Relationship Between Obesity and Balance in the Community-Dwelling Elderly Population: A Cross-Sectional Analysis.
Identifieur interne : 000189 ( Main/Corpus ); précédent : 000188; suivant : 000190Relationship Between Obesity and Balance in the Community-Dwelling Elderly Population: A Cross-Sectional Analysis.
Auteurs : Jae Joon Lee ; Dong Whan Hong ; Seung Ah Lee ; Yunsoo Soh ; Miryeong Yang ; Kwang Min Choi ; Chang Won Won ; Jinmann ChonSource :
- American journal of physical medicine & rehabilitation [ 1537-7385 ] ; 2020.
English descriptors
- KwdEn :
- Accidental Falls (statistics & numerical data), Aged (MeSH), Aged, 80 and over (MeSH), Body Mass Index (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Independent Living (MeSH), Knee (physiopathology), Male (MeSH), Muscle Strength (MeSH), Muscle Weakness (etiology), Muscle Weakness (physiopathology), Obesity (complications), Obesity (physiopathology), Postural Balance (MeSH), Risk Factors (MeSH), Sensation Disorders (etiology), Sensation Disorders (physiopathology), Time and Motion Studies (MeSH).
- MESH :
- complications : Obesity.
- etiology : Muscle Weakness, Sensation Disorders.
- physiopathology : Knee, Muscle Weakness, Obesity, Sensation Disorders.
- statistics & numerical data : Accidental Falls.
- Aged, Aged, 80 and over, Body Mass Index, Cross-Sectional Studies, Female, Geriatric Assessment, Humans, Independent Living, Male, Muscle Strength, Postural Balance, Risk Factors, Time and Motion Studies.
Abstract
INTRODUCTION
Although there are similar characteristics between obese individuals and fall-susceptible population, little is known about relationships between body weight and risk factors for fall, particularly in the elderly population. The aim of this study was to determine whether body mass index-based obesity is associated with decreased balance and whether instability has relationships with the main risk factors for falls.
METHODS
A total of 317 participants were categorized based on their body mass index. Clinical balance assessments were performed using the Berg Balance Scale, Timed Up and Go test, and Short Physical Performance Battery. The knee extensor strength of each individual was measured using a dynamometer. Total sway distance was calculated on InBody posturography in four conditions.
RESULTS
The results of three clinical balance assessment tools showed significant correlation with body mass index. The obese group showed decreased isokinetic knee extensor muscle strength and had a higher total sway distance than the normal weight group.
CONCLUSIONS
The elderly population with obesity exhibits poor balance performing ability, and it is associated with the decreased strength of the lower limbs and impaired postural stability. The logistic regression analysis of our study showed that body mass index-based obesity can be regarded as a fall risk.
DOI: 10.1097/PHM.0000000000001292
PubMed: 31464747
Links to Exploration step
pubmed:31464747Le document en format XML
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<author><name sortKey="Lee, Jae Joon" sort="Lee, Jae Joon" uniqKey="Lee J" first="Jae Joon" last="Lee">Jae Joon Lee</name>
<affiliation><nlm:affiliation>From the Department of Rehabilitation Medicine, Kyung Hee University Medical Center, Seoul, South Korea (JJL, YS, MY, JC); Department of Rehabilitation Medicine, Kyung Hee University Hospital at Gangdong, Seoul, South Korea (SAL, KMC); Department of Medicine, Kyung Hee University, Seoul, South Korea (DWH, SAL, YS, CWW, JC); and Department of Family Medicine, Kyung Hee University Medical Center, Seoul, South Korea (CWW).</nlm:affiliation>
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<author><name sortKey="Hong, Dong Whan" sort="Hong, Dong Whan" uniqKey="Hong D" first="Dong Whan" last="Hong">Dong Whan Hong</name>
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<author><name sortKey="Lee, Seung Ah" sort="Lee, Seung Ah" uniqKey="Lee S" first="Seung Ah" last="Lee">Seung Ah Lee</name>
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<author><name sortKey="Soh, Yunsoo" sort="Soh, Yunsoo" uniqKey="Soh Y" first="Yunsoo" last="Soh">Yunsoo Soh</name>
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<author><name sortKey="Yang, Miryeong" sort="Yang, Miryeong" uniqKey="Yang M" first="Miryeong" last="Yang">Miryeong Yang</name>
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<author><name sortKey="Choi, Kwang Min" sort="Choi, Kwang Min" uniqKey="Choi K" first="Kwang Min" last="Choi">Kwang Min Choi</name>
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<author><name sortKey="Won, Chang Won" sort="Won, Chang Won" uniqKey="Won C" first="Chang Won" last="Won">Chang Won Won</name>
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<affiliation><nlm:affiliation>From the Department of Rehabilitation Medicine, Kyung Hee University Medical Center, Seoul, South Korea (JJL, YS, MY, JC); Department of Rehabilitation Medicine, Kyung Hee University Hospital at Gangdong, Seoul, South Korea (SAL, KMC); Department of Medicine, Kyung Hee University, Seoul, South Korea (DWH, SAL, YS, CWW, JC); and Department of Family Medicine, Kyung Hee University Medical Center, Seoul, South Korea (CWW).</nlm:affiliation>
