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Title:	Timed up and go test : normative data in relation to cognition and its application in screening falls among community dwelling older adults in Malaysia
Authors:	Azianah binti Mohamad Ibrahim (P79509)
Supervisor:	Devinder Kaur Ajit Singh, Associate Professor Dr.
Keywords:	Mild Cognitive Impairment Dissertations, Academic -- Malaysia
Issue Date:	14-Mar-2018
Description:	Timed Up and Go test (TUG) has been widely used to predict mobility and falls risk among older adults. However, TUG normative data with inclusion of mild cognitive impairment (MCI) as a risk factor is limited. Association of TUG test combined with subjective assessments as falls assessment is also not available. Thus, this study aimed to establish TUG normative data among Malaysian community dwelling older adults according to cognitive status (Phase1) and identify association of TUG alone with falls or TUG in combination with multifactorial risks (Phase2). Participants in this study were recruited through a multi-stage random sampling from four states representing Southern, Northern, Central and East coast zone of Malaysia. Participants' sociodemographic data and a self-rated multifactorial fall risks questionnaire (SRMQ) were obtained using interview based questionnaire. Cognitive status was assessed using a neuro-psychological battery tests. TUG was also administered. In Phase 1, descriptive pooled analysis of 2,084 community dwelling older adults (48% men, 52% women) showed that participants with MCI, women and being older took longer time to complete TUG. Multivariate logistic regression analysis of 1,086-community dwelling older adults in Phase 2 of the study showed that the model consisting of TUG test, socio-demographic factors: gender, cataract/glaucoma, joint pain and SRMQ: previous falls history (Q1) and worried of fall (Q5) (x2(6) =61.0, p<0.001, Nagelkerke R2=0.10), was more robust than the model with TUG on its own (x2(1) =10.3, p<0.001, Nagelkerke R2=0.02), in regard to its association with falls risk. Hence, combined socio-demographic factors, self-rated multifactorial falls related questionnaire with physical assessment using TUG is more favorable in identifying falls risk among community dwelling older adults. TUG normative data and falls risk model obtained in our study could be used as a TUG reference norm and early falls risk screening tool respectively among Malaysian community dwelling older adults. Prevalence of MCI and falls were 16% (n=529) and 14.8% (n=161).,Sarjana Sains Kesihatan
Pages:	88
Call Number:	WE104.A995t 2018 9
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Health Sciences / Fakulti Sains Kesihatan

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