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Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics

Older Hispanics are an understudied minority group in the US, and further understanding of the association between frailty, gait and balance impairments in disadvantaged older Hispanics is needed. The objectives of this study were to compare the balance and gait of older Hispanics by their frailty s...

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Autores principales: Vieira, Edgar R., da Silva, Rubens A., Severi, Maria T., Barbosa, Alexandre C., Amick III, Benjamin C., Zevallos, Juan C., Martinez, Iveris L., Chaves, Paulo H. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319215/
https://www.ncbi.nlm.nih.gov/pubmed/31011080
http://dx.doi.org/10.3390/geriatrics3030042
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author Vieira, Edgar R.
da Silva, Rubens A.
Severi, Maria T.
Barbosa, Alexandre C.
Amick III, Benjamin C.
Zevallos, Juan C.
Martinez, Iveris L.
Chaves, Paulo H. M.
author_facet Vieira, Edgar R.
da Silva, Rubens A.
Severi, Maria T.
Barbosa, Alexandre C.
Amick III, Benjamin C.
Zevallos, Juan C.
Martinez, Iveris L.
Chaves, Paulo H. M.
author_sort Vieira, Edgar R.
collection PubMed
description Older Hispanics are an understudied minority group in the US, and further understanding of the association between frailty, gait and balance impairments in disadvantaged older Hispanics is needed. The objectives of this study were to compare the balance and gait of older Hispanics by their frailty status. Sixty-three older Hispanics (21 men, 42 women, mean age 75 ± 7 years) attending senior centers in disadvantaged neighborhoods were grouped by their frailty status and completed balance and walking tests at a preferred speed and during street crossing simulations. Sixteen percent (n = 10) of the participants were frail, 71% (n = 45) were pre-frail, and 13% (n = 8) were robust. Frail participants had poorer balance than robust participants (F = 3.5, p = 0.042). The preferred walking speed of frail and pre-frail participants was lower (F = 6.3, p < 0.011) and they took shorter steps (F > 3.5, p = 0.002) than robust participants. During street crossing conditions, frail participants had wider steps (F = 3.3, p = 0.040), while pre-frail participants walked slower (F = 3.6, p = 0.032), and both took shorter steps than robust participants (F > 3.5, p < 0.043). Frailty and pre-frailty were prevalent and associated with gait and balance impairments in disadvantaged older Hispanics. The findings can inform the development of programs and interventions targeting this vulnerable underserved population.
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spelling pubmed-63192152019-03-07 Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics Vieira, Edgar R. da Silva, Rubens A. Severi, Maria T. Barbosa, Alexandre C. Amick III, Benjamin C. Zevallos, Juan C. Martinez, Iveris L. Chaves, Paulo H. M. Geriatrics (Basel) Communication Older Hispanics are an understudied minority group in the US, and further understanding of the association between frailty, gait and balance impairments in disadvantaged older Hispanics is needed. The objectives of this study were to compare the balance and gait of older Hispanics by their frailty status. Sixty-three older Hispanics (21 men, 42 women, mean age 75 ± 7 years) attending senior centers in disadvantaged neighborhoods were grouped by their frailty status and completed balance and walking tests at a preferred speed and during street crossing simulations. Sixteen percent (n = 10) of the participants were frail, 71% (n = 45) were pre-frail, and 13% (n = 8) were robust. Frail participants had poorer balance than robust participants (F = 3.5, p = 0.042). The preferred walking speed of frail and pre-frail participants was lower (F = 6.3, p < 0.011) and they took shorter steps (F > 3.5, p = 0.002) than robust participants. During street crossing conditions, frail participants had wider steps (F = 3.3, p = 0.040), while pre-frail participants walked slower (F = 3.6, p = 0.032), and both took shorter steps than robust participants (F > 3.5, p < 0.043). Frailty and pre-frailty were prevalent and associated with gait and balance impairments in disadvantaged older Hispanics. The findings can inform the development of programs and interventions targeting this vulnerable underserved population. MDPI 2018-07-18 /pmc/articles/PMC6319215/ /pubmed/31011080 http://dx.doi.org/10.3390/geriatrics3030042 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Vieira, Edgar R.
da Silva, Rubens A.
Severi, Maria T.
Barbosa, Alexandre C.
Amick III, Benjamin C.
Zevallos, Juan C.
Martinez, Iveris L.
Chaves, Paulo H. M.
Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title_full Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title_fullStr Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title_full_unstemmed Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title_short Balance and Gait of Frail, Pre-Frail, and Robust Older Hispanics
title_sort balance and gait of frail, pre-frail, and robust older hispanics
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319215/
https://www.ncbi.nlm.nih.gov/pubmed/31011080
http://dx.doi.org/10.3390/geriatrics3030042
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