Physical Activity Preserve an Adequate Balance Profile in Active Hispanic-Latino Older Adults Participating in a Community Center

Authors

  • Martín G. Rosario Texas Woman's University, Physical Therapy Program, Dallas Campus; 5500 Southwestern Medical Ave. Dallas, TX 75235-7299. Email: mrosario1@twu.edu
  • Aleena Jose Texas Woman's University, Physical Therapy Program, Dallas Campus; Texas.
  • Lara Davis Texas Woman's University, Physical Therapy Program, Dallas Campus; Texas.
  • Flavia Bayron University of Puerto Rico, Medical Sciences Campus, School of Physical Therapy, San Juan, Puerto Rico.

DOI:

https://doi.org/10.15621/ijphy/2021/v8i1/899

Keywords:

Active, Elderly Latino Population, Activities-specific Balance Confidence (ABC) scale, Mini BESTest (MBT), Balance.

Abstract

Background: Prior research has examined fall risks in the elderly Caucasian population, though research on this topic in the elderly Latino population is still emerging. This inquiry investigates whether there are distinct balance characteristics in the active elderly Latino population and whether demographic factors and lifestyle choices influence these characteristics.
Methods: A total of 25 active participants who partake in Zumba and aqua aerobic classes at a community center participated in this study, with an average age of 71.6+/-7.2. A screening assessment tool (SAT) was administered to obtain demographic data. The Activities-specific Balance Confidence (ABC) scale and Mini-BESTest (MBT) were utilized to assess participants' balance.
Results: The most prevalent comorbidities in the group include high blood pressure (76%) and arthritis (64%). The average scores include 86.4% on the ABC, 1.5 points on the MBT items on a 0-2 grading scale, and 14.6 seconds on the TUG cognitive task. A significant positive correlation between the number of medications and the number of comorbidities was identified (r=0.448, p=0.025).
Conclusion: The acceptable balance scores among our participants surmise that engaging in physical activities improves perceived balance and balance performance, despite the prevalence of comorbidities or medication usage. Implementing fall prevention programs and balance assessments in community centers and clinicians explaining the importance of physical activity programs to both patients and physicians are strategies that can reduce the risk of falls in any elderly ethnic group.

References

Bergen G, Stevens MR, Burns ER (2016). Falls and fall injuries among adults aged≥ 65 years—United States. Morbidity and Mortality Weekly Report. 2014; 65(37):993-998.

Florence C, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. Journal of the American Geriatrics Society. 2018; 66(4):693-698.

Dargent-Molina P & Breart G. Epidemiology of falls and fall-related injuries in the aged. Revue d'epidemiologie et de sante publique.1995; 43(1):72-83.

Centers for Disease Control and Prevention. Important facts about falls. 2017. Retrieved from: https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

United States Census Bureau. Quick facts table. 2018. Retrieved from https://www.census.gov/quickfacts/fact/table/US/RHI725218

Hanlin ER, Delgado-Rendón A, Lerner EB, Hargarten S, Farías R. Fall risk and prevention strategies in an elderly latino population: A global health partnership in a local community. Prog Community Health Partnersh. 2013;7(2): 191-199.

Nied RJ & Franklin BA. Promoting and prescribing exercise in the elderly. American family physician. 2002; 65(3):419.

Nelson ME, Rejeski J, Blair SN, Duncan PW, Judge JO, King AC, CastanedaSceppa C. Physical activity and public health in older adults. Recommendation from the American College of Sports Medicine and the American Heart Association. 2007;116: 1094–1105.

Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. Journal of clinical epidemiology. 2010;63(4): 389-406.

Powell LE & Myers AM. The activities-specific balance confidence (ABC) scale. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences.1995; 50(1): M28-M34

Myers AM, Fletcher PC, Myers AH, Sherk W. Discriminative and evaluative properties of the activities-specific balance confidence (ABC) scale. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences.1998; 53(4): M287-M294.

Maughan K, Lowry K, Franke W, Smiley-Oyen A. The dose-response relationship of balance training in physically active older adults. Journal of Aging and Physical Activity, 2012; 20(4): 442-455.

