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Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults

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Resumo:This study aimed to examine the combined effects of Body Mass Index (BMI) and living setting on fall risk trajectories in older adults over a 16-week period. A total of 124 older adults were recruited from nursing homes (n = 65; Mage: 84.4 ± 7.7 years) and community settings (n = 59; Mage: 70.3 ± 3.6 years). Participants were stratified by BMI (normal weight, overweight, and obesity) and assessed for functional mobility using the 8-foot Timed Up and Go test at baseline and after 16 weeks. A 3 × 2 × 2 repeated-measures GLM using the multivariate approach (Pillai’s Trace) revealed significant main effects for time (p < 0.001) and Living Setting (p < 0.001), but not for BMI (p = 0.408). A significant time × living setting interaction (p < 0.001) indicated that institutionalized older adults demonstrated a significant reduction in 8-foot Up-and-Go completion time (~16%), whereas community-dwelling peers maintained their baseline levels. These findings suggest that the observed reduction in time reflects a test familiarization effect rather than physiological improvement. Analysis revealed that the living setting profile was strongly associated with performance, showing a more significant link to functional decline than BMI-defined weight status, as no significant differences were found across BMI categories.
Autores principais:Rodrigues, Filipe
Outros Autores:Monteiro, Diogo; Forte, Pedro; Monteiro, António M.
Assunto:Aging Fall risk Body mass index Institutionalization Functional mobility Sarcopenia Body composition
Ano:2026
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Rodrigues, Filipe
author2 Monteiro, Diogo
Forte, Pedro
Monteiro, António M.
author2_role author
author
author
author_facet Rodrigues, Filipe
Monteiro, Diogo
Forte, Pedro
Monteiro, António M.
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Rodrigues, Filipe\"},{\"Person.name\":\"Monteiro, Diogo\"},{\"Person.name\":\"Forte, Pedro\",\"Person.identifier.orcid\":\"0000-0003-0184-6780\"},{\"Person.name\":\"Monteiro, António M.\",\"Person.identifier.orcid\":\"0000-0003-4467-1722\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Rodrigues, Filipe
Monteiro, Diogo
Forte, Pedro
Monteiro, António M.
datacite.date.Accepted.fl_str_mv 2026-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2026-03-20T10:23:39Z
datacite.date.embargoed.fl_str_mv 2026-03-20T10:23:39Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
datacite.titles.title.fl_str_mv Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Rodrigues, Filipe
Monteiro, Diogo
Forte, Pedro
Monteiro, António M.
dc.date.Accepted.fl_str_mv 2026-01-01T00:00:00Z
dc.date.available.fl_str_mv 2026-03-20T10:23:39Z
dc.date.embargoed.fl_str_mv 2026-03-20T10:23:39Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/36155
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv MDPI
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
dc.title.fl_str_mv Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description This study aimed to examine the combined effects of Body Mass Index (BMI) and living setting on fall risk trajectories in older adults over a 16-week period. A total of 124 older adults were recruited from nursing homes (n = 65; Mage: 84.4 ± 7.7 years) and community settings (n = 59; Mage: 70.3 ± 3.6 years). Participants were stratified by BMI (normal weight, overweight, and obesity) and assessed for functional mobility using the 8-foot Timed Up and Go test at baseline and after 16 weeks. A 3 × 2 × 2 repeated-measures GLM using the multivariate approach (Pillai’s Trace) revealed significant main effects for time (p < 0.001) and Living Setting (p < 0.001), but not for BMI (p = 0.408). A significant time × living setting interaction (p < 0.001) indicated that institutionalized older adults demonstrated a significant reduction in 8-foot Up-and-Go completion time (~16%), whereas community-dwelling peers maintained their baseline levels. These findings suggest that the observed reduction in time reflects a test familiarization effect rather than physiological improvement. Analysis revealed that the living setting profile was strongly associated with performance, showing a more significant link to functional decline than BMI-defined weight status, as no significant differences were found across BMI categories.
