Factor Structure of Gait Parameters in Older Men and Women
DOI:
https://doi.org/10.37482/2687-1491-Z174Keywords:
gait, women, men, older adults, factor structureAbstract
Ageing negatively affects the quality of walking. There is a relationship between old age and changes in the main spatiotemporal gait parameters. However, this relationship differs between men and women. The question of the influence of sex on postural balance remains relevant today, since conflicting data are found in various sources. The purpose of this research was to study sex-related differences in the factor structure of gait parameters in older adults. Materials and methods. The study involved 80 subjects aged 60–74 years. The mean age was 67.2 ± 2.1 years in the group of women (n = 40) and 67.4 ± 2.0 years in the group of men (n = 40). Gait was assessed using the computer-aided stabilometric complex Balance Manager. The following tests were performed: Sit-to-Stand, Walk Across, Tandem Walk, Step/Quick Turn, and Step-UpandOver. Results. Sex-related features of the factor structure of gait parameters in older adults were revealed. We established that the leading factor in the group of older women is the factor that combines the following parameters: time to execute a motor act (stepping over an obstacle) and speed of simple and tandem walking. In the group of older men, however, the leading factor combines the parameters of time, accuracy and muscle force when performing complex motor acts (turning while walking and stepping over an obstacle).
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Puszczalowska-Lizis E., Bujas P., Jandzis S., Omorczyk J., Zak M. Inter-Gender Differences of Balance Indicators in Persons 60–90 Years of Age // Clin. Interv. Aging. 2018. № 13. Р. 903–912. https://doi.org/10.2147/CIA.S157182
Butler A.A., Menant J.C., Tiedemann A.C., Lord S.R. Age and Gender Differences in Seven Tests of Functional Mobility // J. Neuroeng. Rehabil. 2009. Vol. 6. Art. № 31. https://doi.org/10.1186/1743-0003-6-31
Cameron E.J., Bowles S.K., Marshall E.G., Andrew M.K. Falls and Long-Term Care: A Report from the Care by Design Observational Cohort Study // BMC Fam. Pract. 2018. Vol. 19, № 1. Art. № 73. https://doi.org/10.1186/s12875-018-0741-6
Ширяева Т.П., Торшин В.И., Грибанов А.В., Федотов Д.М., Багрецов С.Ф. Функциональное состояние динамического компонента постурального баланса у женщин пожилого возраста и влияющие на него факторы // Экология человека. 2020. № 3. С. 10–15. https://doi.org/10.33396/1728-0869-2020-3-10-15
Nascimento M.d.M., Gouveia É.R., Gouveia B.R., Marques A., França C., Marconcin P., Freitas D.L., Ihle A. Sex Differences in Falls: The Mediating Role of Gait Stability Ratio and Body Balance in Vulnerable Older Adults // J. Clin. Med. 2023. Vol. 12, № 2. Art. № 450. https://doi.org/10.3390/jcm12020450
Berková M., Berka Z. Falls: A Significant Cause of Morbidity and Mortality in Elderly People // Vnitr. Lek. 2018. Vol. 64, № 11. P. 1076–1083.
Грибанов А.В., Мороз Т.П., Дёмин А.В. Особенности ходьбы у женщин 55–64 лет, проживающих на Европейском Севере России // В мире науч. открытий. 2014. № 2(50). С. 65–71.
Ribeiro D.M., Bueno G.A.S., Gervásio F.M., Menezes R.L. Foot-Ground Clearance Characteristics in Women: A Comparison Across Different Ages // Gait Posture. 2019. Vol. 69. Р. 121–125. https://doi.org/10.1016/j.gaitpost.2019.01.028
Šarabon N., Kozinc Ž., Marković G. Effects of Age, Sex and Task on Postural Sway During Quiet Stance // Gait Posture. 2022. Vol. 92. P. 60–64. https://doi.org/10.1016/j.gaitpost.2021.11.020
Demura S., Yamada T., Shin S. Age and Sex Differences in Various Stepping Movements of the Elderly // Geriatr. Gerontol. Int. 2008. Vol. 8, № 3. P. 180–187. https://doi.org/10.1111/j.1447-0594.2008.00468.x
Burns E., Kakara R. Deaths from Falls Among Persons Aged ≥65 Years – United States, 2007–2016 // MMWR Morb. Mortal. Wkly. Rep. 2018. Vol. 67, № 18. P. 509–514. https://doi.org/10.15585/mmwr.mm6718a1
