Aging Clinical and Experimental Research

, Volume 9, Issue 1–2, pp 95–98 | Cite as

One-leg standing balance and functional status in a population of 512 community-living elderly persons

  • B. J. Vellas
  • L. Z. Rubenstein
  • P. J. Ousset
  • C. Faisant
  • V. Kostek
  • F. Nourhashemi
  • M. Allard
  • J. L. Albarede
Original Article

Abstract

The objective of this cross-sectional study (whose baseline data were drawn from a longitudinal population study) was to determine if oneleg standing balance might be a useful marker of functional status in elderly persons independently living in an urban community (N=512, mean age 73±7.0, 71.4% women). One-leg standing balance (ascertained by the Tinetti test) and functional status were obtained from a baseline gerontological assessment and follow-up questionnaires. Correlations were tested between one-leg balance and physical health and functional measurements. One-leg standing balance (OLSB) was abnormal in 24.7% of the population. At least one incapacity in instrumental activities of daily living (IADL) was found in 60.6% of those with OLSB abnormality, vs 45.5% in those with OLSB “adaptive” (borderline abnormal), and 33.3% in those with normal one-leg standing balance (p<0.0001). Multivariate analysis showed 3 independent factors related to one-leg balance abnormality: age >71 years (OR=5.11, CI=1.99–13.10); IADL deficit requiring help with transportation (OR= 3.61; CI= 1.15–11.40); and “poor” health status on the Iowa Self-Assessment Inventory (OR=2.67, CI=1.35–5.27). We conclude that one-leg standing balance may be a simple, predictive and inexpensive marker helpful in screening for low functional level and frailty in clinical practice.

Key words

Balance tests elderly functional status 

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References

  1. 1.
    Vellas B.J., Wayne S.J., Romero L., Baumgartner R.N., Rubenstein L.Z., Garry P.J.: One-leg balance is an important predictor of injurious falls in elderly persons. J. Am. Geriatr. Soc. (in press).Google Scholar
  2. 2.
    Vellas B.J., Garry P.J., Wayne S.J., Baumgartner R.N., Albarede J.L.: A comparative study of falls, gait and balance in elderly persons living in north America (Albuquerque, NM, USA) and Europe (Toulouse, France): methodology and preliminary results. In: Vellas B.J., Toupet M., Rubenstein L.Z., Albarede J.L., Christen Y. (Eds.), Falls, Balance and Gait Disorders in the Elderly. Elsevier, Paris, 1992.Google Scholar
  3. 3.
    Vellas B., Faisant C., Lauque S.: Etude ICARE: Investigation sur la Chute Accidentelle: Recherche Epidemiologique. L’Année Gérontologique 9: 423–436, 1995.Google Scholar
  4. 4.
    Ousset P.J., Ould-Hennia A., Faisant C., Sedeuilh M., Reyes G., Guiterez L., Allard M., Lafont C., Vellas B., Albarede J.L.: Balance Disorders in 267 Healthy Elderly Persons Living in the Community. In: Falls, Gait and Balance Disorders: Facts, Research and Intervention in Gerontology. Springer Publishing Company, New York, 1996, pp. 27–36.Google Scholar
  5. 5.
    Morris W.W., Buckwalter K.C., Cleary T.A., Gilmer J.S., Hartz D.L., Studer M.S.: Refinement of the IOWA Self-Assessment Inventory. Gerontologist 30: 243–248, 1990.PubMedCrossRefGoogle Scholar
  6. 6.
    Lawton M.P., Brody E.M.: Assessment of older people: Selfmonitoring and instrumental activities of daily living. Gerontologist 9: 179–186, 1969.PubMedCrossRefGoogle Scholar
  7. 7.
    Neugarten B., Havighurst R., Tobin S.: The measure of life satisfaction. J. Gerontol. 16: 134–143, 1961.PubMedCrossRefGoogle Scholar
  8. 8.
    Weschsler D.A.: A standardized memory scale for clinical use. J. Psychol. 19: 87–95, 1945.CrossRefGoogle Scholar
  9. 9.
    Tinetti M.E.: Performance-oriented assessment of mobility problems in the elderly. J. Am. Geriatr. Soc. 36: 613–616, 1986.Google Scholar
  10. 10.
    Fiatarone M.A., O’Neill E.F., Doyle N., Clement K.M., Solares G.R., Nelson M.E., Robert S.B., Kehayias J.J., Lipsitz L.A., Evans W.J.: Exercise training and nutritional supplementation for physical frailty in very elderly people. N. Engl. J. Med. 330: 1769–1775, 1994.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Internal Publishing Switzerland 1997

Authors and Affiliations

  • B. J. Vellas
    • 1
  • L. Z. Rubenstein
    • 4
  • P. J. Ousset
    • 1
  • C. Faisant
    • 1
    • 2
  • V. Kostek
    • 1
  • F. Nourhashemi
    • 1
  • M. Allard
    • 3
  • J. L. Albarede
    • 1
  1. 1.Dept. of Internal Medicine and Clinical GerontologyC.H.U. Toulouse-PurpanToulouseFrance
  2. 2.University of the Third AgeToulouseFrance
  3. 3.Ipsen FoundationParisFrance
  4. 4.Geriatric Research Education and Clinical Center (GRECC)Sepulveda VA Medical CenterSepulvedaUSA

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