History of falls, gait, balance, and fall risks in older cancer survivors living in the community

Min H Huang, Tracy Shilling, Kara A Miller, Kristin Smith, Kayle LaVictoire Physical Therapy Department, School of Health Professions and Studies, University of Michigan–Flint, Flint, MI, USA Abstract: Older cancer survivors may be predisposed to falls because cancer-related sequelae aff...

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Autores principales:	Huang MH, Shilling T, Miller KA, Smith K, LaVictoire K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	balance falls risk factor aging cancer survivor Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/c5e9f335040f4830a8e54afe059a3e92
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spelling	oai:doaj.org-article:c5e9f335040f4830a8e54afe059a3e922021-12-02T04:19:28ZHistory of falls, gait, balance, and fall risks in older cancer survivors living in the community1178-1998https://doaj.org/article/c5e9f335040f4830a8e54afe059a3e922015-09-01T00:00:00Zhttps://www.dovepress.com/history-of-falls-gait-balance-and-fall-risks-in-older-cancer-survivors-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Min H Huang, Tracy Shilling, Kara A Miller, Kristin Smith, Kayle LaVictoire Physical Therapy Department, School of Health Professions and Studies, University of Michigan–Flint, Flint, MI, USA Abstract: Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A “faller” was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher’s exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with P<0.15 were included in a forward logistic regression model to identify factors predictive of falls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was P<0.05. During follow-up, 59% of participants had one or more falls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594–29.074) (P<0.05). Sensitivity and specificity for correctly identifying a faller using the positive history of falls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may help detect individuals at risk of falling. Keywords: balance, falls, risk factor, aging, cancer survivorHuang MHShilling TMiller KASmith KLaVictoire KDove Medical Pressarticlebalancefallsrisk factoragingcancer survivorGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1497-1503 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	balance falls risk factor aging cancer survivor Geriatrics RC952-954.6
spellingShingle	balance falls risk factor aging cancer survivor Geriatrics RC952-954.6 Huang MH Shilling T Miller KA Smith K LaVictoire K History of falls, gait, balance, and fall risks in older cancer survivors living in the community
description	Min H Huang, Tracy Shilling, Kara A Miller, Kristin Smith, Kayle LaVictoire Physical Therapy Department, School of Health Professions and Studies, University of Michigan–Flint, Flint, MI, USA Abstract: Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A “faller” was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher’s exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with P<0.15 were included in a forward logistic regression model to identify factors predictive of falls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was P<0.05. During follow-up, 59% of participants had one or more falls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594–29.074) (P<0.05). Sensitivity and specificity for correctly identifying a faller using the positive history of falls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may help detect individuals at risk of falling. Keywords: balance, falls, risk factor, aging, cancer survivor
format	article
author	Huang MH Shilling T Miller KA Smith K LaVictoire K
author_facet	Huang MH Shilling T Miller KA Smith K LaVictoire K
author_sort	Huang MH
title	History of falls, gait, balance, and fall risks in older cancer survivors living in the community
title_short	History of falls, gait, balance, and fall risks in older cancer survivors living in the community
title_full	History of falls, gait, balance, and fall risks in older cancer survivors living in the community
title_fullStr	History of falls, gait, balance, and fall risks in older cancer survivors living in the community
title_full_unstemmed	History of falls, gait, balance, and fall risks in older cancer survivors living in the community
title_sort	history of falls, gait, balance, and fall risks in older cancer survivors living in the community
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c5e9f335040f4830a8e54afe059a3e92
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History of falls, gait, balance, and fall risks in older cancer survivors living in the community

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