Nascimento M.d.M., Gouveia B.R., Gouveia É.R., Campos P., Marques A., Ihle A. Muscle Strength and Balance as Mediators in the Association Between Physical Activity and Health-Related Quality of Life in Community-Dwelling Older Adults // J. Clin. Med. 2022. Vol. 11, № 16. Art. № 4857. https://doi.org/10.3390/jcm11164857
Cao C., Schultz A.B., Ashton-Miller J.A., Alexander N.B. Sudden Turns and Stops While Walking: Kinematic Sources of Age And Gender Differences // Gait Posture. 1998. Vol. 7, № 1. P. 45–52. https://doi.org/10.1016/S0966-6362(97)00031-3
Nascimento M.D.M., Gouveia É.R., Gouveia B.R., Marques A., Martins F., Przednowek K., França C., Peralta M., Ihle A. Associations of Gait Speed, Cadence, Gait Stability Ratio, and Body Balance with Falls in Older Adults // Int. J. Environ. Res. Public Health. 2022. Vol. 19, № 21. Art. № 13926. https://doi.org/10.3390/ijerph192113926
Granacher U., Gollhofer A., Hortobágyi T., Kressig R.W., Muehlbauer T. The Importance of Trunk Muscle Strength for Balance, Functional Performance, and Fall Prevention in Seniors: A Systematic Review // Sports Med. 2013. Vol. 43, № 7. P. 627–641. https://doi.org/10.1007/s40279-013-0041-1
Osoba M.Y., Rao A.K., Agrawal S.K., Lalwani A.K. Balance and Gait in the Elderly: A Contemporary Review // Laryngoscope Investig. Otolaryngol. 2019. Vol. 4, № 1. Р. 143–153. https://doi.org/10.1002/lio2.252
Espinoza-Araneda J., Bravo-Carrasco V., Álvarez C., Marzuca-Nassr G.N., Muñoz-Mendoza C.L., Muñoz J., Caparrós-Manosalva C. Postural Balance and Gait Parameters of Independent Older Adults: A Sex Difference Analysis // Int. J. Environ. Res. Public Health. 2022. Vol. 19, № 7. Art. № 4064. https://doi.org/10.3390/ijerph19074064
Pauelsen M., Nyberg L., Röijezon U., Vikman I. Both Psychological Factors and Physical Performance Are Associated with Fall-Related Concerns // Aging Clin. Exp. Res. 2018. Vol. 30, № 9. P. 1079–1085. https://doi.org/10.1007/s40520-017-0882-9
Ganz D.A., Latham N.K. Prevention of Falls in Community-Dwelling Older Adults // N. Engl. J. Med. 2020. Vol. 382, № 8. P. 734–743. https://doi.org/10.1056/NEJMcp1903252
Ширяева Т.П., Грибанов А.В. Половые особенности постурального баланса у лиц пожилого возраста // Новые исследования. 2020. № 3(63). С. 40–46.
Ширяева Т.П., Грибанов А.В., Федотов Д.М. Половые различия динамического компонента постурального баланса у лиц пожилого возраста // Журн. мед.-биол. исслед. 2020. Т. 8, № 4. С. 442–446. https://doi.org/10.37482/2687-1491-Z037
Hamacher D., Liebl D., Hödl C., Heßler V., Kniewasser C.K., Thönnessen T., Zech A. Gait Stability and Its Influencing Factors in Older Adults // Front. Physiol. 2019. Vol. 9. Art. № 1955. https://doi.org/10.3389/fphys.2018.01955
Papalia G.F., Papalia R., Diaz Balzani L.A., Torre G., Zampogna B., Vasta S., Fossati C., Alifano A.M., Denaro V. The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis // J. Clin. Med. 2020. Vol. 9, № 8. Art. № 2595. https://doi.org/10.3390/jcm9082595
Patton S., Vincenzo J., Lefler L. Gender Differences in Older Adults’ Perceptions of Falls and Fall Prevention // Health Promot. Pract. 2022. Vol. 23, № 5. P. 785–792. https://doi.org/10.1177/15248399211009783
Peiffer J.J., Galvão D.A., Gibbs Z., Smith K., Turner D., Foster J., Martins R., Newton R.U. Strength and Functional Characteristics of Men and Women 65 Years and Older // Rejuvenation Res. 2010. Vol. 13, № 1. P. 75–82. https://doi.org/10.1089/rej.2009.0916
Scaglioni-Solano P., Aragón-Vargas L.F. Gait Characteristics and Sensory Abilities of Older Adults Are Modulated by Gender // Gait Posture. 2015. Vol. 42, № 1. P. 54–59. https://doi.org/10.1016/j.gaitpost.2015.04.002
Sotoudeh G.R., Mohammadi R., Mosallanezhad Z., Viitasara E., Soares J.J.F. The Prevalence, Circumstances and Consequences of Unintentional Falls Among Elderly Iranians: A Population Study // Arch. Gerontol. Geriatr. 2018. Vol. 79. P. 123–130. https://doi.org/10.1016/j.archger.2018.08.001
Wang Q., Li L., Mao M., Sun W., Zhang C., Mao D., Song Q. The Relationships of Postural Stability with Muscle Strength and Proprioception Are Different Among Older Adults Over and Under 75 Years of Age // J. Exerc. Sci. Fit. 2022. Vol. 20, № 4. P. 328–334. https://doi.org/10.1016/j.jesf.2022.07.004
