Skip to main content

Advertisement

Log in

Analysis of the health profiles and prevalence of falls for patients over 65 years of age in a thermal environment

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background

A falls prevention programme has been initiated in balneotherapy at Balaruc-les-Bains.

Aims

To determine the health profiles of subjects who are at risk of falls, over 65 years of age and attending balneotherapy.

Methods

Questionnaires were used to evaluate people on their fear of falling. Fatigue was assessed by visual analog scale as well as by functional status over the past 12 months. EQ-5D-3L, the IPAQ questionnaire and Fried’s frailty scale were all used. Patients’ functional capabilities were tested using the Unipedal stance test, the TUG test, the SPPB, the Tandem walking test and the isometric manual grip strength test.

Results

Out of the 1471 patients (72.45 years ± 5.10), the women (67%) were tested. In the last 12 months, 485 of these 1471 patients fell (33%) and 37% of them suffered a severe injury. 45–50% of these subjects are now in good health. Women had a significantly higher impaired perception of their health than men (0.02 < p < 0.0001). According to Fried’s criteria, 10.2% of the population is considered frail, with a significantly greater number of women (p < 0.0001). Static equilibrium was subnormal (less than 12 s during the TUG). The number of steps in tandem position discriminates individuals and gender as does the speed of moving from A to B and muscular strength.

Conclusions

More than one-third of the subjects (more women than men) aged 65 or older visiting the Balaruc-les-Bains health resort are pre-frail or frail. They all have a recent history of falls, suffer from impaired muscle strength, and have balance and gait disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. American College Sport Medicine position stand (2009) Exercise and physical activity for older adults. Med Sc Sport Exerc 30:992–1008

    Google Scholar 

  2. Netz Y, Zijlstra W (2015) Eurapa moves to open access: research trends and challenges in physical activity in old age. Eur Rev Aging Phys Act 12:1. https://doi.org/10.1186/s115556-015-0149-4

    Article  PubMed  PubMed Central  Google Scholar 

  3. World Health Organisation (2010) Global recommendations on physical activity for health. World Health Organisation, WHO Library Cataloguing-in-Publication Data, Geneva

    Google Scholar 

  4. World Health Organisation (2015) World report on ageing and health. World Health Organisation, WHO Library Cataloguing-in-Publication Data, Geneva

    Google Scholar 

  5. Santos I, Cantista P, Vasconcelos C (2016) Balneotherapy in rheumatoid arthritis-a systematic review. Int J Biometeorol 60:1287–1301. https://doi.org/10.1007/s00484-015-1108-5

    Article  PubMed  Google Scholar 

  6. Verhagen AP, Bierma-Zeinstra SM, Boers M et al (2015) Balneotherapy (or spa therapy) for rheumatoid arthritis. Cochrane Database Syst Rev 4:CD000518. https://doi.org/10.1002/14651858.cd000518.pub2

    Article  Google Scholar 

  7. Branco M, Rêgo NN, Silva PH et al (2016) Bath thermal waters in the treatment of knee osteoarthritis: a randomized controlled clinical trial. Eur J Phys Rehabil Med 52:422–430

    PubMed  Google Scholar 

  8. Karagülle M, Kardeş S, Dişçi R et al (2016) Spa therapy for elderly: a retrospective study of 239 older patients with osteoarthritis. Int J Biometeorol 60:1481–1491

    Article  PubMed  Google Scholar 

  9. Zwolińska J, Weres A, Wyszyńska J (2018) One-year follow-up of spa treatment in older patients with osteoarthritis: a prospective, single group study. Biomed Res Int 2018:7492106. https://doi.org/10.1155/2018/7492106

    Article  PubMed  PubMed Central  Google Scholar 

  10. Masiero S (2008) Thermal rehabilitation and osteoarticular diseases of the elderly. Aging Clin Exp Res 20:189–194

    Article  PubMed  Google Scholar 

  11. Quarto G, Amato B, Serra R et al (2017) The effects of crenotherapy and exercise in peripheral arterial occlusive disease. A comparison with simple exercise training. Ann Ital Chir 88:469–477

    PubMed  Google Scholar 

  12. Cantone E, Maione N, Di Rubbo V et al (2015) Olfactory performance after crenotherapy in chronic rhinosinusitis in the elderly. Laryngoscope 125:1529–1534. https://doi.org/10.1002/lary.25173

