Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults.

Abstract:

BACKGROUND:a fall occurs when an individual experiences a loss of balance from which they are unable to recover. Assessment of balance recovery ability in older adults may therefore help to identify individuals at risk of falls. The purpose of this 12-month prospective study was to assess whether the ability to recover from a forward loss of balance with a single step across a range of lean magnitudes was predictive of falls. METHODS:two hundred and one community-dwelling older adults, aged 65-90 years, underwent baseline testing of sensori-motor function and balance recovery ability followed by 12-month prospective falls evaluation. Balance recovery ability was defined by whether participants required either single or multiple steps to recover from forward loss of balance from three lean magnitudes, as well as the maximum lean magnitude participants could recover from with a single step. RESULTS:forty-four (22%) participants experienced one or more falls during the follow-up period. Maximal recoverable lean magnitude and use of multiple steps to recover at the 15% body weight (BW) and 25%BW lean magnitudes significantly predicted a future fall (odds ratios 1.08-1.26). The Physiological Profile Assessment, an established tool that assesses variety of sensori-motor aspects of falls risk, was also predictive of falls (Odds ratios 1.22 and 1.27, respectively), whereas age, sex, postural sway and timed up and go were not predictive. CONCLUSION:reactive stepping behaviour in response to forward loss of balance and physiological profile assessment are independent predictors of a future fall in community-dwelling older adults. Exercise interventions designed to improve reactive stepping behaviour may protect against future falls.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Carty CP,Cronin NJ,Nicholson D,Lichtwark GA,Mills PM,Kerr G,Cresswell AG,Barrett RS

doi

10.1093/ageing/afu054

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

109-15

issue

1

eissn

0002-0729

issn

1468-2834

pii

afu054

journal_volume

44

pub_type

杂志文章
  • Dual-task effects of talking while walking on velocity and balance following a stroke.

    abstract:BACKGROUND:Therapists and nurses often use verbal instruction in the rehabilitation of mobility following stroke. This study aimed to determine whether performing a verbal cognitive task while walking adversely affected patients' balance and velocity. METHODS:There were two counterbalanced conditions: walking only and...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.4.319

    authors: Bowen A,Wenman R,Mickelborough J,Foster J,Hill E,Tallis R

    更新日期:2001-07-01 00:00:00

  • Circulating oxidised LDL lipids, when proportioned to HDL-c, emerged as a risk factor of all-cause mortality in a population-based survival study.

    abstract:BACKGROUND AND OBJECTIVE:the data concerning the predictive role of oxidised LDL (ox-LDL) in all-cause mortality are scarce. We investigated whether circulating ox-LDL would stand out as a risk factor of total mortality in the elderly. Study subjects, design and methods: a total of 1,260 elderly inhabitants (533 men, 7...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs074

    authors: Linna M,Ahotupa M,Löppönen MK,Irjala K,Vasankari T

    更新日期:2013-01-01 00:00:00

  • Proximal femoral fractures in the elderly: does operative delay for medical reasons affect short-term outcome?

    abstract::Forty patients over 65 years of age with fractures of the proximal femur, whose operation was delayed more than 24 hours after admission for medical reasons, were studied. Length of post-operative stay on the orthopaedic wards, mobility after one month and need for continuing supervision by the geriatric services, aft...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.1.41

    authors: Harries DJ,Eastwood H

    更新日期:1991-01-01 00:00:00

  • Older adults and carers' perceptions of pre-discharge occupational therapy home visits in acute care.

    abstract:BACKGROUND:pre-discharge occupational therapy (OT) home visits are an integral part of the discharge process for older adults in acute care. There is limited quality research demonstrating that these pre-discharge visits enhance the health and well being of older adults. This paper outlines the perceptions of older adu...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afm137

    authors: Atwal A,McIntyre A,Craik C,Hunt J

    更新日期:2008-01-01 00:00:00

  • The association between Healthy Eating Index-2005 scores and disability among older Americans.

