Bruhna Schwambach, Fabiano Francisco de Lima, Patrícia Puccetti Pires, Rosana Câmara Agondi, Regina Maria Carvalho-Pinto, Celso R F Carvalho
{"title":"老年哮喘患者的体位平衡和跌倒:一项随访的对照横断面研究。","authors":"Bruhna Schwambach, Fabiano Francisco de Lima, Patrícia Puccetti Pires, Rosana Câmara Agondi, Regina Maria Carvalho-Pinto, Celso R F Carvalho","doi":"10.1080/02770903.2025.2558760","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Postural balance is impaired in adults with asthma; however, this remains poorly understood in older people with asthma.</p><p><strong>Objective: </strong>To assess postural balance and the incidence of falls in older individuals with moderate to severe asthma.</p><p><strong>Methods: </strong>A controlled cross-sectional study with follow-up included individuals aged 65-80 years (asthma group, AG; <i>n</i> = 26) and without asthma (control group, CG; <i>n</i> = 27). The control group was matched by sex, age, and body mass index (BMI). The evaluations included comorbidities, fear of falling, muscle strength, and postural balance in different conditions. Subsequently, individuals received a fall diary and were followed up for six months.</p><p><strong>Results: </strong>AG had more comorbidities, greater fear of falling, and consumed more medications (<i>p</i> < 0.005). AG also had worse postural balance assessed by the Mini-BESTest compared to the CG (23 [18.0-25.0] <i>vs.</i> 24 [21.00-26.00] score; <i>p</i> = 0.03). AG showed a greater CoP oscillation than CG at rest in natural base without foam (1.22 [0.78-1.94] <i>vs.</i> 0.88 [0.64-1.37] cm<sup>2</sup>; <i>p</i> = 0.04) and at semi-tandem, post-exertion with foam (3.56 [2.59-6.57] <i>vs.</i> 2.54 [1.94-3.42] cm<sup>2</sup>, <i>p</i> = 0.006). No between-group difference was observed in the predicted quadriceps and ankle dorsiflexor muscle strength (<i>p</i> > 0.05). Despite greater fear of falling and poorer balance, no group difference was observed in fall incidence over 6 months (8 <i>vs.</i> 10 falls), which may be partially explained by the follow-up period and the characteristics of the control group.</p><p><strong>Conclusion: </strong>Our findings partially support the study hypothesis. Older adults with asthma exhibit impaired balance and an increased fear of falling, but this does not necessarily translate into a higher incidence of falls.</p>","PeriodicalId":15076,"journal":{"name":"Journal of Asthma","volume":" ","pages":"1-9"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Postural balance and falls in older adults with asthma: a controlled cross-sectional study with follow-up.\",\"authors\":\"Bruhna Schwambach, Fabiano Francisco de Lima, Patrícia Puccetti Pires, Rosana Câmara Agondi, Regina Maria Carvalho-Pinto, Celso R F Carvalho\",\"doi\":\"10.1080/02770903.2025.2558760\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Postural balance is impaired in adults with asthma; however, this remains poorly understood in older people with asthma.</p><p><strong>Objective: </strong>To assess postural balance and the incidence of falls in older individuals with moderate to severe asthma.</p><p><strong>Methods: </strong>A controlled cross-sectional study with follow-up included individuals aged 65-80 years (asthma group, AG; <i>n</i> = 26) and without asthma (control group, CG; <i>n</i> = 27). The control group was matched by sex, age, and body mass index (BMI). The evaluations included comorbidities, fear of falling, muscle strength, and postural balance in different conditions. Subsequently, individuals received a fall diary and were followed up for six months.</p><p><strong>Results: </strong>AG had more comorbidities, greater fear of falling, and consumed more medications (<i>p</i> < 0.005). AG also had worse postural balance assessed by the Mini-BESTest compared to the CG (23 [18.0-25.0] <i>vs.</i> 24 [21.00-26.00] score; <i>p</i> = 0.03). AG showed a greater CoP oscillation than CG at rest in natural base without foam (1.22 [0.78-1.94] <i>vs.</i> 0.88 [0.64-1.37] cm<sup>2</sup>; <i>p</i> = 0.04) and at semi-tandem, post-exertion with foam (3.56 [2.59-6.57] <i>vs.</i> 2.54 [1.94-3.42] cm<sup>2</sup>, <i>p</i> = 0.006). No between-group difference was observed in the predicted quadriceps and ankle dorsiflexor muscle strength (<i>p</i> > 0.05). 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引用次数: 0
摘要
背景:成人哮喘患者体位平衡受损;然而,这在老年哮喘患者中仍然知之甚少。目的:评估老年人中重度哮喘患者的体位平衡和跌倒发生率。方法:采用横断面对照研究,随访对象为65 ~ 80岁的哮喘组(AG组,n = 26)和非哮喘组(CG组,n = 27)。对照组按性别、年龄和身体质量指数(BMI)进行匹配。评估包括合并症、对跌倒的恐惧、肌肉力量和不同情况下的姿势平衡。随后,每个人都收到了一份秋季日记,并随访了六个月。结果:AG的合并症较多,对摔倒的恐惧较大,用药较多(p = 0.04),半连体运动时,运动后使用泡沫(3.56[2.59-6.57]vs. 2.54[1.94-3.42]cm2, p = 0.006)。预测股四头肌和踝关节背屈肌力量组间无差异(p < 0.05)。尽管更害怕跌倒和更差的平衡能力,但在6个月的跌倒发生率中没有观察到组间差异(08 vs 10),这可能部分归因于随访期和对照组的特点。结论:我们的发现部分支持了研究假设。患有哮喘的老年人表现出平衡受损和对跌倒的恐惧增加,但这并不一定转化为更高的跌倒发生率。
Postural balance and falls in older adults with asthma: a controlled cross-sectional study with follow-up.
Background: Postural balance is impaired in adults with asthma; however, this remains poorly understood in older people with asthma.
Objective: To assess postural balance and the incidence of falls in older individuals with moderate to severe asthma.
Methods: A controlled cross-sectional study with follow-up included individuals aged 65-80 years (asthma group, AG; n = 26) and without asthma (control group, CG; n = 27). The control group was matched by sex, age, and body mass index (BMI). The evaluations included comorbidities, fear of falling, muscle strength, and postural balance in different conditions. Subsequently, individuals received a fall diary and were followed up for six months.
Results: AG had more comorbidities, greater fear of falling, and consumed more medications (p < 0.005). AG also had worse postural balance assessed by the Mini-BESTest compared to the CG (23 [18.0-25.0] vs. 24 [21.00-26.00] score; p = 0.03). AG showed a greater CoP oscillation than CG at rest in natural base without foam (1.22 [0.78-1.94] vs. 0.88 [0.64-1.37] cm2; p = 0.04) and at semi-tandem, post-exertion with foam (3.56 [2.59-6.57] vs. 2.54 [1.94-3.42] cm2, p = 0.006). No between-group difference was observed in the predicted quadriceps and ankle dorsiflexor muscle strength (p > 0.05). Despite greater fear of falling and poorer balance, no group difference was observed in fall incidence over 6 months (8 vs. 10 falls), which may be partially explained by the follow-up period and the characteristics of the control group.
Conclusion: Our findings partially support the study hypothesis. Older adults with asthma exhibit impaired balance and an increased fear of falling, but this does not necessarily translate into a higher incidence of falls.
期刊介绍:
Providing an authoritative open forum on asthma and related conditions, Journal of Asthma publishes clinical research around such topics as asthma management, critical and long-term care, preventative measures, environmental counselling, and patient education.