Pattern of age-associated decline of static and dynamic balance in community-dwelling older women

Aim Falling is the leading cause of injury‐related deaths in older adults, and a loss of balance is often the precursor to a fall. However, little is known about the rate at which balance declines with age. The objective of the present study was to determine whether there is an age‐associated declin...

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Published in:Geriatrics & gerontology international 2014-07, Vol.14 (3), p.556-560
Main Authors: Takeshima, Nobuo, Islam, Mohammod M, Rogers, Michael E, Koizumi, Daisuke, Tomiyama, Naoki, Narita, Makoto, Rogers, Nicole L
Format: Article
Language:English
Subjects:
Age
Age Factors
Aged
Aged, 80 and over
aging
dynamic balance
Falls
Female
Humans
Japan
limits of stability
Middle Aged
Motor ability
Older people
Postural Balance - physiology
Psychomotor Performance - physiology
Reproducibility of Results
Residence Characteristics
Sex Factors
static balance
sway velocity
Women
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cited_by cdi_FETCH-LOGICAL-c5512-c63c1121fc8969f0134e54710553f83197e98d75d7e6c664d6b9c9957c7131383
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container_end_page 560
container_issue 3
container_start_page 556
container_title Geriatrics & gerontology international
container_volume 14
creator Takeshima, Nobuo
Islam, Mohammod M
Rogers, Michael E
Koizumi, Daisuke
Tomiyama, Naoki
Narita, Makoto
Rogers, Nicole L
description Aim Falling is the leading cause of injury‐related deaths in older adults, and a loss of balance is often the precursor to a fall. However, little is known about the rate at which balance declines with age. The objective of the present study was to determine whether there is an age‐associated decline in static (SB) and/or dynamic (DB) balance in community‐dwelling older women. Method SB and DB were determined in 971 older women. Intraclass correlation coefficients (ICC) were used to determine test–retest reliability. Sway velocity was used to measure SB standing on a platform and foam with eyes open and closed. DB was characterized by limits of stability (LOS) that measured end‐point excursion (EXE) and maximum excursion (MXE) of the body's center of pressure. Results ICC for EXE and MXE for the LOS test were excellent (EPE = 0.96, MXE = 0.96). ICC for SB tests, except for the eyes open firm surface condition (ICC = 0.10), showed a high level of reproducibility (ICC = 0.88 and 0.90). Relationships existed between age and SB (r = 0.31, P 
doi_str_mv 10.1111/ggi.12132
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However, little is known about the rate at which balance declines with age. The objective of the present study was to determine whether there is an age‐associated decline in static (SB) and/or dynamic (DB) balance in community‐dwelling older women. Method SB and DB were determined in 971 older women. Intraclass correlation coefficients (ICC) were used to determine test–retest reliability. Sway velocity was used to measure SB standing on a platform and foam with eyes open and closed. DB was characterized by limits of stability (LOS) that measured end‐point excursion (EXE) and maximum excursion (MXE) of the body's center of pressure. Results ICC for EXE and MXE for the LOS test were excellent (EPE = 0.96, MXE = 0.96). ICC for SB tests, except for the eyes open firm surface condition (ICC = 0.10), showed a high level of reproducibility (ICC = 0.88 and 0.90). Relationships existed between age and SB (r = 0.31, P &lt; 0.001), and between age and DB (r = −0.46–−0.48, P &lt; 0.001). The rate of decline for both DB and SB was approximately 1% per year. Age was significantly associated with all balance measures. DB got significantly lower with advancing age until 80 years, and then plateaued. SB did not decline with age until 80 years, and then decreased significantly thereafter. Conclusion Although large individual variation was found with balance ability, an age‐related decline was found with both dynamic and static balance for Japanese older women. Geriatr Gerontol Int 2014; 14: 556–560.