    abstract:BACKGROUND:several studies examining diet and functional status of individuals have focused on single nutrients or food groups. Studies examining the relationship between diet and health have increasingly witnessed a shift in focus from single nutrients to overall diet quality. The objective of this study was to examin...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr158

    authors: Xu B,Houston D,Locher JL,Zizza C

    更新日期:2012-05-01 00:00:00

  • Factors associated with the wish to die in elderly people.

    abstract::This study aimed to determine the prevalence of the wish to die in elderly people and investigate the factors associated with it, in particular, whether factors other than depression contribute to the wish to die. Data were obtained from an Australian epidemiological survey of people aged 70 or more. Survey participan...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.5.389

    authors: Jorm AF,Henderson AS,Scott R,Korten AE,Christensen H,Mackinnon AJ

    更新日期:1995-09-01 00:00:00

  • Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments.

    abstract:BACKGROUND:The Timed Up and Go Test (TUGT) has been recommended as a simple screening tool to identify those at risk of falling. However, subsequent detailed assessment is required to identify underlying falls risk factors to provide direction for optimal targeted intervention strategies. METHODS:110 consecutive falls...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi178

    authors: Whitney JC,Lord SR,Close JC

    更新日期:2005-11-01 00:00:00

  • Low-molecular-weight heparin-associated fat necrosis of the breast.

    abstract::Fat necrosis of the breast is a well-recognised complication of unfractionated heparin. The following is a case of fat necrosis due to low-molecular-weight heparin in a 91-year-old woman admitted to hospital with unstable angina. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi032

    authors: Das AK

    更新日期:2005-03-01 00:00:00

  • Long-term mortality risks associated with mild anaemia in older persons: the Busselton Health Study.

    abstract:BACKGROUND:up to 25% of older people in the USA and other Western countries are anaemic by World Health Organization (WHO) criteria. The objective of this study was to examine the long-term relationships of haemoglobin concentration with all-cause and cause-specific mortality in a community-based sample of Australian a...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs150

    authors: Chalmers KA,Knuiman MW,Divitini ML,Bruce DG,Olynyk JK,Milward EA

    更新日期:2012-11-01 00:00:00

  • Drug compliance amongst psychiatric day hospital attenders.

    abstract::Drug compliance was assessed amongst all 91 patients attending a psychogeriatric day hospital during July 1988. Of the 86 patients taking medication, the 57 functionally and 29 organically ill patients were interviewed at home, the latter with their carers. A disparity in results was shown when compliance was measured...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.3.191

    authors: Rosenvinge HP,Groarke EP,Bradshaw JW

    更新日期:1990-05-01 00:00:00

  • Association of frailty with mortality in older inpatients with Covid-19: a cohort study.

    abstract:BACKGROUND:COVID-19 has disproportionately affected older people. OBJECTIVE:The objective of this paper to investigate whether frailty is associated with all-cause mortality in older hospital inpatients, with COVID-19. DESIGN:Cohort study. SETTING:Secondary care acute hospital. PARTICIPANTS:Participants included ar...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa184

    authors: Aw D,Woodrow L,Ogliari G,Harwood R

    更新日期:2020-10-23 00:00:00

  • Use of antipsychotics among nonagenarian residents in long-term institutional care in Finland.

    abstract:BACKGROUND:There is a paucity of information about the use of antipsychotic medication in long-term care, especially among the oldest-old residents. OBJECTIVE:To analyse the factors associated with the use of antipsychotic medication among nonagenarian residents in long-term institutional care. DESIGN:A retrospective...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl065

    authors: Alanen HM,Finne-Soveri H,Noro A,Leinonen E

    更新日期:2006-09-01 00:00:00

  • General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages.

    abstract:OBJECTIVES:The purpose of this paper is to investigate the utilisation of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) within 6 months of an aged care eligibility assessment and its effects on mortality and transition to permanent residential aged care (P...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa272

    authors: Visvanathan R,Amare AT,Wesselingh S,Inacio MC

    更新日期:2020-12-23 00:00:00

  • Quantification of proteinuria: a re-evaluation of the protein/creatinine ratio for elderly subjects.

