Clinical determinants of biomechanics platform measures of balance in aged women.
The cross-sectional associations between clinical variables and biomechanics platform measures of balance (sway) were determined in a random sample of 50 aged single women living in high rise apartment buildings. A history of falling in the previous year was associated with increased areas of sway. Increased body mass was associated with decreased velocity of sway. Poor near, but not far, visual acuity was associated with increased areas of sway. A postural drop of 10 mmHg or more in diastolic pressure was associated with increased velocity of sway. The associations between these variables and the balance measures persisted after adjustment for age and each other to adjust for potential confounding. Slower hand reaction times and poor hearing were associated with increased areas of sway, but these associations were removed after adjustment for age and near visual acuity. There were no associations between any of the balance measures and postural changes in systolic pressure and heart rate. There were no associations between balance measures and base of support. The observed associations, if causal, can aid in development and testing of effective interventions to improve balance and prevent falls in the elderly.
Lichtenstein
M J
MJ
Division of General Internal Medicine, Vanderbilt University, Nashville, Tennessee 37232.
Shields
S L
SL
Shiavi
R G
RG
Burger
M C
MC
D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D001696:Biomechanical Phenomena; D001794:Blood Pressure; D001827:Body Height; D001835:Body Weight; D005260:Female; D005684:Gait; D006801:Humans; D004856:Postural Balance; D011187:Posture; D014787:Vision Tests; D014792:Visual Acuity