Association Of Agility With Muscle Strength, Balance, Mobility And Physical Activity Status Of Older Women
It has been reported that body-weight supported stepping training increases the walking speed of healthy older women. This suggests that stepping with body weight unloading improves the walking ability. We hypothesized that stepping in a sitting position is associated with the physical fitness, walking ability and the physical activity status of older people. PURPOSE: The purpose of this study was to examine the association between the stepping rate (agility) and the muscle strength, balance, mobility and the physical activity status of older women. METHODS: The participants included 108 healthy older women (age: 74±5 years; range: 65-89). The stepping rate, muscle strength (handgrip strength, knee extension strength), balance (one-leg standing time with eyes open), mobility (timed up-and-go test [TUG], maximum walking speed) and physical activity of the participants were measured. The maximal stepping rate in 10 seconds, as measured using an industrial stepping rate counter (Stepping Counter; Yagami), was used as an index of agility. The participants were instructed to perform alternating steps with each leg as quickly as possible for 10 seconds, while in a sitting position. The total number of step for both legs was used as the participant’s score. The physical activity status was measured for two weeks using a uniaxial accelerometer. A multiple regression analysis was used to evaluate the association between the stepping rate and each of the other variables. RESULTS: The stepping rate was 74.8±14.2 (range 34-108) times/10s and was not correlated with age. A multiple regression analysis adjusted for age revealed that the, stepping rate was associated with handgrip strength (β=0.345, p<0.00), knee extension strength (β=0.218, p<0.05), one-leg standing time (β=0.312, p<0.01), TUG (β=-0.239, p<0.05), maximum walking speed (β=0.446, p<0.001) and the percentage of time engaged in low intensity PA (β=-0.245, p<0.05). CONCLUSION: The present study showed the association between agility and muscle strength, balance, walking ability and physical activity of physically independent older women.
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