Jethro Raphael M. Suarez, Veronica B. Decker, Joon-Hyuk Park, Nichole R. Lighthall, Michael Joseph S. Dino, Ladda Thiamwong
{"title":"无认知障碍的社区老年抑郁症患者的定向体位摇摆倾向和静态平衡","authors":"Jethro Raphael M. Suarez, Veronica B. Decker, Joon-Hyuk Park, Nichole R. Lighthall, Michael Joseph S. Dino, Ladda Thiamwong","doi":"10.1007/s40520-025-03144-y","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Depression is prevalent among older adults and is known to negatively affect balance, ultimately leading to falls. However, few studies have investigated the effect of depression on static balance metrics beyond postural sway distance and area of older adults without mild cognitive impairment (MCI).</p><h3>Aims</h3><p>To investigate if postural sway distance, sway area, medial-lateral (ML) sway range, anterior-posterior (AP) sway range, and center-of-pressure (COP) sway speed variability differed between non-cognitively impaired older adults with minimal-to-no depression (Minimally Depressive group) and mild-to-severe depression (Mildly-to-Severely Depressive group).</p><h3>Methods</h3><p>A total of 204 community-dwelling older adults were included. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), MCI using the Rowland Universal Dementia Assessment Scale (RUDAS), and static balance metrics using the Balance Tracking System (BTrackS). Mann-Whitney U tests determined differences between groups.</p><h3>Results</h3><p>Sway area, AP sway range, and ML sway range were significantly greater in the Mildly-to-Severely Depressive group than the Minimally Depressive group (<i>p</i> = 0.010, <i>p</i> = 0.016, and <i>p</i> = 0.031, respectively). Sway distance (<i>p</i> = 0.445) and COP sway speed variability (<i>p</i> = 0.193) were not significantly different between groups.</p><h3>Discussion</h3><p>The findings revealed greater sway area, as well as greater ranges in the AP and ML directions, in the Mildly-to-Severely Depressive group when compared to the Minimally Depressive Group. Reduced concentration and affected postural stabilization mechanisms driven by depression may have attributed to these results.</p><h3>Conclusions</h3><p>This study highlights the need for further understanding of how static balance metrics, such as directional sway, are affected by depression, thereby creating interventions tailored to individual’s postural sway characteristics to help reduce fall risk and improve balance.</p><h3>Trial registration</h3><p>ClinicalTrials.gov (NCT05778604).</p></div>","PeriodicalId":7720,"journal":{"name":"Aging Clinical and Experimental Research","volume":"37 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40520-025-03144-y.pdf","citationCount":"0","resultStr":"{\"title\":\"Directional postural sway tendencies and static balance among community-dwelling older adults with depression and without cognitive impairment\",\"authors\":\"Jethro Raphael M. Suarez, Veronica B. Decker, Joon-Hyuk Park, Nichole R. Lighthall, Michael Joseph S. Dino, Ladda Thiamwong\",\"doi\":\"10.1007/s40520-025-03144-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Depression is prevalent among older adults and is known to negatively affect balance, ultimately leading to falls. However, few studies have investigated the effect of depression on static balance metrics beyond postural sway distance and area of older adults without mild cognitive impairment (MCI).</p><h3>Aims</h3><p>To investigate if postural sway distance, sway area, medial-lateral (ML) sway range, anterior-posterior (AP) sway range, and center-of-pressure (COP) sway speed variability differed between non-cognitively impaired older adults with minimal-to-no depression (Minimally Depressive group) and mild-to-severe depression (Mildly-to-Severely Depressive group).</p><h3>Methods</h3><p>A total of 204 community-dwelling older adults were included. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), MCI using the Rowland Universal Dementia Assessment Scale (RUDAS), and static balance metrics using the Balance Tracking System (BTrackS). Mann-Whitney U tests determined differences between groups.</p><h3>Results</h3><p>Sway area, AP sway range, and ML sway range were significantly greater in the Mildly-to-Severely Depressive group than the Minimally Depressive group (<i>p</i> = 0.010, <i>p</i> = 0.016, and <i>p</i> = 0.031, respectively). Sway distance (<i>p</i> = 0.445) and COP sway speed variability (<i>p</i> = 0.193) were not significantly different between groups.</p><h3>Discussion</h3><p>The findings revealed greater sway area, as well as greater ranges in the AP and ML directions, in the Mildly-to-Severely Depressive group when compared to the Minimally Depressive Group. Reduced concentration and affected postural stabilization mechanisms driven by depression may have attributed to these results.</p><h3>Conclusions</h3><p>This study highlights the need for further understanding of how static balance metrics, such as directional sway, are affected by depression, thereby creating interventions tailored to individual’s postural sway characteristics to help reduce fall risk and improve balance.</p><h3>Trial registration</h3><p>ClinicalTrials.gov (NCT05778604).</p></div>\",\"PeriodicalId\":7720,\"journal\":{\"name\":\"Aging Clinical and Experimental Research\",\"volume\":\"37 1\",\"pages\":\"\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-08-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://link.springer.com/content/pdf/10.1007/s40520-025-03144-y.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aging Clinical and Experimental Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s40520-025-03144-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aging Clinical and Experimental Research","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s40520-025-03144-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Directional postural sway tendencies and static balance among community-dwelling older adults with depression and without cognitive impairment
Background
Depression is prevalent among older adults and is known to negatively affect balance, ultimately leading to falls. However, few studies have investigated the effect of depression on static balance metrics beyond postural sway distance and area of older adults without mild cognitive impairment (MCI).
Aims
To investigate if postural sway distance, sway area, medial-lateral (ML) sway range, anterior-posterior (AP) sway range, and center-of-pressure (COP) sway speed variability differed between non-cognitively impaired older adults with minimal-to-no depression (Minimally Depressive group) and mild-to-severe depression (Mildly-to-Severely Depressive group).
Methods
A total of 204 community-dwelling older adults were included. Depression was measured using the Patient Health Questionnaire-9 (PHQ-9), MCI using the Rowland Universal Dementia Assessment Scale (RUDAS), and static balance metrics using the Balance Tracking System (BTrackS). Mann-Whitney U tests determined differences between groups.
Results
Sway area, AP sway range, and ML sway range were significantly greater in the Mildly-to-Severely Depressive group than the Minimally Depressive group (p = 0.010, p = 0.016, and p = 0.031, respectively). Sway distance (p = 0.445) and COP sway speed variability (p = 0.193) were not significantly different between groups.
Discussion
The findings revealed greater sway area, as well as greater ranges in the AP and ML directions, in the Mildly-to-Severely Depressive group when compared to the Minimally Depressive Group. Reduced concentration and affected postural stabilization mechanisms driven by depression may have attributed to these results.
Conclusions
This study highlights the need for further understanding of how static balance metrics, such as directional sway, are affected by depression, thereby creating interventions tailored to individual’s postural sway characteristics to help reduce fall risk and improve balance.
期刊介绍：
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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