The falling risk and physical fitness in older people.

Aims of this study was to analyze the correlation between the falling risk and their physical fitness, determining the top parameters affecting the falling risk, and preparing an evaluation procedure for the medical department working on this issue for the old people in retirement homes. This study includes 60 persons whose mean age was 73.3+/-6.6 years. Their demographic characteristics, cognitive function, their balance, falling risk and their physical fitness level have been evaluated. A survey has been done to determine their demographic features. The cognitive function was determined using mini-mental state examination (MMSE) test; for falling risk the Berg balance test (BBT) and balance by standing on one foot test were used, and the physical fitness was determined by senior fitness test (SFT). While the BBT correlation between chair stand, arm curl and 2-min step test are positive; but the correlation between BBT and '8-foot up-and-go test' were negative. However, there was no correlation between the BBT and chair sit-and-reach test, back scratch test (p>0.05). Due to the results of logistic regression models in order to find out the variations affecting the falling risk most, it has been showed that '8-foot up-and-go test' was reliable. Additionally the subjects probability performing the '8-foot up-and-go' before 8.14s was OR=11 (95% confidence interval=95%CI=2.25-53.84) times more with maximum 56 points in BBT. We have shown that the falling risk increases with declining of upper and lower extremity muscle strength, aerobic endurance, agility and dynamic balance performance. Agility and dynamic balance performance were mostly relevant with falling risk. We concluded that the old persons' falling risk and physical fitness level should be evaluated in some intervals. According to their falling risks and physical fitness level, the rehabilitation programs should be programmed to decrease their falling risk, and to increase lower and upper extremity muscle strength, aerobic endurance and especially their agility and dynamic balance performance.

[1]  Mark W Rogers,et al.  Lateral Stability and Falls in Older People , 2003, Exercise and sport sciences reviews.

[2]  A. Shumway-cook,et al.  Predicting the probability for falls in community-dwelling older adults. , 1997, Physical therapy.

[3]  M. Rogers,et al.  Methods to assess and improve the physical parameters associated with fall risk in older adults. , 2003, Preventive medicine.

[4]  C. Jessie Jones,et al.  Senior Fitness Test Manual , 2001 .

[5]  R. Newton,et al.  Use of the Berg Balance Test to predict falls in elderly persons. , 1996, Physical therapy.

[6]  A. Tennant,et al.  Preliminary study to evaluate the validity of the mini-mental state examination in a normal population in Turkey , 2005, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[7]  B. E. Maki,et al.  A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. , 1994, Journal of gerontology.

[8]  S. Buchholz,et al.  Physical fitness assessment of older adults in the primary care setting , 2009, Journal of the American Academy of Nurse Practitioners.

[9]  J. Judge,et al.  Balance improvements in older women: effects of exercise training. , 1993, Physical therapy.

[10]  I. Melzer,et al.  Postural stability in the elderly: a comparison between fallers and non-fallers. , 2004, Age and ageing.

[11]  L. Lipsitz,et al.  Causes and correlates of recurrent falls in ambulatory frail elderly. , 1991, Journal of gerontology.

[12]  R. Helme,et al.  A falls and balance clinic for the elderly. , 1994, Physiotherapy Canada. Physiotherapie Canada.

[13]  Öznur,et al.  THE FREQUENCY OF FALLS IN ELDERLY INDIVIDUALS LIVING IN NARLIDERE REST HOME AND THE EVULATION OF THE AFFECTING FACTORS , 2004 .

[14]  L. K. Boulgarides,et al.  Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. , 2003, Physical therapy.

[15]  K. Gill-Body,et al.  Determinants of balance confidence in community-dwelling elderly people. , 2003, Physical therapy.

[16]  E. Culham,et al.  Lower-extremity muscle force and balance performance in adults aged 65 years and older. , 1999, Physical therapy.

[17]  Descriptive analysis of variables theoretically associated to the risk of falls in elder women , 2005 .

[18]  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.

[19]  S. Studenski,et al.  Functional reach: predictive validity in a sample of elderly male veterans. , 1992, Journal of gerontology.

[20]  Y. Lajoie,et al.  Comparison of the reaction time, the Berg Scale and the ABC in non-fallers and fallers. , 2002, Archives of gerontology and geriatrics.

[21]  J. VanSwearingen,et al.  Physical impairment and disability: relationship to performance of activities of daily living in community-dwelling older men. , 2002, Physical therapy.

[22]  M. Beers,et al.  The Merck Manual of Geriatrics , 1995 .

[23]  E Glucksman,et al.  Falls in the elderly: what can be done? , 2000, The Medical journal of Australia.