Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2021

Open Access 01-12-2021 | Sarcopenia | Research

The 30-s chair stand test can be a useful tool for screening sarcopenia in elderly Japanese participants

Authors: Shuji Sawada, Hayao Ozaki, Toshiharu Natsume, Pengyu Deng, Toshinori Yoshihara, Takashi Nakagata, Takuya Osawa, Yoshihiko Ishihara, Tomoharu Kitada, Ken Kimura, Nobuhiro Sato, Shuichi Machida, Hisashi Naito

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Login to get access

Abstract

Background

Low muscle strength has been focused on as an essential characteristic of sarcopenia, and the 30-s chair stand test (CS-30) could be a particularly useful test for assessing muscle strength. While it is speculated to be a beneficial tool for the assessment of sarcopenia, this remains to be verified. In this study, we examined the reliability and optimal diagnostic score of the CS-30 for assessing sarcopenia in elderly Japanese participants.

Methods

This cross-sectional study included 678 participants (443 females and 235 males) who underwent the test for sarcopenia as per the Asian Working Group for Sarcopenia (AWGS) 2019, the CS-30 test, and the isometric knee-extension muscle strength test. ROC analysis was used to estimate the optimal CS-30 scores at which sarcopenia was detected.

Results

CS-30 scores were positively associated with sarcopenia (OR: 0.88; 95% CI:0.82–0.93). The AUC of the CS-30 for sarcopenia definition were 0.84 (p < 0.001) for females and 0.80 (p < 0.001) for males. The optimal number of stands in the CS-30 that predicted sarcopenia was 15 for females (sensitivity, 76.4%; specificity, 76.8%) and 17 for males (sensitivity, 75.0%; specificity, 71.7%).

