One-leg standing balance and functional status in a population of 512 community-living elderly persons
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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 wordsBalance tests elderly functional status
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- 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.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.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.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
- 9.Tinetti M.E.: Performance-oriented assessment of mobility problems in the elderly. J. Am. Geriatr. Soc. 36: 613–616, 1986.Google Scholar