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Physical functioning in older persons with dizziness: a population-based study
Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
Division of Neuropsychiatric Epidemiology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, sweden.
Örebro University, School of Health Sciences. Örebro University Hospital. Audiological Research Centre, Region Örebro County, Örebro, Sweden; Swedish Institute for Disability Research (SIDR), Örebro University, Örebro, Sweden.ORCID iD: 0000-0001-6557-6359
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
2017 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 29, no 2, p. 197-205Article in journal (Refereed) Published
Abstract [en]

Background: Dizziness is one of the most prevalent symptoms in old age and tends to increase with age.

Aims: To report physical functioning, health-related aspects and gender differences in elderly persons with and without dizziness in a population-based sample of 75-year-olds.

Methods: A cross-sectional sample of 75-year-olds from Gothenburg, Sweden (n = 675, 398 women and 277 men) was examined by means of questionnaires and functional tests. The questions concerned dizziness/imbalance, physical activity level, walking habits, falls efficacy, number of falls, subjective health or general fatigue and medication. The tests included were self-selected and maximum gait speed, stair climbing capacity, one leg stance and grip strength.

Results: More women than men reported dizziness/imbalance (40 vs 30 %, p < 0.001). Persons with dizziness, compared to those without dizziness, less often regularly exercised at a moderate intensity level (summer: 62 vs 74 %, p < 0.001; winter: 41 vs 51 %, p < 0.001), less often took a daily walk (p < 0.05), had lower scores on the FES(S) (p < 0.001), more often reported general fatigue (p < 0.001), more often had fallen in the previous year (40 vs 23 %, p < 0.001) and had a higher intake of medical drugs (4.6 vs 3.3, p < 0.001). They also performed worse regarding gait speed, stair climbing and one leg stance (p < 0.001), but there was no difference in grip strength.

Conclusion: Older persons with dizziness are less physically active, have worse lower extremity function, are more often fallers and report lower self-rated health than persons without dizziness.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 29, no 2, p. 197-205
Keywords [en]
Vertigo, unsteadiness, elderly person, dynamic balance
National Category
Physiotherapy Geriatrics
Identifiers
URN: urn:nbn:se:oru:diva-49872DOI: 10.1007/s40520-016-0567-9ISI: 000400383800012PubMedID: 27086001Scopus ID: 2-s2.0-84963739329OAI: oai:DiVA.org:oru-49872DiVA, id: diva2:920841
Note

Funding Agency:

Research and Development Council for Southern Gothenburg and Bohuslän

Available from: 2016-04-19 Created: 2016-04-19 Last updated: 2018-09-07Bibliographically approved

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Kollén, LenaMöller, Claes

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