    abstract::The difficulties of 24-hour urine collection are well recognized, especially for elderly people for whom a means of estimating protein excretion from a single casual unit sample would be preferable. We compared measurement of total urinary protein estimated by the protein/creatinine ratio with 24-h urine collection an...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.6.443

    authors: Mitchell SC,Sheldon TA,Shaw AB

    更新日期:1993-11-01 00:00:00

  • Myasthenia gravis and elderly people.

    abstract::Myasthenia gravis is probably commoner than previously suspected, the annual incidence being nearer 9-10/million than earlier figures of 2-4/million. The current study found an annual incidence in Croyden of 9.1 per million (95% confidence limits 5.7-13.8 per million). Of the 22 patients (59%) seen in Croyden with new...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.1.56

    authors: Schon F,Drayson M,Thompson RA

    更新日期:1996-01-01 00:00:00

  • Carotid disease in acute stroke.

    abstract:BACKGROUND:the Oxfordshire Community Stroke Project (OCSP) devised a simple clinical classification for acute stroke which predicted mortality, functional recovery and patterns of recurrent stroke. We aimed to determine whether this could predict the presence of carotid disease and be used to select which patients with...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.6.677

    authors: Mead GE,Shingler H,Farrell A,O'Neill PA,McCollum CN

    更新日期:1998-11-01 00:00:00

  • Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review.

    abstract:BACKGROUND:aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. OBJECTIVES:determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. DATA ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa102

    authors: Khadka S,Khan S,King A,Goldberg LR,Crocombe L,Bettiol S

    更新日期:2021-01-08 00:00:00

  • Confidentiality and cognitive impairment: professional and philosophical ethics.

    abstract::In the UK, the General Medical Council's new guidance on confidentiality restates the professional duty for doctors to regard personal information revealed to them as confidential. Such information can be shared only with the patient's explicit consent--the exceptions to this are narrowly defined. We believe the guida...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/31.2.147

    authors: Hughes JC,Louw SJ

    更新日期:2002-03-01 00:00:00

  • A study of religious attitudes of the elderly.

    abstract::A study is reported of the religious beliefs, attitudes, and practice of old people in the West of Scotland, based on a questionnaire given to 501 people aged 65 years and over randomly selected from those living at home. Almost all had had a full range of religious instruction, and regarded their parents as religious...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/7.1.40

    authors: Reid WS,Gilmore AJ,Andrews GR,Caird FI

    更新日期:1978-02-01 00:00:00

  • The social behaviour of geriatric patients at mealtimes: an observational and an intervention study.

    abstract::Two studies of the social behaviour of geriatric patients are reported. In the first, lunchtime observations were made of two comparable wards in a continuing-care hospital and all episodes of social interaction recorded. There were twice as many interactions on one ward as on the other and their type and variety diff...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/9.2.93

    authors: Davies AD,Snaith PA

    更新日期:1980-05-01 00:00:00

  • Person-centred dementia services are feasible, but can they be sustained?

    abstract:BACKGROUND:we evaluated a specialist community-based dementia service to establish whether high quality care was being delivered and the conditions for doing so. The service was in an urban part of Rushcliffe Primary Care Trust, Nottinghamshire, United Kingdom. The service comprised an assessment team of an occupationa...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl161

    authors: Gladman JR,Jones RG,Radford K,Walker E,Rothera I

    更新日期:2007-03-01 00:00:00

  • The prevalence of positive serological tests for syphilis among elderly hospital patients.

    abstract::Serological tests for syphilis were performed on 659 elderly patients admitted to hospital medical and psychiatric departments. Positive tests were found in 23 patients (3.5% of the sample), 17 women and 6 men. Six were subsequently discovered to have been treated previously for syphilis, and one other had radiologica...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.6.407

    authors: Corrado OJ,Bowie PC,Bagnall WE,Waugh MA

    更新日期:1989-11-01 00:00:00

  • Polypharmacy including falls risk-increasing medications and subsequent falls in community-dwelling middle-aged and older adults.

