Kear Breelan M, Guck Thomas P, McGaha Amy L
1 Creighton University School of Medicine, Omaha, NE, USA.
J Prim Care Community Health. 2017 Jan;8(1):9-13. doi: 10.1177/2150131916659282. Epub 2016 Jul 25.
The Timed Up and Go (TUG) test is a reliable, cost-effective, safe, and time-efficient way to evaluate overall functional mobility. However, the TUG does not have normative reference values (NRV) for individuals younger than 60 years. The purpose of this study was to establish NRV for the TUG for individuals aged between 20 and 59 years and to examine the relationship between the TUG and demographic, physical, and mental health risk factors.
Two hundred participants, 50 per decade (ages 20-29, 30-39, 40-49, 50-59 years) were selected at their primary care visit, and timed as they performed the TUG by standing up out of a chair, walking 3 m, turning around, walking back to the chair, and sitting down. Information regarding the risk factors socioeconomic status, body mass index, an index of multimorbidities, perceptions of overall physical and mental health was obtained and used as predictors of TUG time independent of age.
TUG times were significantly different among the decades ( F = 6.579, P = .001) with slower times occurring with the 50-year-old decade compared with the 20s ( P = .001), 30s ( P = .001), and 40s ( P = .020). Slower TUG times were associated with lower SES, higher body mass index, more medical comorbidities, and worse perceived physical and mental health. Regression results indicated that perceived physical and mental health accounted for unique variance in the prediction of TUG time beyond age, gender, and socioeconomic status.
This study provided TUG NRV for adults in their 20s, 30s, 40s, and 50s. The TUG may have utility for primary care providers as they assess and monitor physical activity in younger adults, especially those with physical and mental health risk factors.
定时起立行走（TUG）测试是一种评估整体功能活动能力的可靠、经济高效、安全且省时的方法。然而，TUG测试对于60岁以下人群没有规范参考值（NRV）。本研究的目的是为20至59岁的个体建立TUG测试的NRV，并研究TUG与人口统计学、身体和心理健康风险因素之间的关系。
在初级保健就诊时选取200名参与者，每十年50名（年龄20 - 29岁、30 - 39岁、40 - 49岁、50 - 59岁），记录他们从椅子上站起来、行走3米、转身、走回椅子并坐下完成TUG测试的时间。获取有关社会经济地位、体重指数、多种疾病指数、整体身心健康感知等风险因素的信息，并将其用作独立于年龄的TUG时间预测指标。
各十年间的TUG时间存在显著差异（F = 6.579，P = .001），与20多岁（P = .001）、30多岁（P = .001）和40多岁（P = .020）相比，50多岁的TUG时间较慢。较慢的TUG时间与较低的社会经济地位、较高 的体重指数、更多的医疗合并症以及较差的身心健康感知相关。回归结果表明，身心健康感知在预测TUG时间方面，除年龄、性别和社会经济地位外，还占独特的方差。
本研究为20多岁、30多岁、40多岁和50多岁的成年人提供了TUG测试的NRV。TUG测试可能有助于初级保健提供者评估和监测年轻成年人的身体活动，尤其是那些有身心健康风险因素的人。
