Spatio-Temporal Gait Parameters in Association with Medications and Risk of Falls in the Elderly

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14510%2F22%3A00126062" target="_blank" >RIV/00216224:14510/22:00126062 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.dovepress.com/spatio-temporal-gait-parameters-in-association-with-medications-and-ri-peer-reviewed-fulltext-article-CIA" target="_blank" >https://www.dovepress.com/spatio-temporal-gait-parameters-in-association-with-medications-and-ri-peer-reviewed-fulltext-article-CIA</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/CIA.S363479" target="_blank" >10.2147/CIA.S363479</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Spatio-Temporal Gait Parameters in Association with Medications and Risk of Falls in the Elderly

Popis výsledku v původním jazyce

Purpose: The aim of this study was to analyze factors affecting spatio-temporal gait parameters in elderly people of both genders and different ages with different risks of fall, fall history, and medications. Patients and Methods: A total of 210 community-dwelling older adults (156 females, 54 males; mean age 72.84± 6.26 years) participated in this study. To assess the risk of falls, the Downton Fall Risk Index was used. An additional question about medication intake (all prescribed drugs) was asked. To assess the spatio-temporal gait parameters, the Zebris FDM platform was used. Gait parameters and Downton Fall Risk Index, stratified by participants’ history of falls, multiple medication use (0/1/2+), gender, age, and medication categories, were statistically analyzed using the Mann–Whitney U-test and Kruskal–Wallis test. Results: When comparing different medication categories, a Downton Fall Risk Index score indicating a high risk of falls was observed in the psychotropic medication category (3.56± 1.67). A gait velocity suggesting a higher risk of falls (≤ 3.60 km/h) was observed in the psychotropic (2.85± 1.09 km/h) and diabetes (2.80± 0.81 km/h) medication categories, in the age groups 70– 79 years (3.30± 0.89 km/h) and 80+ years (2.67± 0.88 km/h), and in participants using two or more medications (3.04± 0.93 km/h). Conclusion: The results of this study confirm previous observations and show that higher age and multiple medication negatively affect the gait, and that the higher risk of falls is associated with psychotropic and diabetes medication use. These results provide important information for future fall preventive programs for the elderly that would be especially beneficial for elderly people taking psychotropic and diabetes medication.

Název v anglickém jazyce

Spatio-Temporal Gait Parameters in Association with Medications and Risk of Falls in the Elderly

Popis výsledku anglicky

Purpose: The aim of this study was to analyze factors affecting spatio-temporal gait parameters in elderly people of both genders and different ages with different risks of fall, fall history, and medications. Patients and Methods: A total of 210 community-dwelling older adults (156 females, 54 males; mean age 72.84± 6.26 years) participated in this study. To assess the risk of falls, the Downton Fall Risk Index was used. An additional question about medication intake (all prescribed drugs) was asked. To assess the spatio-temporal gait parameters, the Zebris FDM platform was used. Gait parameters and Downton Fall Risk Index, stratified by participants’ history of falls, multiple medication use (0/1/2+), gender, age, and medication categories, were statistically analyzed using the Mann–Whitney U-test and Kruskal–Wallis test. Results: When comparing different medication categories, a Downton Fall Risk Index score indicating a high risk of falls was observed in the psychotropic medication category (3.56± 1.67). A gait velocity suggesting a higher risk of falls (≤ 3.60 km/h) was observed in the psychotropic (2.85± 1.09 km/h) and diabetes (2.80± 0.81 km/h) medication categories, in the age groups 70– 79 years (3.30± 0.89 km/h) and 80+ years (2.67± 0.88 km/h), and in participants using two or more medications (3.04± 0.93 km/h). Conclusion: The results of this study confirm previous observations and show that higher age and multiple medication negatively affect the gait, and that the higher risk of falls is associated with psychotropic and diabetes medication use. These results provide important information for future fall preventive programs for the elderly that would be especially beneficial for elderly people taking psychotropic and diabetes medication.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Clinical Interventions in Aging

ISSN

1176-9092

e-ISSN

1178-1998

Svazek periodika

17

Číslo periodika v rámci svazku

2022

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

11

Strana od-do

873-883

Kód UT WoS článku

000804099900002

EID výsledku v databázi Scopus

2-s2.0-85131702356