Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals.
Identifieur interne : 000530 ( Main/Corpus ); précédent : 000529; suivant : 000531Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals.
Auteurs : Jonas Johansson ; Anna Nordström ; Yngve Gustafson ; Göran Westling ; Peter NordströmSource :
- Age and ageing [ 1468-2834 ] ; 2017.
English descriptors
- KwdEn :
- Accidental Falls (MeSH), Age Factors (MeSH), Aged (MeSH), Aging (MeSH), Chi-Square Distribution (MeSH), Cognition (MeSH), Female (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Incidence (MeSH), Independent Living (MeSH), Logistic Models (MeSH), Male (MeSH), Muscle Strength (MeSH), Nonlinear Dynamics (MeSH), Odds Ratio (MeSH), Postural Balance (MeSH), Prospective Studies (MeSH), Risk Factors (MeSH), Sensation Disorders (diagnosis), Sensation Disorders (epidemiology), Sensation Disorders (physiopathology), Sensation Disorders (psychology), Sweden (epidemiology), Time Factors (MeSH).
- MESH :
- diagnosis : Sensation Disorders.
- epidemiology : Sensation Disorders, Sweden.
- physiopathology : Sensation Disorders.
- psychology : Sensation Disorders.
- Accidental Falls, Age Factors, Aged, Aging, Chi-Square Distribution, Cognition, Female, Geriatric Assessment, Humans, Incidence, Independent Living, Logistic Models, Male, Muscle Strength, Nonlinear Dynamics, Odds Ratio, Postural Balance, Prospective Studies, Risk Factors, Time Factors.
Abstract
Objective
fall-related injuries constitute major health risks in older individuals, and these risks are projected to increase in parallel with increasing human longevity. Impaired postural stability is a potential risk factor related to falls, although the evidence is inconclusive, partly due to the lack of prospective studies. This study aimed to investigate how objective measures of postural sway predict incident falls.
Design, setting and participants
this prospectively observational study included 1,877 community-dwelling individuals aged 70 years who participated in the Healthy Ageing Initiative between June 2012 and December 2015.
Measurements
postural sway was measured during eyes-open (EO) and eyes-closed (EC) trials using the Wii Balance Board. Functional mobility, muscle strength, objective physical activity and cognitive performance were also measured. Participants reported incident falls 6 and 12 months after the examination.
Results
during follow-up, 255 (14%) prospective fallers were identified. Division of centre of pressure (COP) sway lengths into quintiles revealed a nonlinear distribution of falls for EO trial data, but not EC trial data. After adjustment for multiple confounders, fall risk was increased by 75% for participants with COP sway lengths ≥400 mm during the EO trial (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.09-2.79), and approximately doubled for sway lengths ≥920 mm during the EC trial (OR 1.90, 95% CI 1.12-3.22).
Conclusion
objective measures of postural sway independently predict incident falls in older community-dwelling men and women. Further studies are needed to evaluate whether postural sway length is of interest for the prediction of incident falls in clinical settings.
DOI: 10.1093/ageing/afx083
PubMed: 28531243
Links to Exploration step
pubmed:28531243Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals.</title><author><name sortKey="Johansson, Jonas" sort="Johansson, Jonas" uniqKey="Johansson J" first="Jonas" last="Johansson">Jonas Johansson</name><affiliation><nlm:affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Nordstrom, Anna" sort="Nordstrom, Anna" uniqKey="Nordstrom A" first="Anna" last="Nordström">Anna Nordström</name><affiliation><nlm:affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Gustafson, Yngve" sort="Gustafson, Yngve" uniqKey="Gustafson Y" first="Yngve" last="Gustafson">Yngve Gustafson</name><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Westling, Goran" sort="Westling, Goran" uniqKey="Westling G" first="Göran" last="Westling">Göran Westling</name><affiliation><nlm:affiliation>Department of Integrative Medical Biology, Physiology Section, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Nordstrom, Peter" sort="Nordstrom, Peter" uniqKey="Nordstrom P" first="Peter" last="Nordström">Peter Nordström</name><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28531243</idno><idno type="pmid">28531243</idno><idno type="doi">10.1093/ageing/afx083</idno><idno type="wicri:Area/Main/Corpus">000530</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000530</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals.</title><author><name sortKey="Johansson, Jonas" sort="Johansson, Jonas" uniqKey="Johansson J" first="Jonas" last="Johansson">Jonas Johansson</name><affiliation><nlm:affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Nordstrom, Anna" sort="Nordstrom, Anna" uniqKey="Nordstrom A" first="Anna" last="Nordström">Anna Nordström</name><affiliation><nlm:affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Gustafson, Yngve" sort="Gustafson, Yngve" uniqKey="Gustafson Y" first="Yngve" last="Gustafson">Yngve Gustafson</name><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Westling, Goran" sort="Westling, Goran" uniqKey="Westling G" first="Göran" last="Westling">Göran Westling</name><affiliation><nlm:affiliation>Department of Integrative Medical Biology, Physiology Section, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Nordstrom, Peter" sort="Nordstrom, Peter" uniqKey="Nordstrom P" first="Peter" last="Nordström">Peter Nordström</name><affiliation><nlm:affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Age and ageing</title><idno type="eISSN">1468-2834</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aging (MeSH)</term><term>Chi-Square Distribution (MeSH)</term><term>Cognition (MeSH)</term><term>Female (MeSH)</term><term>Geriatric Assessment (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Independent Living (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Muscle Strength (MeSH)</term><term>Nonlinear Dynamics (MeSH)</term><term>Odds Ratio (MeSH)</term><term>Postural Balance (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Sensation Disorders (diagnosis)</term><term>Sensation Disorders (epidemiology)</term><term>Sensation Disorders (physiopathology)</term><term>Sensation Disorders (psychology)</term><term>Sweden (epidemiology)</term><term>Time Factors (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Sensation Disorders</term><term>Sweden</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Age Factors</term><term>Aged</term><term>Aging</term><term>Chi-Square Distribution</term><term>Cognition</term><term>Female</term><term>Geriatric Assessment</term><term>Humans</term><term>Incidence</term><term>Independent Living</term><term>Logistic Models</term><term>Male</term><term>Muscle Strength</term><term>Nonlinear Dynamics</term><term>Odds Ratio</term><term>Postural Balance</term><term>Prospective Studies</term><term>Risk Factors</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Objective</b></p><p>fall-related injuries constitute major health risks in older individuals, and these risks are projected to increase in parallel with increasing human longevity. Impaired postural stability is a potential risk factor related to falls, although the evidence is inconclusive, partly due to the lack of prospective studies. This study aimed to investigate how objective measures of postural sway predict incident falls.