J 2022

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

GIMUNOVÁ, Marta, Martin SEBERA, Mario KASOVIĆ, Lenka SVOBODOVÁ, Tomáš VESPALEC et. al.

Basic information

Original name

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

Authors

GIMUNOVÁ, Marta (203 Czech Republic, guarantor, belonging to the institution), Martin SEBERA (203 Czech Republic, belonging to the institution), Mario KASOVIĆ (191 Croatia, belonging to the institution), Lenka SVOBODOVÁ (203 Czech Republic, belonging to the institution) and Tomáš VESPALEC (203 Czech Republic, belonging to the institution)

Edition

Clinical Interventions in Aging, Dove Medical Press Ltd, 2022, 1176-9092

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30306 Sport and fitness sciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.824 in 2013

RIV identification code

RIV/00216224:14510/22:00126062

Organization unit

Faculty of Sports Studies

UT WoS

000804099900002

Keywords in English

aging; medication; risk; falls; gait velocity

Tags

Tags

International impact, Reviewed
Změněno: 3/4/2023 07:48, Mgr. Pavlína Roučová, DiS.

Abstract

V originále

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.

Links

MUNI/A/1082/2019, interní kód MU
Name: Analýza chůze specifických skupin populace (Acronym: Chůze seniorů a osob s MP)
Investor: Masaryk University, Category A