Evidence map›Paper›PMID 40523646›Full record

ArticleJournal of the American Medical Directors Association2025

Short Physical Performance Battery or Chair Stand: Which Better Predicts Disability Among High-Functioning Older Adults?

Roberta de Oliveira Máximo, Mariane Marques Luiz, Sara Souza Lima, Andrew Steptoe, Cesar de Oliveira, Tiago da Silva Alexandre

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Roberta de Oliveira MáximoPostgraduate Program in Gerontology, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil.
Mariane Marques LuizPostgraduate Program in Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil.
Sara Souza LimaPostgraduate Program in Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil.
Andrew SteptoeDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Cesar de OliveiraDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Tiago da Silva AlexandrePostgraduate Program in Gerontology, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil; Postgraduate Program in Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil; Department of Epidemiology and Public Health, University College London, London, United Kingdom; Gerontology Department, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil. Electronic address: tiagoalexandre@ufscar.br.

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
NIA NIH HHS R01 AG017644
6 · The paper itself

Abstract

objectiveTo compare the Short Physical Performance Battery (SPPB) and Chair Stand Test (CST) in terms of their ability to identify the risk of incident disability in instrumental activities of daily living (IADL) and basic activities of daily living (BADL) over an 8-year follow-up among high-functioning older adults.

designLongitudinal study. SETTING AND

participantsA sample of 2386 participants from the English Longitudinal Study of Ageing (ELSA) who were free of IADL/BADL disability and had a gait speed greater than 0.8 m/s at baseline.

methodsReceiver operating characteristic curves were used to evaluate the accuracy of the SPPB and CST to identify the risk of incident IADL/BADL disability. Subsequently, the trajectories of incident IADL/BADL disability were analyzed according to the SPPB and CST cutoff points using generalized linear mixed models adjusted for sociodemographic, behavioral, and clinical characteristics.

resultsPerformance in the SPPB ≤11 points and CST ≥11.5 seconds more accurately identified the risk of incident IADL/BADL disability than SPPB ≤10 points and CST >15 seconds, which are the cutoff points most commonly recommended in the literature to date. Finally, the trajectories of incident IADL/BADL disability were similar for SPPB ≤11 points and CST ≥11.5 seconds. CONCLUSIONS AND IMPLICATIONS: SPPB ≤11 points and CST ≥11.5 seconds more accurately identified the risk of incident IADL/BADL disability than previously recommended cutoff points. As both instruments were similar in predicting trajectories of incident disability, the CST may represent a more practical choice for clinical screening, given its simplicity and shorter administration time.

Indexed as

Activities of Daily LivingDisability EvaluationGeriatric AssessmentPersons with DisabilitiesPhysical Functional PerformanceAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleBADLsCSTdisabilityIADLsPhysical performanceSPPB

Identifiers

PMID40523646
PMCPMC12324942

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.