Document Detail


Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing.
MedLine Citation:
PMID:  18270246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to identify socio-economic, behavioural and disease status risks for impaired balance or self-reported dizziness in older people from a large population-based study. METHODS: data were from the English Longitudinal Study of Ageing (ELSA), for 2,925 participants, aged 65+. Multivariate models were used to assess the associations between balance and dizziness and disease status, health behaviours, grip strength and socio-economic markers. RESULTS: there were 21.5% (n = 619) participants with impaired balance and 11.1% (n = 375) reported dizziness. Impaired balance was statistically significantly associated with age, diabetes (OR = 1.53), arthritis (OR = 1.33), eyesight (OR = 1.94) and grip strength. The wealthiest 20% of participants were less likely to have impaired balance than the poorest 20% (OR = 0.46). Dizziness problems were not associated with age, gender or wealth, but were significantly associated with an abnormal heart rhythm (OR = 1.85), hearing (OR = 1.81), eyesight (OR = 1.72) and grip strength. CONCLUSION: the epidemiology of impaired balance differs from that of dizziness, and risk assessment approaches to prevent falls may need to elicit information on different problem-specific factors. Impaired balance test performance in older people may be added to the many outcomes showing strong socio-economic gradients.
Authors:
Kara N Stevens; Iain A Lang; Jack M Guralnik; David Melzer
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Publication Detail:
Type:  Journal Article     Date:  2008-02-12
Journal Detail:
Title:  Age and ageing     Volume:  37     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-05     Completed Date:  2008-06-16     Revised Date:  2009-04-15    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  300-5     Citation Subset:  IM    
Affiliation:
Peninsula Medical School, Epidemiology and Public Health Group, UK.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Aged
Aging
Arrhythmias, Cardiac / complications
Arthritis / complications
Diabetes Complications
Dizziness / complications,  epidemiology*,  etiology
England / epidemiology
Female
Hand Strength
Hearing Disorders / complications
Humans
Incidence
Longitudinal Studies
Male
Postural Balance*
Sensation Disorders / complications,  epidemiology*,  etiology
Vision Disorders / complications
Comments/Corrections
Erratum In:
Age Ageing. 2008 Sep;37(5):610
Age Ageing. 2009 Jan;38(1):134

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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