Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences in Al-Kharj, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia.
Department of Research and Innovation, King Abdullah International Medical Research Center, Riyadh, 13223, Saudi Arabia.
Ir J Med Sci. 2023 Oct;192(5):2533-2540. doi: 10.1007/s11845-023-03287-9. Epub 2023 Jan 26.
Limited evidence has examined the association between balance and mobility measures with risk of fall.
To determine the prevalence and balance measures associated with falls and fear of falling among community adults aged 50 years and older.
This cross-sectional study included community-dwelling adults aged ≥ 50 years, living in Saudi Arabia. The participants were asked to report any history of falls in the past 12 months and fear of falling using the Falls Efficacy Scale (FES-I). Balance/mobility measures included the Timed Up and Go (TUG) test, Functional Reach Test (FRT), 10-m walk test (10-MWT), 6-min walk test (6-MWT), and Five Times Sit-to-Stand Test (5XSST).
Two hundred and six participants, including 96 women, were included. The prevalence of falls was 12.6%, and the 5XSST was the only balance measure significantly associated with falls (OR 1.17, 95% CI [1.03, 1.33], p = 0.019) with a cutoff score of 13.93 s or more, a sensitivity of 0.73, and a specificity of 0.58. An increase in 5XSST time was associated with an increase in FES-I score, while a decrease in other balance measures (10-MWT, TUG, FRT, and 6-MWT) was associated with an increase in FES-I scores.
Adults living in Saudi Arabia had a low prevalence of falls. The 5XSST was the only significant balance/mobility measure that distinguished fallers from non-fallers.
有限的证据研究了平衡和移动测量与跌倒风险之间的关系。
确定 50 岁及以上社区成年人跌倒和跌倒恐惧的发生率和平衡测量值。
本横断面研究包括居住在沙特阿拉伯的 50 岁及以上的社区成年人。要求参与者报告过去 12 个月内的任何跌倒史和跌倒恐惧，使用跌倒效能量表（FES-I）。平衡/移动测量包括计时起立行走测试（TUG）、功能性伸展测试（FRT）、10 米步行测试（10-MWT）、6 分钟步行测试（6-MWT）和 5 次坐站测试（5XSST）。
共纳入 206 名参与者，包括 96 名女性。跌倒的发生率为 12.6%，5XSST 是唯一与跌倒显著相关的平衡测量值（OR 1.17，95%CI [1.03, 1.33]，p=0.019），截断值为 13.93 秒或更长，敏感性为 0.73，特异性为 0.58。5XSST 时间增加与 FES-I 评分增加相关，而其他平衡测量值（10-MWT、TUG、FRT 和 6-MWT）减少与 FES-I 评分增加相关。
居住在沙特阿拉伯的成年人跌倒发生率较低。5XSST 是唯一能区分跌倒者和非跌倒者的重要平衡/移动测量值。
