SEARCHCROSS-SECTIONALgeriatrics, epidemiology

cross-sectional·geriatrics, epidemiology, public health, neurology, family medicine·PMC10486131

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

BMC Geriatrics · 11 authors, 3 centres

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TL;DR

Balance was assessed using the X16 balance testing scale, and data on demographics, exercise, and health status were collected via interview.

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Balance was assessed using the X16 balance testing scale, and data on demographics, exercise, and health status were collected via interview. Ordinal and binary logistic regression analyses revealed that advancing age (ORs from 1.26 to 3.20), overweight/obesity (OR=1.26), vision lesions (ORs from 1.28 to 1.59), moderate hearing impairment (OR=1.54), somesthesis dysfunction (ORs from 1.59 to 13.26), and cerebrovascular disease (OR=1.45) were associated with increased risks of balance impairments across overall balance and its domains. Regular weekly exercise was associated with reduced impairment risks (ORs from 0.63 to 0.73) for overall balance and 15 of 16 individual items. Limitations include the inability to establish causation due to the study design, incomplete exercise details, and lack of occupational data. Findings suggest age, BMI, exercise, and certain health conditions are key factors associated with balance in this population.

STUDY TYPE

cross-sectional

SPECIALTY

geriatrics

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AI pipeline

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ORIGINAL PAPER

PMC10486131

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

BMC Geriatrics

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ABSTRACT

Abstract 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. Trial registration Not applicable. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-023-04219-z. Keywords: Elderly, Community-dwelling, Balance, Static balance, Postural stability, Dynamic balance, Factor

CITATION EXPORT

Qinghua Xia, Peng Zhou, Xia Li et al.. Factors associated with balance impairments in the community-dwelling elderly in urban China. BMC Geriatrics. (2023). https://doi.org/10.1186/s12877-023-04219-z

AUTHORS

11 · 3 CENTRES

Qinghua Xia, Peng Zhou, Xia Li, Xiaofen Li, Lei Zhang, Xuefei Fan, Zhoulan Zhao, Yu Jiang, Jianhong Zhu, Hongmei Wu, Mengdi Zhang

1Changning Center for Disease Control and Prevention, Shanghai, 200051 China
2Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032 China
3Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035 China