Physical activity level and fall risk among community-dwelling older adults

Low, Sok Teng; Balaraman, Thirumalaya

doi:10.1589/jpts.29.1121

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…Interestingly, in the present study, we found that a history of falls was not significantly associated with physical inactivity. Our results seem to echo a cross-sectional study in Malaysia reporting that physical activity level was not relevant to the risk of falls in community-dwelling older adults [ 44 ]. One plausible explanation is that physical inactivity may be related to fear of falling, but not to actual falls.…”

Section: Discussionsupporting

confidence: 83%

Physical Inactivity and Possible Sarcopenia in Rural Community Daycare Stations of Taiwan: A Cross-Sectional Study

Loh

Hsieh

et al. 2022

IJERPH

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Physical inactivity and possible sarcopenia pose a challenge for long-term care, especially in rural areas. We aimed to examine the prevalence of and associated factors for physical inactivity and possible sarcopenia in rural community daycare stations. A total of 275 adults aged 55–98 years (75% women) were recruited from all 11 rural community daycare stations in Northern Hualien, Taiwan. Physical inactivity was defined as less than 150 min/week of moderate-intensity aerobic physical activity. Possible sarcopenia was defined according to the Asian-specific criteria from 2019. Multiple linear and logistic regression analyses were used to determine associated factors for physical inactivity and possible sarcopenia. The prevalence of physical inactivity and possible sarcopenia was 29.1% and 68.7%, respectively. About 86.8% of possible sarcopenia were ascribed to poor five-times-sit-to-stand performance. After adjusting for covariates, poor lower-limb muscle function, e.g., slow gait speed, was associated with possible sarcopenia and physical inactivity. However, physical inactivity was not independently associated with possible sarcopenia (adjusted odds ratio 1.95, 95% confidence interval 0.88–4.30, p = 0.100). Our results indicated that individuals with poor lower-limb muscle function were more likely to have possible sarcopenia and physical inactivity. Improving lower-limb muscle function would be a priority task in rural community daycare stations.

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Section: Discussionsupporting

confidence: 83%

Physical Inactivity and Possible Sarcopenia in Rural Community Daycare Stations of Taiwan: A Cross-Sectional Study

Loh

Hsieh

et al. 2022

IJERPH

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“…In the present study, the risk of falls in the AE group was significantly lower than that of the SE group (p<0.000) and it has been well documented that exercise and PA can reduce the risk of falls by improving muscle function and preventing age-related musculoskeletal disorders such as osteoarthritis and sarcopenia [45]. More importantly, the decrease in strength, coordination, and neuromuscular functions of the body plays a fundamental role in imbalances and falls in the elderly [46], andPA and exercise, especially balance exercises, can be effective for reduced risk of falls among the elderly by improving neurophysiological functions and muscle coordination [45].…”

Section: Discussionsupporting

confidence: 42%

The Evaluation of Differenceson Geriatric Syndromesbetween Active and Sedentary Elderly

Kushkestani¹,

Parvani²,

Bathaeezadeh³

et al. 2020

JSS

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Purpose:The purpose of the present study was to investigate the differences between diseases, geriatric syndrome and medication use among sedentary and active community-dwelling elderly in Tehran.Method:In this cross-sectional study, 465 community-dwelling elderly men aged 60-95 living independently in Tehran city, Iran participated voluntarily. After the evaluation of PA (physical activity) levels, subjects were divided into two (active elderly and sedentary elderly) groups. Then age-related geriatric syndromes and diseases were measured by questionnaires and functional tests. Data analysis was performed using SPSS(Statistical Package for the Social Sciences) statistical software version 21 and p-value of <0.05 was considered to be statistically significant.Achievements of the study:The result of T-test showed that compared with sedentary participants, highly active individuals had better life expectancyand lower risk of fall and sarcopenia (p<0.01). In relation to comorbidities, the number of diseases in physically active individuals was the same as men in sedentary group (p>0.05).It can be stated that higher PA level plays an effective role in the improvement of many age-related disorders and successful aging.

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“…However, the falls possibly occurred 1 year or more before. Third, we did not measure physical activity level as a covariable factor, which is a risk factor for both falls and sarcopenia [ 33 , 34 ]. Finally, since this study was conducted in older adults, which is one of the sarcopenia component parameters, the results of the physical performance tests may have varied depending on the patients’ fatigue status or body condition as a result of fall or fall-related fracture history.…”

Section: Discussionmentioning

confidence: 99%

Sex differences in impact of sarcopenia on falls in community-dwelling Korean older adults

Soh

Won

2021

BMC Geriatr

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Background Falls are one of the most serious health problems among older adults. Sarcopenia is characterized by a decrease in muscle mass, strength, and physical function. Due to potentially age-related conditions, both falls and sarcopenia have common risk factors. However, the association between sarcopenia and falls is controversial. Moreover, the sex differences in the impact of sarcopenia on falls is not yet clear. This study aimed to investigate the sex differences in the impact of sarcopenia, defined by the Asian Working Group for Sarcopenia (AWGS), on falls in Korean older adults. Methods In this cross-sectional study, we used data from the Korean Frailty and Aging Cohort Study; 2323 community-dwelling older adults (1111 males and 1212 females) aged 70–84 years were recruited in this cross-sectional study. To evaluate sarcopenia, the AWGS diagnostic algorithm was used. We compared the faller and non-faller groups. We performed unadjusted and fully adjusted logistic regression analyses to evaluate the relationship between sarcopenia, falls, and fall-related fractures. Results A total of 239 (24.1%) females in the faller group had a history of falls in the past year, which was statistically higher than that in males (176, 15.8%). In the fully adjusted model, handgrip strength (odds ratio [OR] = 1.508, 95% confidence interval [CI] = 1.028–2.211), and short physical performance battery (OR = 2.068, 95% CI = 1.308–3.271) were significantly lower in the male faller group. However, in the fully adjusted model, the female faller group only showed a significantly low appendicular skeletal muscle mass index (OR = 1.419, 95% CI = 1.058–1.903). Conclusions This large cohort study aimed to identify the sex differences in the incidence of sarcopenia in the older Korean population, using the AWGS diagnostic algorithm, and its correlation with falls and fall-related fractures. The incidence of falls did not increase in the sarcopenia group. Among the sarcopenia components, sex differences affect the history of falls. Therefore, when studying the risk of falls in old age, sex differences should be considered.

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Physical activity level and fall risk among community-dwelling older adults

Cited by 10 publications

References 22 publications

Physical Inactivity and Possible Sarcopenia in Rural Community Daycare Stations of Taiwan: A Cross-Sectional Study

Physical Inactivity and Possible Sarcopenia in Rural Community Daycare Stations of Taiwan: A Cross-Sectional Study

The Evaluation of Differenceson Geriatric Syndromesbetween Active and Sedentary Elderly

Sex differences in impact of sarcopenia on falls in community-dwelling Korean older adults

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