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Cited by 19Balance, Gait, and Falls PreventionFrailty in Older AdultsHip and Femur Fractures

Sensibilidad y Especificidad de La Prueba Timed Up and Go. Tiempos de Corte y Edad En Adultos Mayores

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Ugarte LL., Jorge, Vargas R., Felipe·2021·Revista médica de Chile
DOI 10.4067/s0034-98872021000901302
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Abstract

BACKGROUND: Timed Up and Go (TUG) is used to assess the risk of falling of older people. AIM: To evaluate the sensitivity and specificity of TUG as a predictor of falls in older adults. MATERIAL AND METHODS: TUG was measured in 148 independent community-dwelling older adults aged 75 ± 7 years (85% women). Of these, 58 reported having a fall in the previous year. Analysis of the ROC (Receiver Operating Characteristic) curve was performed to assess the sensitivity and specificity of common cut-off times used in clinical practice. The times required to perform the TUG as quickly as possible (best fitted time) and at the usual pace (common time) were registered. RESULTS: Participants with a history of falls had higher TUG times than their counterparts who did not fall (10.9 ± 3.9 and 9.2 ± 2.6 s, respectively). By age groups, only in the 60-69 age group the differences between those who fell and those who did not, were statistically significant (p < 0.05). A cut-off of 9s generates the better sensitivity and specificity for the test (0.60 and 0.57, respectively). For 60-69 age group the best cut-off time is 8.2s, with an increase in sensitivity and specificity to 0.73 and 0.68, respectively. CONCLUSIONS: There were differences in TUG values between participants with and without a history of falls. Determining TUG cut-off values by age groups improves the sensitivity and specificity of the test, especially in the 60-69 age range.

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  • A completion time greater than 13.5 s on the Timed Up and Go test has been proposed as a threshold for predicting fall risk in community-dwelling older adults, though this predictive value depends on the individual's physical condition and is more relevant for those with lower functional capacity.

    “A completion time greater than 13.5 s has been proposed as a threshold for predicting fall risk in community-dwelling older adults, though this predictive value depends on the individual's physical condition and is more relevant for those with lower functional capacity [136].”

    From The Seven Methods for the Evaluation of Nutritional Status—ABCDEFG: Narrative Review (2026) · cites this paper as [136]

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  1. Mancilla SE, Valenzuela HJ, Escobar CM. Rendimiento en las pruebas "Timed Up and Go" y "Estación Uni- podal" en adultos mayores chilenos entre 60 y 89 años. Rev Med Chile 2015; 143 (1): 39-46. doi: 10.4067/S0034- 98872015000100005- 19. · DOI

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Authors
Ugarte LL., J., & Vargas R., F.
Venue
Revista médica de Chile
Publisher
SciELO Agencia Nacional de Investigacion y Desarrollo (ANID)
Published
2021-09
Volume
149
Issue
9
Pages
1302-1310
ISSN
0034-9887 (ISSN-L)
DOI
10.4067/s0034-98872021000901302
OpenAlex
W4242612497
Cited by
19
References
20
Citations by year
2026: 5 · 2025: 6 · 2024: 5 · 2023: 2 · 2022: 1
FWCI
3.68
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Revista médica de Chile (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Keywords
Timed Up and Go test, fall risk assessment, older adults, sensitivity and specificity, cut-off time, age differences, community-dwelling older adults, fall history, balance assessment
MeSH terms
Accidental Falls, Aged, Aged, 80 and over, Female, Humans, Male, ROC Curve, Sensitivity and Specificity

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