Tangen G & Robinson H. Measuring physical performance in highly active older adults: Associations with age and gender? Aging Clinical and Experimental Research. 2020; 32(2): 229-237.

Shumway-Cook A, Gruber W, Baldwin M, Liao S. The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults. Physical therapy. 1997;77(1): 46-57.

DiBrezzo R, Shadden BB, Raybon BH, Powers M. Exercise intervention designed to improve strength and dynamic balance among community-dwelling older adults. Journal of Aging and Physical Activity. 2005;13(2):198-209.

Melillo KD, Williamson E, Houde, SC, Futrell M, Read CY, Campasano M. Perceptions of older Latino adults regarding physical fitness, physical activity, and exercise. Journal of Gerontological Nursing. 2001;27(9):38-46.

Wang Y-C, Sindhu B, Leigh L, Li X, Yen SC, Kapellusch J. Rasch analysis of the activities-specific balance confidence scale in older adults seeking outpatient rehabilitation services. J Orthop Sports Phys Ther. 2018; 48(7):574-583. doi: 10.2519/jospt.2018.8023.

Mini balance evaluation systems test. AbilityLab. 2013. Retrieved from: https://www.sralab.org/rehabilitation-measures/mini-balance-evaluation-systems-test

Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Physical Therapy. 2000; 80(9):896-903. https://doi.org/10.1093/ptj/80.9.896

Magnani PE, Genovez MB, Port JM, Zanellato FG, Alvarenga IC, Freire RC, de Abreu DCC. Use of the bestest and mini-bestest for fall risk prediction in community-dwelling older adults between 60 and 102 years of age. J Geriatr Phys Ther. 2020; 43(4):179-184. doi: 10.1519/JPT.0000000000000236.

Kim SB and O'sullivan DM. Effects of aqua aerobic therapy exercise for older adults on muscular strength, agility, and balance to prevent falling during gait. J Phys Ther Sci. 2013; 25(8):923-927. doi: 10.1589/jpts.25.923

Gallagher SP & Lajoie Y. Predicting falls within the elderly community: comparison of postural sway, reaction time, the berg balance scale, and activities-specific balance confidence (abc) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004; 38(1):11-26. doi: 10.1016/s0167-4943(03)00082-7.

Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982; 72(8):800-8. doi: 10.2105/ajph.72.8.800.

Reyes-Ortiz CA, Snih SA, Loera J, Ray LA, Markides K. Risk factors for falling in older mexican americans. Ethnicity & Disease. 2004; 14:417-422.

Neri SG, Oliveira JS, Dario AB, Lima RM, Tiedemann A. Does obesity increase the risk and severity of falls in people aged 60 years and older? A systematic review and meta-analysis of observational studies. The Journals of Gerontology. 2020; 75(5):952-960. https://doi.org/10.1093/gerona/glz272

Rosario, M.G., Marshall, J., Herkert, A., Binoy, B., Windham, H., & Orozco, E. Lower Limb Neuromuscular Modification and Standing Postural Control Alteration in Apparent Asymptomatic People Living with HIV. J Rehab Pract Res. 2020; 1(1):102. https://doi.org/10.33790/jrpr1100102

Nicklett EJ & Taylor RJ. Racial/ethnic predictors of falls among older adults: the health and retirement study. J Aging Health. 2014; 26(6):1060-75. doi: 10.1177/0898264314541698.

Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE . Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012. https://doi.org/10.1002/14651858.CD007146.pub3

Jones TS, Ghosh TS, Horn K, Smith J, Vogt RL. Primary care physicians perceptions and practices regarding fall prevention in adults' 65 years and over. Accid Anal Prev. 2011; 43(5):1605-9. doi: 10.1016/j.aap.2011.03.013.

Published

2021-03-09

How to Cite

Martín G. Rosario, Aleena Jose, Lara Davis, & Flavia Bayron. (2021). Physical Activity Preserve an Adequate Balance Profile in Active Hispanic-Latino Older Adults Participating in a Community Center . International Journal of Physiotherapy, 8(1), 08–14. https://doi.org/10.15621/ijphy/2021/v8i1/899

Issue

Section

Original Articles