Factors associated with poor balance ability in older adults of nine high-altitude communities

Diego Urrunaga-Pastor, Enrique Moncada-Mapelli, Fernando M. Runzer-Colmenares, Zaira Bailon-Valdez, Rafael Samper Ternent, Leocadio Rodriguez-Mañas, Jose F. Parodi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Poor balance ability in older adults result in multiple complications. Poor balance ability has not been studied among older adults living at high altitudes. In this study, we analysed factors associated with poor balance ability by using the Functional Reach (FR) among older adults living in nine high-altitude communities. Material and methods: Analytical cross-sectional study, carried out in inhabitants aged 60 or over from nine high-altitude Andean communities of Peru during 2013–2016. FR was divided according to the cut-off point of 8 inches (20.32 cm) and two groups were generated: poor balance ability (FR less or equal than 20.32 cm) and good balance ability (greater than 20.32 cm). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor balance ability. Prevalence ratio (PR) with 95% confidence intervals (95CI%) are presented. Results: A total of 365 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60–91 years), and 180 (49.3%) participants had poor balance ability. In the adjusted Poisson regression analysis, the factors associated with poor balance ability were: alcohol consumption (PR = 1.35; 95%CI: 1.05–1.73), exhaustion (PR = 2.22; 95%CI: 1.49–3.31), gait speed (PR = 0.67; 95%CI: 0.50–0.90), having had at least one fall in the last year (PR = 2.03; 95%CI: 1.19–3.46), having at least one comorbidity (PR = 1.60; 95%CI: 1.10–2.35) and having two or more comorbidities (PR = 1.61; 95%CI: 1.07–2.42) compared to none. Conclusions: Approximately a half of the older adults from these high-altitude communities had poor balance ability. Interventions need to be designed to target these balance issues and prevent adverse events from concurring to these individuals.

Original languageEnglish (US)
Pages (from-to)108-114
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume77
DOIs
StatePublished - Jul 1 2018

Fingerprint

Aptitude
ability
community
comorbidity
Comorbidity
consumption ratio
Peru
Alcohol Drinking
alcohol consumption
cross-sectional study
inhabitant
Cross-Sectional Studies
regression analysis
Regression Analysis
Demography
Confidence Intervals
confidence
regression

Keywords

  • Altitude
  • Elderly
  • Falls
  • Latin America
  • Peru
  • Postural balance

ASJC Scopus subject areas

  • Health(social science)
  • Aging
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Urrunaga-Pastor, D., Moncada-Mapelli, E., Runzer-Colmenares, F. M., Bailon-Valdez, Z., Samper Ternent, R., Rodriguez-Mañas, L., & Parodi, J. F. (2018). Factors associated with poor balance ability in older adults of nine high-altitude communities. Archives of Gerontology and Geriatrics, 77, 108-114. https://doi.org/10.1016/j.archger.2018.04.013

Factors associated with poor balance ability in older adults of nine high-altitude communities. / Urrunaga-Pastor, Diego; Moncada-Mapelli, Enrique; Runzer-Colmenares, Fernando M.; Bailon-Valdez, Zaira; Samper Ternent, Rafael; Rodriguez-Mañas, Leocadio; Parodi, Jose F.

In: Archives of Gerontology and Geriatrics, Vol. 77, 01.07.2018, p. 108-114.

