Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers
Background: Falling is a major public health concern of elderly people. We aimed to determine if lean mass and spatiotemporal gait parameters could predict the risk of falling in elderly women and also study the relationships between lean mass and gait characteristics. Methods: Twenty-four community...
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doaj-304dc52d1e294757976fbd2f14de699a2021-09-09T13:49:44ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-01103924392410.3390/jcm10173924Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-FallersYu-Ching Lin0Ing-Jy Tseng1Yi-Chien Lu2Shao-Wei Yang3Chia-Chi Wu4Yen-Nung Lin5Wing P. Chan6Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Keelung and Chang Gung University, Tayoun 33001, TaiwanSchool of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei 11031, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 11696, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 11696, TaiwanDepartment of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDepartment of Physical Medicine and Rehabilitation, Wan-Fang Hospital, Taipei Medical University, Taipei 11696, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 11696, TaiwanBackground: Falling is a major public health concern of elderly people. We aimed to determine if lean mass and spatiotemporal gait parameters could predict the risk of falling in elderly women and also study the relationships between lean mass and gait characteristics. Methods: Twenty-four community women were prospectively recruited (mean age, 72.30 ± 5.31 years). Lean mass was measured using dual-energy fan-beam X-ray absorptiometry. Gait characteristics were assessed using spatiotemporal analysis. Fall risks were assessed using the Berg Balance Scale (BBS) and the Falls Efficacy Scale-International. Fall histories were recorded. Appropriate statistical analyses were applied to determine lean mass and gait characteristics in predicting the risk of fall and the associations between lean mass and gait characteristics. Results: There were 14 participants (58.33%) with fall histories. Patients with fall histories had a significantly narrower base of support and lower BBS score. However, only the base of support was significantly associated with fall risk (odds ratio, 0.415; <i>p</i> = 0.022). Lean mass was significantly negatively associated with proportion of swing phase and positively associated with proportions of stance and double-support phases. Conclusion: Fall risk among elderly women can be predicted using base of support, where a narrower base predicts a greater fall risk. Although the lean mass was not related to risk of fall, lean mass is still related to some gait characteristics.https://www.mdpi.com/2077-0383/10/17/3924lean muscle massgait parametersfall riskolder women |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Ching Lin Ing-Jy Tseng Yi-Chien Lu Shao-Wei Yang Chia-Chi Wu Yen-Nung Lin Wing P. Chan |
spellingShingle |
Yu-Ching Lin Ing-Jy Tseng Yi-Chien Lu Shao-Wei Yang Chia-Chi Wu Yen-Nung Lin Wing P. Chan Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers Journal of Clinical Medicine lean muscle mass gait parameters fall risk older women |
author_facet |
Yu-Ching Lin Ing-Jy Tseng Yi-Chien Lu Shao-Wei Yang Chia-Chi Wu Yen-Nung Lin Wing P. Chan |
author_sort |
Yu-Ching Lin |
title |
Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers |
title_short |
Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers |
title_full |
Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers |
title_fullStr |
Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers |
title_full_unstemmed |
Muscle Mass and Gait Characteristics in Older Women Fallers vs. Non-Fallers |
title_sort |
muscle mass and gait characteristics in older women fallers vs. non-fallers |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-08-01 |
description |
Background: Falling is a major public health concern of elderly people. We aimed to determine if lean mass and spatiotemporal gait parameters could predict the risk of falling in elderly women and also study the relationships between lean mass and gait characteristics. Methods: Twenty-four community women were prospectively recruited (mean age, 72.30 ± 5.31 years). Lean mass was measured using dual-energy fan-beam X-ray absorptiometry. Gait characteristics were assessed using spatiotemporal analysis. Fall risks were assessed using the Berg Balance Scale (BBS) and the Falls Efficacy Scale-International. Fall histories were recorded. Appropriate statistical analyses were applied to determine lean mass and gait characteristics in predicting the risk of fall and the associations between lean mass and gait characteristics. Results: There were 14 participants (58.33%) with fall histories. Patients with fall histories had a significantly narrower base of support and lower BBS score. However, only the base of support was significantly associated with fall risk (odds ratio, 0.415; <i>p</i> = 0.022). Lean mass was significantly negatively associated with proportion of swing phase and positively associated with proportions of stance and double-support phases. Conclusion: Fall risk among elderly women can be predicted using base of support, where a narrower base predicts a greater fall risk. Although the lean mass was not related to risk of fall, lean mass is still related to some gait characteristics. |
topic |
lean muscle mass gait parameters fall risk older women |
url |
https://www.mdpi.com/2077-0383/10/17/3924 |
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