Factors associated with balance impairments in the community-dwelling elderly in urban China

doi:10.1186/s12877-023-04219-z

科研成果详情

题名	Factors associated with balance impairments in the community-dwelling elderly in urban China
作者	Xia, Qinghua 1; Zhou, Peng 1; Li, Xia 2; Li, Xiaofen3; Zhang, Lei 1; Fan, Xuefei3; Zhao, Zhoulan3; Jiang, Yu 1; Zhu, Jianhong3; Wu, Hongmei3; Zhang, Mengdi 3
发表日期	2023-09-07
发表期刊	BMC GERIATRICS 影响因子和分区
语种	英语
原始文献类型	Article ; Journal Article ; Research Support, Non-U.S. Gov't
关键词	Elderly Community-dwelling Balance Static balance Postural stability Dynamic balance Factor
其他关键词	AGE-RELATED-CHANGES ; OLDER-PEOPLE ; GAIT ; FALLS ; DISORDERS ; STRENGTH ; SINGLE ; TRIAL ; RISK
摘要	Background Identification of factors relevant to balance performance impairments in the elderly population was critical for developing effective interventions and preventions. However, there have been very limited data available based on large scale studies. The present study identified factors that independently contributed to performance impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and individual items. Methods A total of 1984 community-dwelling Chinese elderly from urban areas of Shanghai were recruited. Information on demographic characteristic, exercise, and health status were collected with a face-to-face interview. Balance performances were assessed on site by trained investigators based on the X16 balance testing scale. To identify the effectors, ordinal logistic regression analysis was applied for overall balance, static balance, postural stability, and dynamic balance. Binary logistic regression analysis was used for 16 items. Results The community-dwelling elderly residents were aged from 60 to 97 years old. With increases of age, risks of impairments in overall balance increased gradually (ORs from 1.26 to 3.20, all P < 0.01). In the elderly with overweight and obesity, there was higher proportion of balance impairments compared to the elderly with normal BMI (OR = 1.26, P < 0.001). Regular exercise every week was associated with reduced risks of balance impairments (ORs from 0.63 to 0.73, all P < 0.001). Presences with vision lesion (ORs from 1.28 to 1.59, all P < 0.001), moderate hearing impairment (OR = 1.54, P < 0.001), somesthesis dysfunction (ORs from 1.59 to 13.26, all P < 0.001), and cerebrovascular disease (OR = 1.45, P = 0.001) were related to increased risks of balance impairments. Likewise, age, exercise, vision, hearing, somesthesis, and cerebrovascular disease were significantly associated with static balance, postural stability, and dynamic balance. Both overweight and obesity and underweight were associated with higher proportions of dynamic balance impairments. Regular exercise was significantly related to reduced risks of impairments in 15 out of the 16 items. Conclusions In the elderly, age, overweight and obesity, exercise, vision, hearing, somesthesia, and cerebrovascular disease were dominant factors associated with impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and most individual items.
资助项目	Research Programs for Higher Education and Teaching in Wenzhou Medical University [YBJG2019007]
出版者	BMC
ISSN	1471-2318
EISSN	1471-2318
卷号	23 期号:1
DOI	10.1186/s12877-023-04219-z
页数	18
WOS类目	Geriatrics & Gerontology ; Gerontology
WOS研究方向	Geriatrics & Gerontology
WOS记录号	WOS:001148046300001
收录类别	SCIE ; SSCI ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	37679669
SCOPUSEID	2-s2.0-85170186175
社科自定义期刊分类	D类
通讯作者地址	[Wu, Hongmei]Institute of Nutrition and Diseases,Department of Preventive Medicine,Wenzhou Medical University,Wenzhou,325035,China ; [Zhang, Mengdi]Institute of Nutrition and Diseases,Department of Preventive Medicine,Wenzhou Medical University,Wenzhou,325035,China
Scopus学科分类	Geriatrics and Gerontology
TOP期刊	TOP期刊
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/209645
专题	公共卫生学院_预防医学系
通讯作者	Wu, Hongmei; Zhang, Mengdi
作者单位	1.Changning Center for Disease Control and Prevention,Shanghai,200051,China; 2.Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai,200032,China; 3.Institute of Nutrition and Diseases,Department of Preventive Medicine,Wenzhou Medical University,Wenzhou,325035,China
通讯作者单位	公共卫生学院_预防医学系
推荐引用方式 GB/T 7714	Xia, Qinghua,Zhou, Peng,Li, Xia,et al. Factors associated with balance impairments in the community-dwelling elderly in urban China[J]. BMC GERIATRICS,2023,23(1).
APA	Xia, Qinghua., Zhou, Peng., Li, Xia., Li, Xiaofen., Zhang, Lei., ... & Zhang, Mengdi. (2023). Factors associated with balance impairments in the community-dwelling elderly in urban China. BMC GERIATRICS, 23(1).
MLA	Xia, Qinghua,et al."Factors associated with balance impairments in the community-dwelling elderly in urban China".BMC GERIATRICS 23.1(2023).

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