Biological determinants of postural disorders in elderly women.
Identifieur interne : 000A90 ( Main/Exploration ); précédent : 000A89; suivant : 000A91Biological determinants of postural disorders in elderly women.
Auteurs : Alexis Lion [France] ; Rosario S. Spada ; Gilles Bosser ; Gérome C. Gauchard ; Guido Anello ; Paolo Bosco ; Santa Calabrese ; Antonella Iero ; Giuseppe Stella ; Maurizio Elia ; Philippe P. PerrinSource :
- The International journal of neuroscience [ 1563-5279 ] ; 2013.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Homocystéine (métabolisme), Humains (MeSH), Indice de gravité de la maladie (MeSH), Loi du khi-deux (MeSH), Modèles logistiques (MeSH), Questionnaire sur l'état mental de Kahn (MeSH), Sensation vertigineuse (étiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles sensitifs (diagnostic), Troubles sensitifs (métabolisme), Vertige (étiologie), Équilibre postural (physiologie), Études de cohortes (MeSH).
- MESH :
- diagnostic : Troubles sensitifs.
- métabolisme : Homocystéine, Troubles sensitifs.
- physiologie : Équilibre postural.
- étiologie : Sensation vertigineuse, Vertige.
- Activités de la vie quotidienne, Facteurs âges, Femelle, Humains, Indice de gravité de la maladie, Loi du khi-deux, Modèles logistiques, Questionnaire sur l'état mental de Kahn, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Chi-Square Distribution (MeSH), Cohort Studies (MeSH), Dizziness (etiology), Female (MeSH), Homocysteine (metabolism), Humans (MeSH), Logistic Models (MeSH), Mental Status Schedule (MeSH), Postural Balance (physiology), Sensation Disorders (diagnosis), Sensation Disorders (metabolism), Severity of Illness Index (MeSH), Vertigo (etiology).
- MESH :
- chemical , metabolism : Homocysteine.
- diagnosis : Sensation Disorders.
- etiology : Dizziness, Vertigo.
- metabolism : Sensation Disorders.
- physiology : Postural Balance.
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Chi-Square Distribution, Cohort Studies, Female, Humans, Logistic Models, Mental Status Schedule, Severity of Illness Index.
Abstract
Postural control impairments and dizziness, which are major health problems with high secondary morbidity and mortality, increase with aging. Elevated homocysteine (Hcy) level is an age-related metabolic disorder, known to be involved in cardiovascular, neurological, and multisensory dysfunctions. Elevated Hcy level might be involved in sensory balance control systems impairment and dizziness occurrence. Dizziness, fitness Instrumental Activity of Daily Living scale (fitness IADL), systolic arterial pressure with ankle-brachial blood pressure index and homocysteinemia were studied in 61 noninstitutionized elderly women. Clinical balance tests (timed "Up and Go", 10-m walking and one-leg balance) and posturography (including sensory conflicting situations [SCS] and cognitive conflicting situations [CCS]) were performed. Clinical balance control was lower in dizzy women who presented particularly poor stability in SCS. Dizziness was related to low fitness IADL scores (odds ratio [OR] 0.452, 95% CI 0.216-0.946) and to elevated Hcy (OR 8.084, 95% CI 1.992-32.810). Elevated Hcy was correlated with balance disorders both in SCS and CCS. Dizziness is associated with a reduced ability in balance control management. Hcy is related both to dizziness and low postural performance. This relation between elevated Hcy levels and balance impairments, resulting in dizziness, may be explained by its angiotoxicity and neurotoxicity.
DOI: 10.3109/00207454.2012.722570
PubMed: 22909193
Affiliations:
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Perrin</name></author></analytic><series><title level="j">The International journal of neuroscience</title><idno type="eISSN">1563-5279</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Chi-Square Distribution (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Dizziness (etiology)</term><term>Female (MeSH)</term><term>Homocysteine (metabolism)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Mental Status Schedule (MeSH)</term><term>Postural Balance (physiology)</term><term>Sensation Disorders (diagnosis)</term><term>Sensation Disorders (metabolism)</term><term>Severity of Illness Index (MeSH)</term><term>Vertigo (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Homocystéine (métabolisme)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Loi du khi-deux (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Questionnaire sur l'état mental de Kahn (MeSH)</term><term>Sensation vertigineuse (étiologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Troubles sensitifs (diagnostic)</term><term>Troubles sensitifs (métabolisme)</term><term>Vertige (étiologie)</term><term>Équilibre postural (physiologie)</term><term>Études de cohortes (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Homocysteine</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Homocystéine</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Mental Status Schedule</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Loi du khi-deux</term><term>Modèles logistiques</term><term>Questionnaire sur l'état mental de Kahn</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postural control impairments and dizziness, which are major health problems with high secondary morbidity and mortality, increase with aging. Elevated homocysteine (Hcy) level is an age-related metabolic disorder, known to be involved in cardiovascular, neurological, and multisensory dysfunctions. Elevated Hcy level might be involved in sensory balance control systems impairment and dizziness occurrence. Dizziness, fitness Instrumental Activity of Daily Living scale (fitness IADL), systolic arterial pressure with ankle-brachial blood pressure index and homocysteinemia were studied in 61 noninstitutionized elderly women. Clinical balance tests (timed "Up and Go", 10-m walking and one-leg balance) and posturography (including sensory conflicting situations [SCS] and cognitive conflicting situations [CCS]) were performed. Clinical balance control was lower in dizzy women who presented particularly poor stability in SCS. Dizziness was related to low fitness IADL scores (odds ratio [OR] 0.452, 95% CI 0.216-0.946) and to elevated Hcy (OR 8.084, 95% CI 1.992-32.810). Elevated Hcy was correlated with balance disorders both in SCS and CCS. Dizziness is associated with a reduced ability in balance control management. Hcy is related both to dizziness and low postural performance. This relation between elevated Hcy levels and balance impairments, resulting in dizziness, may be explained by its angiotoxicity and neurotoxicity.