Quantitative and qualitative assessment of body balance in active elderly women and their relation to health in general

Silva, Kelly Cristine Vargas da; Pimentel, Bianca Nunes; Santos Filha, Valdete Alves Valentins dos

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Original Article • CoDAS 32 (6) • 2020 • https://doi.org/10.1590/2317-1782/20202018246 copy

Quantitative and qualitative assessment of body balance in active elderly women and their relation to health in general

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose:

to analyze the postural balance of independent elderly women and their relation with aspects of health, ages and quality of life.

Methods:

a total of 44 independent elderly women, classified according to the scales: Index of Independence in Daily Life Activities (DLA) and Instrumental Activities of Daily Life (IADL), aged 70.5 years (+6.64), submitted to the Foam-Laser Dynamic Posturography were used to evaluate the vestibular, proprioceptive and visual functions; the Dizziness Handicap Inventory (DHI) questionnaire on subjects with dizziness and the WHOQOL-Bref quality of life questionnaire.

Results:

the tests showed a significant difference between the changes in the posturographic evaluation and health aspects such as dizziness complaint (p = 0.02), metabolic diseases (p = 0.04), cardiovascular diseases (p = 0.02) and with the use of continuous medication (p = 0.03), self-reported. The older women presented lower scores in the functional domain of the DHI (p=0.02), showing a lower handicap in activities of daily living and the longer the quality of life in the WHOQOL-Bref psychological domain (p=0.04).

Conclusion:

the presence of dizziness and systemic diseases had a negative impact on postural balance and on the quality of life of the elderly women

Keywords:
Postural Balance; Aging; Dizziness; Exercise; Quality of life

Health problems		I	II	III	IV	V	VI	Mean	SOM	VIS	VEST	PREF
Dizziness	Yes	85.57	74.56	70.49	80.86	66.49	52.70	71.78	86.75	94.87	77.56	91.56
	No	85.91	74.89	70.08	81.33	65.94	50.36	71.41	86.82	94.99	76.67	89.02
	pp	00.54	00.38	00.02^* *()** statistical significance.	00.58	00.79	00.46	00.29	00.36	00.43	00.94	00.62
Metabolic diseases	Yes	85.65	74.69	70.31	81.18	66.40	53.40	71.94	86.83	95.12	77.39	91.67
	No	85.95	74.91	70.59	81.26	65.99	50.10	71.47	86.80	94.88	76.70	89.29
	pp	00.13	00.11	00.54	00.74	00.67	00.82	00.41	00.32	00.04^* *()** statistical significance.	00.09	00.65
Cardiovascular diseases	Yes	85.69	74.63	70.02	81.11	66.09	50.40	71.32	86.74	94.99	77.01	89.19
	No	85.85	74.79	70.24	81.05	65.10	49.50	71.24	86.75	94.76	76.79	88.79
	pp	00.04^* *()** statistical significance.	00.12	00.33	00.02^* *()** statistical significance.	00.44	00.85	00.09	00.39	00.21	00.83	00.77
Endocrine disruption	Yes	85.71	74.36	70.61	81.02	66.11	51.31	71.52	86.40	94.88	77.01	90.50
	No	85.91	74.89	70.08	81.33	65.94	50.30	71.41	86.82	94.10	76.67	89.02
	pp	00.45	00.34	00.30	00.34	00.46	00.48	00.21	00.36	00.47	00.33	00.90
Back pain	Yes	85.95	74.91	70.59	81.26	65.99	50.11	71.47	86.80	94.88	76.70	89.29
	No	85.65	74.69	70.31	81.18	66.40	53.40	71.94	86.83	95.12	77.39	91.67
	pp	00.17	00.55	00.34	00.02^* *()** statistical significance.	00.59	00.62	00.58	00.87	00.33	00.11	00.85
RV		90	83	82	79	60	54	75	92	88	67	95

Health problems		n	Age	SD	p value
Dizziness	Yes	14	70.00	+5.75	0.83
	No	30	70.47	+7.10	0.83
Neurovegetative symptoms	Yes	07	66.86	+5.08	0.13
	No	37	70.97	+6.75	0.13
Tinnitus	Yes	16	72.06	+6.65	0.19
	No	28	69.32	+6.45	0.19
Hearing loss	Yes	17	72.94	+4.89	0.04^* *()** statistical significance.
	No	27	70.25	+7.13	0.04^* *()** statistical significance.
Metabolic	Yes	16	70.44	+6.97	0.93
	No	28	70.25	+6.22	0.93
Cardiovascular	Yes	29	71.75	+5.48	0.04^* *()** statistical significance.
	No	15	67.53	+6.81	0.04^* *()** statistical significance.
Endocrine	Yes	09	69.89	+4.96	0.83
	No	35	70.43	+7.06	0.83
Emotional change	Yes	28	68.04	+6.97	<0.01^* *()** statistical significance.
	No	16	4.31	+5.32	<0.01^* *()** statistical significance.
Back pain	Yes	31	68.97	+6.32	0.04^* *()** statistical significance.
	No	13	73.54	+6.50	0.04^* *()** statistical significance.

Questionnaires	Domains	n	Mean	r	p value
DHI	Physical	14	12.71	-0.048099	0.87
	Emotional	14	10.00	-0.266816	0.36
	Functional	14	13.29	-0.621350	0.02^* *()** statistical significance.
	Total	14	35.86	-0.394856	0.16
WHOQOL- BREF	Physical	44	71.10	0.060975	0.69
	Psychological	44	72.20	0.304427	0.04^* *()** statistical significance.
	Social	44	81.60	-0.105304	0.49
	Environmental	44	70.90	0.072421	0.64
	QoL score	44	74.00	0.077467	0.62

Domains	Dizziness		Z	p value
Domains	Yes	No	Z	p value
Physical	66.07	73.81	1.92	0.05^* *()** statistical significance.
Psychological	66.07	75.14	2.01	0.04^* *()** statistical significance.
Social	79.17	84.17	0.99	0.32
Environmental	65.85	73.02	1.72	0.09
QoL score	69.29	76.53	1.97	0.05^* *()** statistical significance.

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[1] Correspondence address: Kelly Cristine Vargas da Silva, Rua Dr. Mário Salvador, 132, Santa Maria (RS), Brasil, CEP: 97060-190. E-mail: kelly.cristiine@hotmail.com