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What is the normal time for 5 times sit to stand and what do your results mean?

4 min read

The Five-Repetition Sit-to-Stand (5xSTS) test is a quick and reliable assessment of lower body strength, balance, and functional mobility, and normative data shows that average times can range from 6 seconds in younger adults to over 20 seconds in those over 90. Understanding what is the normal time for 5 times sit to stand is crucial for evaluating personal fitness and identifying potential health risks like an increased likelihood of falls. This guide breaks down the typical times for various age groups and explains how to interpret your own performance.

Quick Summary

This article explores the normative data for the Five-Repetition Sit-to-Stand (5xSTS) test, detailing average completion times for different age and gender groups. It outlines a standardized procedure for performing the test and explains how to interpret your results in relation to functional mobility, lower extremity strength, and fall risk.

Key Points

  • Age and Sex Affect Time: Normal times for the 5xSTS test vary based on age and sex, with younger individuals generally completing it faster than older adults.

  • Performance Indicates Function: The time it takes to complete the test is a valuable measure of functional lower extremity strength and overall mobility.

  • Risk of Falls Increases with Slower Time: For community-dwelling older adults, a time over 15 seconds is often associated with an increased risk of falling.

  • Standardized Testing is Crucial: For accurate results, the test should be performed using a standard-height chair (approx. 16 inches) with arms folded across the chest.

  • Other Factors Influence Results: Body mass index, physical activity level, and certain medical conditions can all impact an individual's performance on the test.

In This Article

Normative Times for the 5xSTS Test

The time it takes to complete the 5xSTS test varies significantly with age, sex, and overall fitness level. The test measures functional lower extremity strength and is a key indicator of mobility, particularly in older adults. Below is a table with normative data compiled from multiple studies, providing a clear comparison of performance across different demographics.

5xSTS Normative Data by Age and Sex

Age (Years) Mean Time (Men) Mean Time (Women)
20–29 6.0 ± 1.4 sec 6.0 ± 1.4 sec
30–39 6.1 ± 1.4 sec 6.1 ± 1.4 sec
40–49 7.6 ± 1.8 sec 7.6 ± 1.8 sec
50–59 7.7 ± 2.6 sec 7.7 ± 2.6 sec
60–69 8.4 ± 0.0 sec 12.7 ± 1.8 sec
70–79 11.6 ± 3.4 sec 13.0 ± 4.8 sec
80–89 16.7 ± 4.5 sec 17.2 ± 5.5 sec
90+ 19.5 ± 2.3 sec 22.9 ± 9.6 sec

Note: Data from Bohannon et al. (2010), representing healthy community-dwelling adults.

How to Conduct the 5xSTS Test

To ensure your results are accurate, follow a standardized procedure for the test. All you need is a stopwatch and a sturdy chair without arms, approximately 16 inches (41 cm) in height.

  1. Start Position: Sit with your back straight against the back of the chair and place your arms folded across your chest. Ensure both feet are flat on the floor.
  2. Instruction: Have a timer ready. The evaluator should say, “Stand up and sit down five times as quickly as you can.” Timing begins the moment the command “Go” is given.
  3. Movement: Rise to a full standing position and return to the seated position five consecutive times, as fast as possible. Keep your arms folded throughout the test. Do not rest your back against the chair between repetitions.
  4. Finish: The timer stops the moment your body touches the chair for the fifth and final time.
  5. Record: Write down your total time to the nearest tenth of a second.

Interpreting Your Test Results

The 5xSTS is more than just a measure of speed; it's a valuable clinical tool for assessing mobility and fall risk, especially for older adults.

  • Below Average: If your time is significantly slower than the mean for your age group, it could indicate lower-than-average leg strength and balance. This is an excellent opportunity to focus on strengthening exercises.
  • Risk of Falls: For older adults (60+), a time of 15 seconds or more has been linked to an increased risk of recurrent falls. A result over 17 seconds is associated with a significantly higher risk of hospitalization. Any score exceeding these thresholds suggests the need for further assessment with a physical therapist or doctor.
  • Excellent Performance: Completing the test in a time below the average for your age suggests strong lower body function and good balance. Even a modest improvement, like decreasing your time by 2.5 seconds, can lead to clinically significant functional improvements.

