Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study

Abstract Background Jumping mechanography is a technology for quantitatively assessing muscular function and balance in older adults. This study sought to define the association between jumping mechanography parameters and fall risk in Vietnamese individuals. Methods The study involved 375 women and...

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Main Authors: Duy K. Hoang, Nhan M. Le, Uyen P. Vo‐Thi, Huy G. Nguyen, Lan T. Ho‐Pham, Tuan V. Nguyen
Format: Article
Language:English
Published: Wiley 2021-10-01
Series:Journal of Cachexia, Sarcopenia and Muscle
Subjects:
Online Access:https://doi.org/10.1002/jcsm.12751
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author Duy K. Hoang
Nhan M. Le
Uyen P. Vo‐Thi
Huy G. Nguyen
Lan T. Ho‐Pham
Tuan V. Nguyen
author_facet Duy K. Hoang
Nhan M. Le
Uyen P. Vo‐Thi
Huy G. Nguyen
Lan T. Ho‐Pham
Tuan V. Nguyen
author_sort Duy K. Hoang
collection DOAJ
description Abstract Background Jumping mechanography is a technology for quantitatively assessing muscular function and balance in older adults. This study sought to define the association between jumping mechanography parameters and fall risk in Vietnamese individuals. Methods The study involved 375 women and 244 men aged 50 years and older, who were recruited from the general population in Ho Chi Minh City (Vietnam). The individuals had been followed for 2 years. At baseline, Esslinger Fitness index (EFI), jumping power, force, velocity of lower limbs, and the ability to maintain balance were measured by a Leonardo Mechanograph Ground Reaction Force system (Novotec Medical, Pforxheim, Germany). The incidence of falls during the follow‐up period was ascertained from self‐report. Logistic regression analysis was used to analyse the association between jumping mechanography parameters and fall risk. Results The average age of participants at baseline was 56.7 years (SD 5.85). During the 2 year follow‐up, 92 falls were reported, making the incidence of fall at ~15% [95% confidence interval (CI), 12.1 to 18.2]. The incidence of fall increased with advancing age, and women had a higher incidence than men (17.6% vs. 10.7%; P = 0.024). In univariate analysis, maximal velocity [odds ratio (OR) 0.65; 95% CI, 0.52 to 0.82], maximal force (OR 0.83; 95% CI, 0.65 to 1.04), and maximal power (OR 0.68; 95% CI, 0.52 to 0.88) were each significantly associated with fall risk. EFI was not significantly associated with fall risk (OR 1.09; 95% CI, 0.86 to 1.39). However, in a multiple logistic regression model, greater maximum velocity was associated with lower odds of fall (OR 0.38; 95% CI, 0.16 to 0.92). Conclusions These data suggest that jumping mechanography is a useful tool for assessing fall risk in older adults of Vietnamese background.
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spelling doaj.art-b0180c53f9dd4dc79394386d857a66ed2024-04-17T04:30:43ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092021-10-011251161116710.1002/jcsm.12751Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis StudyDuy K. Hoang0Nhan M. Le1Uyen P. Vo‐Thi2Huy G. Nguyen3Lan T. Ho‐Pham4Tuan V. Nguyen5Bone and Muscle Research Group Ton Duc Thang University Ho Chi Minh City VietnamBone and Muscle Research Group Ton Duc Thang University Ho Chi Minh City VietnamBone and Muscle Research Group Ton Duc Thang University Ho Chi Minh City VietnamBone and Muscle Research Group Ton Duc Thang University Ho Chi Minh City VietnamBone and Muscle Research Group Ton Duc Thang University Ho Chi Minh City VietnamSchool of Biomedical Engineering University of Technology Sydney Sydney NSW AustraliaAbstract Background Jumping mechanography is a technology for quantitatively assessing muscular function and balance in older adults. This study sought to define the association between jumping mechanography parameters and fall risk in Vietnamese individuals. Methods The study involved 375 women and 244 men aged 50 years and older, who were recruited from the general population in Ho Chi Minh City (Vietnam). The individuals had been followed for 2 years. At baseline, Esslinger Fitness index (EFI), jumping power, force, velocity of lower limbs, and the ability to maintain balance were measured by a Leonardo Mechanograph Ground Reaction Force system (Novotec Medical, Pforxheim, Germany). The incidence of falls during the follow‐up period was ascertained from self‐report. Logistic regression analysis was used to analyse the association between jumping mechanography parameters and fall risk. Results The average age of participants at baseline was 56.7 years (SD 5.85). During the 2 year follow‐up, 92 falls were reported, making the incidence of fall at ~15% [95% confidence interval (CI), 12.1 to 18.2]. The incidence of fall increased with advancing age, and women had a higher incidence than men (17.6% vs. 10.7%; P = 0.024). In univariate analysis, maximal velocity [odds ratio (OR) 0.65; 95% CI, 0.52 to 0.82], maximal force (OR 0.83; 95% CI, 0.65 to 1.04), and maximal power (OR 0.68; 95% CI, 0.52 to 0.88) were each significantly associated with fall risk. EFI was not significantly associated with fall risk (OR 1.09; 95% CI, 0.86 to 1.39). However, in a multiple logistic regression model, greater maximum velocity was associated with lower odds of fall (OR 0.38; 95% CI, 0.16 to 0.92). Conclusions These data suggest that jumping mechanography is a useful tool for assessing fall risk in older adults of Vietnamese background.https://doi.org/10.1002/jcsm.12751Jumping mechanographyFallJumping powerJumping velocityVietnam Osteoporosis Study
spellingShingle Duy K. Hoang
Nhan M. Le
Uyen P. Vo‐Thi
Huy G. Nguyen
Lan T. Ho‐Pham
Tuan V. Nguyen
Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
Journal of Cachexia, Sarcopenia and Muscle
Jumping mechanography
Fall
Jumping power
Jumping velocity
Vietnam Osteoporosis Study
title Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
title_full Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
title_fullStr Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
title_full_unstemmed Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
title_short Mechanography assessment of fall risk in older adults: the Vietnam Osteoporosis Study
title_sort mechanography assessment of fall risk in older adults the vietnam osteoporosis study
topic Jumping mechanography
Fall
Jumping power
Jumping velocity
Vietnam Osteoporosis Study
url https://doi.org/10.1002/jcsm.12751
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