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22909193</PMID><DateCompleted><Year>2013</Year><Month>05</Month><Day>30</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1563-5279</ISSN><JournalIssue CitedMedium="Internet"><Volume>123</Volume><Issue>1</Issue><PubDate><Year>2013</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The International journal of neuroscience</Title><ISOAbbreviation>Int J Neurosci</ISOAbbreviation></Journal><ArticleTitle>Biological determinants of postural disorders in elderly women.</ArticleTitle><Pagination><MedlinePgn>24-30</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3109/00207454.2012.722570</ELocationID><Abstract><AbstractText>Postural control impairments and dizziness, which are major health problems with high secondary morbidity and mortality, increase with aging. Elevated homocysteine (Hcy) level is an age-related metabolic disorder, known to be involved in cardiovascular, neurological, and multisensory dysfunctions. Elevated Hcy level might be involved in sensory balance control systems impairment and dizziness occurrence. Dizziness, fitness Instrumental Activity of Daily Living scale (fitness IADL), systolic arterial pressure with ankle-brachial blood pressure index and homocysteinemia were studied in 61 noninstitutionized elderly women. Clinical balance tests (timed "Up and Go", 10-m walking and one-leg balance) and posturography (including sensory conflicting situations [SCS] and cognitive conflicting situations [CCS]) were performed. Clinical balance control was lower in dizzy women who presented particularly poor stability in SCS. Dizziness was related to low fitness IADL scores (odds ratio [OR] 0.452, 95% CI 0.216-0.946) and to elevated Hcy (OR 8.084, 95% CI 1.992-32.810). Elevated Hcy was correlated with balance disorders both in SCS and CCS. Dizziness is associated with a reduced ability in balance control management. Hcy is related both to dizziness and low postural performance. This relation between elevated Hcy levels and balance impairments, resulting in dizziness, may be explained by its angiotoxicity and neurotoxicity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lion</LastName><ForeName>Alexis</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>INSERM U954, Nutrition-Génétique et Exposition aux Risques Environnementaux, Faculty of Medicine, Vandoeuvre-lès-Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spada</LastName><ForeName>Rosario S</ForeName><Initials>RS</Initials></Author><Author ValidYN="Y"><LastName>Bosser</LastName><ForeName>Gilles</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Gauchard</LastName><ForeName>Gérome C</ForeName><Initials>GC</Initials></Author><Author ValidYN="Y"><LastName>Anello</LastName><ForeName>Guido</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Bosco</LastName><ForeName>Paolo</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Calabrese</LastName><ForeName>Santa</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Iero</LastName><ForeName>Antonella</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Stella</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Elia</LastName><ForeName>Maurizio</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Perrin</LastName><ForeName>Philippe P</ForeName><Initials>PP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>09</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Neurosci</MedlineTA><NlmUniqueID>0270707</NlmUniqueID><ISSNLinking>0020-7454</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0LVT1QZ0BA</RegistryNumber><NameOfSubstance UI="D006710">Homocysteine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006710" MajorTopicYN="N">Homocysteine</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008609" MajorTopicYN="N">Mental Status Schedule</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>6</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22909193</ArticleId><ArticleId IdType="doi">10.3109/00207454.2012.722570</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Grand Est</li><li>Lorraine (région)</li></region><settlement><li>Nancy</li><li>Vandœuvre-lès-Nancy</li></settlement></list><tree><noCountry><name sortKey="Anello, Guido" sort="Anello, Guido" uniqKey="Anello G" first="Guido" last="Anello">Guido Anello</name><name sortKey="Bosco, Paolo" sort="Bosco, Paolo" uniqKey="Bosco P" first="Paolo" last="Bosco">Paolo Bosco</name><name sortKey="Bosser, Gilles" sort="Bosser, Gilles" uniqKey="Bosser G" first="Gilles" last="Bosser">Gilles Bosser</name><name sortKey="Calabrese, Santa" sort="Calabrese, Santa" uniqKey="Calabrese S" first="Santa" last="Calabrese">Santa Calabrese</name><name sortKey="Elia, Maurizio" sort="Elia, Maurizio" uniqKey="Elia M" first="Maurizio" last="Elia">Maurizio Elia</name><name sortKey="Gauchard, Gerome C" sort="Gauchard, Gerome C" uniqKey="Gauchard G" first="Gérome C" last="Gauchard">Gérome C. Gauchard</name><name sortKey="Iero, Antonella" sort="Iero, Antonella" uniqKey="Iero A" first="Antonella" last="Iero">Antonella Iero</name><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. Perrin</name><name sortKey="Spada, Rosario S" sort="Spada, Rosario S" uniqKey="Spada R" first="Rosario S" last="Spada">Rosario S. Spada</name><name sortKey="Stella, Giuseppe" sort="Stella, Giuseppe" uniqKey="Stella G" first="Giuseppe" last="Stella">Giuseppe Stella</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Lion, Alexis" sort="Lion, Alexis" uniqKey="Lion A" first="Alexis" last="Lion">Alexis Lion</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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