Accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients

Authors

  • Bruno Prata Martinez University of Bahia; Bahia School of Medicine and Public Health; Universidade Federal da Bahia
  • Isabela Barboza Gomes University of Bahia; Department of Physiotherapy; Universidade Federal da Bahia
  • Carolina Santana de Oliveira University of Bahia; Department of Physiotherapy; Universidade Federal da Bahia
  • Isis Resende Ramos University of Bahia; Department of Physiotherapy; Universidade Federal da Bahia
  • Mônica Diniz Marques Rocha University of Bahia; Department of Physiotherapy; Universidade Federal da Bahia
  • Luiz Alberto Forgiarini Júnior Centro Universitário Metodista; Programa de Pós-graduação em Reabilitação e Inclusão, Biociências e Reabilitação
  • Fernanda Warken Rosa Camelier University of Bahia; Department of Physiotherapy; Universidade Federal da Bahia
  • Aquiles Assunção Camelier University of Bahia; Bahia School of Medicine and Public Health; Universidade Federal da Bahia

DOI:

https://doi.org/10.6061/clinics/2015(05)11

Abstract

OBJECTIVES: The ability of the Timed Up and Go test to predict sarcopenia has not been evaluated previously. The objective of this study was to evaluate the accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients. METHODS: This cross-sectional study analyzed 68 elderly patients (≥60 years of age) in a private hospital in the city of Salvador-BA, Brazil, between the 1st and 5th day of hospitalization. The predictive variable was the Timed Up and Go test score, and the outcome of interest was the presence of sarcopenia (reduced muscle mass associated with a reduction in handgrip strength and/or weak physical performance in a 6-m gait-speed test). After the descriptive data analyses, the sensitivity, specificity and accuracy of a test using the predictive variable to predict the presence of sarcopenia were calculated. RESULTS: In total, 68 elderly individuals, with a mean age 70.4±7.7 years, were evaluated. The subjects had a Charlson Comorbidity Index score of 5.35±1.97. Most (64.7%) of the subjects had a clinical admission profile; the main reasons for hospitalization were cardiovascular disorders (22.1%), pneumonia (19.1%) and abdominal disorders (10.2%). The frequency of sarcopenia in the sample was 22.1%, and the mean length of time spent performing the Timed Up and Go test was 10.02±5.38 s. A time longer than or equal to a cutoff of 10.85 s on the Timed Up and Go test predicted sarcopenia with a sensitivity of 67% and a specificity of 88.7%. The accuracy of this cutoff for the Timed Up and Go test was good (0.80; IC=0.66-0.94; p=0.002). CONCLUSION: The Timed Up and Go test was shown to be a predictor of sarcopenia in elderly hospitalized patients.

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Published

2015-05-01

Issue

Section

Clinical Sciences

How to Cite

Accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients . (2015). Clinics, 70(5), 369-372. https://doi.org/10.6061/clinics/2015(05)11