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.12132</identifier><identifier>PMID: 23992248</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Age ; Age Factors ; Aged ; Aged, 80 and over ; aging ; dynamic balance ; Falls ; Female ; Humans ; Japan ; limits of stability ; Middle Aged ; Motor ability ; Older people ; Postural Balance - physiology ; Psychomotor Performance - physiology ; Reproducibility of Results ; Residence Characteristics ; Sex Factors ; static balance ; sway velocity ; Women</subject><ispartof>Geriatrics &amp; gerontology international, 2014-07, Vol.14 (3), p.556-560</ispartof><rights>2013 Japan Geriatrics Society</rights><rights>2013 Japan Geriatrics Society.</rights><rights>Copyright © 2014 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5512-c63c1121fc8969f0134e54710553f83197e98d75d7e6c664d6b9c9957c7131383</citedby><cites>FETCH-LOGICAL-c5512-c63c1121fc8969f0134e54710553f83197e98d75d7e6c664d6b9c9957c7131383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23992248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeshima, Nobuo</creatorcontrib><creatorcontrib>Islam, Mohammod M</creatorcontrib><creatorcontrib>Rogers, Michael E</creatorcontrib><creatorcontrib>Koizumi, Daisuke</creatorcontrib><creatorcontrib>Tomiyama, Naoki</creatorcontrib><creatorcontrib>Narita, Makoto</creatorcontrib><creatorcontrib>Rogers, Nicole L</creatorcontrib><title>Pattern of age-associated decline of static and dynamic balance in community-dwelling older women</title><title>Geriatrics &amp; gerontology international</title><addtitle>Geriatrics &amp; Gerontology International</addtitle><description>Aim Falling is the leading cause of injury‐related deaths in older adults, and a loss of balance is often the precursor to a fall. However, little is known about the rate at which balance declines with age. The objective of the present study was to determine whether there is an age‐associated decline in static (SB) and/or dynamic (DB) balance in community‐dwelling older women. Method SB and DB were determined in 971 older women. Intraclass correlation coefficients (ICC) were used to determine test–retest reliability. Sway velocity was used to measure SB standing on a platform and foam with eyes open and closed. DB was characterized by limits of stability (LOS) that measured end‐point excursion (EXE) and maximum excursion (MXE) of the body's center of pressure. Results ICC for EXE and MXE for the LOS test were excellent (EPE = 0.96, MXE = 0.96). ICC for SB tests, except for the eyes open firm surface condition (ICC = 0.10), showed a high level of reproducibility (ICC = 0.88 and 0.90). Relationships existed between age and SB (r = 0.31, P &lt; 0.001), and between age and DB (r = −0.46–−0.48, P &lt; 0.001). The rate of decline for both DB and SB was approximately 1% per year. Age was significantly associated with all balance measures. DB got significantly lower with advancing age until 80 years, and then plateaued. SB did not decline with age until 80 years, and then decreased significantly thereafter. Conclusion Although large individual variation was found with balance ability, an age‐related decline was found with both dynamic and static balance for Japanese older women. Geriatr Gerontol Int 2014; 14: 556–560.</description><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aging</subject><subject>dynamic balance</subject><subject>Falls</subject><subject>Female</subject><subject>Humans</subject><subject>Japan</subject><subject>limits of stability</subject><subject>Middle Aged</subject><subject>Motor ability</subject><subject>Older people</subject><subject>Postural Balance - physiology</subject><subject>Psychomotor Performance - physiology</subject><subject>Reproducibility of Results</subject><subject>Residence Characteristics</subject><subject>Sex Factors</subject><subject>static balance</subject><subject>sway velocity</subject><subject>Women</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kE9P3DAQxS3UCuiWA1-gitQLHAKZ-F98RAi2qAiQ2qq9WV5nsjJNbLATLfvt62WBA1J98Wj8e2_Gj5BDqE4gn9Pl0p1ADbTeIfvAmCwrrtiH55qVwBuxRz6ldF9VIBXALtmrqVJ1zZp9Yu7MOGL0RegKs8TSpBSsMyO2RYu2dx43L2k0o7OF8bm79mbI9cL0xlssnC9sGIbJu3Fdtivss2ZZhL7FWKzCgP4z-diZPuHByz0jvy4vfp5_K69v51fnZ9el5Rzq0gpqIX-is40SqquAMuRMQsU57RoKSqJqWslbicIKwVqxUFYpLq0ECrShM3K09X2I4XHCNOrBJZv3MR7DlDRwpkBKXvGMfn2H3ocp-rzdhsrDBMvzZ-R4S9kYUorY6YfoBhPXGiq9yV3n3PVz7pn98uI4LQZs38jXoDNwugVWrsf1_530fH71alluFS6N-PSmMPGvFpJKrn_fzPX3m0sm2A-l_9B_JkqZRw</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Takeshima, Nobuo</creator><creator>Islam, Mohammod M</creator><creator>Rogers, Michael E</creator><creator>Koizumi, Daisuke</creator><creator>Tomiyama, Naoki</creator><creator>Narita, Makoto</creator><creator>Rogers, Nicole