    Article  PubMed  Google Scholar 

  13. Dubois O, Salamon R, Germain C et al (2010) Balneotherapy versus paroxetine in the treatment of generalized anxiety disorder. Complement Ther Med 18:1–7. https://doi.org/10.1016/j.ctim.2009.11.003

    Article  PubMed  Google Scholar 

  14. Salamon R, Christine G, Olié JP et al (2008) Evaluation of the effectiveness of crenotherapy in treating generalized anxiety disorder. Sante Publique 20:105–112

    Article  PubMed  Google Scholar 

  15. Bidonde J, Busch AJ, Webber SC et al (2014) Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev 10:CD11336. https://doi.org/10.1002/14651858.cd11336

    Article  Google Scholar 

  16. Blain H, Bernard PL, Canovas G et al (2016) Combining balneotherapy and health promotion to promote active and healthy ageing: the Balaruc-MACVIA-LR® approach. Aging Clin Exp Res 28:1061–1065. https://doi.org/10.1007/s40520-016-0596-4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Bousquet J, Bourquin C, Augé P et al (2014) Macvia-Lr, reference site of the european innovation partnership on active and healthy ageing (eip on aha) in Languedoc Roussillon. Eur Ger Med 5:406–415

    Article  Google Scholar 

  18. Bousquet J, Bourret R, Camuzat T et al (2016) MACVIA-LR (fighting chronic diseases for active and healthy ageing in Languedoc-Roussillon): a success story of the European innovation partnership on active and healthy ageing. J Frailty Aging 5:233–241

    CAS  PubMed  Google Scholar 

  19. Bousquet J, Bewick M, Cano A et al (2017) Building bridges for innovation in ageing: synergies between action groups of the EIP on AHA. J Nutr Health Aging 27:92–104. https://doi.org/10.1007/s12603-016-0803-1

    Article  Google Scholar 

  20. Haute Autorité de Santé (2009) Evaluation et prise en charge des personnes âgées faisant des chutes répétées. Recommandations de bonnes pratiques professionnelles. Haute Autorité de Santé, Saint-Denis

    Google Scholar 

  21. Activité physique et prévention des chutes chez les personnes âgées. Expertise collective. INSERM 2014

  22. Falls. Assessment and prevention of falls in older people. National institute for health and care excellence (NICE). Clinical guideline 161. Centre for clinical practice at NICE 2013

  23. World Health Organisation (OMS). Report on falls prevention in older age 2007

  24. Bohannon RW (2006) Single limb stance times. A descriptive meta-analysis of data from individuals at least 60 years of age (2006). Top Geriatr Rehab 22:70–77

    Article  Google Scholar 

  25. Springer BA, Marin R, Cyhan T et al (2007) Normative values for the unipedal stance test with eyes open and closed. J Ger Phys Ther 30:8–15

    Article  Google Scholar 

  26. Vellas BJ, Rubenstein LZ, Ousset PJ et al (1997) One-leg standing balance and functional status in a population of 512 community-living elderly persons. Aging Clin Exp Res 9:95–98

    Article  CAS  Google Scholar 

  27. Podsiadlo D, Richardson S (1991) The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148

    Article  CAS  PubMed  Google Scholar 

  28. Thompson M, Medley A (1995) Performance of community dwelling elderly on the timed up and go test. Phys Occup Ther Geriatr 13:17–30

    Article  Google Scholar 

  29. Guralnik JM, Simonsick EM, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:85–94

    Article  Google Scholar 

  30. Guralnik JM, Ferrucci L, Pieper CF et al (2000) Lower extremity function and subsequent disability: consistency across studies, predictive models and value of gait speed alone compared with a short physical performance battery. J Gerontol 55:221–231

    Article  Google Scholar 

  31. Lauretani F, Ticinesi A, Gionti L et al (2019) Short-physical performance battery (SPPB) score is associated with falls in older outpatients. Aging Clin Exp Res 31:1435–1442. https://doi.org/10.1007/s40520-018-1082-y

    Article  PubMed  Google Scholar 

  32. El-Khoury F, Cassou B, Latouche A et al (2015) Effectiveness of two year balance training program on prevention of fall induced injuries in at risk women aged 75–85 living in community: ossébo randomised controlled trial. BMJ 351:h3830. https://doi.org/10.1136/bmj.h3830

    Article  PubMed  PubMed Central  Google Scholar 

  33. Fox B, Henwood T, Schaap L et al (2015) Adherence to a standardized protocol for measuring grip strength and appropriate cut-off values in adults over 65 years with sarcopenia: a systematic review protocol. JBI Database Syst Rev Implement Rep 13:50–59. https://doi.org/10.11124/jbisrir-2015-2256