dirty 0
eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://bibliotecadigital.ipb.pt/bitstreams/1d6f6a7f-d450-46f8-a402-56a58b95e5e0/download
funding.funder.alternateName_str_mv FCT
funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
funding.identifier_str_mv UID/DTP/04045/2019
funding.name_str_mv 6817 - DCRRNI ID
funding_str_mv UID/DTP/04045/2019
info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FDTP%2F04045%2F2019/PT
id ipb_6fc1976e32299b31b4a94de7a0eaf23e
identifier.url.fl_str_mv http://hdl.handle.net/10198/36155
instacron_str ipb
institution Instituto Politécnico de Bragança
instname_str Instituto Politécnico de Bragança
language eng
network_acronym_str ipb
network_name_str Biblioteca Digital do IPB
oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/36155
organization_str_mv urn:organizationAcronym:ipb
person_str_mv Rodrigues, Filipe
Monteiro, Diogo
Forte, Pedro
Forte, Pedro
https://www.ciencia-id.pt/351B-B16B-79C7
351B-B16B-79C7
http://orcid.org/0000-0003-0184-6780
0000-0003-0184-6780
Monteiro, António M.
Monteiro, António M.
https://www.ciencia-id.pt/C41C-6CCD-A1F0
C41C-6CCD-A1F0
http://orcid.org/0000-0003-4467-1722
0000-0003-4467-1722
publishDate 2026
publisher.none.fl_str_mv MDPI
reponame_str Biblioteca Digital do IPB
repository_id_str urn:repositoryAcronym:ipb
service_str_mv urn:repositoryAcronym:ipb
spelling engMDPIengThis study aimed to examine the combined effects of Body Mass Index (BMI) and living setting on fall risk trajectories in older adults over a 16-week period. A total of 124 older adults were recruited from nursing homes (n = 65; Mage: 84.4 ± 7.7 years) and community settings (n = 59; Mage: 70.3 ± 3.6 years). Participants were stratified by BMI (normal weight, overweight, and obesity) and assessed for functional mobility using the 8-foot Timed Up and Go test at baseline and after 16 weeks. A 3 × 2 × 2 repeated-measures GLM using the multivariate approach (Pillai’s Trace) revealed significant main effects for time (p < 0.001) and Living Setting (p < 0.001), but not for BMI (p = 0.408). A significant time × living setting interaction (p < 0.001) indicated that institutionalized older adults demonstrated a significant reduction in 8-foot Up-and-Go completion time (~16%), whereas community-dwelling peers maintained their baseline levels. These findings suggest that the observed reduction in time reflects a test familiarization effect rather than physiological improvement. Analysis revealed that the living setting profile was strongly associated with performance, showing a more significant link to functional decline than BMI-defined weight status, as no significant differences were found across BMI categories.application/pdfengShort-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older AdultsRodrigues, FilipeMonteiro, DiogoPersonalForte, PedroDSpacehttp://dspace.org/items/3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0DSpacehttp://dspace.org/items/3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0FortePedroCiência IDhttps://www.ciencia-id.pt351B-B16B-79C7ORCIDhttp://orcid.org0000-0003-0184-6780PersonalMonteiro, António M.DSpacehttp://dspace.org/items/5b5d8601-e683-42d5-a1b5-c8e29a4e0a41DSpacehttp://dspace.org/items/5b5d8601-e683-42d5-a1b5-c8e29a4e0a41MonteiroAntónio M.Ciência IDhttps://www.ciencia-id.ptC41C-6CCD-A1F0ORCIDhttp://orcid.org0000-0003-4467-1722HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf2075-4663DOIIsPartOf10.3390/sports140200472026-03-20T10:23:39Z20262026-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/36155http://purl.org/coar/access_right/c_abf2open accessAgingFall riskBody mass indexInstitutionalizationFunctional mobilitySarcopeniaBody composition272455 bytesFundação para a Ciência e a TecnologiaResearch Center in Sports Sciences, Health Sciences and Human Developmentinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FDTP%2F04045%2F2019/PTUID/DTP/04045/20196817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2026http://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/1d6f6a7f-d450-46f8-a402-56a58b95e5e0/downloadSports142113
spellingShingle Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
Rodrigues, Filipe
Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
status SINGLETON
subject.fl_str_mv Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
title Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
title_full Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
title_fullStr Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
title_full_unstemmed Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
title_short Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
title_sort Short-Term 8-Foot up and Go Responsiveness in Institutionalized vs. Community-Dwelling Older Adults
topic Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
topic_facet Aging
Fall risk
Body mass index
Institutionalization
Functional mobility
Sarcopenia
Body composition
url http://hdl.handle.net/10198/36155
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