Balance ability of the community-based elders in Amphawa district
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Abstract
Background: Loss of balance is one of the major problem in the elderly leading to fall and fracture, which affect their quality of life.
Objectives: To determine balancing ability in community-based elderly and related factors.
Methods: This retrospective cross-sectional study was performed in the elderly living in Amphawa district, Samut Songkhram. Two hundred and thirty-four elders were evaluated balance ability by standing with a narrow base, tandem standing and standing on one foot. Balance was classified into 6 grades according to SIDE (The Standing test for Imbalance and Disequilibrium). The prevalence of abnormal balance was reported in different sex and age groups. Factors related to balance were analyzed including age, sex, BMI, history of knee OA, history of back pain, history of falls in the previous year and OSTA (Osteoporosis Self Assessment Tool for Asian) index.
Results: The prevalence of abnormal balance was 18% (95%CI: 13.6, 23.4), female more than male (19.5% vs. 13.3%). This prevalence showed an increasing trend with age (7.8% in 60-69 years, 29.3% in 70-79 years, and 33.3% in age ≥ 80 years). After adjusted by using multivariate analysis, age was the only independently correlated with abnormal balance in the elderly (age 70-79 years with adjusted odd ratio of 5.29 (95%CI: 2.23, 12.56) and age more than 80 years with adjusted odd ratio of 7.18 (95%CI: 1.99, 25.95).
Conclusion: Abnormal balance is important problem found in the community-dwelling elderly. It shows increasing trend with increasing age. Elderly should be screened for balancing ability in order to prevent falling and fracture in the future.
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References
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