TY - JOUR PY - 2021// TI - Mobility performance impacts mortality risk in community-dwelling healthy older adults in Japan: a prospective observational study JO - Aging clinical and experimental research A1 - Otsuka, Hiromasa A1 - Kobayashi, Hiroki A1 - Suzuki, Kiyozumi A1 - Hayashi, Yuta A1 - Ikeda, Jin A1 - Kushimoto, Masaru A1 - Hara, Motohiko A1 - Abe, Masanori A1 - Kato, Kimitoshi A1 - Soma, Masayoshi SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: The timed up and go (TUG) test assesses balance and mobility performance.

AIM: This study aims to investigate the association between TUG time and mortality in Japanese older persons and to clarify possible moderation effects on mortality and TUG time.

METHODS: In all, 874 participants who were ≥ 65 years of age completed the TUG test and had their anthropometric parameters and physical functions measured. We investigated the association between all-cause mortality and TUG using a Cox regression model that included confounders, and explored the time associated with mortality using a restricted cubic spline. We also performed subgroup analyses to explore whether age, sex, and body mass index (BMI) affected the relationship between TUG time and mortality.

RESULTS: The median age and mean follow-up period were 74 and 8.5 years, respectively. Median TUG time was 7.4 s and the prevalence of mortality was 25.7%. TUG time in one second was positively associated with an increased risk of total mortality [hazard ratio (HR): 1.054 (1.016-1.093); P = 0.005] in the Cox regression model. The positive association of mortality and TUG time was present when the TUG was over 10.5 s in the restricted cubic spline curve. Older age (75 years or older) moderated the relationship between TUG time and mortality [P(interaction) = 0.096].

CONCLUSION: This study demonstrates that TUG time is associated with all-cause mortality in Japanese older adults.

Language: en

LA - en SN - 1594-0667 UR - http://dx.doi.org/10.1007/s40520-021-01787-1 ID - ref1 ER -