Research output: Contribution to journalArticle

Urrunaga-Pastor, D, Moncada-Mapelli, E, Runzer-Colmenares, FM, Bailon-Valdez, Z, Samper Ternent, R, Rodriguez-Mañas, L & Parodi, JF 2018, 'Factors associated with poor balance ability in older adults of nine high-altitude communities', Archives of Gerontology and Geriatrics, vol. 77, pp. 108-114. https://doi.org/10.1016/j.archger.2018.04.013
Urrunaga-Pastor D, Moncada-Mapelli E, Runzer-Colmenares FM, Bailon-Valdez Z, Samper Ternent R, Rodriguez-Mañas L et al. Factors associated with poor balance ability in older adults of nine high-altitude communities. Archives of Gerontology and Geriatrics. 2018 Jul 1;77:108-114. https://doi.org/10.1016/j.archger.2018.04.013
Urrunaga-Pastor, Diego ; Moncada-Mapelli, Enrique ; Runzer-Colmenares, Fernando M. ; Bailon-Valdez, Zaira ; Samper Ternent, Rafael ; Rodriguez-Mañas, Leocadio ; Parodi, Jose F. / Factors associated with poor balance ability in older adults of nine high-altitude communities. In: Archives of Gerontology and Geriatrics. 2018 ; Vol. 77. pp. 108-114.
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abstract = "Introduction: Poor balance ability in older adults result in multiple complications. Poor balance ability has not been studied among older adults living at high altitudes. In this study, we analysed factors associated with poor balance ability by using the Functional Reach (FR) among older adults living in nine high-altitude communities. Material and methods: Analytical cross-sectional study, carried out in inhabitants aged 60 or over from nine high-altitude Andean communities of Peru during 2013–2016. FR was divided according to the cut-off point of 8 inches (20.32 cm) and two groups were generated: poor balance ability (FR less or equal than 20.32 cm) and good balance ability (greater than 20.32 cm). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor balance ability. Prevalence ratio (PR) with 95{\%} confidence intervals (95CI{\%}) are presented. Results: A total of 365 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60–91 years), and 180 (49.3{\%}) participants had poor balance ability. In the adjusted Poisson regression analysis, the factors associated with poor balance ability were: alcohol consumption (PR = 1.35; 95{\%}CI: 1.05–1.73), exhaustion (PR = 2.22; 95{\%}CI: 1.49–3.31), gait speed (PR = 0.67; 95{\%}CI: 0.50–0.90), having had at least one fall in the last year (PR = 2.03; 95{\%}CI: 1.19–3.46), having at least one comorbidity (PR = 1.60; 95{\%}CI: 1.10–2.35) and having two or more comorbidities (PR = 1.61; 95{\%}CI: 1.07–2.42) compared to none. Conclusions: Approximately a half of the older adults from these high-altitude communities had poor balance ability. Interventions need to be designed to target these balance issues and prevent adverse events from concurring to these individuals.",
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AU - Urrunaga-Pastor, Diego

AU - Moncada-Mapelli, Enrique

AU - Runzer-Colmenares, Fernando M.

AU - Bailon-Valdez, Zaira

AU - Samper Ternent, Rafael

AU - Rodriguez-Mañas, Leocadio

AU - Parodi, Jose F.

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N2 - Introduction: Poor balance ability in older adults result in multiple complications. Poor balance ability has not been studied among older adults living at high altitudes. In this study, we analysed factors associated with poor balance ability by using the Functional Reach (FR) among older adults living in nine high-altitude communities. Material and methods: Analytical cross-sectional study, carried out in inhabitants aged 60 or over from nine high-altitude Andean communities of Peru during 2013–2016. FR was divided according to the cut-off point of 8 inches (20.32 cm) and two groups were generated: poor balance ability (FR less or equal than 20.32 cm) and good balance ability (greater than 20.32 cm). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor balance ability. Prevalence ratio (PR) with 95% confidence intervals (95CI%) are presented. Results: A total of 365 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60–91 years), and 180 (49.3%) participants had poor balance ability. In the adjusted Poisson regression analysis, the factors associated with poor balance ability were: alcohol consumption (PR = 1.35; 95%CI: 1.05–1.73), exhaustion (PR = 2.22; 95%CI: 1.49–3.31), gait speed (PR = 0.67; 95%CI: 0.50–0.90), having had at least one fall in the last year (PR = 2.03; 95%CI: 1.19–3.46), having at least one comorbidity (PR = 1.60; 95%CI: 1.10–2.35) and having two or more comorbidities (PR = 1.61; 95%CI: 1.07–2.42) compared to none. Conclusions: Approximately a half of the older adults from these high-altitude communities had poor balance ability. Interventions need to be designed to target these balance issues and prevent adverse events from concurring to these individuals.

AB - Introduction: Poor balance ability in older adults result in multiple complications. Poor balance ability has not been studied among older adults living at high altitudes. In this study, we analysed factors associated with poor balance ability by using the Functional Reach (FR) among older adults living in nine high-altitude communities. Material and methods: Analytical cross-sectional study, carried out in inhabitants aged 60 or over from nine high-altitude Andean communities of Peru during 2013–2016. FR was divided according to the cut-off point of 8 inches (20.32 cm) and two groups were generated: poor balance ability (FR less or equal than 20.32 cm) and good balance ability (greater than 20.32 cm). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor balance ability. Prevalence ratio (PR) with 95% confidence intervals (95CI%) are presented. Results: A total of 365 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60–91 years), and 180 (49.3%) participants had poor balance ability. In the adjusted Poisson regression analysis, the factors associated with poor balance ability were: alcohol consumption (PR = 1.35; 95%CI: 1.05–1.73), exhaustion (PR = 2.22; 95%CI: 1.49–3.31), gait speed (PR = 0.67; 95%CI: 0.50–0.90), having had at least one fall in the last year (PR = 2.03; 95%CI: 1.19–3.46), having at least one comorbidity (PR = 1.60; 95%CI: 1.10–2.35) and having two or more comorbidities (PR = 1.61; 95%CI: 1.07–2.42) compared to none. Conclusions: Approximately a half of the older adults from these high-altitude communities had poor balance ability. Interventions need to be designed to target these balance issues and prevent adverse events from concurring to these individuals.

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