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I thought this would be an interesting topic to see what people's attitudes are because over the years I've seen a few disagreements about what frequency people would consider to be turn-up-and-go. Further Information on the standardised timed up and go test is provided by Agile, the network for chartered physiotherapists working with older people. Booklet – get up and go On the DLR and trams, most stops and stations are unstaffed, although you can find a member of staff on the train or tram. Staff are available at Victoria Coach station, IFS Cloud Cable Car terminals and on piers and boats.
How frequent would a train service have to be before you treated it as 'turn up and go' - in other words, before you would just arrive at the station at a random time, without seriously bothering to try to time your arrival to when the next train is due. Owing in part to its ease of use, association with fall risk and sensitivity, the TUG test is recommended by the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. 33 For the assessment of physical function in people with hip or knee arthritis, the TUG test is one of the five performance-based outcome measures recommended by the Osteoarthritis Research Society International. 34 Increasing age is associated with a decline in physical performance. 2 , 5 Our results show poorer TUG performance with increased age and are consistent with previous population-based studies. 35–38 In this context, it is important to highlight the prominent increase in TUG score after the age of 65. The present study demonstrated a significant trend toward age-related functional decline. Between the ages 70 and 75 years, women had poorer TUG performance than men at the same ages. This underscores the importance of regular physical activity interventions that may improve, or at least delay the loss of, physical function and mobility among older adults. 44 , 45 This is one way to assess a person's falls risk, but it you're concerned about falling, the CSP recommends you seek a full and comprehensive falls assessment from a qualified healthcare professional. This difference may be explained by country-specific differences, such as socioeconomic status. 46 Research has shown that socioeconomic status is associated with later-life physical performance. 47–49 In contrast with Malaysia, Norway is characterized by a high level of welfare, as it has one of the highest levels of income per capita in the world, and 34% of the population have tertiary education (ie a university or college). 50
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You can book assistance in advance on the London Overground and Elizabeth line as part of the national Passenger Assist service. It’s hard to know how much of the sugar is lactose as it’s not listed on the label but based on the ingredients list it’s likely been added to the standard vanilla whereas sweeteners are used for the no added sugar version. The present study provides updated reference values for TUG scores in community-dwelling older adults in Norway, by age, sex, and disease status. TUG scores increased with age, and the increase was especially prominent after 65 years of age. Participants with arthritis or NCDs performed significantly poorer on the TUG test after age 65 years than did participants without these diseases. To the best of our knowledge, this is the first large-scale population-based study providing sex- and age-specific percentile reference values for TUG among participants with arthritis or NCDs.
At the youngest ages, until about age 65 years, in both men and women, there were no differences in TUG performance for those with NCD or arthritis compared to those without these diseases ( Table 2, Figure 1). After age 65 years, however, those without these diseases performed significantly better than those with these diseases (p<0.05) in both men and women. For all three groups, TUG performance score increased with age, especially after the age of 65 years. However, the onset of this increase in TUG performance score occurred at a later age among men without arthritis or NCDs compared to those with such diseases ( Figure 1).If there are queues outside a Tube station, customers who identify themselves as disabled should be allowed to enter the station without queueing - this includes carers and assistants accompanying you. Make yourself known to a member of staff. Updated reference values for performance-based physical function are important, as they characterize what is normal in a defined population at a specific point or period. 51 For clinicians, such reference values are important because a clinical test score without a reference value is difficult to interpret. Percentiles indicate a person’s performance relative to the expected level for their age, sex, and other characteristics. 52 In research, we rely on reference values to evaluate individual or group scores to observe how the scores compare to the group’s average values for age, country, sex, or other characteristics. 53 Reference values give meaning to a clinical test score and enable clinicians to create treatment goals or to tailor treatment for individual patients. 51 In addition to reference values for the general population, it may also be of interest to obtain reference values for subgroups in the population. For example, it is valuable to see how groups with highly prevalent diseases score in comparison to the general population. Everyone is welcome to use our turn up and go service - it's popular with customers with visual impairments, mobility impairments and groups, including school groups. There is no need to pre-book the turn up and go service, just turn up at the station and ask staff for assistance.
This study is, to the authors’ knowledge, among the largest of its kind in which the TUG testing procedure is consistent with the original protocol of Podsiadlo and Richardson which represents the most widely used version of the TUG, 54 and used in recent large-scale population-based studies. 36 , 37 The large number of participants in this study is a strength as it enables us to establish reference values for subgroups of the general population by age and sex as well as by the presence of arthritis or NCD. Another strength of this study is that the TUG testing was performed by trained health professionals. In addition, an administration manual was provided to help ensure test standardization. Furthermore, all tests were performed at the same location, increasing the validity of the reference values. This is important, as TUG scores across different studies can be difficult to compare due to procedural differences. Some researchers 55 , 56 have raised concerns about the comparability of TUG scores if the testing procedure was not performed in the same manner, which might make the pooling of data difficult. All three products have similar protein, fibre and fat but the carbohydrate and sugar content varies. The no added sugar has less sugar however sweeteners are used. Calling 0343 222 2000 ( TfL call charges). Phone lines are open 24 hours every day (except Christmas Day) The participants in our study performed better on the TUG test than participants in a comparable large-scale population-based study from Malaysia that included 2084 community-dwelling older adults aged 60–90 years. 36 For comparison, the mean TUG score for Malaysian men and women in the age group of 60–64 years was 10.4 seconds; for the corresponding mean score in our study, it was 8.2 seconds in men and 8.1 seconds in women. For the age group of 75–79 years, those in the Malaysian study scored 12.6 seconds, whereas men in our study scored 10.0 seconds and women 10.5 seconds.The no added sugar vanilla contains 8.1g protein, 3.7g fat, 15.5g total carbs of which 10.1g has been highlighted as lactose. There is also 4g of dietary fibre. So, similar protein and fat content to the standard vanilla but over 12g, or 3 teaspoons, less sugar. I was thinking of local/commuter services when I posted the poll, so if you feel your answers would be different for local and long-distance services, please answer for local services. And if you still feel that you would have different answers for different journeys or different situations, answer for the local rail journey you most often make. Our staff is trained to give assistance to customers, including guiding visually-impaired customers by the arm and assisting wheelchair users by pushing the chair if needed. TUG performance has further been studied in various populations with different pathological conditions, such as osteoarthritis 19 and non-communicable diseases (NCDs). 20–22 Osteoarthritis is associated with low physical performance 23 and is considered a significant contributor to global disability and disability-adjusted life years. 24 For patients undergoing total joint replacement due to late-stage hip or knee osteoarthritis, a high TUG score may predict delayed postoperative functional recovery for total hip 25 and knee replacement. 26 The four main types of NCDs are cancer, diabetes, chronic respiratory disease and cardiovascular disease. NCDs are associated with poorer performance on physical outcome measures. 27–30 These four main types are the world’s leading cause of disabilities, 31 contributing to a significant economic burden. 32
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