TY  - JOUR
PY  - 2021//
TI  - The relationship between Modified Short Physical Performance Battery and falls: a cross-sectional study of older outpatients
JO  - Geriatrics (Basel)
A1  - Fukui, Kazuki
A1  - Maeda, Noriaki
A1  - Komiya, Makoto
A1  - Sasadai, Junpei
A1  - Tashiro, Tsubasa
A1  - Yoshimi, Mitsuhiro
A1  - Tsutsumi, Shogo
A1  - Arima, Satoshi
A1  - Kaneda, Kazuki
A1  - Onoue, Satoshi
A1  - Shima, Toshiya
A1  - Niitani, Manabu
A1  - Urabe, Yukio
SP  - e106
EP  - e106
VL  - 6
IS  - 4
N2  - 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, p = 0.045) and SPPB-com (OR 0.63, 95% CI 0.45-0.87, p = 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.<p />  <p>Language: en</p>
LA  - en
SN  - 2308-3417
UR  - http://dx.doi.org/10.3390/geriatrics6040106
ID  - ref1
ER  -