Associate Postgraduate Program in Physical Education, State University of Londrina (UEL) and State University of Maringá (UEM), Paraná, Brazil.
Program of Masters and Doctoral degree in Rehabilitation Sciences, State of University of Londrina (UEL) and University Pitagoras Unopar (UNOPAR), Londrina, Paraná, Brazil.; Associate Professor, Université du Québec à Chicoutimi (UQAC), Chicoutimi-QC, Canada.; Institute of Education Research and Innovation, Irmandade da Santa Casa de Londrina (IEPI-ISCAL), Londrina, Paraná, Brazil.
Arch Gerontol Geriatr. 2021 Nov-Dec;97:104524. doi: 10.1016/j.archger.2021.104524. Epub 2021 Sep 11.
To provide reference values for functional fitness tests (PFFT) and verify the capability of these tests alone and grouped into a general index (GFFI-6), to predict mortality from all causes, during seven years of follow-up of physically independent older adults.
The sample consisted of 422 older adults, evaluated at baseline using six PFFTs, as well as sociodemographic, behavioral, anthropometric, and comorbidity variables. Mortality from all causes was followed for seven subsequent years. The sample was subdivided into four groups according to sex and age. Performances in the PFFT and GFFI-6 tests were ranked into "low", "regular", and "high".
Cox proportional regression, with the adjustment of variables, indicated that the Unipedal Balance Test (BAL), Body Agility (AGI), Sit and Stand-up (SIT-SD) tests, and GFFI-6 were able to significantly predict mortality, indicating that older adults with "low" performance have, respectively, a 2.7 (CI=1.54-4.89, p = 0.01), 4.2 (CI=2.10-8.41), 2.5 (CI=1.44-4.65, p = 0.01), and 4.7 (CI=2.10-10.81, p<0.01) times higher risk of death, compared to older adults with "high" performance.
BAL, AGI, and SIT-SD tests alone and tests grouped in the GFFI-6 were strong predictors of all-cause mortality in physically independent older adults.
为功能体能测试（PFFT）提供参考值，并验证这些测试单独以及分组为综合指数（GFFI-6）的能力，以预测在七年的身体独立老年人随访期间由所有原因导致的死亡率。
该样本由 422 名老年人组成，在基线时使用六项 PFFT 以及社会人口统计学、行为、人体测量学和合并症变量进行评估。随后七年对所有原因导致的死亡率进行随访。根据性别和年龄将样本分为四组。将 PFFT 和 GFFI-6 测试中的表现排名为“低”、“中”和“高”。
经调整变量的 Cox 比例回归表明，单足平衡测试（BAL）、身体敏捷性（AGI）、坐站起测试（SIT-SD）和 GFFI-6 能够显著预测死亡率，表明表现为“低”的老年人的死亡风险分别为 2.7（CI=1.54-4.89，p=0.01）、4.2（CI=2.10-8.41）、2.5（CI=1.44-4.65，p=0.01）和 4.7（CI=2.10-10.81，p<0.01）倍，与表现为“高”的老年人相比。
BAL、AGI 和 SIT-SD 测试单独以及分组在 GFFI-6 中的测试是身体独立老年人全因死亡率的有力预测指标。
