Abstract
Background and aims: Many studies have reported a greater frequency of falls among older women than men in conditions which stress balance. Previously, we found an improvement in static balance in older women with an increased support surface area and equal load redistribution on both feet, in response to a dynamic balance training protocol. The aim of the present study was to examine whether the same training program and body composition would have effects on the postural control of older overweight women. Methods: Ten healthy women (68.67±5.50 yrs; 28.17±3.35 BMI) participated in a five-week physical activity program. This included dynamic balance exercises, such as heel-to-toe walking in different directions, putting their hands on their hips, eyes open (EO) or closed (EC), with a tablet on their heads, going up and down one step, and walking on a mat. Postural stability was assessed before and after training with an optoelectronic platform and a uni-pedal balance performance test. Body composition of the trunk, upper limbs and lower limbs was measured by bio-impedance analysis. Results: The mean speed (MS), medial-lateral MS (MS-x), anterior-posterior MS (MS-y), sway path (SP) and ellipse surface area (ESA) of the pressure center was reduced after training in older women. However, only MS; MS-x, MS-y and SP significantly decreased in bipodalic conditions with EO and MS-y also with EC (p<0.05). Instead, in monopodalic conditions, we found a significant reduction in the ESA of both feet with EO and EC. These data were associated with a significant increase in the lean mass of lower limbs and a higher number of participants who improved their ability to maintain unipedal static balance. Conclusions: Our dynamic balance training protocol appears to be feasible, safe and repeatable for older overweight women and to have positive effects in improving their lateral and anterior-posterior postural control, mainly acting on the visual and skeletal muscle components of the balance control system.
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References
Baloh RW, Ying SH, Jacobson KM. A longitudinal study of gait and balance dysfunction in normal older people. Arch Neurol 2003; 60: 835–9.
Faulkner JA, Larkin LM, Claflin DR, Brooks SV. Age-related changes in the structure and function of skeletal muscles. Clin Exp Pharmacol Physiol 2007; 34: 1091–6.
Maki BE, Holliday PJ, Topper AK. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. J Gerontol 1994; 49: M72–84.
Blaszczyk JW, Cieslinska-Swider J, Plewa M, Zahorska-Markiewicz B, Markiewicz A. Effects of excessive body weight on postural control. J Biomech 2009; 42: 1295–300.
Hytönen M, Pyykkö I, Aalto H, Starck J. Postural control and age. Acta Otolaryngol 1993; 113: 119–22.
Fernie GR, Gryfe CI, Holliday PJ, Llewellyn A. The relationship of postural sway in standing to the incidence of falls in geriatric subjects. Age Ageing 1982; 11: 11–6.
Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988; 319: 1701–7.
Sattin RW, Lambert Huber DA, DeVito CA et al. The incidence of fall injury events among the elderly in a defined population. Am J Epidemiol 1990; 131: 1028–37.
Wolfson L, Whipple R, Derby CA, Amerman P, Nashner L. Gender differences in the balance of healthy elderly as demonstrated by dynamic posturography. J Gerontol 1994; 49: M160–7.
Butler AA, Menant JC, Tiedemann AC, Lord SR. Age and gender differences in seven tests of functional mobility. J Neuroeng Rehabil 2009; 6: 31.
Howe TE, Rochester L, Jackson A, Banks PM, Blair VA. Exercise for improving balance in older people. Cochrane Database Syst Rev 2007; 4: CD004963.
Brown M, Holloszy JO. Effects of a low intensity exercise program on selected physical performance characteristics of 60- to 71-year olds. Aging 1991; 3: 129–39.
Perrin PP, Gauchard GC, Perrot C, Jeandel C. Effects of physical and sporting activities on balance control in elderly people. Br J Sports Med 1999; 33: 121–6.
Puggaard L. Effects of training on functional performance in 65-, 75- and 85-year-old women: experiences deriving from community-based studies in Odense, Denmark. Scand J Med Sci Sports 2003; 13: 70–6.
Orr R, Raymond J, Fiatarone Singh M. Efficacy of progressive resistance training on balance performance in older adults: a systematic review of randomized controlled trials. Sports Med 2008; 38: 317–43.
Piirtola M, Era P. Force platform measurements as predictors of falls among older people — a review. Gerontology 2006; 52: 1–16.
Pajala S, Era P, Koskenvuo M, Kaprio J, Tormakangas T, Rantanen T. Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63–76 years. J Gerontol 2008; 63A: 171–8.
Battaglia G, Bellafiore M, Bianco A, Paoli A, Palma A. Effects of a dynamic balance training protocol on the podalic support in older women. Aging Clin Exp Res 2010; 22: 406–11.
Bedogni G, Malavolti M, Severi S et al. Accuracy of an eight-point tactile-electrode impedance method in assessment of body water. Eur J Clin Nutr 2002; 56: 1143–8.
Baker MK, Atlantis E, Fiatarone Singh MA. Multi-modal exercise programs for older adults. Age Ageing 2007; 36: 375–81.
Rogers ME, Fernandez JE, Bohlken RM. Training to reduce postural sway and increase functional reach in the elderly. J Occup Rehabil 2001; 11: 291–8.
Hue OA, Seynnes O, Ledrole D, Colson SS, Bernard PL. Effects of a physical activity program on postural stability in older people. Aging Clin Exp Res 2004; 16: 356–62.
Whipple R, Wolfson L, Derby C, Singh D, Tobin J. Altered sensory function and balance in older persons. J Gerontol 1993; 48: 71–6.
Winter DA, Prince F, Frank JS, Powell C, Zabjek KF. Unified theory regarding A-P and M-L balance in quiet stance. J Neurophysiol 1996; 75: 2334–43.
Lord SR, Menz HB. Visual contributions to postural stability in older adults. Gerontology 2000; 46: 306–10.
Choy NL, Brauer S, Nitz J. Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci 2003; 58: 525–30.
Hurvitz EA, Richardson JK, Werner RA, Ruhl AM, Dixon MR. Unipedal stance testing as an indicator of fall risk among older outpatients. Arch Phys Med Rehabil 2000; 81: 587–91.
Hue O, Simoneau M, Marcotte J et al. Body weight is a strong predictor of postural stability. Gait Posture 2006; 26: 32–8.
Teasdale N, Hue O, Marcotte J et al. Reducing weight increases postural stability in obese and morbid obese men. Int J Obes (London) 2007; 31: 153–60.
Young Y, Myers AH, Provenzano G. Factors associated with time to first hip fracture. J Aging Health 2001; 13: 511–26.
Lexell J. Human aging, muscle mass, and fiber type composition. J Gerontol A Biol Sci Med Sci 1995; 50: 11–6.
Horlings CG, van Engelen BG, Allum JH, Bloem BR. A weak balance: the contribution of muscle weakness to postural instability. Nat Clin Pract Neurol 2008; 4: 504–15.
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Bellafiore, M., Battaglia, G., Bianco, A. et al. Improved postural control after dynamic balance training in older overweight women. Aging Clin Exp Res 23, 378–385 (2011). https://doi.org/10.1007/BF03337762
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DOI: https://doi.org/10.1007/BF03337762