Performance on five times sit-to-stand task as a predictor of subsequent falls and disability in older persons

Fang Zhang, Luigi Ferrucci, Elsie Culham, E. Jeffrey Metter, Jack Guralnik, Nandini Deshpande

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


Objectives: To investigate whether the performance on 5 times sit-to-stand test (5tSTS) can predict subsequent falls, fall-related fracture, and activities of daily living (ADL) and instrumental activities of daily living (IADL) disability in older persons. Methods: A total of 948 older adults (age ≥ 60) participated in this study. Ability and the time to finish 5tSTS were recorded at baseline. Number of falls, fall-related fractures, and the ability to complete ADL and IADL without assistance were recorded retrospectively at baseline and at the 3-year follow-up. Results: Inability to complete 5tSTS was a marginal predictor of falls (OR = 4.22) and a significant predictor of ADL- (OR = 24.70) and IADL-related disability (OR = 17.10) at 3-year follow-up. The need of longer time to complete 5tSTS was predictive of developing IADL-related disability at 3-year follow-up (OR = 4.22 [> 16.6 s]; OR = 2.49 [13.7-16.6 s]). Discussion: 5tSTS is an easily administered tool which can be used to predict subsequent ADL- and IADL-related disability.

Original languageEnglish (US)
Pages (from-to)478-492
Number of pages15
JournalJournal of Aging and Health
Issue number3
StatePublished - Apr 2013
Externally publishedYes


  • activity of daily living (ADL)
  • disability
  • falls
  • instrumental activity of daily living (IADL)

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Community and Home Care


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