Comparison of 5xSTS with Other Functional Tests

The 5xSTS test is often used alongside or compared with other functional mobility tests to provide a comprehensive health assessment. Each test offers a slightly different insight into a person's physical capabilities.

Feature 5xSTS Test 30-Second Chair Stand Test Timed Up and Go (TUG) Test
Primary Measurement Time to complete 5 repetitions Number of repetitions in 30 seconds Time to stand, walk 10 feet, turn, walk back, and sit down
Focus Functional lower extremity strength and transitional movement. Lower body strength and endurance over a set period. Balance, gait speed, and functional mobility.
Equipment Standard chair, stopwatch. Standard chair, stopwatch. Standard chair, stopwatch, tape measure.
Ideal Population Excellent for assessing change over time, especially after interventions. Useful for assessing baseline strength and endurance. A broader assessment, identifying those at risk of falling.
Key Outcome Time in seconds for 5 repetitions. Total number of repetitions. Time in seconds for the full sequence.

Factors Influencing Your Time

Several factors besides age and overall health can affect your 5xSTS performance:

  • Chair Height: Using a chair that is lower than the standard 16-17 inches increases the difficulty of the movement and will result in a longer time.
  • Body Mass Index (BMI): Research has found a positive association between a higher BMI and a longer 5xSTS time, meaning a higher BMI can slow you down.
  • Physical Activity Level: Regular physical activity and higher fitness levels are linked to faster times.
  • Medical Conditions: Conditions like Parkinson's disease, vestibular disorders, stroke, and chronic diseases can significantly impact performance and increase completion time.
  • Sex Differences: While less pronounced in younger years, a significant difference in times between men and women often emerges in older age groups, with women typically taking longer.

Conclusion

Knowing what is the normal time for 5 times sit to stand is an empowering first step in understanding your lower body functional strength and mobility. A faster time is generally indicative of better lower body strength and balance, especially in older adults where mobility is a key determinant of independence. While age and other variables like sex and medical history play a significant role, the test offers a reliable baseline measurement. Whether for personal fitness tracking or as part of a clinical assessment, comparing your results to established normative data is a practical way to monitor your functional capacity and take proactive steps to improve your health.

Note: The 5xSTS is a screening tool, not a diagnostic test. A healthcare professional can provide a full evaluation and personalized recommendations based on your test results and overall health.

Frequently Asked Questions

For healthy adults under 60, the average time to complete the 5xSTS test is typically under 9 seconds. For example, individuals in their 20s and 30s often complete the test in approximately 6 seconds.

Yes, using a chair that is shorter or taller than the recommended 16 to 17 inches can affect your performance. A lower chair will require more strength to stand up, potentially increasing your time. For accurate comparison, use a standardized chair height.

Inability to complete all five repetitions without using your hands for assistance or needing to stop indicates a significant deficit in lower extremity strength and balance. This warrants further assessment by a healthcare professional, such as a physical therapist.

Yes, targeted exercises focusing on lower body strength and balance can help improve your time. Consistent performance of the sit-to-stand motion, along with other strengthening activities, can lead to noticeable improvements in functional mobility.

The 5xSTS measures how quickly you can complete a fixed number of repetitions (5), while the 30-Second Chair Stand Test measures the number of repetitions you can perform within a fixed time (30 seconds). Both assess lower body strength, but the 5xSTS is often more sensitive to changes over time.

Keeping your arms crossed removes the ability to use upper body momentum to assist with standing. This isolates and more accurately measures the strength of the lower body muscles, ensuring the test is a true assessment of leg and core strength.

A slower 5xSTS time indicates lower leg strength and poorer balance, which are primary factors contributing to falls, especially in older adults. A slower performance signals a need for mobility interventions to reduce fall risk.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.