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Association between physical activity, functional fitness and fall risk in the elderly: a cross-sectional population-based study from the Oporto region

2021-06Journal article Restricted access
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dc.contributor.authorCarmo, Paulo Jorge Quintela Cardoso do
dc.contributor.authorCésar, Adjane P.
dc.contributor.authorSantos, Rubim
dc.contributor.authorCarvalho, Joana M.
dc.date.accessioned2021-07-06T14:38:40Z
dc.date.available2021-07-06T14:38:40Z
dc.date.issued2021-06
dc.description.abstractFalls among the elderly are important clinical and health problems being one of the major causes of morbidity and mortality worldwide. Its high incidence and functional and social repercussions cause a significant financial burden on older adults, health systems and communities. According to different methodologies, the relationship between fall risk, physical activity and physical fitness found some inconsistent results. This study aims to examine the association between objective physical activity (PA) levels, fall risk (FR) and different components of functional fitness (FF) creating an appropriate model to explain variability in fall risk. Methods: One hundred and seventy elderly adults (72.34±6.70 years old, 124 female), completed a Functional-Fitness-Test (FFT) and a Performance-Orientated-Mobility-Assessment (POMA). Ambulatory-PA was assessed by 7-day accelerometry. Pearson’s correlation was used to verify association between FR, PA and FF. Analyses were adjusted either for gender, age, or both. Inferential stepwise multiple linear regression (MLR) was used to investigate the impact of PA and components of FF on FR. RESULTS: MLR Showed that FR variability was mainly explained by motor agility (46.0%) and also by lower-body strength (14.1%) independently, and 49% when associated. Physical activity and also age were excluded from the models. MLR analysis by gender, only motor agility explains fall risk variability, more in female (45.0%) than in male (23.6%). The authors concluded that low motor agility and lower-body strength may increase fall risk. However, further evidence from a prospective study is required to establish directions of causality between physical activity behavior and risk of falls.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCarmo PC, Cesar AP, Santos RS, Carvalho JM. Association between physical activity, functional fitness and fall risk in the elderly: a cross-sectional population-based study from the Oporto region. Med Sport 2021;74:313-26. DOI: 10.23736/S0025-7826.21.03838-2pt_PT
dc.identifier.doi10.23736/S0025-7826.21.03838-2pt_PT
dc.identifier.issn1827-1863
dc.identifier.urihttp://hdl.handle.net/10400.22/18098
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherEDIZIONI MINERVA MEDICApt_PT
dc.relation.publisherversionhttps://www.minervamedica.it/it/riviste/medicina-dello-sport/articolo.php?cod=R26Y2021N02A0313pt_PT
dc.subjectAgingpt_PT
dc.subjectMotor activitypt_PT
dc.subjectPhysical fitnesspt_PT
dc.subjectPostural balancept_PT
dc.subjectAccidental fallspt_PT
dc.titleAssociation between physical activity, functional fitness and fall risk in the elderly: a cross-sectional population-based study from the Oporto regionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage326pt_PT
oaire.citation.startPage313pt_PT
oaire.citation.titleMedicina dello Sportpt_PT
oaire.citation.volume74pt_PT
person.familyNameRubim Silva Santos
person.givenNameManuel
person.identifier.ciencia-idA019-C885-3DAE
person.identifier.ciencia-idA018-2B24-C597
person.identifier.orcid0000-0002-3142-2914
person.identifier.orcid0000-0002-7394-7604
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication305381ab-ee3d-4e8d-990d-754a94114adb
relation.isAuthorOfPublication0a264044-a870-4fca-b976-f7ce003d23a8
relation.isAuthorOfPublication.latestForDiscovery0a264044-a870-4fca-b976-f7ce003d23a8

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