The Relationship Between Low Gait Speed and Fall Risk Factors in Elderly Individuals: A Systematic Review

Ayşe Toraman Karagülmez; Bahar Külünkoğlu

Article Details

The Relationship Between Low Gait Speed and Fall Risk Factors in Elderly Individuals: A Systematic Review

Authors:

Ayşe Toraman Karagülmez | Bahar Külünkoğlu

Publisher:

Zonguldak Bulent Ecevit University

Main Topics:

Geriatri ve Gerontoloji

Journal:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 3, pp.350-363

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001309074

pISSN:

2822-4302

Keywords:

Abstract:

 Aim: To systematically review and summarize studies containing results revealing the relationship between fall risk factors and low walking speed in elderly individuals. Material and Methods: The review was obtained from a database. The methodological quality of the studies was assessed using an evaluation tool. A total of 2667 articles were examined. Results: The full text of 16 observational and cross-sectional studies consisting of a total of 43,421 elderly individuals was reviewed. Low walking speed; gait variability, quadriceps muscle strength, memory processing speed, executive function and dementia risk, predicted survival time, visual focusing time, number of falls and falls, fear of falling, frailty, waist-to-height ratio, lower education level, higher medication use, It was found to be associated with the number of depressive symptoms and lower cognitive level. It was observed that standard protocols were not applied in walking speed evaluations and a common cut-off value was not used to determine low walking speed Conclusion: It has been observed that the relationships between educational status, socioeconomic level, visual focusing time, waistto- height ratio, risks taken during daily living activities, and executive dysfunction and low walking speed have not been investigated well enough. It is necessary to conduct prospective studies in which these relationships are addressed with a biopsychosocial approach and gait speed assessments are made at multiple time points. These findings suggest that interventions should target gait disorders and that higher quality research is needed.

 Aim: To systematically review and summarize studies containing results revealing the relationship between fall risk factors and low walking speed in elderly individuals. Material and Methods: The review was obtained from a database. The methodological quality of the studies was assessed using an evaluation tool. A total of 2667 articles were examined. Results: The full text of 16 observational and cross-sectional studies consisting of a total of 43,421 elderly individuals was reviewed. Low walking speed; gait variability, quadriceps muscle strength, memory processing speed, executive function and dementia risk, predicted survival time, visual focusing time, number of falls and falls, fear of falling, frailty, waist-to-height ratio, lower education level, higher medication use, It was found to be associated with the number of depressive symptoms and lower cognitive level. It was observed that standard protocols were not applied in walking speed evaluations and a common cut-off value was not used to determine low walking speed Conclusion: It has been observed that the relationships between educational status, socioeconomic level, visual focusing time, waistto- height ratio, risks taken during daily living activities, and executive dysfunction and low walking speed have not been investigated well enough. It is necessary to conduct prospective studies in which these relationships are addressed with a biopsychosocial approach and gait speed assessments are made at multiple time points. These findings suggest that interventions should target gait disorders and that higher quality research is needed.

 Aim: To systematically review and summarize studies containing results revealing the relationship between fall risk factors and low walking speed in elderly individuals. Material and Methods: The review was obtained from a database. The methodological quality of the studies was assessed using an evaluation tool. A total of 2667 articles were examined. Results: The full text of 16 observational and cross-sectional studies consisting of a total of 43,421 elderly individuals was reviewed. Low walking speed; gait variability, quadriceps muscle strength, memory processing speed, executive function and dementia risk, predicted survival time, visual focusing time, number of falls and falls, fear of falling, frailty, waist-to-height ratio, lower education level, higher medication use, It was found to be associated with the number of depressive symptoms and lower cognitive level. It was observed that standard protocols were not applied in walking speed evaluations and a common cut-off value was not used to determine low walking speed Conclusion: It has been observed that the relationships between educational status, socioeconomic level, visual focusing time, waistto- height ratio, risks taken during daily living activities, and executive dysfunction and low walking speed have not been investigated well enough. It is necessary to conduct prospective studies in which these relationships are addressed with a biopsychosocial approach and gait speed assessments are made at multiple time points. These findings suggest that interventions should target gait disorders and that higher quality research is needed.

 Amaç: Yaşlı bireylerde düşme riski faktörleri ile düşük yürüme hızı arasındaki ilişkiyi ortaya koyan sonuçları içeren çalışmaları sistematik olarak incelemek ve özetlemektir. Gereç ve Yöntemler: İnceleme bir veri tabanından elde edildi. Çalışmaların metodolojik kalitesi bir değerlendirme aracı kullanılarak değerlendirildi. Toplamda 2667 adet makale incelendi. Bulgular: Toplamda 43.421 yaşlı bireyden oluşan 16 gözlemsel ve kesitsel çalışmanın tam metnine bakıldı. Düşük yürüme hızının; yürüyüş değişkenliği, kuadriseps kas kuvveti, hafıza işlem hızı, yürütme işlevi ve demans riski, öngörülen hayatta kalma süresi, görsel odaklanma süresi, düşme ve düşme sayısı, düşme korkusu, kırılganlık, bel-boy oranı, düşük eğitim seviyesi, daha fazla ilaç kullanımı, depresif semptom sayısı ve düşük bilişsel seviye ile ilişkili olduğu bulundu. Yürüme hızı değerlendirmelerinde standart protokollerin uygulanmadığı ve düşük yürüme hızının belirlenmesinde ortak bir kesme değerin kullanılmadığı görüldü. Sonuç: Eğitim durumu, sosyoekonomik düzey, görsel odaklanma süresi, bel-boy oranı, günlük yaşam aktiviteleri sırasında alınan riskler ve yürütücü işlev bozukluğu ile düşük yürüme hızı arasındaki ilişkilerin yeterince iyi araştırılmadığı görülmüştür. Bu ilişkilerin biyopsikososyal yaklaşımla ele alınarak birden fazla zaman noktasında yürüyüş hızı değerlendirmelerinin yapıldığı ileriye dönük araştırmaların yapılması gereklidir. Bu bulgular, müdahalelerin yürüyüş bozukluklarını hedef alması gerektiğini ve daha yüksek kalitede araştırmalara ihtiyaç duyulduğunu ortaya koymaktadır.

Article Details

The Relationship Between Low Gait Speed and Fall Risk Factors in Elderly Individuals: A Systematic Review

Authors:

Ayşe Toraman Karagülmez | Bahar Külünkoğlu

Publisher:

Zonguldak Bulent Ecevit University

Main Topics:

Geriatri ve Gerontoloji

Journal:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 3, pp.350-363

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001309074

pISSN:

2822-4302

Gait

Elderly

Falling risk

ReviewYürüme

Yaşlı

Düşme riski

Derleme

Issues

Article Details

Authors: Ayşe Toraman Karagülmez | Bahar Külünkoğlu

Publisher: Zonguldak Bulent Ecevit University

Main Topics: Geriatri ve Gerontoloji

Journal: Batı Karadeniz Tıp Dergisi Vol.7 Issue 3, pp.350-363

Document Type: Article

Publication Date: 12/2023

Document Language: Turkish

Document ID (Org No.): 2001309074

pISSN: 2822-4302

Issues

Authors:

Ayşe Toraman Karagülmez | Bahar Külünkoğlu

Publisher:

Zonguldak Bulent Ecevit University

Main Topics:

Geriatri ve Gerontoloji

Journal:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 3, pp.350-363

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001309074

pISSN:

2822-4302