Yıl: 2018 Cilt: 21 Sayı: 3 Sayfa Aralığı: 304 - 312 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2018344043 İndeks Tarihi: 03-07-2019

PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY

Öz:
Introduction: Various factors may affect the functional balance of older adults. This studyaimed to investigate the factors associated with functional balance in older adults living in acommunity.Materials and Method: In total, 160 people ≥65 years of age were included in the study.The Cumulative Illness Rating Scale was used for scoring comorbidities. Functional balancewas evaluated with the Activities-specific Balance Confidence scale. The Hospital Anxiety andDepression Scale was used for assessing emotional state. Finally, cognitive status was evaluatedwith the Mini-Mental State Examination. The factors associated with functional balance weredetermined using multivariate logistic regression analysis in patients with lower balanceconfidence.Results: The mean age was 71.3±5.8 years. The group of participants with lower balanceconfidence (Activities-specific Balance Confidence score ≤67) had increased age, height, lowerextremity pain, sleeplessness, falling frequency, hypertension, ischaemic heart disease andanaemia ratios, number of drugs used, female ratio and single living ratio; higher CumulativeIllness Rating Scale, Hospital Anxiety and Depression Scale scores and significantly lower(p<0.05) Mini-Mental State Examination scores. The multivariate reduced model analysisrevealed that age, height, marital status, number of drugs, number of comorbidities and theanxiety score had statistically significant effects (p<0.05) on functional balance.Conclusion: In clinical practice, it will be useful to consider such factors while evaluatingbalance in older adults. In this study, the predictors of balance confidence in older adultsincluded age, height, marital status, number of drugs used, number of comorbidities andanxiety level.
Anahtar Kelime:

