TY - JOUR PY - 2018// TI - Association of fall history with the Timed Up and Go test score and the dual task cost: a cross-sectional study among independent community-dwelling older adults JO - Geriatrics and gerontology international A1 - Asai, Tsuyoshi A1 - Oshima, Kensuke A1 - Fukumoto, Yoshihiro A1 - Yonezawa, Yuri A1 - Matsuo, Asuka A1 - Misu, Shogo SP - 1189 EP - 1193 VL - 18 IS - 8 N2 - AIM: To investigate the associations between fall history and the Timed Up and Go (TUG) test (single-TUG test), TUG test while counting aloud backwards from 100 (dual-TUG test) and the dual-task cost (DTC) among independent community-dwelling older adults.

METHODS: This cross-sectional study included 537 older adults who lived independently in the community. Data on fall history in the previous year were obtained by self-administrated questionnaire. The single- and dual-TUG tests were carried out, and the DTC value was computed from these results. Associations between fall history and these TUG-related values were analyzed using multivariate logistic regression models. The participants were divided into fall risk groups using the cut-off values of those significantly associated with falling, and the odds ratios (OR) were computed.

RESULTS: Slower single-TUG test scores and lower DTC values were significantly associated with fall history after adjusting for potential confounders (single-TUG test score: OR 1.133, 95% CI 1.029-1.249; DTC value: OR 0.984, 95% CI 0.968-0.998). Older adults with slower single-TUG test scores and lower DTC values reported a fall history more often than those in other categories (OR compared with the lower-risk single-TUG and lower-risk DTC groups: 3.474, 95% CI 1.881-6.570).

CONCLUSIONS: Slower single-TUG test scores and lower DTC values are associated with fall history among independent community-dwelling older adults. To some extent, dual task performance might provide added value for fall assessment, compared with administering the TUG test alone. Geriatr Gerontol Int 2018; ••: ••-••.

© 2018 Japan Geriatrics Society.

Language: en

LA - en SN - 1444-1586 UR - http://dx.doi.org/10.1111/ggi.13439 ID - ref1 ER -