Health, balance, and walking as correlates of climbing steps.

The aim of this study was to investigate walking and health among woman age 75 yr or older, in the associations between the highest step up performed without support by an individual and balance, walking, and health among women age 75+. Records of the highest step, balance, walking, and health were made for 307 women age 75-93 yr living in the community. Eighty percent managed to climb steps higher than 20 cm. There was a statistically significant negative relationship between age and stair-climbing capacity. The highest steps registered were significantly and independently associated with a short time on the timed up-and-go test, long functional reach, low body weight, lack of perceived difficulty walking outdoors, low number of "missteps" when walking in a figure of 8, longer time in one-leg stance, ability to carry out tandem stance, no walking aids outdoors, and not being afraid of falling. These variables together explained 67% of the variance in the step-height score.

[1]  Marianne B van Iersel,et al.  Is stair negotiation measured appropriately in functional assessment scales? , 2003, Clinical rehabilitation.

[2]  L. E. Powell,et al.  The Activities-specific Balance Confidence (ABC) Scale. , 1995, The journals of gerontology. Series A, Biological sciences and medical sciences.

[3]  M. Nevitt,et al.  Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis. , 1997, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[4]  Validity of an Index of Self-reported Walking for Balance and Falls in Elderly Women , 2002 .

[5]  J P Miller,et al.  The prevalence and correlates of fear of falling in elderly persons living in the community. , 1994, American journal of public health.

[6]  S. Studenski,et al.  Functional reach: a new clinical measure of balance. , 1990, Journal of gerontology.

[7]  Douglas G. Altman,et al.  Practical statistics for medical research , 1990 .

[8]  Julie F. Pallant,et al.  SPSS Survival Manual , 2020 .

[9]  Reliability of the modified figure of eight--a balance performance test for elderly women , 2003 .

[10]  D. Goldberg.  Identifying psychiatric illness among general medical patients. , 1985, British medical journal.

[11]  K. Fontaine,et al.  Can Inexpensive Signs Encourage the Use of Stairs? Results from a Community Intervention , 1998, Annals of Internal Medicine.

[12]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[13]  M. Bird,et al.  The Aging Mover: A Preliminary Report on Constraints to Action , 1992, International journal of aging & human development.

[14]  J. Williamson,et al.  Characterization of Older Adults Who Attribute Functional Decrements to “Old Age” , 1996, Journal of the American Geriatrics Society.

[15]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[16]  M. Thorslund,et al.  The Relationship Between Different Survey Measures of Health in an Elderly Population , 1993 .

[17]  G. Jarnlo,et al.  Balance training in 70-year-old women , 1991 .

[18]  K. Engedal,et al.  The Mini‐Mental State Examination: Identifying the Most Efficient Variables for Detecting Cognitive Impairment in the Elderly , 1992, Journal of the American Geriatrics Society.

[19]  Gerda G. Fillenbaum,et al.  Multidimensional Functional Assessment of Older Adults: The Duke Older Americans Resources and Services Procedures , 1988 .

[20]  U. Sonn,et al.  Functional balance tests in 76-year-olds in relation to performance, activities of daily living and platform tests. , 1995, Scandinavian journal of rehabilitation medicine.

[21]  Astrid Bergland,et al.  Predictors of falls in the elderly by location , 2003, Aging clinical and experimental research.

[22]  H. Menz,et al.  Falls in Older People: Risk Factors and Strategies for Prevention , 2000 .

[23]  D W Smith,et al.  A Study of Stairs in the Housing of Independently-Living Elderly People , 1994, International journal of aging & human development.

[24]  L. Portney,et al.  Foundations of Clinical Research , 1993 .

[25]  M S Roys,et al.  Serious stair injuries can be prevented by improved stair design. , 2001, Applied ergonomics.

[26]  J. Manson,et al.  Lower levels of physical functioning are associated with higher body weight among middle-aged and older women , 1998, International Journal of Obesity.

[27]  M. Woollacott,et al.  Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. , 2000, Physical therapy.

[28]  P. Cesari,et al.  A common perceptual parameter for stair climbing for children, young and old adults. , 2003, Human movement science.

[29]  H. Lach.  Incidence and risk factors for developing fear of falling in older adults. , 2005, Public health nursing.

[30]  D L Gill,et al.  The relationship of self-efficacy and perceived well-being to physical activity and stair climbing in older adults. , 1994, Research quarterly for exercise and sport.

[31]  R. Kane,et al.  Assessing older persons : measures, meaning, and practical applications , 2000 .

[32]  Peter R Cavanagh,et al.  A comparison of foot/ground interaction during stair negotiation and level walking in young and older women , 2005, Ergonomics.

[33]  Peter R Cavanagh,et al.  Stair Performance in People Aged 75 and Older , 2004, Journal of the American Geriatrics Society.

[34]  A. Drewnowski,et al.  Journals of Gerontology , 2001 .

[35]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[36]  C. Granger,et al.  Functional independence staging: conceptual foundation, face validity, and empirical derivation. , 2003, Archives of physical medicine and rehabilitation.

[37]  M. Woollacott,et al.  Motor Control: Translating Research into Clinical Practice , 2006 .

[38]  G. Baer,et al.  Stepping onto a single step: a kinematic study. , 2005, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[39]  S. Zimmerman,et al.  Proxy reporting in five areas of functional status. Comparison with self-reports and observations of performance. , 1997, American journal of epidemiology.

[40]  P. Cavanagh,et al.  Stair Negotiation in Older People: A Review , 2000, Journal of the American Geriatrics Society.

[41]  G. Grimby,et al.  Assessment of physical activity, fitness and performance in 76‐year‐olds , 1994 .

[42]  A. Bergland,et al.  Risk factors for serious fall related injury in elderly women living at home , 2004, Injury Prevention.

[43]  S. Blanton,et al.  Standing Balance and Function over the Course of Acute Rehabilitation , 1997 .

[44]  B. J. Mcfayden.  An Integrated Biomechanical Analysis of Normal Stair Ascent and Descent , 1988 .

[45]  D Hemenway,et al.  The incidence of stairway injuries in Austria. , 1994, Accident; analysis and prevention.