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Thaler-Kall, K. ; Peters, A. ; Thorand, B. ; Grill, E.* ; Autenrieth, C.S. ; Horsch, A.D.* ; Meisinger, C.

Description of spatio-temporal gait parameters in elderly people and their association with history of falls: Results of the population-based cross-sectional KORA-Age study.

BMC Geriatr. 15:32 (2015)
Verlagsversion DOI
Open Access Gold
Creative Commons Lizenzvertrag
Background: In this epidemiological study we described the characteristics of spatio-temporal gait parameters among a representative, population-based sample of 890 community-dwelling people aged 65 to 90 years. In addition, we investigated the associations between certain gait parameters and a history of falls in study participants. Methods: In descriptive analyses spatio-temporal gait parameters were assessed according to history of falls, frailty, multimorbidity, gender, multiple medication use, disability status, and age group. Logistic regression models were calculated to examine the association between gait velocity and stride length with a history of falls (at least one fall in the last 12 month). Data on gait were collected on an electronic walkway on which participants walked at their usual pace. Results: We found significant differences within gait parameters when stratifying by frailty, multimorbidity, disability and multiple medication use as well as age (cut point 75 years) and sex, with p<0.05 for all gait parameters (velocity, cadence, time, stride duration, stride length, step width). After stratification by history of falls, only stride length showed a significant difference (p<0.05) between the groups of fallers and non-fallers. Logistic regression models showed that a decreased stride length was independently associated with falls in men aged older than 74 years (OR 1.34 (CI: 1.05-1.70 per 10 cm decrease)), while this was neither the case for women of similar age nor for men or women aged 65 to 74 years. A decreased walking speed was not associated with falls. Conclusion: Age, frailty, multimorbidity, disability, history of falls, sex, and multiple medication use show an association with different gait parameters measured during gait assessment on an electronic walkway in elderly people. Furthermore, stride length is a good indicator to differentiate fallers from non-fallers in older men from the general population.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Electronic Walkway ; Fall Risk ; Falls ; Gait Parameters ; Velocity; Dwelling Older-people; Risk-factors; Parkinsons-disease; Electronic Walkway; Predicting Falls; Dual-tasking; Adults; Community; Variability; Disorders
e-ISSN 1471-2318
Zeitschrift BMC Geriatrics
Quellenangaben Band: 15, Heft: 1, Seiten: , Artikelnummer: 32 Supplement: ,
Verlag BioMed Central
Verlagsort London
Begutachtungsstatus Peer reviewed