Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly

Prevention strategies should be constantly improved to manage falls and frailty in the elderly. Therefore, we aimed at creating a screening and predictive protocol as a replicable model in clinical settings. Bioimpedance analysis was conducted on fifty subjects (mean age 76.9 3.69 years) to obt...

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Main Authors: Presta, Valentina, Galuppo, Laura, Condello, Giancarlo, Roda', Francesca, Mirandola, Prisco, Vitale, Marco, Vaccarezza, Mauro, Gobbi, Giuliana
Format: Journal Article
Language:English
Published: MDPI AG 2023
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/90775
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author Presta, Valentina
Galuppo, Laura
Condello, Giancarlo
Roda', Francesca
Mirandola, Prisco
Vitale, Marco
Vaccarezza, Mauro
Gobbi, Giuliana
author_facet Presta, Valentina
Galuppo, Laura
Condello, Giancarlo
Roda', Francesca
Mirandola, Prisco
Vitale, Marco
Vaccarezza, Mauro
Gobbi, Giuliana
author_sort Presta, Valentina
building Curtin Institutional Repository
collection Online Access
description Prevention strategies should be constantly improved to manage falls and frailty in the elderly. Therefore, we aimed at creating a screening and predictive protocol as a replicable model in clinical settings. Bioimpedance analysis was conducted on fifty subjects (mean age 76.9 3.69 years) to obtain body composition; then, posture was analysed with a stabilometric platform. Gait performance was recorded by a 10 m walking test, six-minute walking test, and timed up and go test. After 12 months, subjects were interviewed to check for fall events. Non-parametric analysis was used for comparisons between fallers and non-fallers and between able and frail subjects. ROC curves were obtained to identify the predictive value of falling risk and frailty. Path length (area under the curve, AUC = 0.678), sway area (AUC = 0.727), and sway speed (AUC = 0.778) resulted predictive factors of fall events (p < 0.05). The six-minute walking test predicted frailty condition (AUC = 0.840). Timed up and go test was predictive of both frailty (AUC = 0.702) and fall events (AUC = 0.681). Stabilometry and gait tests should be, therefore, included in a screening protocol for the elderly to prevent fall events and recognize the condition of frailty at an early stage.
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spelling curtin-20.500.11937-907752023-04-24T06:31:04Z Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly Presta, Valentina Galuppo, Laura Condello, Giancarlo Roda', Francesca Mirandola, Prisco Vitale, Marco Vaccarezza, Mauro Gobbi, Giuliana older people posture gait screening prevention ROC curve Prevention strategies should be constantly improved to manage falls and frailty in the elderly. Therefore, we aimed at creating a screening and predictive protocol as a replicable model in clinical settings. Bioimpedance analysis was conducted on fifty subjects (mean age 76.9 3.69 years) to obtain body composition; then, posture was analysed with a stabilometric platform. Gait performance was recorded by a 10 m walking test, six-minute walking test, and timed up and go test. After 12 months, subjects were interviewed to check for fall events. Non-parametric analysis was used for comparisons between fallers and non-fallers and between able and frail subjects. ROC curves were obtained to identify the predictive value of falling risk and frailty. Path length (area under the curve, AUC = 0.678), sway area (AUC = 0.727), and sway speed (AUC = 0.778) resulted predictive factors of fall events (p < 0.05). The six-minute walking test predicted frailty condition (AUC = 0.840). Timed up and go test was predictive of both frailty (AUC = 0.702) and fall events (AUC = 0.681). Stabilometry and gait tests should be, therefore, included in a screening protocol for the elderly to prevent fall events and recognize the condition of frailty at an early stage. 2023 Journal Article http://hdl.handle.net/20.500.11937/90775 10.3390/app13063387 English http://creativecommons.org/licenses/by/4.0/ MDPI AG fulltext
spellingShingle older people
posture
gait
screening
prevention
ROC curve
Presta, Valentina
Galuppo, Laura
Condello, Giancarlo
Roda', Francesca
Mirandola, Prisco
Vitale, Marco
Vaccarezza, Mauro
Gobbi, Giuliana
Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title_full Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title_fullStr Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title_full_unstemmed Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title_short Receiver Operating Characteristic Analysis of Posture and Gait Parameters to Prevent Frailty Condition and Fall Risk in the Elderly
title_sort receiver operating characteristic analysis of posture and gait parameters to prevent frailty condition and fall risk in the elderly
topic older people
posture
gait
screening
prevention
ROC curve
url http://hdl.handle.net/20.500.11937/90775