Association of vitamins B12 and D3 with Balance and Falls in a sample of Greek older people.

IF 1.7 4区 医学 Q4 NEUROSCIENCES Journal of musculoskeletal & neuronal interactions Pub Date : 2023-06-01
Konstantinos Stolakis, Panagiotis Megas, Elias Panagiotopoulos, Manolis Mentis, Eleftheria Antoniadou, Xristina Kalivioti, Minos Tyllianakis, Zinon Kokkalis
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Abstract

Objectives: Balance disorders and falls are common in the elderly and have a multifactorial etiology. The purpose of the present cross-sectional study is to evaluate a possible association between vitamins D3 and B12 and impaired balance and falls.

Methods: Ninety patients, females and males, were evaluated, from December 2019 to December 2020 during their first ambulatory visit at the Prevention of Falls Clinic of the General University Hospital of Patras. Vitamins B12 and D3 levels were measured. The number of falls during the last 12 months was recorded and patients were assessed using Mini-Balance Evaluation Systems Test (Mini-BESTest), Fried Phenotype, Walking Speed, Hand Grip Strength, Short Physical Performance Battery.

Results: A multiple linear regression analysis showed that Mini-BESTest are statistically significantly predicted, F(10,79)=18.734, p<0.001, adj. R2=0.70 from Vit-B12 and FRIED Phenotype (pre-frail vs non-frail). Similarly, in the multiple binary logistic regression analysis, falls were statistically significantly predicted from FRIED Phenotype (pre-frail vs non-frail) χ2(5)=63.918, p<0.001, Nagelkerke R Squared=0.68.

Conclusions: Higher levels of vitamins B12 but not of D3 are associated with better balance but not with less falls in a sample of community-dwelling older people.

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维生素B12和D3与平衡和跌倒在希腊老年人样本中的关系。
目的:平衡障碍和跌倒在老年人中很常见,并具有多因素病因。本横断面研究的目的是评估维生素D3和B12与平衡受损和跌倒之间的可能联系。方法:对2019年12月至2020年12月在帕特雷综合大学医院预防跌倒诊所首次门诊就诊的90例患者(男女均有)进行评估。测量了维生素B12和D3的水平。记录过去12个月的跌倒次数,并使用迷你平衡评估系统测试(Mini-BESTest)、Fried表型、步行速度、握力、短物理性能电池对患者进行评估。结果:多元线性回归分析显示,viti - b12与FRIED表型(体弱前期与非体弱)预测Mini-BESTest有统计学意义,F(10,79)=18.734, p2=0.70。同样,在多元二元logistic回归分析中,从FRIED表型(体弱前期vs非体弱)中预测跌倒具有统计学意义(χ2(5)=63.918, p)结论:在社区居住的老年人样本中,较高水平的维生素B12而不是D3与更好的平衡有关,但与更少的跌倒无关。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.
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