Factors related to falls in active women over 50 years old: associated clinical and functional aspects Abstract
DOI: 10.15343/0104-7809.202044183192
Keywords:
Health of the Elderly. Adult Health. Postural balance. Muscle strength.Abstract
Falling is a public health problem as it results in physical, psychosocial and economic damage. Identifying factors related to
the risk of falling in a given population allows for the development of more specific preventive activities. The objective of this
study was to associate clinical and functional characteristics with the recent history of falls in middle-aged and elderly women.
A total of 152 physically active women participated in the study, 50 of whom have reported one or more falls in the last twelve
months. Self-reported clinical comorbidities and motor functionality were verified using the 30’’ Chair Stand Test (30CST) and
the Balance Evaluation System Test (BESTest). Spearman correlation and a logistic regression analysis with the forward stepwise
method were applied, considering p≤0.05. Age was inversely correlated with all BESTest items. Independent variables that
were predictors of past falls were: number of comorbidities (p=0.017), performing 8 repetitions or less in the 30CST (p=0.036),
having a score of 86.7% (13 points) or less in BESTest I (p=0.038), with a score of 73.3% (11 points) or less in BESTest V (p=0.050).
There was an association between a history of falls and changes in muscle strength of the lower limbs and postural balance,
related to biomechanical restrictions and sensory orientation in women in the study’s age group. It is concluded that, women
over 50 years old, physically active, with a history of falls, demonstrate that the number of comorbidities and the lower motor
performance are factors associated with the risk of falling.
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References
1. Canhada S, Prato F, Maffei S, Ii DA, Aparecido M, Cabrera S. Frequência e fatores associados a quedas em adultos com 55 anos e mais.
Rev Saude Publica. 2017;51:1–11.
2. Buksman S, Vilela ALS, Pereira SRM, Lino VS, Santos VH. Sociedade Brasileira de Geriatria e Gerontologia. Projeto Diretrizes: quedas
em idosos: prevenção. São Paulo: Associação Médica Brasileira, Conselho Federal de Medicina; 2008. Disponível em: https://sbgg.org.br/
publicacoes-cientificas/diretrizes-e-guidelines/
3. Maia BC, Viana PS, Arantes PMM, Alencar MA. Consequências das quedas em idosos vivendo na comunidade. Rev Bras Geriatr e Gerontol.
2011;14(2):381–93.
4. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–
7.
5. Lee A, Lee KW, Khang P. Preventing falls in the geriatric population. Perm J. 2013;17(4):37–9.
6. Dionyssiotis Y. Analyzing the problem of falls among older people. Int J Gen Med. 2012;5:805–13.
7. Downton JH, Andrews K. Prevalence, characteristics and factors associated with falls among the elderly living at home. Aging Clin Exp
Res. 1991;3(3):219–28.
8. Pasquetti P, Apicella L, Mangone G. Pathogenesis and treatment of falls in elderly. Clin Cases Miner Bone Metab. 2014;11(3):222–5.
9. Applebaum E V., Breton D, Feng ZW, Ta AT, Walsh K, Chassé K, et al. Modified 30-second Sit to Stand test predicts falls in a cohort of
institutionalized older veterans. PLoS One. 2017;12(5):1–13.
10. Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span.
Isokinet Exerc Sci. 2010;18(4):235–40.
11. Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to Differentiate Balance Deficits. Phys Ther. 2009;89(5):484–
98.
12. Dos Santos SCA, de Figueiredo DMP. Predictors of the fear of falling among community-dwelling elderly Portuguese people: An
exploratory study. Cienc e Saude Coletiva. 2019;24(1):77–86.
13. Santos Nascimento J, Mara D, Tavares S. Prevalência e fatores associados a quedas em idosos prevalence and factors associated with
falls in the elderly. Artig Orig Texto Context Enferm. 2016;25(2):1–9.
14. Garman CR, Franck CT, Nussbaum MA, Madigan ML. A bootstrapping method to assess the influence of age, obesity, gender, and gait
speed on probability of tripping as a function of obstacle height. J Biomech. 2015;48(6):1229–32.
