Low cognitive status is associated with a lower ability to maintain standing balance in elderly outpatients

Marjon Stijntjes, Jantsje H Pasma, Marjet van Vuuren, Gerard Jan Blauw, Carel G M Meskers, Andrea B Maier

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Evidence is emerging that cognitive performance is involved in maintaining balance and thereby involved in falls in the elderly.

OBJECTIVE: To investigate the association of cognitive status with measures of standing balance in elderly outpatients.

METHODS: In a cross-sectional study, 197 community-dwelling elderly [mean age (SD) 81.9 (7.1) years] referred to a geriatric outpatient clinic were included and subsequently dichotomized into a group with low and normal cognitive status based on cut-off values of the Mini-Mental State Examination, Montreal Cognitive Assessment and Visual Association Test. The ability to maintain standing balance as well as the center of pressure (CoP) movement were assessed during 10 s of side-by-side, semi-tandem and tandem stance with eyes open and eyes closed. Logistic and linear regression were used to examine the association between cognitive status and measures of standing balance adjusted for age, gender and highest completed education.

RESULTS: Low cognitive status in elderly outpatients was associated with a lower ability to maintain 10 s of balance in side-by-side stance with eyes closed [OR (95% CI): 3.57 (1.60; 7.97)] and in semi-tandem stance with eyes open and eyes closed [OR (95% CI): 3.93 (1.71; 9.00) and OR (95% CI): 2.32 (1.11; 4.82), respectively]. Cognitive status was not associated with CoP movement.

CONCLUSION: Low cognitive status associates with a lower ability to maintain standing balance in more demanding standing conditions in elderly outpatients. This may have implications for routine geriatric screening strategies and interpretation of results of either standing balance or cognitive tests.

Original languageEnglish
Pages (from-to)124-30
Number of pages7
JournalGerontology
Volume61
Issue number2
DOIs
Publication statusPublished - 2015

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Outpatients
Geriatrics
Independent Living
Pressure
Ambulatory Care Facilities
Linear Models
Cross-Sectional Studies
Logistic Models
Education

Bibliographical note

© 2014 S. Karger AG, Basel.

Keywords

  • Accidental Falls/prevention & control
  • Aged
  • Aged, 80 and over
  • Cognition
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment/methods
  • Humans
  • Intelligence Tests
  • Male
  • Mental Competency
  • Netherlands
  • Outpatients/psychology
  • Postural Balance
  • Posture
  • Psychomotor Performance
  • Regression Analysis

Cite this

Stijntjes, Marjon ; Pasma, Jantsje H ; van Vuuren, Marjet ; Blauw, Gerard Jan ; Meskers, Carel G M ; Maier, Andrea B. / Low cognitive status is associated with a lower ability to maintain standing balance in elderly outpatients. In: Gerontology. 2015 ; Vol. 61, No. 2. pp. 124-30.
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abstract = "BACKGROUND: Evidence is emerging that cognitive performance is involved in maintaining balance and thereby involved in falls in the elderly.OBJECTIVE: To investigate the association of cognitive status with measures of standing balance in elderly outpatients.METHODS: In a cross-sectional study, 197 community-dwelling elderly [mean age (SD) 81.9 (7.1) years] referred to a geriatric outpatient clinic were included and subsequently dichotomized into a group with low and normal cognitive status based on cut-off values of the Mini-Mental State Examination, Montreal Cognitive Assessment and Visual Association Test. The ability to maintain standing balance as well as the center of pressure (CoP) movement were assessed during 10 s of side-by-side, semi-tandem and tandem stance with eyes open and eyes closed. Logistic and linear regression were used to examine the association between cognitive status and measures of standing balance adjusted for age, gender and highest completed education.RESULTS: Low cognitive status in elderly outpatients was associated with a lower ability to maintain 10 s of balance in side-by-side stance with eyes closed [OR (95{\%} CI): 3.57 (1.60; 7.97)] and in semi-tandem stance with eyes open and eyes closed [OR (95{\%} CI): 3.93 (1.71; 9.00) and OR (95{\%} CI): 2.32 (1.11; 4.82), respectively]. Cognitive status was not associated with CoP movement.CONCLUSION: Low cognitive status associates with a lower ability to maintain standing balance in more demanding standing conditions in elderly outpatients. This may have implications for routine geriatric screening strategies and interpretation of results of either standing balance or cognitive tests.",
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Low cognitive status is associated with a lower ability to maintain standing balance in elderly outpatients. / Stijntjes, Marjon; Pasma, Jantsje H; van Vuuren, Marjet; Blauw, Gerard Jan; Meskers, Carel G M; Maier, Andrea B.