    abstract:BACKGROUND:polypharmacy is an important risk factor for falls, but recent studies suggest only when including medications associated with increasing the risk of falls. DESIGN:a prospective, population-based cohort study. SUBJECTS:6,666 adults aged ≥50 years from The Irish Longitudinal study on Ageing. METHODS:partic...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu141

    authors: Richardson K,Bennett K,Kenny RA

    更新日期:2015-01-01 00:00:00

  • Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study.

    abstract:OBJECTIVES:to analyse socio-demographic differences in the onset and progression of disability. DESIGN:analysis of a cohort of people aged 55-69 in 1988-9 and in 1994. SUBJECTS:a representative sample of 3543 adults. METHODS:we measured severity of disability at baseline and follow-up. We analysed variations in inci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/29.2.149

    authors: Grundy E,Glaser K

    更新日期:2000-03-01 00:00:00

  • Occupational therapy compared with social work assessment for older people. An economic evaluation alongside the CAMELOT randomised controlled trial.

    abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/afh232

    authors: Flood C,Mugford M,Stewart S,Harvey I,Poland F,Lloyd-Smith W

    更新日期:2005-01-01 00:00:00

  • A pooled analysis of the efficacy of fesoterodine for the treatment of overactive bladder, and the relationship between safety, co-morbidity and polypharmacy in patients aged 65 years or older.

    abstract:Background:overactive bladder (OAB) is a common condition in older persons. Antimuscarinic treatment remains the mainstay of treatment of OAB but clinicians have been reluctant to prescribe this to older patients. This study examined efficacy and safety information from patients >65 in fesoterodine trials to reaffirm e...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw252

    authors: Wagg A,Arumi D,Herschorn S,Angulo Cuesta J,Haab F,Ntanios F,Carlsson M,Oelke M

    更新日期:2017-07-01 00:00:00

  • Intensive care-management at home: an alternative to institutional care?

    abstract:BACKGROUND:Care management and assessment of need are the cornerstones of the community care reforms in the UK. Although much of the research base has been on highly vulnerable older people, in practice, care management has been implemented for a wider group. OBJECTIVE:To examine how intensive care-management at home ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.5.409

    authors: Challis D,Darton R,Hughes J,Stewart K,Weiner K

    更新日期:2001-09-01 00:00:00

  • Frequency, intensity and localization of pain as risk factors for frailty in older adults.

    abstract:Background:the association between pain characteristics and frailty risk is uncertain. Objective:to investigate the separate impact of the frequency, intensity and location of pain on frailty risk and its possible mechanisms. Methods:prospective cohort of 1505 individuals ≥63 years followed between 2012 and 2015 in S...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy163

    authors: Rodríguez-Sánchez I,García-Esquinas E,Mesas AE,Martín-Moreno JM,Rodríguez-Mañas L,Rodríguez-Artalejo F

    更新日期:2019-01-01 00:00:00

  • Rectus sheath haematoma in elderly patients: a diagnostic challenge.

    abstract:CASE REPORTS:We report three cases of rectus sheath haematoma in elderly women. This condition is commonly misdiagnosed at any age but is an even more elusive diagnosis in elderly patients. CONCLUSION:It is important to consider rectus sheath haematoma in older patients with an abdominal or pelvic mass or spontaneous ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.4.512

    authors: Bene J,Lassman D,Solomon SA

    更新日期:1998-07-01 00:00:00

  • Variability of response to thyroid-releasing hormone in normal elderly.

    abstract::The present study was undertaken to define the hormonal response to thyroid-releasing hormone (TRH) further in a large, healthy, ambulatory elderly group. Seventy-seven subjects over 60 years old, 30 males (MA) and 47 females (FA), and control subjects, 22 males (MC) and 42 females (FC) were studied. No difference in ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.6.345

    authors: Kaiser FE

    更新日期:1987-11-01 00:00:00