15. Gervásio FM, Santos GA, Ribeiro DM, Menezes RL de. Medidas temporoespaciais indicativas de quedas em mulheres saudáveis entre 50
e 70 anos avaliadas pela análise tridimensional da marcha. Fisioter e Pesqui. 2016;23(4):358–64.
16. Instituto Brasileiro de Geografia e Estatística (IBGE). Síntese de indicadores sociais: uma análise das condições de vida da população
brasileira. Coordenação de População e Indicadores Sociais. Rio de Janeiro: IBGE; 2016.
17. Santos RG dos, Tribess S, Meneguci J, Bastos LLA da G, Damiao R, Junior JSV. Força de membros inferiores como indicador de
incapacidade funcional em idosos. Motriz Rev Educ Fis. 2013;19(3):35–42.
18. Maia AC. Tradução e adaptação para o português - Brasil do Balance Evaluation Systems Test e do Minibestest e análise de suas
propriedades psicométricas em idosos e indivíduos com doença de parkinson. Universidade Federal de Minas Gerais; 2012. Disponível
em: http://dspace.lcc.ufmg.br/dspace/bitstream/1843/BUOS-8VXGHG/1/disserta__o_ang_lica_campos_maia.pdf
19. Anson E, Thompson E, Ma L, Jeka J. Reliability and fall risk detection for the BESTest and Mini-BESTest in older adults. J Geriatr Phys Ther.
2019;42(2):81–5.
20. Franciulli PM, Souza PA, Soares PNC, Silva VN, Severino YTN, dos Santos YG, et al. Comparison of the risk of falls between elderly people
who practice physical exercises and who are sedentary and the relationship between balance and muscle strength variables. O Mundo da
Saúde. 2019;43(2):360–73.
21. Long RS. Regression models for categorical and limited dependent variables: advanced quantitative techniques in the social sciences.
Vol. 7, Sage Publications. 1997.
22. Chaves MLF. Testes de avaliação cognitiva : Mini-Exame do Estado Mental. 2008. Disponível em: http://www.cadastro.abneuro.org/site/
arquivos_cont/8.pdf
23. Brucki SMD, Nitrin R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq
Neuropsiquiatr. 2003;61(3 B):777–81.
24. Ribeiro DM, Bueno GAS, Gervásio FM, Menezes RL de. Foot-ground clearance characteristics in women: a comparison across different
ages. Gait Posture. 2019;69:121–5.
25. Fávero LP, Belfione P, Silva FL, Chan BL. Análise de dados: modelagem multivariada para tomada de decisões. Elsevier. 2009;
26. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 1988.
27. O’Hoski S, Sibley KM, Brooks D, Beauchamp MK. Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years
and older. Gait Posture. 2015;42(3):301–5.
28. Srinivasan D, Mathiassen SE. Motor variability in occupational health and performance. Clin Biomech. 2012;27(10):979–93.
29. Rath R, Wade MG. The two faces of postural control in older adults: stability and function. EBioMedicine. 2017;21:5–6.
30. Menezes SRF de, Burke TN, Marques AP. Equilíbrio, controle postural e força muscular em idosas osteoporóticas com e sem quedas.
Fisioter e Pesqui. 2012;19(1):26–31.
31. Campos MPS, Vianna LG, Campos A da R. Os testes de equilíbrio Alcance Funcional e “Timed Up and Go” e o risco de quedas em idosos.
Kairós Gerontol. 2013;16(4):125–38.
32. Viveiro LAP, Gomes GCV, Bacha JMR, Carvas Junior N, Kallas ME, Reis M, et al. Reliability, validity, and ability to identity fall status of the
Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in older adults who live in nursing home. J
Geriatr Phys Ther. 2018;1.
33. Ivanenko Y, Gurfinkel VS. Human postural control. Front Neurosci. 2018;12:1–9.
34. Müjdeci B, Aksoy S, Atas A. Evaluation of balance in fallers and non-fallers elderly. Braz J Otorhinolaryngol. 2012;78(5):104–9.
