Abstract
Background. The purpose of this study was to determine whether peripheral arterial disease (PAD) subjects have impaired balance and a higher prevalence of falls than non-PAD controls and to determine whether balance and falls are related to the severity of PAD and functional status. Methods. A total of 367 PAD subjects (aged 68 ± 1 years; mean ± SEM) and 458 non-PAD controls (aged 67 ± 1 years) were recruited. Unipedal stance time, history of ambulatory stumbling and unsteadiness, and history of falling were recorded. Additionally, subjects were characterized on age, ankle/brachial index (ABI), anthropometry, measured and self-reported ambulatory function, and monitored daily physical activity. Results. Unipedal stance time was 28% shorter (p < .001) in the PAD subjects than in the non-PAD controls (15.9 ± 0.9 vs 22.1 ± 1.0). History of ambulatory stumbling and unsteadiness was 86% more prevalent (p < .001) in the PAD group (150/367 = 41%) than in the controls (101/458 = 22%), and history of falling was 73% more prevalent (p < .001) in the PAD subjects (95/367 = 26%) than in the controls (69/458 = 15%). Within the PAD group, 6-minute walk distance, self-reported ambulatory function, and daily physical activity were significantly related to the balance and falling measures (p < .05), whereas ABI was unrelated (p > .05). Conclusions. Compared with the controls, PAD subjects with intermittent claudication had impaired balance and a greater likelihood of falling, both of which were associated with ambulatory function and daily physical activity.
| Original language | English (US) |
|---|---|
| Pages (from-to) | M454-M458 |
| Journal | Journals of Gerontology - Series A Biological Sciences and Medical Sciences |
| Volume | 56 |
| Issue number | 7 |
| DOIs | |
| State | Published - Jan 1 2001 |
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All Science Journal Classification (ASJC) codes
- Aging
- Geriatrics and Gerontology
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Impaired balance and higher prevalence of falls in subjects with intermittent claudication. / Gardner, A. W.; Montgomery, P. S.
In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 56, No. 7, 01.01.2001, p. M454-M458.Research output: Contribution to journal › Article
TY - JOUR
T1 - Impaired balance and higher prevalence of falls in subjects with intermittent claudication
AU - Gardner, A. W.
AU - Montgomery, P. S.
PY - 2001/1/1
Y1 - 2001/1/1
N2 - Background. The purpose of this study was to determine whether peripheral arterial disease (PAD) subjects have impaired balance and a higher prevalence of falls than non-PAD controls and to determine whether balance and falls are related to the severity of PAD and functional status. Methods. A total of 367 PAD subjects (aged 68 ± 1 years; mean ± SEM) and 458 non-PAD controls (aged 67 ± 1 years) were recruited. Unipedal stance time, history of ambulatory stumbling and unsteadiness, and history of falling were recorded. Additionally, subjects were characterized on age, ankle/brachial index (ABI), anthropometry, measured and self-reported ambulatory function, and monitored daily physical activity. Results. Unipedal stance time was 28% shorter (p < .001) in the PAD subjects than in the non-PAD controls (15.9 ± 0.9 vs 22.1 ± 1.0). History of ambulatory stumbling and unsteadiness was 86% more prevalent (p < .001) in the PAD group (150/367 = 41%) than in the controls (101/458 = 22%), and history of falling was 73% more prevalent (p < .001) in the PAD subjects (95/367 = 26%) than in the controls (69/458 = 15%). Within the PAD group, 6-minute walk distance, self-reported ambulatory function, and daily physical activity were significantly related to the balance and falling measures (p < .05), whereas ABI was unrelated (p > .05). Conclusions. Compared with the controls, PAD subjects with intermittent claudication had impaired balance and a greater likelihood of falling, both of which were associated with ambulatory function and daily physical activity.
AB - Background. The purpose of this study was to determine whether peripheral arterial disease (PAD) subjects have impaired balance and a higher prevalence of falls than non-PAD controls and to determine whether balance and falls are related to the severity of PAD and functional status. Methods. A total of 367 PAD subjects (aged 68 ± 1 years; mean ± SEM) and 458 non-PAD controls (aged 67 ± 1 years) were recruited. Unipedal stance time, history of ambulatory stumbling and unsteadiness, and history of falling were recorded. Additionally, subjects were characterized on age, ankle/brachial index (ABI), anthropometry, measured and self-reported ambulatory function, and monitored daily physical activity. Results. Unipedal stance time was 28% shorter (p < .001) in the PAD subjects than in the non-PAD controls (15.9 ± 0.9 vs 22.1 ± 1.0). History of ambulatory stumbling and unsteadiness was 86% more prevalent (p < .001) in the PAD group (150/367 = 41%) than in the controls (101/458 = 22%), and history of falling was 73% more prevalent (p < .001) in the PAD subjects (95/367 = 26%) than in the controls (69/458 = 15%). Within the PAD group, 6-minute walk distance, self-reported ambulatory function, and daily physical activity were significantly related to the balance and falling measures (p < .05), whereas ABI was unrelated (p > .05). Conclusions. Compared with the controls, PAD subjects with intermittent claudication had impaired balance and a greater likelihood of falling, both of which were associated with ambulatory function and daily physical activity.
UR - http://www.scopus.com/inward/record.url?scp=0034960131&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034960131&partnerID=8YFLogxK
U2 - 10.1093/gerona/56.7.M454
DO - 10.1093/gerona/56.7.M454
M3 - Article
C2 - 11445605
AN - SCOPUS:0034960131
VL - 56
SP - M454-M458
JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
SN - 1079-5006
IS - 7
ER -