Predictive Validity of Motor Fitness and Flexibility Tests in Adults and Older Adults: A Systematic Review

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2022-01Department
Didáctica de la Educación Física, Plástica y MusicalSource
J. Clin. Med. 2022, 11(2), 328Abstract
Motor fitness and flexibility have been linked to several health issues. We aimed to
investigate the predictive validity of motor fitness and flexibility tests in relation to health outcomes
in adults and older adults. Web of Science and PubMed databases were screened for studies published
from inception to November 2020. Two authors systematically searched, evaluated, and extracted
data from identified original studies and systematic reviews/meta-analysis. Three levels of evidence
were constructed: strong, moderate, and limited/inconclusive evidence. In total, 1182 studies were
identified, and 70 studies and 6 systematic reviews/meta-analysis were summarized. Strong evidence
indicated that (i) slower gait speed predicts falls and institutionalization/hospitalization in adults
over 60 years old, cognitive decline/impairment over 55 years old, mobility disability over 50 years
old, disability in instrumental activities of daily living (IADL) over 54 years old, cardiovascular
disease risk over 45 years old, and all-cause mortality over 35 years old; (ii) impaired balance predicts
falls and disability in IADL/mobility disability in adults over 40 years old and all-cause mortality
over 53 years old; (iii) worse timed up&go test (TUG) predicts falls and fear of falling over 40 years
old. Evidence supports that slower gait speed, impaired balance, and worse TUG performance are
significantly associated with an increased risk of adverse health outcomes in adults.
Subjects
speed; agility; prediction; health issues; adultsCollections
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