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The Relationship between Modified Short Physical Performance Battery and Falls: A Cross-Sectional Study of Older Outpatients

Authors :
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
Source :
Geriatrics, Vol 6, Iss 4, p 106 (2021)
Publication Year :
2021
Publisher :
MDPI AG, 2021.

Abstract

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.

Details

Language :
English
ISSN :
23083417
Volume :
6
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Geriatrics
Publication Type :
Academic Journal
Accession number :
edsdoj.04ab6b994b7bac951ef66d9d5805
Document Type :
article
Full Text :
https://doi.org/10.3390/geriatrics6040106