The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients
The Short Physical Performance Battery (SPPB) is a physical fall-risk screening tool and predictor of adverse health effects for the older. Its limited use in Japan is due to the relative ease for high-functioning older adults to achieve perfect scores. Japanese researchers thus created a community-...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/6/4/106 |
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| author | Kazuki Fukui Noriaki Maeda Makoto Komiya Junpei Sasadai Tsubasa Tashiro Mitsuhiro Yoshimi Shogo Tsutsumi Satoshi Arima Kazuki Kaneda Satoshi Onoue Toshiya Shima Manabu Niitani Yukio Urabe |
| author_facet | Kazuki Fukui Noriaki Maeda Makoto Komiya Junpei Sasadai Tsubasa Tashiro Mitsuhiro Yoshimi Shogo Tsutsumi Satoshi Arima Kazuki Kaneda Satoshi Onoue Toshiya Shima Manabu Niitani Yukio Urabe |
| author_sort | Kazuki Fukui |
| collection | DOAJ |
| description | The Short Physical Performance Battery (SPPB) is a physical fall-risk screening tool and predictor of adverse health effects for the older. Its limited use in Japan is due to the relative ease for high-functioning older adults to achieve perfect scores. Japanese researchers thus created a community-based SPPB (SPPB-com). This study investigated whether the SPPB-com score can distinguish between older patients classified as “fallers” and “non-fallers.” Participants comprised 185 older outpatients aged 65 and above who self-reported their history of accidental falls and relevant physical activity. Fall risk was assessed using SPPB and SPPB-com. Handgrip strength, maximum isometric knee extensor strength, and maximum walking speed were measured as physical functions. Multivariate logistic regression and receiver-operating characteristic analyses determined criteria indicating faller status. Fallers were older and had lower physical function, physical activity, SPPB, and SPPB-com scores than non-fallers. Multivariate logistic regression analysis showed SPPB (OR 0.76, 95% CI 0.59–0.99, <i>p</i> = 0.045) and SPPB-com (OR 0.63, 95% CI 0.45–0.87, <i>p</i> = 0.005) scores were both independently associated with prior falls. The SPPB-com score may function as a fall-risk assessment tool for older outpatients, and its combined use with SPPB can increase the accuracy and precision of distinction between fallers and non-fallers. |
| first_indexed | 2024-03-10T04:01:42Z |
| format | Article |
| id | doaj.art-aacc04ab6b994b7bac951ef66d9d5805 |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-10T04:01:42Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-aacc04ab6b994b7bac951ef66d9d58052023-11-23T08:32:51ZengMDPI AGGeriatrics2308-34172021-10-016410610.3390/geriatrics6040106The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older OutpatientsKazuki Fukui0Noriaki Maeda1Makoto Komiya2Junpei Sasadai3Tsubasa Tashiro4Mitsuhiro Yoshimi5Shogo Tsutsumi6Satoshi Arima7Kazuki Kaneda8Satoshi Onoue9Toshiya Shima10Manabu Niitani11Yukio Urabe12Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanSports Medical Center, Japan Institute of Sports Sciences, Japan Sport Council, Tokyo 115-0056, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanNiitani Clinic, 2-8-18 Nakadori, Kure, Hiroshima 737-0046, JapanNiitani Clinic, 2-8-18 Nakadori, Kure, Hiroshima 737-0046, JapanNiitani Clinic, 2-8-18 Nakadori, Kure, Hiroshima 737-0046, JapanGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanThe Short Physical Performance Battery (SPPB) is a physical fall-risk screening tool and predictor of adverse health effects for the older. Its limited use in Japan is due to the relative ease for high-functioning older adults to achieve perfect scores. Japanese researchers thus created a community-based SPPB (SPPB-com). This study investigated whether the SPPB-com score can distinguish between older patients classified as “fallers” and “non-fallers.” Participants comprised 185 older outpatients aged 65 and above who self-reported their history of accidental falls and relevant physical activity. Fall risk was assessed using SPPB and SPPB-com. Handgrip strength, maximum isometric knee extensor strength, and maximum walking speed were measured as physical functions. Multivariate logistic regression and receiver-operating characteristic analyses determined criteria indicating faller status. Fallers were older and had lower physical function, physical activity, SPPB, and SPPB-com scores than non-fallers. Multivariate logistic regression analysis showed SPPB (OR 0.76, 95% CI 0.59–0.99, <i>p</i> = 0.045) and SPPB-com (OR 0.63, 95% CI 0.45–0.87, <i>p</i> = 0.005) scores were both independently associated with prior falls. The SPPB-com score may function as a fall-risk assessment tool for older outpatients, and its combined use with SPPB can increase the accuracy and precision of distinction between fallers and non-fallers.https://www.mdpi.com/2308-3417/6/4/106agedaccidental fallsshort physical performance batteryphysical function performancelogistic models |
| spellingShingle | Kazuki Fukui Noriaki Maeda Makoto Komiya Junpei Sasadai Tsubasa Tashiro Mitsuhiro Yoshimi Shogo Tsutsumi Satoshi Arima Kazuki Kaneda Satoshi Onoue Toshiya Shima Manabu Niitani Yukio Urabe The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients Geriatrics aged accidental falls short physical performance battery physical function performance logistic models |
| title | The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients |
| title_full | The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients |
| title_fullStr | The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients |
| title_full_unstemmed | The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients |
| title_short | The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients |
| title_sort | relationship between modified short physical performance battery and falls a cross sectional study of older outpatients |
| topic | aged accidental falls short physical performance battery physical function performance logistic models |
| url | https://www.mdpi.com/2308-3417/6/4/106 |
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