[P2–566]: TIMED‐UP‐AND‐GO (TUG) TEST SCORES ARE RELATED TO EXECUTIVE FUNCTION BUT NOT ASSOCIATED WITH FALL ACCIDENT IN THE COMMUNITY: THE WAKUYA PROJECT
2017; Wiley; Volume: 13; Issue: 7S_Part_17 Linguagem: Inglês
10.1016/j.jalz.2017.06.1225
ISSN1552-5279
AutoresKeiichi Kumai, Mika Kumai, Junko Takada, Jiro Oonuma, Kei Nakamura, Takanori Aonuma, Kenichi Meguro,
ResumoFall is a major risk for fractures which will surely result in decreased daily activities for older adults. The Timed-Up-and-Go Test (TUG) is commonly used to detect older residents with the risk of fall accidents in quite a few communities but no academic background has been applied. The Wakuya Project (2014–2015) was performed to focus on the older residents aged 65 years or older, for the prevention of stroke, dementia and bed-confinement in Wakuya, a typical agricultural town in Miyagi Prefecture, northern Japan. Participants (n=100) were classified into three groups based on the Clinical Dementia Rating (CDR); CDR 0 (healthy), CDR 0.5 (questionable dementia), and CDR 1+ (dementia). The Timed-Up-and-Go Test (TUG) was performed with cognitive measures such as the Mini-Mental State Examination (MMSE) and the Digit Symbol test and Trail-Making Tests. The latter two can evaluate executive functions. The fall accidents were interviewed from their families. The TUG scores significantly decreased step-by-step through CDR groups. There were significant and clinically meaningful correlations between the both executive function tests scores and TUG scores for all participants. For predicting fall risk, the sensitivity/specificity were 0.25/0.83 for the CDR 0 group, 0.25/0.60 for the CDR 0.5 group, and 0.25/0.73 for the CDR 0+0.5 group, all were not significant. A further investigation is need to clarify the use of Timed-Up-and-Go Test (TUG) for the risk of fall accidents. Instead, the test can assess executive function thus may be used as to cognitive screening in the community.
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