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Percentage height of center of mass is associated with the risk of falls among elderly women: A case-control study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Almeida, Cláudio W. L. Castro, Charlles H. M. Pedreira, Paulo G. Heymann, Roberto E. Szejnfeld, Vera L.
Description	Country affiliation: Brazil Author Affiliation: Almeida CW ( Rheumatology Division, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil.)
Abstract	Falls are a serious health problem for aged people, causing social and economic burden. Despite being an important determinant of balance, the positioning of the center of mass (COM) has not been evaluated as a risk factor for falls. This study examined the association between the percentage height of COM (%COM) and the risk of falls in the elderly. Healthy women aged 60 years and older were consecutively selected in a case-control study. Forty-eight individuals classified as 'fallers' (having suffered two or more falls in the previous year) were the cases while 48 age and weight-matched women with one fall or no falls in the previous year were the controls ('non-fallers'). Body composition and bone mineral density (BMD) by DXA, 30-second chair stand test, abdominal circumference, Berg's balance scale and %COM using the reaction board method were evaluated in all participants. Body composition parameters were not significantly different between groups. Spine and hip BMD tended to be lower in the fallers, but the difference was significant only at the femoral neck (0.80±0.10g/cm(2) versus 0.87±0.76g/cm(2); p<0.01). Berg's balance scale scores were lower among fallers than non-fallers (p<0.05). Percentage height of COM was significantly higher among fallers (p<0.001) and this was associated with a higher number of fractures (p<0.05). Percentage height of COM is significantly higher in the elderly with frequent falls. Further work is needed in order to determine the value of board reaction measurements in a clinical setting to identify patients at high risk.
File Format	HTM / HTML
ISSN	09666362
Issue Number	2
Volume Number	34
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2011-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Body Mass Index Body Composition Discipline Orthopedics Bone Density Humans Risk Factors Journal Article Physiopathology Case-control Studies Spinal Fractures Female Physiology Aged Muscle Strength Accidental Falls Postural Balance Osteoporotic Fractures
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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