    Article  Google Scholar 

  34. Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319:1701–1707

    Article  CAS  PubMed  Google Scholar 

  35. Campbell AJ, Borrie MJ, Spears GF et al (1990) Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing 19:345–346

    Article  CAS  PubMed  Google Scholar 

  36. Léon C, Beck F Les comportements de santé des 55-85 ans. Analyses du Baromètre santé 2010. Coll. Baromètres santé

  37. Abreu DR, Azevedo RC, Silva AM et al (2016) Factors associated with recurrent falls in a cohort of older adults. Cien Saude Colet 21:3439–3446. https://doi.org/10.1590/1413-812320152111.21512015

    Article  PubMed  Google Scholar 

  38. Bergen G, Stevens MR, Burns ER (2016) Falls and fall injuries among adults aged ≥ 65 Years—United States, 2014. MMWR Morb Mortal Wkly Rep 65:993–998. https://doi.org/10.15585/mmwr.mm6537a2

    Article  PubMed  Google Scholar 

  39. Gazibara T, Kurtagic I, Kisic-Tepavcevic D et al (2017) Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics 17:215–223. https://doi.org/10.1111/psyg.12217

    Article  PubMed  Google Scholar 

  40. Kendrick D, Kumar A, Carpenter H et al (2014) Exercise for reducing fear of falling in older people living in the community. Cochrane Database Syst Rev 28:CD009848. https://doi.org/10.1002/14651858.cd009848.pub2

    Article  Google Scholar 

  41. Alarcão V, Madeira T, Peixoto-Plácido C et al (2018) Gender differences in psychosocial determinants of self-perceived health among Portuguese older adults in nursing homes. Aging Ment Health 23:1049–1056. https://doi.org/10.1080/13607863.2018.1471583

    Article  PubMed  Google Scholar 

  42. Braz IFL, Gomes RAD, Azevedo MS et al (2018) Analysis of cancer perception by elderly people. Einstein 16:eAO4155. https://doi.org/10.1590/s1679-45082018ao4155

    Article  PubMed  PubMed Central  Google Scholar 

  43. Fougner M, Bergland A, Lund A et al (2018) Aging and exercise: perceptions of the active lived-body. Physiother Theory Pract 35:651–662. https://doi.org/10.1080/09593985.2018.1456584

    Article  Google Scholar 

  44. Kojima G (2015) Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis. J Am Med Dir Assoc 16:1027–1033. https://doi.org/10.1016/j.jamda.2015.06.018

    Article  PubMed  Google Scholar 

  45. Kojima G (2016) Frailty as a predictor of hospitalisation among community-dwelling older people: a systematic review and meta-analysis. J Epidemiol Community Health 70:722–729. https://doi.org/10.1136/jech-2015-206978

    Article  PubMed  Google Scholar 

  46. Mohler MJ, Wendel CS, Taylor-Piliae RE et al (2016) Motor performance and physical activity as predictors of prospective falls in community-dwelling older adults by frailty level: application of wearable technology. Gerontology 62:654–664. https://doi.org/10.1159/000445889

    Article  PubMed  PubMed Central  Google Scholar 

  47. Dodds R, Sayer AA (2015) Sarcopenia and frailty: new challenges for clinical practice. Clin Med 15:s88–s91. https://doi.org/10.7861/clinmedicine.15-6-s88

    Article  Google Scholar 

  48. Keevil VL, Romero-Ortuno R (2015) Ageing well: a review of sarcopenia and frailty. Proc Nutr Soc 74:337–347. https://doi.org/10.1017/S0029665115002037

    Article  PubMed  Google Scholar 

  49. Landi F, Cesari M, Calvani R et al (2017) The “Sarcopenia and physical fRailty IN older people: multi-componenT treatment strategies” (SPRINTT) randomized controlled trial: design and methods. Aging Clin Exp Res 29:89–100. https://doi.org/10.1007/s40520-016-0715-2

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank AFRETH for collaboration on this research. The authors are very grateful to Anna Bedbrook for presubmission editorial assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. L. Bernard.

Ethics declarations

Conflict of interest

None.

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standarts. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bernard, P.L., Raffort, N., Aliaga, B. et al. Analysis of the health profiles and prevalence of falls for patients over 65 years of age in a thermal environment. Aging Clin Exp Res 32, 1713–1721 (2020). https://doi.org/10.1007/s40520-019-01381-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-019-01381-6

Keywords

Navigation