Sitting-Rising Test (SRT): A Simple Predictor of Longevity
Sitting-Rising Test (SRT): A Simple Predictor of Longevity
Source: Medscape Medical News – Jake Remaly | June 18, 2025
*Study published in: European Journal of Preventive Cardiology
Key Points Summary:
1. What is the Sitting-Rising Test (SRT)?
• A functional test assessing how easily a person can sit down and rise from the floor without using hands, knees, or other support.
• Scores range from 0 to 10 (5 for sitting, 5 for rising).
• Each loss of balance or use of support subtracts 1 point.
2. Study Design and Population:
• 4282 adults (ages 46–75; 68% men) tested between 1998–2023.
• Median follow-up: 12 years.
• Participants had no clinical limitations.
3. Main Findings:
• Mortality was significantly lower in those who scored higher:
• Score 10 → 3.7% died
• Score 8 → 11.1% died
• Score 0–4 → 42.1% died
• Adjusted analysis:
• Low SRT scores were associated with:
• 3.8× increased risk of all-cause mortality
• 6× increased risk of cardiovascular death
4. Why SRT Matters:
• It evaluates non-aerobic fitness: strength, flexibility, balance, and body composition.
• Simple, equipment-free, and predictive of survival.
5. Broader Implications:
• Aligns with growing recognition that non-aerobic fitness is as important as aerobic fitness.
• Strength training and mobility exercises are now recommended components of cardiac rehab programs.
6. Open Questions:
• Can improving SRT scores actually prolong life?
• What is the ideal exercise prescription to improve SRT performance?
• How does SRT compare with traditional aerobic fitness tests?
7. Clinical Perspective:
• Strength training 2×/week should be considered essential for aging and heart health.
Takeaway:
The ease with which a person can sit and rise from the floor—without support—is a powerful predictor of longevity and cardiovascular health. As medicine moves beyond cardio alone, functional strength and balance are gaining critical importance in aging and disease prevention.