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<author><name sortKey="Yang, Miryeong" sort="Yang, Miryeong" uniqKey="Yang M" first="Miryeong" last="Yang">Miryeong Yang</name>
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<author><name sortKey="Choi, Kwang Min" sort="Choi, Kwang Min" uniqKey="Choi K" first="Kwang Min" last="Choi">Kwang Min Choi</name>
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<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Body Mass Index (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Geriatric Assessment (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Independent Living (MeSH)</term>
<term>Knee (physiopathology)</term>
<term>Male (MeSH)</term>
<term>Muscle Strength (MeSH)</term>
<term>Muscle Weakness (etiology)</term>
<term>Muscle Weakness (physiopathology)</term>
<term>Obesity (complications)</term>
<term>Obesity (physiopathology)</term>
<term>Postural Balance (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Sensation Disorders (etiology)</term>
<term>Sensation Disorders (physiopathology)</term>
<term>Time and Motion Studies (MeSH)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscle Weakness</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Knee</term>
<term>Muscle Weakness</term>
<term>Obesity</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term>
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<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Independent Living</term>
<term>Male</term>
<term>Muscle Strength</term>
<term>Postural Balance</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Although there are similar characteristics between obese individuals and fall-susceptible population, little is known about relationships between body weight and risk factors for fall, particularly in the elderly population. The aim of this study was to determine whether body mass index-based obesity is associated with decreased balance and whether instability has relationships with the main risk factors for falls.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A total of 317 participants were categorized based on their body mass index. Clinical balance assessments were performed using the Berg Balance Scale, Timed Up and Go test, and Short Physical Performance Battery. The knee extensor strength of each individual was measured using a dynamometer. Total sway distance was calculated on InBody posturography in four conditions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The results of three clinical balance assessment tools showed significant correlation with body mass index. The obese group showed decreased isokinetic knee extensor muscle strength and had a higher total sway distance than the normal weight group.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The elderly population with obesity exhibits poor balance performing ability, and it is associated with the decreased strength of the lower limbs and impaired postural stability. The logistic regression analysis of our study showed that body mass index-based obesity can be regarded as a fall risk.</p>
</div>
</front>
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<Abstract><AbstractText Label="INTRODUCTION">Although there are similar characteristics between obese individuals and fall-susceptible population, little is known about relationships between body weight and risk factors for fall, particularly in the elderly population. The aim of this study was to determine whether body mass index-based obesity is associated with decreased balance and whether instability has relationships with the main risk factors for falls.</AbstractText>
<AbstractText Label="METHODS">A total of 317 participants were categorized based on their body mass index. Clinical balance assessments were performed using the Berg Balance Scale, Timed Up and Go test, and Short Physical Performance Battery. The knee extensor strength of each individual was measured using a dynamometer. Total sway distance was calculated on InBody posturography in four conditions.</AbstractText>
<AbstractText Label="RESULTS">The results of three clinical balance assessment tools showed significant correlation with body mass index. The obese group showed decreased isokinetic knee extensor muscle strength and had a higher total sway distance than the normal weight group.</AbstractText>
<AbstractText Label="CONCLUSIONS">The elderly population with obesity exhibits poor balance performing ability, and it is associated with the decreased strength of the lower limbs and impaired postural stability. The logistic regression analysis of our study showed that body mass index-based obesity can be regarded as a fall risk.</AbstractText>
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