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Sex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adults

2023Journal article Open access
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dc.contributor.authorNascimento, Marcelo de Maio
dc.contributor.authorGouveia, Élvio Rúbio
dc.contributor.authorGouveia, Bruna R.
dc.contributor.authorMarques, Adilson
dc.contributor.authorFrança, Cíntia
dc.contributor.authorMarconcin, Priscila
dc.contributor.authorFreitas, Duarte L.
dc.contributor.authorIhle, Andreas
dc.date.accessioned2023-05-26T14:08:12Z
dc.date.available2023-05-26T14:08:12Z
dc.date.issued2023
dc.description.abstractThis study, conducted on a large sample of older adults at elevated fall risk (1), aimed to verify statistical differences in gait stability ratio (GSR) and body balance (BB) according to sex, (2) to examine and compare GSR and BB performance between older adult fallers and non-fallers, (3) to determine an association between GSR and BB according to the history of falls, and (4) to explore whether GSR and BB mediate the association between sex and falls. We included 619 individuals (69.8 ± 5.6 years) living in the Autonomous Region of Madeira, Portugal. The frequency of falls was obtained by self-report. BB was determined by the Fullerton Advanced Balance scale, while GSR was established by dividing cadence by gait speed and data collected during the 50-foot walk test. Males indicated a lower prevalence of falls in the last 12 months (23.6%), while females had a higher score (48.7%), as well as a lower balance performance (p < 0.001) and higher GSR scores (p < 0.001). Lower BB control (p < 0.001), as well as higher GSR, were more expressive for fallers (p < 0.001). We found a large, negative and significant correlation between GSR and BB for historical falls (r = −0.560; p < 0.001), and between male and female cohorts (r = −0.507; p < 0.001). The total effect of sex on falls mediated by GSR and BB was 16.4%. Consequently, GSR and BB mediated this association by approximately 74.0% and 22.5%, respectivelypt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNascimento, M.d.M.; Gouveia, É.R.; Gouveia, B.R.; Marques, A.; França, C.; Marconcin, P.; Freitas, D.L.; Ihle, A. Sex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adults. J. Clin. Med. 2023, 12, 450. https:// doi.org/10.3390/jcm12020450pt_PT
dc.identifier.doi10.3390/jcm12020450pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/5198
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationLaboratory of Robotics and Engineering Systems
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectSex differencespt_PT
dc.subjectAgingpt_PT
dc.subjectGait patternpt_PT
dc.subjectVulnerabilitypt_PT
dc.subjectPostural controlpt_PT
dc.subjectFallspt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Sociaispt_PT
dc.titleSex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleLaboratory of Robotics and Engineering Systems
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F50009%2F2020/PT
oaire.citation.issue2pt_PT
oaire.citation.startPage450pt_PT
oaire.citation.titleJournal of Clinical Medicinept_PT
oaire.citation.volume12pt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNamede Maio Nascimento
person.familyNameGouveia
person.familyNameGouveia
person.familyNameMarques
person.familyNameFrança
person.familyNameMarconcin
person.familyNameFreitas
person.familyNameIhle
person.givenNameMarcelo
person.givenNameÉlvio Rúbio
person.givenNameBruna
person.givenNameAdilson
person.givenNameCíntia
person.givenNamePriscila
person.givenNameDuarte
person.givenNameAndreas
person.identifier1360379
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.ciencia-idE212-42B7-575E
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person.identifier.ciencia-id001D-427D-31C5
person.identifier.ciencia-idAA13-1821-A447
person.identifier.orcid0000-0002-3577-3439
person.identifier.orcid0000-0003-0927-692X
person.identifier.orcid0000-0001-7706-190X
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0001-8364-6832
person.identifier.orcid0000-0002-1295-0826
person.identifier.orcid0000-0001-6642-3370
person.identifier.orcid0000-0001-9845-5190
person.identifier.ridB-3793-2016
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56090521600
person.identifier.scopus-author-id55082567000
person.identifier.scopus-author-id37096975400
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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