Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations

Estimating lower-limb muscle power during sit-to-stand (STS) tests is feasible for large-scale implementation. This study investigated 1) whether age, functional limitations and sex have an influence on the movement strategy and power production during STS; and 2) potential differences between STS p...

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Main Authors: Lien Meulemans, Julian Alcazar, Luis M. Alegre, Sebastiaan Dalle, Katrien Koppo, Jan Seghers, Christophe Delecluse, Evelien Van Roie
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Experimental Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0531556523001766
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author Lien Meulemans
Julian Alcazar
Luis M. Alegre
Sebastiaan Dalle
Katrien Koppo
Jan Seghers
Christophe Delecluse
Evelien Van Roie
author_facet Lien Meulemans
Julian Alcazar
Luis M. Alegre
Sebastiaan Dalle
Katrien Koppo
Jan Seghers
Christophe Delecluse
Evelien Van Roie
author_sort Lien Meulemans
collection DOAJ
description Estimating lower-limb muscle power during sit-to-stand (STS) tests is feasible for large-scale implementation. This study investigated 1) whether age, functional limitations and sex have an influence on the movement strategy and power production during STS; and 2) potential differences between STS power estimated with either a simple equation or a sensor. Five-repetition STS data of 649 subjects (♂352 ♀297) aged 19 to 93 years were included. Subjects were divided in different age groups and levels of functioning. A body-fixed sensor measured (sub)durations, trunk movement (flexion/extension) and STS muscle power (Psensor). Additionally, mean STS muscle power was calculated by a mathematic equation (Alcazar et al., 2018b)Pformula.Results revealed that 1) older subjects and women showed greater trunk flexion before standing up than younger subjects and men, respectively (both p < 0.001); 2) well-functioning adults seemed to have the tendency to not extend the trunk fully during the sit-to-stand transition (mean difference extension – flexion range = −15.3° to −13.1°, p < 0.001); 3) mobility-limited older adults spent more time in the static sitting and standing positions than their well-functioning counterparts (all p < 0.001); 4) STS power decreased with age and was lower in women and in limited-functioning subjects compared to men and well-functioning subjects, respectively (p < 0.05); 5) Pformula was highly related to Psensor (ICC = 0.902, p < 0.001); and 6) Pformula demonstrated higher values than Psensor in well-functioning adults [mean difference = −0.31 W/kg and −0.22 W/kg for men and women, respectively (p < 0.001)], but not among limited-functioning older adults. To conclude, this study showed that age and functional limitations have an influence on the movement strategy during a 5-repetition STS test. Differences in movement strategy can affect the comparison between Pformula and Psensor. In well-functioning older adults, Pformula was slightly higher than Psensor, which might be related to an incomplete extension in the sit-to-stand transition.
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spelling doaj.art-90ff0ecb46554adb9eac4be615a8e3802023-07-22T04:51:19ZengElsevierExperimental Gerontology1873-68152023-08-01179112255Sensor- and equation-based sit-to-stand power: The effect of age and functional limitationsLien Meulemans0Julian Alcazar1Luis M. Alegre2Sebastiaan Dalle3Katrien Koppo4Jan Seghers5Christophe Delecluse6Evelien Van Roie7Physical Activity, Sports &amp; Health Research Group, Department of Movement Sciences, KU Leuven, Leuven, BelgiumGENUD Toledo Research Group, Faculty of Sports Sciences, Universidad de Castilla-La Mancha, Toledo, Spain; CIBER on Frailty and Healthy Aging, Instituto de Salud Carlos III, Madrid, Spain; Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), Junta de Comunidades de Castilla-La Mancha (JCCM), SpainGENUD Toledo Research Group, Faculty of Sports Sciences, Universidad de Castilla-La Mancha, Toledo, Spain; CIBER on Frailty and Healthy Aging, Instituto de Salud Carlos III, Madrid, Spain; Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), Junta de Comunidades de Castilla-La Mancha (JCCM), SpainExercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Leuven, BelgiumExercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Leuven, BelgiumPhysical Activity, Sports &amp; Health Research Group, Department of Movement Sciences, KU Leuven, Leuven, BelgiumPhysical Activity, Sports &amp; Health Research Group, Department of Movement Sciences, KU Leuven, Leuven, BelgiumPhysical Activity, Sports &amp; Health Research Group, Department of Movement Sciences, KU Leuven, Leuven, Belgium; Corresponding author at: Tervuursevest 101 - bus 1501, 3001 Leuven, Belgium.Estimating lower-limb muscle power during sit-to-stand (STS) tests is feasible for large-scale implementation. This study investigated 1) whether age, functional limitations and sex have an influence on the movement strategy and power production during STS; and 2) potential differences between STS power estimated with either a simple equation or a sensor. Five-repetition STS data of 649 subjects (♂352 ♀297) aged 19 to 93 years were included. Subjects were divided in different age groups and levels of functioning. A body-fixed sensor measured (sub)durations, trunk movement (flexion/extension) and STS muscle power (Psensor). Additionally, mean STS muscle power was calculated by a mathematic equation (Alcazar et al., 2018b)Pformula.Results revealed that 1) older subjects and women showed greater trunk flexion before standing up than younger subjects and men, respectively (both p < 0.001); 2) well-functioning adults seemed to have the tendency to not extend the trunk fully during the sit-to-stand transition (mean difference extension – flexion range = −15.3° to −13.1°, p < 0.001); 3) mobility-limited older adults spent more time in the static sitting and standing positions than their well-functioning counterparts (all p < 0.001); 4) STS power decreased with age and was lower in women and in limited-functioning subjects compared to men and well-functioning subjects, respectively (p < 0.05); 5) Pformula was highly related to Psensor (ICC = 0.902, p < 0.001); and 6) Pformula demonstrated higher values than Psensor in well-functioning adults [mean difference = −0.31 W/kg and −0.22 W/kg for men and women, respectively (p < 0.001)], but not among limited-functioning older adults. To conclude, this study showed that age and functional limitations have an influence on the movement strategy during a 5-repetition STS test. Differences in movement strategy can affect the comparison between Pformula and Psensor. In well-functioning older adults, Pformula was slightly higher than Psensor, which might be related to an incomplete extension in the sit-to-stand transition.http://www.sciencedirect.com/science/article/pii/S0531556523001766AgingFunctional capacityLower-limb muscle powerChair riseInertial measurement unit
spellingShingle Lien Meulemans
Julian Alcazar
Luis M. Alegre
Sebastiaan Dalle
Katrien Koppo
Jan Seghers
Christophe Delecluse
Evelien Van Roie
Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
Experimental Gerontology
Aging
Functional capacity
Lower-limb muscle power
Chair rise
Inertial measurement unit
title Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
title_full Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
title_fullStr Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
title_full_unstemmed Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
title_short Sensor- and equation-based sit-to-stand power: The effect of age and functional limitations
title_sort sensor and equation based sit to stand power the effect of age and functional limitations
topic Aging
Functional capacity
Lower-limb muscle power
Chair rise
Inertial measurement unit
url http://www.sciencedirect.com/science/article/pii/S0531556523001766
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