Call No.
    Z19-B351
  • Data Source
    CJPref  NDL  NII-ELS  NDL-Digital 
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