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Can You Sit and Stand Without Using Your Hands? Your Life May Depend On It

  • J. Patrick Adair
  • Jul 27
  • 4 min read

Research Highlight


The Surprising Test That Predicts How Long You'll Live-


Let's Talk About a Simple Health Check


Have you ever thought about how something as simple as sitting on the floor and standing up again could reveal a lot about your health? It might sound straightforward, but if you struggle to do this without using your hands or knees, it could be more significant than you think. Recent research suggests that this basic movement could actually give you a glimpse into your long-term health. In fact, your ability to complete this simple test might even help predict your risk of dying in the next decade.


Woman sits cross-legged, flexing her arms in a confident pose. She's in a bright room with a plant in the background, wearing glasses.
Sitting strong!

What the Numbers Tell Us

A groundbreaking study followed 4,282 adults aged 46-75 for over 12 years and discovered something remarkable . Those who scored perfectly on the sitting-rising test (SRT) had only a 3.7% death rate during the study period. But here's where it gets serious: those who struggled the most, scoring 0-4 out of 10, had a staggering 42.1% death rate .


Let me put that in perspective: If you can't sit and rise from the floor without significant support, you're 11 times more likely to die in the next decade compared to someone who can do it perfectly.


Breaking Down the Risk

The research revealed a clear pattern that should grab everyone's attention:


  • Perfect score (10): 3.7% death rate

  • Good score (8.5-9.5): 7.0% death rate

  • Moderate score (8): 11.1% death rate

  • Poor score (4.5-7.5): 20.4% death rate

  • Very poor score (0-4): 42.1% death rate


Even more striking: those with the lowest scores had a 3.8-fold higher risk of dying from natural causes and a 6-fold higher risk of dying from cardiovascular disease compared to those with perfect scores .


Why This Simple Test Matters So Much

The sitting-rising test isn't just about leg strength. It's actually measuring multiple aspects of your physical fitness simultaneously :


  • Muscle strength and power (to push yourself up)

  • Flexibility (to get into and out of position)

  • Balance (to control your movement)

  • Body composition (excess weight makes it harder)


Think of it as a full-body report card delivered in under 2 minutes. When any of these components decline, your ability to perform the test suffers – and apparently, so does your longevity.


Woman doing push-ups in a sunlit room with brick walls and large windows, wearing a gray and pink workout outfit and blue shoes.

The Most Alarming Finding

Here's what really caught my attention: Nearly 50% of people who couldn't rise from the floor without help were deceased within 10 years. That's not a typo – half of them (42%) were gone within a decade. Meanwhile, only 4.4% of those who could rise perfectly died during the same period .


How to Test Yourself (Safely)

Want to know where you stand? Here's how to perform the test:

  1. Start standing in comfortable clothes on a non-slippery surface

  2. Without worrying about speed, try to sit down on the floor

  3. Then try to rise back up to standing

  4. Use as little support as possible


Scoring yourself:

  • Start with 5 points each for sitting and rising (10 total)

  • Subtract 1 point for each support used (hand, knee, forearm)

  • Subtract 0.5 points if you lose balance or look unsteady

  • Your final score is out of 10


Important: If you have mobility issues, joint problems, or balance concerns, consult with a healthcare provider before attempting this test.


Action Points: What You Can Do Today:


1. Test Yourself (But Be Smart About It)

If you're generally healthy, try the test in a safe environment. Have someone nearby if you're unsure about your balance. Your score gives you a baseline to work from.


2. Start Where You Are

  • Scored 8-10? Great! Focus on maintaining your fitness with regular strength training and flexibility work

  • Scored 4.5-7.5? Time to take action. This is your wake-up call to improve your fitness

  • Scored 0-4? Consider this urgent. Work with a healthcare provider or physical therapist immediately


3. Build Your Foundation

Focus on exercises that improve:

  • Leg strength: Squats, lunges, step-ups (start with chair squats if needed)

  • Core stability: Planks, bird dogs, dead bugs

  • Flexibility: Daily stretching, yoga, or tai chi

  • Balance: Single-leg stands, heel-to-toe walking

Smiling older couple exercises indoors, practicing squats together in a sunlit living room with a couch and large window in the background.

4. Make It Progressive

If you can't do the full test:

  • Start by practicing getting up from a chair without using your arms

  • Progress to a lower chair

  • Then try from a cushion on the floor

  • Finally, attempt from the floor itself


5. Address the Whole Picture

Remember, the test reflects overall fitness. Consider:

  • Losing excess weight if needed (every pound matters for this test)

  • Staying active daily (even 10-minute walks help)

  • Working on flexibility (can you touch your toes?)

  • Practicing balance exercises regularly


The Bottom Line

This isn't merely another fitness assessment – it's a glimpse into your future health. Your ability to sit down and stand up from the floor indicates your body's overall functionality, and studies reveal it's an excellent predictor of who will prosper in their later years and who may not.

The positive? Unlike many health indicators, this one can be significantly improved. Whether your score is a 2 or an 8, you can enhance it with consistent effort. Each point you earn on this test signifies a substantial decrease in your mortality risk.


Don't wait for your next doctor's visit to take this seriously. Your ability to get up from the floor today could determine whether you're around to play with grandchildren, travel in retirement, or simply enjoy your golden years with independence and vitality.


Start where you are, but start today. Your future self will thank you for it.


Remember: While this test is a powerful predictor of health outcomes, it's just one piece of the puzzle. Always consult with healthcare providers about your overall health strategy, especially if you have existing health conditions or mobility concerns.

 

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James adair, pa-c owner of wellaged.net

J. Patrick Adair, MPAS, PA-C      Pensacola, Florida

Well Aged is an educational site dedicated to promoting health and wellness through expert knowledge and practical advice. With over two decades of experience as a physician assistant in sports medicine and orthopedics, As a personal fitness trainer for over 10 years, my mission is to inspire and empower others to prioritize their health and well-being. Join me on this journey of longevity and healthy aging, where medical expertise meets the vibrancy of life.

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