In: Gerontology, Vol. 61, No. 2, 2015, p. 124-30.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Low cognitive status is associated with a lower ability to maintain standing balance in elderly outpatients

AU - Stijntjes, Marjon

AU - Pasma, Jantsje H

AU - van Vuuren, Marjet

AU - Blauw, Gerard Jan

AU - Meskers, Carel G M

AU - Maier, Andrea B

N1 - © 2014 S. Karger AG, Basel.

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Evidence is emerging that cognitive performance is involved in maintaining balance and thereby involved in falls in the elderly.OBJECTIVE: To investigate the association of cognitive status with measures of standing balance in elderly outpatients.METHODS: In a cross-sectional study, 197 community-dwelling elderly [mean age (SD) 81.9 (7.1) years] referred to a geriatric outpatient clinic were included and subsequently dichotomized into a group with low and normal cognitive status based on cut-off values of the Mini-Mental State Examination, Montreal Cognitive Assessment and Visual Association Test. The ability to maintain standing balance as well as the center of pressure (CoP) movement were assessed during 10 s of side-by-side, semi-tandem and tandem stance with eyes open and eyes closed. Logistic and linear regression were used to examine the association between cognitive status and measures of standing balance adjusted for age, gender and highest completed education.RESULTS: Low cognitive status in elderly outpatients was associated with a lower ability to maintain 10 s of balance in side-by-side stance with eyes closed [OR (95% CI): 3.57 (1.60; 7.97)] and in semi-tandem stance with eyes open and eyes closed [OR (95% CI): 3.93 (1.71; 9.00) and OR (95% CI): 2.32 (1.11; 4.82), respectively]. Cognitive status was not associated with CoP movement.CONCLUSION: Low cognitive status associates with a lower ability to maintain standing balance in more demanding standing conditions in elderly outpatients. This may have implications for routine geriatric screening strategies and interpretation of results of either standing balance or cognitive tests.

AB - BACKGROUND: Evidence is emerging that cognitive performance is involved in maintaining balance and thereby involved in falls in the elderly.OBJECTIVE: To investigate the association of cognitive status with measures of standing balance in elderly outpatients.METHODS: In a cross-sectional study, 197 community-dwelling elderly [mean age (SD) 81.9 (7.1) years] referred to a geriatric outpatient clinic were included and subsequently dichotomized into a group with low and normal cognitive status based on cut-off values of the Mini-Mental State Examination, Montreal Cognitive Assessment and Visual Association Test. The ability to maintain standing balance as well as the center of pressure (CoP) movement were assessed during 10 s of side-by-side, semi-tandem and tandem stance with eyes open and eyes closed. Logistic and linear regression were used to examine the association between cognitive status and measures of standing balance adjusted for age, gender and highest completed education.RESULTS: Low cognitive status in elderly outpatients was associated with a lower ability to maintain 10 s of balance in side-by-side stance with eyes closed [OR (95% CI): 3.57 (1.60; 7.97)] and in semi-tandem stance with eyes open and eyes closed [OR (95% CI): 3.93 (1.71; 9.00) and OR (95% CI): 2.32 (1.11; 4.82), respectively]. Cognitive status was not associated with CoP movement.CONCLUSION: Low cognitive status associates with a lower ability to maintain standing balance in more demanding standing conditions in elderly outpatients. This may have implications for routine geriatric screening strategies and interpretation of results of either standing balance or cognitive tests.

KW - Accidental Falls/prevention & control

KW - Aged

KW - Aged, 80 and over

KW - Cognition

KW - Cross-Sectional Studies

KW - Female

KW - Geriatric Assessment/methods

KW - Humans

KW - Intelligence Tests

KW - Male

KW - Mental Competency

KW - Netherlands

KW - Outpatients/psychology

KW - Postural Balance

KW - Posture

KW - Psychomotor Performance

KW - Regression Analysis

U2 - 10.1159/000364916

DO - 10.1159/000364916

M3 - Article

VL - 61

SP - 124

EP - 130

JO - Gerontology

JF - Gerontology

SN - 0304-324X

IS - 2

ER -