Konular: Cerrahi

YAŞLILARDA FONKSİYONEL DENGENİN BELİRLEYİCİLERİ

Öz:
Giriş: Yaşlılarda fonksiyonel dengeyi etkileyebilecek çok sayıda faktör mevcuttur. Bu çalışmanın amacı toplumdaki yaşlılarda fonksiyonel denge ile ilişkili faktörlerin araştırılmasıdır. Gereç ve Yöntem: Çalışmaya dahil edilme kriterlerine uyan 65 yaş ve üzeri olan 160 kişi alındı. Komorbiditelerin değerlendirilmesinde Kümülatif Hastalık Değerlendirme Skalası kullanıldı. Fonksiyonel denge, Aktivitelere-özgü Denge Güven Skalası ile değerlendirildi. Emosyonel durumun değerlendirilmesinde Hastane Anksiyete ve Depresyon Ölçeği kullanıldı. Kognitif durum ise Mini Mental Durum Değerlendirmesi ile değerlendirildi. Denge güveni düşük, düşme riski yüksek olan hastalarda çok değişkenli lojistik regresyon analizi ile fonksiyonel denge ile ilişkili bileşenler belirlendi. Bulgular: Katılımcıların ortalama yaşı 71.3±5.8 yıl idi. Denge güveni düşük olan (ABC skoru≤67) grupta yaş, boy, alt ekstremite ağrısı, uykusuzluk, düşme sıklığı, hipertansiyon, iskemik kalp hastalığı ve anemi oranları, kullanılan ilaç sayısı, bayan cinsiyet, tek başına yaşama oranları daha fazla idi; Kümülatif Hastalık Değerlendirme Skalası, Hastane Anksiyete ve Depresyon Ölçeği skorları anlamlı olarak daha yüksekti, Mini Mental Durum Değerlendirmesi skoru ise anlamlı olarak daha düşüktü (p˂0.05). Çok değişkenli indirgenmiş modelde fonksiyonel denge üzerinde yaş, boy, medeni durum, ilaç sayısı, ek hastalık sayısı, anksiyete düzeyinin anlamlı (p˂0.05) etkinliği gözlenmiştir. Sonuç: Yaşlılarda fonksiyonel denge üzerinde birçok faktörün etkili olabileceği klinik pratik yaklaşımda göz önünde bulundurulmalıdır. Bununla beraber bu çalışmada yaşlılarda denge güveninin belirleyicileri yaş, boy, medeni durum, kullanılan ilaç sayısı, ek hastalık sayısı ve anksiyete düzeyi olarak belirlenmiştir.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Lin HW, Bhattacharyya N. Balance disorders in the elderly: epidemiology and functional impact. Laryngoscope 2012;122(8):1858-61. (PMID:22645067).
  • Roberts DS, Lin HW, Bhattacharyya N. Health care practice patterns for balance disorders in the elderly. Laryngoscope 2013;123(10):2539-43. (PMID:23720236).
  • Burt CW, Fingerhut LA. Injury visits to hospital emergency departments: United States, 1992-95. Vital Health Stat 13 1998;(131):1-76. (PMID:9604689).
  • Johansson J, Nordström A, Gustafson Y, Westling G, Nordström P. Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals. Age Ageing 2017:46(6):964-70. (PMID:28531243).
  • Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med 2002;18(2):141- 58. (PMID:12180240).
  • Granacher U, Gollhofer A, Hortobágyi T, Kressig RW, Muehlbauer T. The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med 2013;43(7):627-41. (PMID:23568373).
  • Melzer I, Benjuya N, Kaplanski J. Postural stability in the elderly: a comparison between fallers and nonfallers. Age Aging 2014;33(6):602-7. (PMID:15501837).
  • Oliveira CC, Lee A, Granger CL, Miller KJ, Irving LB, Denehy L. Postural control and fear of falling assessment in people with chronic obstructive pulmonary disease: a systematic review of instruments, international classification of functioning, disability and health linkage, and measurement properties. Arch Phys Med Rehabil 2013;94(9):1784-99. (PMID:23632285).
  • Myers AM, Fletcher PC, Myers AH, Sherk W. Discriminative and evaluative properties of the activities-specific balance confidence (ABC) scale. J Gerontol A Biol Sci Med Sci 1998;53(4):M287-94. (PMID:18314568).
  • Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and ABC scale for comparing fallers and non-fallers. Arch Gerontol Geriatr 2004;38(1):11-26. (PMID:14599700).
  • Paker N, Bugdayci D, Demircioglu UB, Sabirli F, Ozel S. Reliability and validity of the Turkish version of Activities-specific Balance Confidence scale in symptomatic knee osteoarthritis. J Back Musculoskelet Rehabil 2017;30(3):461-6. (PMID:27858674).
  • Linn BS, Linn MW, Gurel L. Cumulative illness rating scale. J Am Geriatr Soc 1968;16(5):622-6. (PMID:5646906).
  • Miller MD, Paradis CF, Houck PR, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res 1992;41(3):237- 48. (PMID:1594710).
  • Snaith RP. The Hospital Anxiety And Depression Scale. Health Qual Life Outcomes 2003;1:29. (PMID:12914662).