Conclusions

The CS-30 was found to be a reliable test for sarcopenia screening in the elderly Japanese population.
Literature
1.
go back to reference United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248. 2017. United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248. 2017.
2.
3.
go back to reference Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5 Suppl):990S-991S.CrossRef Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5 Suppl):990S-991S.CrossRef
4.
go back to reference Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147(8):755–63.CrossRef Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147(8):755–63.CrossRef
5.
go back to reference Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel J-P, Rolland Y, Schneider SM, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412–23.CrossRef Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel J-P, Rolland Y, Schneider SM, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412–23.CrossRef
6.
go back to reference Chen L-K, Liu L-K, Woo J, Assantachai P, Auyeung T-W, Bahyah KS, Chou M-Y, Chen L-Y, Hsu P-S, Krairit O, et al. Sarcopenia in Asia: Consensus Report of the Asian Working Group for Sarcopenia. J Am Med Direct Assoc. 2014;15(2):95–101.CrossRef Chen L-K, Liu L-K, Woo J, Assantachai P, Auyeung T-W, Bahyah KS, Chou M-Y, Chen L-Y, Hsu P-S, Krairit O, et al. Sarcopenia in Asia: Consensus Report of the Asian Working Group for Sarcopenia. J Am Med Direct Assoc. 2014;15(2):95–101.CrossRef
7.
go back to reference Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, Jang HC, Kang L, Kim M, Kim S et al: Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc 2020, 21(3):300–307 e302. Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, Jang HC, Kang L, Kim M, Kim S et al: Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc 2020, 21(3):300–307 e302.
8.
go back to reference Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16–31.CrossRef Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16–31.CrossRef
9.
go back to reference Pinheiro PA, Carneiro JA, Coqueiro RS, Pereira R, Fernandes MH. “Chair Stand Test” as Simple Tool for Sarcopenia Screening in Elderly Women. J Nutr Health Aging. 2016;20(1):56–9.CrossRef Pinheiro PA, Carneiro JA, Coqueiro RS, Pereira R, Fernandes MH. “Chair Stand Test” as Simple Tool for Sarcopenia Screening in Elderly Women. J Nutr Health Aging. 2016;20(1):56–9.CrossRef
10.
go back to reference Cesari M, Kritchevsky SB, Newman AB, Simonsick EM, Harris TB, Penninx BW, Brach JS, Tylavsky FA, Satterfield S, Bauer DC, et al. Added value of physical performance measures in predicting adverse health-related events: results from the Health, Aging And Body Composition Study. J Am Geriatr Soc. 2009;57(2):251–9.CrossRef Cesari M, Kritchevsky SB, Newman AB, Simonsick EM, Harris TB, Penninx BW, Brach JS, Tylavsky FA, Satterfield S, Bauer DC, et al. Added value of physical performance measures in predicting adverse health-related events: results from the Health, Aging And Body Composition Study. J Am Geriatr Soc. 2009;57(2):251–9.CrossRef
11.
go back to reference Nishimura T, Arima K, Okabe T, Mizukami S, Tomita Y, Kanagae M, Goto H, Horiguchi I, Abe Y, Aoyagi K. Usefulness of chair stand time as a surrogate of gait speed in diagnosing sarcopenia. Geriatr Gerontol Int. 2017;17(4):659–61.CrossRef Nishimura T, Arima K, Okabe T, Mizukami S, Tomita Y, Kanagae M, Goto H, Horiguchi I, Abe Y, Aoyagi K. Usefulness of chair stand time as a surrogate of gait speed in diagnosing sarcopenia. Geriatr Gerontol Int. 2017;17(4):659–61.CrossRef
12.
go back to reference Ferrucci L, Guralnik JM, Buchner D, Kasper J, Lamb SE, Simonsick EM, Corti MC, Bandeen-Roche K, Fried LP. Departures from linearity in the relationship between measures of muscular strength and physical performance of the lower extremities: the Women’s Health and Aging Study. J Gerontol A Biol Sci Med Sci. 1997;52(5):M275-285.CrossRef Ferrucci L, Guralnik JM, Buchner D, Kasper J, Lamb SE, Simonsick EM, Corti MC, Bandeen-Roche K, Fried LP. Departures from linearity in the relationship between measures of muscular strength and physical performance of the lower extremities: the Women’s Health and Aging Study. J Gerontol A Biol Sci Med Sci. 1997;52(5):M275-285.CrossRef
13.
go back to reference Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.CrossRef Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.CrossRef
14.
go back to reference Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70(2):113–9.CrossRef Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70(2):113–9.CrossRef
15.
go back to reference Nakatani T, Nadamoto M, Mimura K-I, Itoh M. Validation of a 30-sec chair-stand test for evaluating lower extremity muscle strength in Japanese elderly adults. Japan J Phys Educ Health Sport Sci. 2002;47(5):451–61. Nakatani T, Nadamoto M, Mimura K-I, Itoh M. Validation of a 30-sec chair-stand test for evaluating lower extremity muscle strength in Japanese elderly adults. Japan J Phys Educ Health Sport Sci. 2002;47(5):451–61.
16.
go back to reference Yoshihara T, Ozaki H, Nakagata T, Natsume T, Kitada T, Ishihara Y, Sawada S, Ishibashi M, Kobayashi H, Machida S, et al. Association between locomotive syndrome and blood parameters in Japanese middle-aged and elderly individuals: a cross-sectional study. BMC Musculoskelet Disord. 2019;20(1):104.CrossRef Yoshihara T, Ozaki H, Nakagata T, Natsume T, Kitada T, Ishihara Y, Sawada S, Ishibashi M, Kobayashi H, Machida S, et al. Association between locomotive syndrome and blood parameters in Japanese middle-aged and elderly individuals: a cross-sectional study. BMC Musculoskelet Disord. 2019;20(1):104.CrossRef
17.
go back to reference Muraki S, Akune T, Teraguchi M, Kagotani R, Asai Y, Yoshida M, Tokimura F, Tanaka S, Oka H, Kawaguchi H, et al. Quadriceps muscle strength, radiographic knee osteoarthritis and knee pain: the ROAD study. BMC Musculoskelet Disord. 2015;16:305.CrossRef Muraki S, Akune T, Teraguchi M, Kagotani R, Asai Y, Yoshida M, Tokimura F, Tanaka S, Oka H, Kawaguchi H, et al. Quadriceps muscle strength, radiographic knee osteoarthritis and knee pain: the ROAD study. BMC Musculoskelet Disord. 2015;16:305.CrossRef
18.
go back to reference Ozaki H, Sawada S, Osawa T, Natsume T, Yoshihara T, Deng P, Machida S, Naito H. Muscle Size and Strength of the Lower Body in Supervised and in Combined Supervised and Unsupervised Low-Load Resistance Training. J Sports Sci Med. 2020;19(4):721–6.PubMedPubMedCentral Ozaki H, Sawada S, Osawa T, Natsume T, Yoshihara T, Deng P, Machida S, Naito H. Muscle Size and Strength of the Lower Body in Supervised and in Combined Supervised and Unsupervised Low-Load Resistance Training. J Sports Sci Med. 2020;19(4):721–6.PubMedPubMedCentral
19.
go back to reference Volpato S, Bianchi L, Cherubini A, Landi F, Maggio M, Savino E, Bandinelli S, Ceda GP, Guralnik JM, Zuliani G, et al. Prevalence and clinical correlates of sarcopenia in community-dwelling older people: application of the EWGSOP definition and diagnostic algorithm. J Gerontol A Biol Sci Med Sci. 2014;69(4):438–46.CrossRef Volpato S, Bianchi L, Cherubini A, Landi F, Maggio M, Savino E, Bandinelli S, Ceda GP, Guralnik JM, Zuliani G, et al. Prevalence and clinical correlates of sarcopenia in community-dwelling older people: application of the EWGSOP definition and diagnostic algorithm. J Gerontol A Biol Sci Med Sci. 2014;69(4):438–46.CrossRef
20.
go back to reference Ohsugi H, Murata S, Kubo A, Hachiya M, Hirao A, Fujiwara K, Kamijou K. Verification of the Correlation between Cognitive Function and Lower Limb Muscle Strength for the Community-dwelling Elderly. J Phys Ther Sci. 2014;26(12):1861–3.CrossRef Ohsugi H, Murata S, Kubo A, Hachiya M, Hirao A, Fujiwara K, Kamijou K. Verification of the Correlation between Cognitive Function and Lower Limb Muscle Strength for the Community-dwelling Elderly. J Phys Ther Sci. 2014;26(12):1861–3.CrossRef
21.
go back to reference Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci. 2002;57(8):M539-543.CrossRef Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci. 2002;57(8):M539-543.CrossRef
Metadata
Title
The 30-s chair stand test can be a useful tool for screening sarcopenia in elderly Japanese participants
Authors
Shuji Sawada
Hayao Ozaki
Toshiharu Natsume
Pengyu Deng
Toshinori Yoshihara
Takashi Nakagata
Takuya Osawa
Yoshihiko Ishihara
Tomoharu Kitada
Ken Kimura
Nobuhiro Sato
Shuichi Machida
Hisashi Naito
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Sarcopenia
Published in
BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-021-04524-x

Other articles of this Issue 1/2021

BMC Musculoskeletal Disorders 1/2021 Go to the issue