35. Alexandre TS, Meira DM, Rico NC, Mizuta SK. Acurácia do Timed Up and Go Test para rastrear risco de quedas em idosos da comunidade.
Brazilian J Phys Ther. 2012;16(5):381–8.
36. Lima JP, Brian F. Aplicação do teste de Poma para avaliar risco de quedas em idosos. Geriatr Gerontol Aging. 2012;6(2):200–11.
37. Karuka AH, Silva JAMG, Navega MT. Análise da concordância entre instrumentos de avaliação do equilíbrio corporal em idosos. Rev
Bras Fisioter. 2011;15(6):460–6.
Rev Saude Publica. 2017;51:1–11.
2. Buksman S, Vilela ALS, Pereira SRM, Lino VS, Santos VH. Sociedade Brasileira de Geriatria e Gerontologia. Projeto Diretrizes: quedas
em idosos: prevenção. São Paulo: Associação Médica Brasileira, Conselho Federal de Medicina; 2008. Disponível em: https://sbgg.org.br/
publicacoes-cientificas/diretrizes-e-guidelines/
3. Maia BC, Viana PS, Arantes PMM, Alencar MA. Consequências das quedas em idosos vivendo na comunidade. Rev Bras Geriatr e Gerontol.
2011;14(2):381–93.
4. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–
7.
5. Lee A, Lee KW, Khang P. Preventing falls in the geriatric population. Perm J. 2013;17(4):37–9.
6. Dionyssiotis Y. Analyzing the problem of falls among older people. Int J Gen Med. 2012;5:805–13.
7. Downton JH, Andrews K. Prevalence, characteristics and factors associated with falls among the elderly living at home. Aging Clin Exp
Res. 1991;3(3):219–28.
8. Pasquetti P, Apicella L, Mangone G. Pathogenesis and treatment of falls in elderly. Clin Cases Miner Bone Metab. 2014;11(3):222–5.
9. Applebaum E V., Breton D, Feng ZW, Ta AT, Walsh K, Chassé K, et al. Modified 30-second Sit to Stand test predicts falls in a cohort of
institutionalized older veterans. PLoS One. 2017;12(5):1–13.
10. Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span.
Isokinet Exerc Sci. 2010;18(4):235–40.
11. Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to Differentiate Balance Deficits. Phys Ther. 2009;89(5):484–
98.
12. Dos Santos SCA, de Figueiredo DMP. Predictors of the fear of falling among community-dwelling elderly Portuguese people: An
exploratory study. Cienc e Saude Coletiva. 2019;24(1):77–86.
13. Santos Nascimento J, Mara D, Tavares S. Prevalência e fatores associados a quedas em idosos prevalence and factors associated with
falls in the elderly. Artig Orig Texto Context Enferm. 2016;25(2):1–9.
14. Garman CR, Franck CT, Nussbaum MA, Madigan ML. A bootstrapping method to assess the influence of age, obesity, gender, and gait
speed on probability of tripping as a function of obstacle height. J Biomech. 2015;48(6):1229–32.
15. Gervásio FM, Santos GA, Ribeiro DM, Menezes RL de. Medidas temporoespaciais indicativas de quedas em mulheres saudáveis entre 50
e 70 anos avaliadas pela análise tridimensional da marcha. Fisioter e Pesqui. 2016;23(4):358–64.
16. Instituto Brasileiro de Geografia e Estatística (IBGE). Síntese de indicadores sociais: uma análise das condições de vida da população
brasileira. Coordenação de População e Indicadores Sociais. Rio de Janeiro: IBGE; 2016.
17. Santos RG dos, Tribess S, Meneguci J, Bastos LLA da G, Damiao R, Junior JSV. Força de membros inferiores como indicador de
incapacidade funcional em idosos. Motriz Rev Educ Fis. 2013;19(3):35–42.