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psikiyatri Derg 1997;8(4):280- 7. (in Turkish).
  • Folstein MF, Folstein SE, McHugh PR. “Mini Mental State”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12(3):189-98. (PMID:1202204).
  • Gungen C, Ertan T, Eker E, Yasar R, Engin F. Reliability and validity of standardized Mini Mental test in mild dementia in Turkish population. Turk Psikiyatri Derg 2002;13(4):273-81. (PMID:12794644).
  • Nakagawa HB, Ferraresi JR, Prata MG, Scheicher ME. Postural balance and functional independence of elderly people according to gender and age: crosssectional study. Sao Paulo Med J 2017;135(3):260-5. (PMID:28746661).
  • Cordeiro RC, Jardim JR, Perracini MR, Ramos LR. Factors associated with functional balance and mobility among elderly diabetic outpatients. Arq Bras Endocrinol Metabol 2009;53(7):834-43. (PMID:19942985).
  • Prata MG, Scheicher ME. Correlation between balance and the level of functional independence among elderly people. Sao Paulo Med J 2012;130(2):97-101. (PMID:22481755).
  • Jácome C, Cruz J, Gabriel R, Figueiredo D, Marques A. Functional balance in older adults with chronic obstructive pulmonary disease. J Aging Phys Act 2014;22(3):357-63. (PMID:23917153).
  • Laflamme L, Monárrez-Espino J, Johnell K, Elling B, Möller J. Type, number or both? A populationbased matched case-control study on the risk of fall injuries among older people and number of medications beyond fall-inducing drugs. PLoS One 2015;10(3):e0123390. (PMID:25815483).
  • Laurence BD, Michel L. The fall in older adults: physical and cognitive problems. Curr Aging Sci 2017;10(3):185-200. (PMID:28874111).
  • Kim SK, Kim YB, Park IS, Hong SJ, Kim H, Hong SM. Clinical analysis of dizzy patients with high levels of depression and anxiety. J Audiol Otol 2016;20(3):174- 8. (PMID:27942604).
  • Patel KV, Phelan EA, Leveille SG, et al. High prevalence of falls, fear of falling, and impaired balance in older adults with pain in the United States: findings from the 2011 National Health and Aging Trends Study. J Am Geriatr Soc 2014;62(10):1844-52. (PMID:25283473).
APA Paker N, Şen E, Buğdaycı D, FERHATOSMANOĞLU A (2018). PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. , 304 - 312. 10.31086/tjgeri.2018344043
Chicago Paker Nurdan,Şen Ekin İlke,Buğdaycı Derya,FERHATOSMANOĞLU Arzu PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. (2018): 304 - 312. 10.31086/tjgeri.2018344043
MLA Paker Nurdan,Şen Ekin İlke,Buğdaycı Derya,FERHATOSMANOĞLU Arzu PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. , 2018, ss.304 - 312. 10.31086/tjgeri.2018344043
AMA Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. . 2018; 304 - 312. 10.31086/tjgeri.2018344043
Vancouver Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. . 2018; 304 - 312. 10.31086/tjgeri.2018344043
IEEE Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A "PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY." , ss.304 - 312, 2018. 10.31086/tjgeri.2018344043
ISNAD Paker, Nurdan vd. "PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY". (2018), 304-312. https://doi.org/10.31086/tjgeri.2018344043
APA Paker N, Şen E, Buğdaycı D, FERHATOSMANOĞLU A (2018). PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. Türk Geriatri Dergisi, 21(3), 304 - 312. 10.31086/tjgeri.2018344043
Chicago Paker Nurdan,Şen Ekin İlke,Buğdaycı Derya,FERHATOSMANOĞLU Arzu PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. Türk Geriatri Dergisi 21, no.3 (2018): 304 - 312. 10.31086/tjgeri.2018344043
MLA Paker Nurdan,Şen Ekin İlke,Buğdaycı Derya,FERHATOSMANOĞLU Arzu PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. Türk Geriatri Dergisi, vol.21, no.3, 2018, ss.304 - 312. 10.31086/tjgeri.2018344043
AMA Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. Türk Geriatri Dergisi. 2018; 21(3): 304 - 312. 10.31086/tjgeri.2018344043
Vancouver Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY. Türk Geriatri Dergisi. 2018; 21(3): 304 - 312. 10.31086/tjgeri.2018344043
IEEE Paker N,Şen E,Buğdaycı D,FERHATOSMANOĞLU A "PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY." Türk Geriatri Dergisi, 21, ss.304 - 312, 2018. 10.31086/tjgeri.2018344043
ISNAD Paker, Nurdan vd. "PREDICTORS OF FUNCTIONAL BALANCE IN OLDER ADULTS LIVING IN A COMMUNITY". Türk Geriatri Dergisi 21/3 (2018), 304-312. https://doi.org/10.31086/tjgeri.2018344043