gms | German Medical Science

Physical activity and successful aging
10th International EGREPA Conference

European Group for Research into Elderly and Physical Activity

14.09. - 16.09.2006 in Köln

Screening assessment and outcome measure: the concurrent and predictive validity of mobility from one level to another

Meeting Abstract

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Physical activity and successful aging. Xth International EGREPA Conference. Cologne, 14.-16.09.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06pasa072

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Published: December 18, 2006

© 2006 Bergland.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




Older age, higher morbidity and lower functional capacity are associated with fall injuries. Inability to get up is associated with older age, higher morbidity and a lower functional capacity. The purpose of this study was to assess concurrent and prospective validity of the ability to getting up from lying on the floor in elderly women.


Injurious falls which occurred during one year in a random sample of 307 women aged 75 years and over (mean 80.8 years, response rate 74.5 %), living in the community were recorded. Base-line registrations of ability to get up from the lying on the floor, health and function.Fall injuries during the subsequent year serving as outcome.


240 (78.2%) managed independently to get up from lying on the floor. The highest correlations were with items primary related to mobility, e.g., ability to climb steps and performance on the Timed Up & Go test. However, arthrosis of the hip, difficulty with walking indoors, chest disease, afraid of falling, Body Mass Index and receives care were also independently associated with the ability to get up from lying on the floor. During the follow-up year, 50.5 % experienced falls, of which one in four resulted in a serious injury and one in eight in a fracture. The ability to get up from lying on the floor was a significant predictor of serious fall-related injury (OR=2.1). Among those who experienced a fall, the risk of injury was markedly higher for those unable to rise from the floor (OR=3.7).


The test 'get up from lying on the floor' is a marker of failing health and function in the elderly and a significant predictor of serious fall injuries.