18. Maia AC. Tradução e adaptação para o português - Brasil do Balance Evaluation Systems Test e do Minibestest e análise de suas
propriedades psicométricas em idosos e indivíduos com doença de parkinson. Universidade Federal de Minas Gerais; 2012. Disponível
em: http://dspace.lcc.ufmg.br/dspace/bitstream/1843/BUOS-8VXGHG/1/disserta__o_ang_lica_campos_maia.pdf
19. Anson E, Thompson E, Ma L, Jeka J. Reliability and fall risk detection for the BESTest and Mini-BESTest in older adults. J Geriatr Phys Ther.
2019;42(2):81–5.
20. Franciulli PM, Souza PA, Soares PNC, Silva VN, Severino YTN, dos Santos YG, et al. Comparison of the risk of falls between elderly people
who practice physical exercises and who are sedentary and the relationship between balance and muscle strength variables. O Mundo da
Saúde. 2019;43(2):360–73.
21. Long RS. Regression models for categorical and limited dependent variables: advanced quantitative techniques in the social sciences.
Vol. 7, Sage Publications. 1997.
22. Chaves MLF. Testes de avaliação cognitiva : Mini-Exame do Estado Mental. 2008. Disponível em: http://www.cadastro.abneuro.org/site/
arquivos_cont/8.pdf
23. Brucki SMD, Nitrin R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq
Neuropsiquiatr. 2003;61(3 B):777–81.
24. Ribeiro DM, Bueno GAS, Gervásio FM, Menezes RL de. Foot-ground clearance characteristics in women: a comparison across different
ages. Gait Posture. 2019;69:121–5.
25. Fávero LP, Belfione P, Silva FL, Chan BL. Análise de dados: modelagem multivariada para tomada de decisões. Elsevier. 2009;
26. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 1988.
27. O’Hoski S, Sibley KM, Brooks D, Beauchamp MK. Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years
and older. Gait Posture. 2015;42(3):301–5.
28. Srinivasan D, Mathiassen SE. Motor variability in occupational health and performance. Clin Biomech. 2012;27(10):979–93.
29. Rath R, Wade MG. The two faces of postural control in older adults: stability and function. EBioMedicine. 2017;21:5–6.
30. Menezes SRF de, Burke TN, Marques AP. Equilíbrio, controle postural e força muscular em idosas osteoporóticas com e sem quedas.
Fisioter e Pesqui. 2012;19(1):26–31.
31. Campos MPS, Vianna LG, Campos A da R. Os testes de equilíbrio Alcance Funcional e “Timed Up and Go” e o risco de quedas em idosos.
Kairós Gerontol. 2013;16(4):125–38.
32. Viveiro LAP, Gomes GCV, Bacha JMR, Carvas Junior N, Kallas ME, Reis M, et al. Reliability, validity, and ability to identity fall status of the
Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in older adults who live in nursing home. J
Geriatr Phys Ther. 2018;1.
33. Ivanenko Y, Gurfinkel VS. Human postural control. Front Neurosci. 2018;12:1–9.
34. Müjdeci B, Aksoy S, Atas A. Evaluation of balance in fallers and non-fallers elderly. Braz J Otorhinolaryngol. 2012;78(5):104–9.
35. Alexandre TS, Meira DM, Rico NC, Mizuta SK. Acurácia do Timed Up and Go Test para rastrear risco de quedas em idosos da comunidade.
Brazilian J Phys Ther. 2012;16(5):381–8.
36. Lima JP, Brian F. Aplicação do teste de Poma para avaliar risco de quedas em idosos. Geriatr Gerontol Aging. 2012;6(2):200–11.
37. Karuka AH, Silva JAMG, Navega MT. Análise da concordância entre instrumentos de avaliação do equilíbrio corporal em idosos. Rev
Bras Fisioter. 2011;15(6):460–6.
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Published
2020-04-01
How to Cite
Ferreira Moreira, M., de Melo Barbosa, A. ., Leite Orcino, J. ., Estevam Brom Vieira, M. ., Callais Franco do Nascimento, T. ., Augusto Santos Bueno, G., & Martins Gervásio, F. . (2020). Factors related to falls in active women over 50 years old: associated clinical and functional aspects Abstract: DOI: 10.15343/0104-7809.202044183192. O Mundo Da Saúde, 44, 183–192. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/961
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