</p></div><div type="abstract" xml:lang="en"><p><b>Design, setting and participants</b></p><p>this prospectively observational study included 1,877 community-dwelling individuals aged 70 years who participated in the Healthy Ageing Initiative between June 2012 and December 2015.</p></div><div type="abstract" xml:lang="en"><p><b>Measurements</b></p><p>postural sway was measured during eyes-open (EO) and eyes-closed (EC) trials using the Wii Balance Board. Functional mobility, muscle strength, objective physical activity and cognitive performance were also measured. Participants reported incident falls 6 and 12 months after the examination.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>during follow-up, 255 (14%) prospective fallers were identified. Division of centre of pressure (COP) sway lengths into quintiles revealed a nonlinear distribution of falls for EO trial data, but not EC trial data. After adjustment for multiple confounders, fall risk was increased by 75% for participants with COP sway lengths ≥400 mm during the EO trial (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.09-2.79), and approximately doubled for sway lengths ≥920 mm during the EC trial (OR 1.90, 95% CI 1.12-3.22).</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>objective measures of postural sway independently predict incident falls in older community-dwelling men and women. Further studies are needed to evaluate whether postural sway length is of interest for the prediction of incident falls in clinical settings.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28531243</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>18</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>03</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1468-2834</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>6</Issue><PubDate><Year>2017</Year><Month>11</Month><Day>01</Day></PubDate></JournalIssue><Title>Age and ageing</Title><ISOAbbreviation>Age Ageing</ISOAbbreviation></Journal><ArticleTitle>Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals.</ArticleTitle><Pagination><MedlinePgn>964-970</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/ageing/afx083</ELocationID><Abstract><AbstractText Label="Objective">fall-related injuries constitute major health risks in older individuals, and these risks are projected to increase in parallel with increasing human longevity. Impaired postural stability is a potential risk factor related to falls, although the evidence is inconclusive, partly due to the lack of prospective studies. This study aimed to investigate how objective measures of postural sway predict incident falls.</AbstractText><AbstractText Label="Design, setting and participants">this prospectively observational study included 1,877 community-dwelling individuals aged 70 years who participated in the Healthy Ageing Initiative between June 2012 and December 2015.</AbstractText><AbstractText Label="Measurements">postural sway was measured during eyes-open (EO) and eyes-closed (EC) trials using the Wii Balance Board. Functional mobility, muscle strength, objective physical activity and cognitive performance were also measured. Participants reported incident falls 6 and 12 months after the examination.</AbstractText><AbstractText Label="Results">during follow-up, 255 (14%) prospective fallers were identified. Division of centre of pressure (COP) sway lengths into quintiles revealed a nonlinear distribution of falls for EO trial data, but not EC trial data. After adjustment for multiple confounders, fall risk was increased by 75% for participants with COP sway lengths ≥400 mm during the EO trial (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.09-2.79), and approximately doubled for sway lengths ≥920 mm during the EC trial (OR 1.90, 95% CI 1.12-3.22).</AbstractText><AbstractText Label="Conclusion">objective measures of postural sway independently predict incident falls in older community-dwelling men and women. Further studies are needed to evaluate whether postural sway length is of interest for the prediction of incident falls in clinical settings.</AbstractText><CopyrightInformation>© The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society.All rights reserved. For permissions, please email: journals.permissions@oup.com</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johansson</LastName><ForeName>Jonas</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nordström</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gustafson</LastName><ForeName>Yngve</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Westling</LastName><ForeName>Göran</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Integrative Medical Biology, Physiology Section, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nordström</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Age Ageing</MedlineTA><NlmUniqueID>0375655</NlmUniqueID><ISSNLinking>0002-0729</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="Y">Accidental Falls</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000375" MajorTopicYN="N">Aging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName 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Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013548" MajorTopicYN="N">Sweden</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">cohort study</Keyword><Keyword MajorTopicYN="Y">incident fall</Keyword><Keyword MajorTopicYN="Y">older people</Keyword><Keyword MajorTopicYN="Y">postural sway</Keyword><Keyword MajorTopicYN="Y">posturography</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28531243</ArticleId><ArticleId 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