Effects of obesity on dynamic stability control during recovery from a treadmill-induced slip among young adults

Yang, Feng; Kim, Jae Eun; Yang, Fei

doi:10.1016/j.jbiomech.2017.01.021

Cited by 15 publications

(8 citation statements)

References 32 publications

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“…Furthermore, the vascular-metabolic pattern in the present study increased the chances of an older adult presenting fear of falling by 2.14 (95%CI 1.20; 3.82), also corroborating the findings which verified such association, but investigated diseases of this group separately [26,27,54,55]. Neri et al [56] demonstrated that obesity increased the chances of older adults having fear of falling by 30% (± 8.40), which was associated with a higher risk of tripping, slipping, and falling among obese individuals, who prefer to remain at rest due to fear of falling [57]. In addition, obese individuals present lower balance due to anteriorization of the body mass center and altered sensory functions derived from the high body mass index, which increases postural oscillations, and consequently the fear of falling in this population [58].…”

Section: Discussionsupporting

confidence: 66%

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

et al. 2022

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Background Multimorbidity is defined as the co-occurrence of multiple chronic or acute diseases and medical conditions in the same individual and can be grouped into different patterns based on the type of disease. These patterns are associated with poorer quality of life and premature death. It is believed that these patterns entail functional limitations, which may contribute to the fear of falling; however, this association remains unknown. Identifying this possible association is fundamental for developing individual and collective care approaches aimed at preventing the different patterns of chronic diseases in older adults in order to decrease the fear of falling. The objective of this study was to investigate the association between multimorbidity patterns and fear of falling in older adults. Methods This was a cross-sectional study including 308 older adults. The exposure variables were the presence of three multimorbidity patterns (cardiopulmonary, musculoskeletal, and vascular-metabolic) and pattern association assessed by self-report of two or more similar coexisting chronic diseases. The outcome was fear of falling assessed by the Brazilian version of Falls Efficacy Scale-International (cut-off point ≥ 23 points). Multivariable logistic regression was used to analyze the association between variables. Results Older adults with cardiopulmonary, musculoskeletal, vascular-metabolic patterns and pattern association had 3.49 (95%CI 1.13; 10.78), 2.03 (95%CI 1.13; 3.64), 2.14 (95%CI 1.20; 3.82), and 4.84 (95%CI 2.19; 10.68), respectively, greater chances of presenting fear of falling when compared to older adults without the patterns. Conclusions The presence of multimorbidity patterns is associated with higher chances of reporting fear of falling. It is emphasized that the introduction of public health programs aimed at preventing multimorbidity patterns is essential to reduce possible adverse health outcomes, including fear of falling and its negative consequences for older adult health.

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Section: Discussionsupporting

confidence: 66%

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

et al. 2022

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“…In this study, a high proportion of obese women under 50 years of age reported having had a fall in the previous year. Others have reported a higher probability of tripping, slipping and falls among those who are obese compared to those who are not [26–29]. Talbot et al reported a falls rate among women aged 20 to 45 of any body mass index that is a third of that seen in our study [30].…”

Section: Discussionsupporting

confidence: 41%

Fear of falling in obese women under 50 years of age: a cross-sectional study with exploration of the relationship with physical activity

et al. 2019

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Background An understanding of capacity for physical activity in obese populations should help guide interventions to promote physical activity. Fear of falling is a phenomenon reported in the elderly, which is associated with reduced mobility and lower physical activity levels. However, although falls are reportedly common in obese adults, fear of falling and its relationship with activity has not been investigated in younger obese populations. Methods In a cross-sectional study, fear of falling was measured in 63 women aged 18 to 49 years, with mean BMI 42.1 kg/m 2 (SD 10.3) using the Modified Falls Efficacy (MFES), the Consequences of Falling (COF) and the Modified Survey of Activities and Fear of Falling in the Elderly (MSAFFE) scales. The choice of scales was informed by prior qualitative interviews with obese younger women. Physical activity levels were measured at the same time using the International Physical Activity Questionnaire. The mean score for fear of falling scales, with 95% confidence intervals, were estimated. Chi-square tests and t-tests were used to explore differences in age, body mass index and fear of falling scores between fallers and non-fallers. For each fear of falling scale, binomial logistic regression was used to explore its relationship with physical activity. Results Mean scores suggested high levels of fear of falling: MFES [mean 7.7 (SD 2.7); median 8.5]; COF [mean 31.3 (SD 9.4)]; MSAFFE [mean 25.9 (SD 8.7); median 23]. Scores were significantly worse in fallers ( n = 42) compared to non-fallers ( n = 21). MFES and MSAFFE were independently associated with lower levels of physical activity [odds ratio = 0.65, 95% Cl 0.44 to 0.96 and odds ratio = 1.14, 95% CI 1.01 to 1.28 respectively], when adjusted for age, BMI and depression. Conclusions This study confirms that fear of falling is present in obese women under 50 years of age. It suggests that it is associated with low levels of physical activity. These novel findings warrant further research to understand capacity for physical and incidental activity in obese adults in both genders and suggest innovative interventions to promote lifestyle changes and/or consideration of falls prevention in this population.

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“…Increased BMI and decreased physical activity increased the likelihood of faller classification. Both factors suggest improved general health status and have demonstrated relationships with lower fall risk 76–78 . Although reasonable to believe that participation in physical activity may expose individuals to fall hazards, in a controlled environment it could also serve as a vehicle for improving cardiovascular fitness, muscle strength, and coordination to help improve balance and reduce falls 79 .…”

Section: Discussionmentioning

confidence: 99%

Fall Prevalence and Contributors to the Likelihood of Falling in Persons With Upper Limb Loss

Major

2018

Physical Therapy

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Background. Arms are important for locomotor stability and preventing falls by controlling whole-body angular momentum, redirecting the body’s center-of-mass, and providing support to arrest descent. Hence, upper limb loss (ULL) may increase fall risk. Unfortunately, prevalence of falls and factors that influence fall risk have not previously been reported for people with ULL. Objective. This study quantified fall prevalence in persons with ULL at or proximal to the wrist and identified clinical factors that contributed to the likelihood of falling. Design. This was a cross-sectional study. Methods. Factors including body and health characteristics, activity level, fall history, prosthesis use, and balance confidence were collected on persons with ULL proximal to the wrist using an online survey. Logistic regression analyses assessed the contribution of these factors to the classification of fallers (≥ 2 falls in previous year) and non-fallers. Results. A percentage (28.6%) of participants (n = 105) reported experiencing two or more falls in the past year. The regression model (R2 = 0.473) correctly classified 84.5% of cases and indicated that increased likelihood of falling was significantly influenced by lower balance confidence, use of upper limb prostheses, and lower physical capabilities. Limitations. Data were collected online from a convenience sample and fall classification was based on retrospective data. Conclusions. Falls in persons with ULL are prevalent, suggesting that clinicians should use screening methods to identify at-risk individuals. Balance confidence, use of upper limb prostheses, and perceived physical capabilities may be useful screening metrics. Research is warranted to better understand the factors that underlie fall risk in persons with ULL and efficacy of therapeutic interventions capable of mitigating fall risk.

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Effects of obesity on dynamic stability control during recovery from a treadmill-induced slip among young adults

Cited by 15 publications

References 32 publications

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

Fear of falling in obese women under 50 years of age: a cross-sectional study with exploration of the relationship with physical activity

Fall Prevalence and Contributors to the Likelihood of Falling in Persons With Upper Limb Loss

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