Key result
Obesity was identified as a risk factor for falling in older adults, with obese fallers demonstrating significantly higher sway area and ranges.
Why the study?
Does obesity affect postural balance and serve as an indicator of fall risk in community-dwelling older adults?
RCT (n=98)
randomly assigned
Does obesity affect postural balance and serve as an indicator of fall risk in community-dwelling older adults?
Obesity is an additional risk factor for falling in older adults and is associated with quantifiable detriments in postural control and dynamic balance.
Obesity may signal higher fall risk via impaired balance in older adults; leaves open need for prospective validation before practice change.
Postural control is a key aspect in preventing falls. The aim of this study was to determine if obesity affected balance in community-dwelling older adults and serve as an indicator of fall risk. The participants were randomly assigned to receive a comprehensive geriatric assessment followed by a longitudinal assessment of their fall history. The standing postural balance was measured for 98 participants with a Body Mass Index (BMI) ranging from 18 to 63 kg/m², using a force plate and an inertial measurement unit affixed at the sternum. Participants' fall history was recorded over 2 years and participants with at least one fall in the prior year were classified as fallers. The results suggest that body weight/BMI is an additional risk factor for falling in elderly persons and may be an important marker for fall risk. The linear variables of postural analysis suggest that the obese fallers have significantly higher sway area and sway ranges, along with higher root mean square and standard deviation of time series. Additionally, it was found that obese fallers have lower complexity of anterior-posterior center of pressure time series. Future studies should examine more closely the combined effect of aging and obesity on dynamic balance.
No takes yet. Share an insight, caveat, or question.
Frames et al. (2018) conducted an RCT in Fall risk (n=98). Obesity (high BMI) vs. Non-obese was evaluated on Fall history and standing postural balance. Obesity was identified as a risk factor for falling in older adults, with obese fallers demonstrating significantly higher sway area and ranges.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: