The challenge seems simple: sit cross-legged on the floor and rise to a without supporting yourself with your hands or knees. However, it's not as easy as you might think in practice.
This is known as the “sitting-rising” test or . It was created by doctor and researcher Dr. and his team.
In 2012, the European Journal of Cardiovascular Prevention released it to the public. The test predicts "all-cause" mortality in middle-aged and older adults. It comes back around, causing people of all ages to panic if they have difficulty getting up from sitting on the ground.
This article can help you determine if this panic is warranted.
, you must lower yourself to the ground in a crisscross without supporting yourself with your arm, hand, , or knee.
You get 5 points for sitting and 5 for standing back up. Therefore, if you can sit and rise without assistance, you get 10 points. Every time you use forbidden to support yourself, one point is .
Dr. research team in tested 2,002 adults between the ages of 51 and 80 and followed them until they either passed away or the study ended (October 2011), which was about 6.3 years. and his
During this time, 159 participants passed away - only 2 had a of 10 on the test. The participants with the lowest , 0 to 3 points, were 5 to 6 times more likely to die than those with an between 8 to 10 points.
We know that aerobic and is related to . However, this also indicates that there are other factors involved in , including:
This test measures core strength, leg strength, and balance.
According to the Centers for Disease Control and Prevention, or CDC, falling due to is the leading cause of injury-related deaths for adults 65 and older. Adults with a higher on the “sitting-rising” test are less likely to fall because they have strength and flexibility.
However, what if you can’t sit and without support? Does this mean that you're doomed to die early and must get your affairs in order? Not necessarily.
Your clothes may affect your ability to complete this , and you are more likely to struggle if you're not wearing .
Several other variables determine your overall health and than this test focuses on.
Also, it’s important to note that the results of this study are most applicable to individuals between the ages of 51 and 80 - a fact that is often forgotten. Most subjects that scored lower were on the older end of the spectrum (76 to 80), and this group typically experiences an overall reduction in coordination and mobility.
Another factor that isn't discussed is the cause of death in the 159 participants who passed away. We are not sure if their deaths were due to complications from falling or if other factors were involved, such as cancer, cardiovascular disease, or something else.
According to Greg Hartley, assistant professor at the University of Miami Miller School of Medicine and the president of the Academy of Geriatric , this test does screen for sarcopenia, which is loss of muscle due to aging. This decline causes other mobility issues, reducing the overall quality of life.
Physical performance, , muscle mass, and strength are correlated to mortality. That being said, it's important to remember that correlation is not the same as causation.
For example, if someone has bad knees, they are not likely to be able to do the test. This doesn't indicate that they may die soon; they have bad knees.
Getting up off the floor is great, but it can be hard for anyone to do without using their hands. You may fail this test because of where you carry your weight. Getting up off the floor without support can be extremely challenging for individuals with a thicker midsection.
However, unless you have other health complications, such as obesity, you're not likely to die from it.
A high score on the "sit-rise" test indicates that you're in decent physical strength at that time. Also, it's genetic - some people are stronger and more coordinated than others. However, it isn't necessarily a of .
If you are sitting on the floor panicking because you can’t stand up without support, as long as you don’t have issues such as inner ear problems or arthritis, it is something you can work on and improve.
Take time to practice every day. Resilience is another factor - will you try to fix it, or will you give up?
According to the experts, there are several other screening tests that medical providers can use to indicate
In February 2019, the Journal of the American Medical Association Network Open published a 10-year study involving 1,104 middle-aged, active male firefighters.
This Harvard study looked at the health data and push-up capacity of the participants. Those who completed 40 push-ups during this time were 96% less likely to develop cardiovascular disease than those who did less than 10.
Another factor that gives us some insight into is walking speed.
In 2011, the Journal of the American Medical Association published a study indicating that individuals age 65+ who could walk 1 meter in a second or less lived longer than those who could not.
Another study published by the British Journal of revealed that walking at a faster pace reduced due to cardiovascular disease in 53% of participants 60+.
These results indicate that walking speed is closely tied to mortality. If you can walk 2 miles in an hour or less, your risk of dying within the next 10 years is greatly reduced.
Finally, medical providers can learn much about by using a hand dynamometer to test grip strength.
Another Harvard study indicated for each 11-pound decrease in grip strength an individual has, their from cardiovascular causes is 16% higher.
Grip strength is an indicator of , and your fitness level as a young adult and into middle adulthood has the greatest impact on your grip strength. Therefore, there is a preventative.
While the does help in some ways to predict , it’s more of an indicator of cardiovascular health. Just because you have to use other to help you lower to a or rise to a does not mean that your is increased substantially.
If you struggle with this , once you , you can use your defeat to encourage you to improve your fitness and strength.
According to the U.S. Department of Health and Human Services, adults 65 and older should get 150 to 300 minutes of exercise per week. This should be broken down into short bursts focusing on improving , balance, and aerobic activity. After all, it's never too late to improve your .
Ideally, you should find something you enjoy doing, so it's not a chore. If not, at least find purpose in what you're doing.
Medical experts agree that telling patients exercise will improve their cardiovascular health doesn't give them motivation. However, telling them that improving their health as they age will allow them to be active in their grandchildren’s lives does.
Robert C. Fisher is a Nurse Director at a large medical center in Boston, MA, who holds a Master’s in Nursing Leadership and Administration and an MBA in Healthcare Management.
Ready Set Care is creating a community to provide guidance for anyone caring for an aging loved one.
If you know someone that could benefit from our website, click the share icons below
or copy link below