L</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201407</creationdate><title>Pattern of age-associated decline of static and dynamic balance in community-dwelling older women</title><author>Takeshima, Nobuo ; Islam, Mohammod M ; Rogers, Michael E ; Koizumi, Daisuke ; Tomiyama, Naoki ; Narita, Makoto ; Rogers, Nicole L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5512-c63c1121fc8969f0134e54710553f83197e98d75d7e6c664d6b9c9957c7131383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>aging</topic><topic>dynamic balance</topic><topic>Falls</topic><topic>Female</topic><topic>Humans</topic><topic>Japan</topic><topic>limits of stability</topic><topic>Middle Aged</topic><topic>Motor ability</topic><topic>Older people</topic><topic>Postural Balance - physiology</topic><topic>Psychomotor Performance - physiology</topic><topic>Reproducibility of Results</topic><topic>Residence Characteristics</topic><topic>Sex Factors</topic><topic>static balance</topic><topic>sway velocity</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeshima, Nobuo</creatorcontrib><creatorcontrib>Islam, Mohammod M</creatorcontrib><creatorcontrib>Rogers, Michael E</creatorcontrib><creatorcontrib>Koizumi, Daisuke</creatorcontrib><creatorcontrib>Tomiyama, Naoki</creatorcontrib><creatorcontrib>Narita, Makoto</creatorcontrib><creatorcontrib>Rogers, Nicole L</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics &amp; gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeshima, Nobuo</au><au>Islam, Mohammod M</au><au>Rogers, Michael E</au><au>Koizumi, Daisuke</au><au>Tomiyama, Naoki</au><au>Narita, Makoto</au><au>Rogers, Nicole L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pattern of age-associated decline of static and dynamic balance in community-dwelling older women</atitle><jtitle>Geriatrics &amp; gerontology international</jtitle><addtitle>Geriatrics &amp; Gerontology International</addtitle><date>2014-07</date><risdate>2014</risdate><volume>14</volume><issue>3</issue><spage>556</spage><epage>560</epage><pages>556-560</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim Falling is the leading cause of injury‐related deaths in older adults, and a loss of balance is often the precursor to a fall. However, little is known about the rate at which balance declines with age. The objective of the present study was to determine whether there is an age‐associated decline in static (SB) and/or dynamic (DB) balance in community‐dwelling older women. Method SB and DB were determined in 971 older women. Intraclass correlation coefficients (ICC) were used to determine test–retest reliability. Sway velocity was used to measure SB standing on a platform and foam with eyes open and closed. DB was characterized by limits of stability (LOS) that measured end‐point excursion (EXE) and maximum excursion (MXE) of the body's center of pressure. Results ICC for EXE and MXE for the LOS test were excellent (EPE = 0.96, MXE = 0.96). ICC for SB tests, except for the eyes open firm surface condition (ICC = 0.10), showed a high level of reproducibility (ICC = 0.88 and 0.90). Relationships existed between age and SB (r = 0.31, P &lt; 0.001), and between age and DB (r = −0.46–−0.48, P &lt; 0.001). The rate of decline for both DB and SB was approximately 1% per year. Age was significantly associated with all balance measures. DB got significantly lower with advancing age until 80 years, and then plateaued. SB did not decline with age until 80 years, and then decreased significantly thereafter. Conclusion Although large individual variation was found with balance ability, an age‐related decline was found with both dynamic and static balance for Japanese older women. Geriatr Gerontol Int 2014; 14: 556–560.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>23992248</pmid><doi>10.1111/ggi.12132</doi><tpages>5</tpages></addata></record>
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subjects Age
Age Factors
Aged
Aged, 80 and over
aging
dynamic balance
Falls
Female
Humans
Japan
limits of stability
Middle Aged
Motor ability
Older people
Postural Balance - physiology
Psychomotor Performance - physiology
Reproducibility of Results
Residence Characteristics
Sex Factors
static balance
sway velocity
Women
title Pattern of age-associated decline of static and dynamic balance in community-dwelling older women
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