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Balance and mobility relationships in older adults: A representative population-based cross-sectional study in Madeira, Portugal

2019Journal article Restricted access
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dc.contributor.authorGouveia, Élvio R.
dc.contributor.authorGouveia, Bruna R.
dc.contributor.authorIhle, Andreas
dc.contributor.authorKliegel, Matthias
dc.contributor.authorMarques, Adilson
dc.contributor.authorFreitas, Duarte L.
dc.date.accessioned2019-02-18T15:23:43Z
dc.date.available2019-02-18T15:23:43Z
dc.date.issued2019
dc.description.abstractBackground: Balance and mobility impairments are important modifiable risk factors associated with falls in older people. Purpose: To investigate how different functional fitness components relate to balance and mobility, after controlling for age, sex, body mass index (BMI), and different physical activity (PA) domains. Methods: This representative cross-sectional study included 802 individuals, 401 males and 401 females (69.8 ± 5.6 years) from Madeira, Portugal. The Fullerton Advance Balance (FAB) scale was used to assess balance. Mobility in terms of gait velocity, cadence, stride length, and gait stability ratio (GSR) were assessed using the 50-foot Walk test. PA was assessed through a face-to-face interview using the Baecke questionnaire, and functional fitness was assessed with Senior Fitness tests (strength, flexibility, and aerobic endurance). Results: Balance and mobility were negatively associated with age and BMI, and positively related to PA and functional fitness. Moreover, male presented better performance in balance and mobility. Hierarchical multiple regression analyses showed that functional fitness explained the highest amount of variance in balance and all mobility parameters(over andaboveage,sex,BMI,and PA).Specifically, entering functional fitnesscomponents significantly increased explained variance in FAB (+19%), gait velocity (+25%), cadence (+15%), stride length (+9%), and GSR (+ 31%). In these models, aerobic endurance consistently had the strongest contribution. Conclusion: Strength, flexibility, and especially aerobic endurance, over and above non-modifiable variables like age and sex, are crucial for maintaining or improving balance and mobility and, thereby, prevent falls in older people.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1016/j.archger.2018.10.009pt_PT
dc.identifier.issn0167-4943
dc.identifier.other1872-6976
dc.identifier.urihttp://hdl.handle.net/10400.13/2263
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationSAÚDE E QUALIDADE DE VIDA NA POPULAÇÃO ENVELHECIDA - UM ESTUDO DE CARACTERIZAÇÃO MORFO-FUNCIONAL DOS MENOS JOVENS NA REGIÃO AUTÓNOMA DA MADEIRA
dc.subjectBalancept_PT
dc.subjectFunctional fitnesspt_PT
dc.subjectGait patternpt_PT
dc.subjectGait patternpt_PT
dc.subjectPhysical activitypt_PT
dc.subjectFalls’ risk factorspt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Sociaispt_PT
dc.titleBalance and mobility relationships in older adults: A representative population-based cross-sectional study in Madeira, Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleSAÚDE E QUALIDADE DE VIDA NA POPULAÇÃO ENVELHECIDA - UM ESTUDO DE CARACTERIZAÇÃO MORFO-FUNCIONAL DOS MENOS JOVENS NA REGIÃO AUTÓNOMA DA MADEIRA
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F29300%2F2006/PT
oaire.citation.endPage69pt_PT
oaire.citation.startPage65pt_PT
oaire.citation.titleArchives of Gerontology and Geriatricspt_PT
oaire.citation.volume80pt_PT
person.familyNameGouveia
person.familyNameGouveia
person.familyNameIhle
person.familyNameKliegel
person.familyNameMarques
person.familyNameFreitas
person.givenNameÉlvio Rúbio
person.givenNameBruna
person.givenNameAndreas
person.givenNameMatthias
person.givenNameAdilson
person.givenNameDuarte
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.ciencia-idE212-42B7-575E
person.identifier.ciencia-idA81F-6BDE-2E54
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.ciencia-idAA13-1821-A447
person.identifier.orcid0000-0003-0927-692X
person.identifier.orcid0000-0001-7706-190X
person.identifier.orcid0000-0001-9845-5190
person.identifier.orcid0000-0002-2001-2522
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0001-6642-3370
person.identifier.ridB-3793-2016
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56090521600
person.identifier.scopus-author-id6603740686
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.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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