Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults
Objective: This cross-sectional study aimed to investigate whether the ability to maintain one-leg standing test for varying durations (10, 30, or 60 s) is associated with physical function and fall history. Methods: 158 community-dwelling older adults participated. They performed the one-leg standi...
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| Format: | Article |
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Elsevier
2025-09-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950307825000517 |
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| author | Akira Iwata Izumi Arihara Keita Sasada Atsuki Kanayama Kenichiro Tsubokura Gaito Kitada Ryoga Ueba Shuji Okuno Toshimitsu Ohmine Saki Yamamoto |
| author_facet | Akira Iwata Izumi Arihara Keita Sasada Atsuki Kanayama Kenichiro Tsubokura Gaito Kitada Ryoga Ueba Shuji Okuno Toshimitsu Ohmine Saki Yamamoto |
| author_sort | Akira Iwata |
| collection | DOAJ |
| description | Objective: This cross-sectional study aimed to investigate whether the ability to maintain one-leg standing test for varying durations (10, 30, or 60 s) is associated with physical function and fall history. Methods: 158 community-dwelling older adults participated. They performed the one-leg standing test for a maximum of 60 s and were categorized into those who could or could not maintain the position at each time point. Physical function was assessed through mobility (gait speed and five times sit-to-stand test), balance (Timed Up and Go (TUG) test and two-step test), and knee extension strength. Fall history was self-reported. Results: The proportions unable to maintain standing increased with test durations: 14.6 % for 10 s, 26.6 % for 30 s, and 41.1 % for 60 s. Independent t-tests showed that the maintained groups demonstrated significantly better mobility and balance performance than the non-maintained groups at each duration (all p < 0.01), and that the maintained groups at 10 s and 30 s exhibited significantly greater knee extension strength (p < 0.01). Multiple regression analyses confirmed that the one-leg standing was independently associated with physical function outcomes. Chi-square tests revealed no significant association between standing duration and fall history. Conclusions: The one-leg standing test was consistently associated with physical function but showed limited ability to predict fall history. A shorter duration (10 s) effectively detected severe impairments, whereas a longer duration (60 s) was more sensitive for identifying early declines. The choice of test duration should be guided by the specific functional deficits being assessed. |
| format | Article |
| id | doaj-art-60f99f8a80fb4829970748390f8fda8a |
| institution | OA Journals |
| issn | 2950-3078 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-60f99f8a80fb4829970748390f8fda8a2025-08-20T01:52:44ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-09-012310016910.1016/j.aggp.2025.100169Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adultsAkira Iwata0Izumi Arihara1Keita Sasada2Atsuki Kanayama3Kenichiro Tsubokura4Gaito Kitada5Ryoga Ueba6Shuji Okuno7Toshimitsu Ohmine8Saki Yamamoto9Graduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, Japan; Corresponding author at: Graduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, Japan.Department of Rehabilitation, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka-shi, Osaka 558-8558, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, Japan; Department of Rehabilitation, Hanna Central Hospital, 741 Tawaraguchi-cho, Ikoma-shi, Nara 630-0243, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, Japan; Department of Rehabilitation, Hanna Central Hospital, 741 Tawaraguchi-cho, Ikoma-shi, Nara 630-0243, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, Japan; Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Kansai University of Welfare Sciences, 3-11-1, Asahigaoka, Kashiwara-shi, Osaka 582-0026, JapanGraduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-shi, Osaka 583-8555, JapanObjective: This cross-sectional study aimed to investigate whether the ability to maintain one-leg standing test for varying durations (10, 30, or 60 s) is associated with physical function and fall history. Methods: 158 community-dwelling older adults participated. They performed the one-leg standing test for a maximum of 60 s and were categorized into those who could or could not maintain the position at each time point. Physical function was assessed through mobility (gait speed and five times sit-to-stand test), balance (Timed Up and Go (TUG) test and two-step test), and knee extension strength. Fall history was self-reported. Results: The proportions unable to maintain standing increased with test durations: 14.6 % for 10 s, 26.6 % for 30 s, and 41.1 % for 60 s. Independent t-tests showed that the maintained groups demonstrated significantly better mobility and balance performance than the non-maintained groups at each duration (all p < 0.01), and that the maintained groups at 10 s and 30 s exhibited significantly greater knee extension strength (p < 0.01). Multiple regression analyses confirmed that the one-leg standing was independently associated with physical function outcomes. Chi-square tests revealed no significant association between standing duration and fall history. Conclusions: The one-leg standing test was consistently associated with physical function but showed limited ability to predict fall history. A shorter duration (10 s) effectively detected severe impairments, whereas a longer duration (60 s) was more sensitive for identifying early declines. The choice of test duration should be guided by the specific functional deficits being assessed.http://www.sciencedirect.com/science/article/pii/S2950307825000517One-leg standing testPhysical functionBalanceOlder adultsFallsCommunity-dwelling |
| spellingShingle | Akira Iwata Izumi Arihara Keita Sasada Atsuki Kanayama Kenichiro Tsubokura Gaito Kitada Ryoga Ueba Shuji Okuno Toshimitsu Ohmine Saki Yamamoto Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults Archives of Gerontology and Geriatrics Plus One-leg standing test Physical function Balance Older adults Falls Community-dwelling |
| title | Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults |
| title_full | Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults |
| title_fullStr | Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults |
| title_full_unstemmed | Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults |
| title_short | Optimizing one-leg standing test duration for screening functional decline in community-dwelling older adults |
| title_sort | optimizing one leg standing test duration for screening functional decline in community dwelling older adults |
| topic | One-leg standing test Physical function Balance Older adults Falls Community-dwelling |
| url | http://www.sciencedirect.com/science/article/pii/S2950307825000517 |
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