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Sex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adults

2023-01-05Journal article Open access
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dc.contributor.authorNascimento, Marcelo de Maio
dc.contributor.authorGouveia, Élvio Rúbio
dc.contributor.authorGouveia, Élvio Rúbio
dc.contributor.authorGouveia, Bruna R.
dc.contributor.authorMarques, Adilson
dc.contributor.authorFrança, Cíntia
dc.contributor.authorMarconcin, Priscila
dc.contributor.authorFreitas, Duarte L.
dc.contributor.authorIhle, Andreas
dc.date.accessioned2025-09-03T09:56:30Z
dc.date.available2025-09-03T09:56:30Z
dc.date.issued2023-01-05
dc.description.abstractThis study, conducted on a large sample of older adults at elevated fall risk (1), aimed to verify statistical differences in gait stability ratio (GSR) and body balance (BB) according to sex, (2) to examine and compare GSR and BB performance between older adult fallers and non-fallers, (3) to determine an association between GSR and BB according to the history of falls, and (4) to explore whether GSR and BB mediate the association between sex and falls. We included 619 individuals (69.8 ± 5.6 years) living in the Autonomous Region of Madeira, Portugal. The frequency of falls was obtained by self-report. BB was determined by the Fullerton Advanced Balance scale, while GSR was established by dividing cadence by gait speed and data collected during the 50-foot walk test. Males indicated a lower prevalence of falls in the last 12 months (23.6%), while females had a higher score (48.7%), as well as a lower balance performance (p < 0.001) and higher GSR scores (p < 0.001). Lower BB control (p < 0.001), as well as higher GSR, were more expressive for fallers (p < 0.001). We found a large, negative and significant correlation between GSR and BB for historical falls (r = −0.560; p < 0.001), and between male and female cohorts (r = −0.507; p < 0.001). The total effect of sex on falls mediated by GSR and BB was 16.4%. Consequently, GSR and BB mediated this association by approximately 74.0% and 22.5%, respectively.eng
dc.identifier.citationNascimento, M. d. M., Gouveia, É. R., Gouveia, B. R., Marques, A., França, C., Marconcin, P., Freitas, D. L., & Ihle, A. (2023). Sex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adults. Journal of Clinical Medicine, 12(2), 450
dc.identifier.doihttps://doi.org/10.3390/jcm12020450https://doi.org/10.3390/jcm12020450
dc.identifier.urihttp://hdl.handle.net/10400.26/58506
dc.language.isoeng
dc.peerreviewedn/a
dc.publisherJournal of Clinical Medicine
dc.rights.uriN/A
dc.subjectsex differences
dc.subjectaging
dc.subjectgait pattern
dc.subjectvulnerability
dc.subjectpostural control
dc.subjectfalls
dc.titleSex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adultseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.startPage450
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameGouveia
person.givenNameÉlvio Rúbio
person.identifierF-9156-2015
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.orcid0000-0003-0927-692X
person.identifier.scopus-author-id36637395800
relation.isAuthorOfPublicationacd72d85-3413-4adc-98e1-9f986d8ce91b
relation.isAuthorOfPublication.latestForDiscoveryacd72d85-3413-4adc-98e1-9f986d8ce91b

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