A Simple Clinical Scale to Stratify Risk of Recurrent Falls in Community-Dwelling Adults Aged 65 Years and Older

Buatois, Séverine; Perret‐Guillaume, Christine; Guéguen, R; Miget, P.; Vançon, Guy; Perrin, Philippe; Bénétos, Athanase

doi:10.2522/ptj.20090158

Cited by 153 publications

(131 citation statements)

References 33 publications

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“…The mechanical load may lead to bone strengthening with mobility-induced weight-bearing stress [3]. Thus, our results are in accordance to previous studies that demonstrated that weight loss may increase the bone turnover, suggesting that body weight enhances the differentiation of osteoblasts and increase osteoblastic bone formation besides attenuates osteoclastic activity [13,14,15,18].…”

Section: Discussionsupporting

confidence: 82%

“…In addition, previous studies suggested that fat mass is associated with whole body BMD in older women, independent of lean mass [15]. The relationship between body composition and endocrine control is related to the production of peripheral gonadal hormones by adipose tissue.…”

Section: Discussionmentioning

confidence: 99%

“…For the TUG, the subjects had to stand up from a chair, walk 3 meters, turn around, return and sit down again on the chair [12,13]. Also, the five-time-sit-to-stand test (FTSTS) was performed [14,15]. For the FTSTS, the subjects were seated on a chair with their hips and knees flexed at 90 degrees.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Impact of First 10 Years of Post Menopause on Muscle Function, Muscle Mass and Bone Mineral Density in Adult Women

Kochi¹,

Marques

Costa³

et al. 2015

J Osteopor Phys Act

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of First 10 Years of Post Menopause on Muscle Function, Muscle Mass and Bone Mineral Density in Adult Women

Kochi¹,

Marques

Costa³

et al. 2015

J Osteopor Phys Act

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“…The tests used in this study are reliable and valid clinical tools commonly used in assessing muscle strength and mobility in community‐dwelling older adults. Moreover, they require limited space and can be administered quickly 8, 31, 32. Although these clinical tests are very simple, parameters with poor performance predict adverse health in older adults and would have advantages over other common markers.…”

Section: Discussionmentioning

confidence: 99%

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Makizako

Shimada

Doi

et al. 2017

J cachexia sarcopenia muscle

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BackgroundThe aim of this study was to describe the age‐dependent changes in the parameters of physical performance and body composition in Japanese older adults who are independently dwelling in the community. We also examined whether the age‐dependent changes differ among physical performance and body composition parameters.MethodsCross‐sectional data from 10 092 community‐dwelling older adults (mean age 73.6 years; 5296 women) were analyzed. The measures of physical performance included hand‐grip strength, the five‐times‐sit‐to‐stand test, and walking speed. Body composition parameters (body weight, fat mass, and appendicular skeletal muscle mass) were measured with a bioelectrical impedance analyser. Correlations between age and the physical performance and body composition parameters were tested. The T‐scores of physical performance and body composition measurements were calculated and presented according to 5‐year age groups to examine the differences in age‐dependent changes in physical performance and body composition parameters.ResultsAll physical performance measures significantly decreased with aging. The cumulative mean T‐scores according to age group showed different age‐dependent changes between body mass index (BMI) and appendicular skeletal muscle mass index (ASMI) (cumulative mean T‐score change of BMI and ASMI of −5.7 to −2.9 and −12.7 to −12.1, respectively). The slope declines in age‐associated changes were greater in grip strength (β = −0.77, 95% confidence interval = −0.82 to −0.76) for men and in walking speed (β = −0.95, 95% confidence interval = −0.99 to −0.90) for women.ConclusionsThe patterns of age‐dependent decreases in physical performance measures differed among parameters and between sexes. There is a possibility of a difference in the age‐related slope patterns among parameters; decreases in grip strength in men and walking speed in women may be more prominent with advancing age. Furthermore, the decrease in ASMI with age is more striking than that of BMI.

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“…Isso permite dizer que o uso prévio de medicamentos às quedas é um fator de risco também para fraturas. A medicação mais utilizada nos pacientes deste estudo que tiveram fratura foi também o anti-hipertensivo (Hamra, Ribeiro, Miguel, 2007 fortemente associado a quedas e pode prever a ocorrência das mesmas (Buatois et al, 2010;Bongue et al, 2011).…”

Section: Coleta De Dadosunclassified

Idosos vítimas de trauma: uma proposta de predição de risco

Rodrigues

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Brazil is becoming more and more a country of white hair and this process brings consequences for Brazilian society and the health care of its population. The highlights are the external causes as a matter of public health that offers great impact on the health of the elderly. The aged have their ability of recovery reduced and remain hospitalized for longer periods of time. Therefore, this research aimed to identify the relation between the aged victim of trauma and the risk factors involved in the accident. General objective: develop indicators of risk prediction for trauma in the aged. Specific objectives: describe the profile of aged victims of trauma seen in the emergency room; Check which mechanisms of trauma are suffered by the aged; Learn the factors that contributed to the occurrence of the trauma; Analyze the risk factors for the occurrence of the trauma in the aged. Quantitative cross study, held in the emergency department of two hospitals in Curitiba, which was approved by their Research Ethics Committees. The inclusion criteria were as follows: patients of 60 years old or more, both gender, victims of trauma that were being seen at the emergency room and accepted to participate in the research voluntarily or under authorization of caregiver or family in case of cognitive or/and hearing deficit. The data collection was made through a semi-structured interview by the bed; the data obtained were organized in an excel spreadsheet and analyzed by computer program Statistical Package for the Social Sciences -SPSS version 15.0. The results were described by frequencies and percentages. To evaluate the association between two qualitative variables, it was considered the Chisquare test or the Fisher's exact test. To jontly evaluate the factors associated with the mechanism of trauma (fall and other events), it was adjusted a logistic regression model (stepwise backward). As from the ajustment, it were estimated the odds ratio values with respective confidence intervals of 95%. The subjects were 261 elderly people that met the inclusion criteria, 148 women (56,7%) and 43,3% men. The age ranged from 60 to 103 years old, and the average was 72,6 ± 9,3 years old. The great majority of the sample was under 70 years old (44,8%). Regarding to marital status, 43,3% of patients were married; 35,2%, widowed; 13%, separated, in cohabitation and 8,4%, single. The mechanisms of trauma more frequent were: fall (75,9%), running over (9,6%), direct trauma (5,4%) and car accident (3,8%). The medicament most used was the anti-hypertensive (45,2%). The multivariate analysis allowed to say that, independently of other variables included in the model such as the female gender, the presence of the caregiver, the continued use of medication and the presence of hearing problems increased significantly the probability of trauma by fall. Sight problems without wearing glasses and aged with incomes up to 3 minimal wages tend to have higher probability of trauma by fall. These results allowed establishing that the factors that...

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A Simple Clinical Scale to Stratify Risk of Recurrent Falls in Community-Dwelling Adults Aged 65 Years and Older

Abstract: Clinicians could easily classify older patients in low-, moderate-, or high-risk groups of recurrent falls by using 4 easy-to-obtain items. The Five-Times-Sit-to-Stand Test provides added value to stratify risk for falls in people at moderate risk.

Cited by 153 publications

References 33 publications

Impact of First 10 Years of Post Menopause on Muscle Function, Muscle Mass and Bone Mineral Density in Adult Women

Impact of First 10 Years of Post Menopause on Muscle Function, Muscle Mass and Bone Mineral Density in Adult Women

Age‐dependent changes in physical performance and body composition in community‐dwelling Japanese older adults

Idosos vítimas de trauma: uma proposta de predição de risco

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