Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effect of Balance Function on the Activities of Daily Living in the Elderly: Descriptive Study
Yaşlılarda Denge Fonksiyonunun Günlük Yaşam Aktiviteleri Üzerine Etkisi: Tanımlayıcı Araştırma
Sevim GÜLERa , Erdoğan ÖZb
aAdıyaman Traninig and Research Hospital, Clinic of Ophthalmology, Adıyaman, Türkiye
bAdıyaman Provincial Health Directorate, Adıyaman, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):562-71
doi: 10.5336/healthsci.2023-100512
Article Language: EN
Full Text
ABSTRACT
 Objective: The present was carried out to determine the effect of balance on the activities of daily living in the elderly. Material and Methods: The study was conducted descriptively with 353 volunteer patients aged 65 and over who applied to family health centers No. 2 and No. 8 in Adıyaman Center between December 2022 and February 2023. Data were collected with the ''Personal Information Form'', ''Berg Balance Scale'' and ''Lawton and Brody Instrumental Activities of Daily Living (IADL) Scale''. In statistical analysis of data, number, percentage, average, Mann-Whitney U, Kruskall-Wallis and Spearman Correlation tests, and Linear regression analysis were applied to the predictiveness of the scales. Results: The patients' Berg Balance Scale (BBS), IADL scale mean score (respectively, 42.7±7.7; 6.5±1.4) and men's BBS and IADL Scale mean scores are significantly higher than women's scores (p<0.001). It was determined that the BBS scores of those who are single and who live alone, the scores of those who have chronic diseases, those who do not have chronic diseases, those who do not exercise, and those who use assistive devices and continuous drugs are significantly lower. According to the multiple regression analysis, It has been observed that there is a relationship between the BBS and IADL in elderly individuals and that these averages are significantly affected positively (BBS score IADL (β=2.416, p<0.001) and IADL Scale score BBS (β=0.081, p<0.001). Conclusion: It was determined that elderly individuals have a low risk of balance disorders, their independence levels in IADL are good, and many variables affect balance function.

Keywords: Balance function; elderly; instrumental activities of daily living; risk of fall
ÖZET
 Amaç: Bu çalışma yaşlılarda dengenin günlük yaşam aktivitelerine etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma, Aralık 2022 - Şubat 2023 tarihleri arasında Adıyaman merkezde 2 Nolu ve 8 Nolu Aile Sağlığı Merkezlerine başvuran, 65 yaş ve üzerinde olan 353 gönüllü hasta ile tanımlayıcı olarak yapıldı. Veriler ''Kişisel Bilgi Formu'', ''Berg Denge Ölçeği'' ve ''Lawton ve Brody Enstrümental Günlük Yaşam Aktiviteleri Ölçeği (EGYA)'' ile toplandı. Verilerin istatistiksel analizinde sayı, yüzde, ortalama, Mann Whitney U, Kruskall Wallis ve Spearman Korelasyon testleri ile ölçeklerin yordayıcılığında Linear Regresyon analizi uygulandı. Bulgular: Hastaların Berg Denge Ölçeği (BBS), EGYA Ölçeği puan ortalaması (sırasıyla 42,7±7,7; 6,5±1,4) ve erkeklerin BBS ve EGYA Ölçeği puan ortalamaları kadınlara göre anlamlı derecede yüksekti (p<0,001). Bekâr ve yalnız yaşayanların BDÖ puanları, kronik hastalığı olanların puanı kronik hastalığı olmayanların, egzersiz yapmayanların, yardımcı cihaz ve sürekli ilaç kullananların puanının anlamlı düzeyde daha düşük olduğu belirlendi. Yapılan çoklu regresyon analizine göre; yaşlı bireylerde BDÖ ölçeği ile EGYA arasında ilişki olduğu ve bu ortalamaların pozitif yönlü anlamlı düzeyde etkilendiği görülmüştür (BBS skoru IADL (β=2,416, p<0,001) ve IADL Scale skoru BBS (β=0,081, p<0,001). Sonuç: Yaşlı bireylerin denge bozukluğu riskinin düşük olduğu, IADL'deki bağımsızlık düzeylerinin iyi olduğu ve birçok değişkenin denge fonksiyonunu etkilediği belirlendi.

Anahtar Kelimeler: Denge fonksiyonu; yaşlı; enstrümental günlük yaşam aktiviteleri; düşme riski
REFERENCES:
  1. World Health Organization [Internet]. © 2024 WHO [Cited: January 23, 2023]. Ageing and Health. Available from: [Link] 
  2. Türkiye İstatistik Kurumu (TUIK). İstatistiklerle yaşlılar, 2021. [Erişim tarihi: 08 Ocak 2023] Erişim linki: [Link] 
  3. Şahin Onat Ş, Özişler Z, Köklü K. Osteoporotik yaşlılarda denge bozukluğu [Balance disorders in the osteoporotic elderly]. Türk Osteoporoz Dergisi. 2013;19:87-9. [Crossref] 
  4. Nakagawa HB, Ferraresi JR, Prata MG, Scheicher ME. Postural balance and functional independence of elderly people according to gender and age: cross-sectional study. Sao Paulo Med J. 2017;135(3):260-5. [Crossref]  [PubMed]  [PMC] 
  5. Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, et al. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine (Baltimore). 2019;98(27):e16218. [Crossref]  [PubMed]  [PMC] 
  6. Hall KS, Cohen HJ, Pieper CF, Fillenbaum GG, Kraus WE, Huffman KM, et al. Physical performance across the adult life span: correlates with age and physical activity. J Gerontol A Biol Sci Med Sci. 2017;72(4):572-8. [PubMed]  [PMC] 
  7. Awais M, Chiari L, Ihlen EAF, Helbostad JL, Palmerini L. Physical activity classification for elderly people in free-living conditions. IEEE J Biomed Health Inform. 2019;23(1):197-207. [Crossref]  [PubMed] 
  8. Güneş Gencer GY, İpek L, Kara DS, Uzun F, Çetin SY. Türkiye'de yaşlılarda düşme ve denge ile ilgili yapılmış çalışmaların incelenmesi [Investigation of studies on falling and balance in the elderly in Turkey]. Elderly Issues Research Journal (EIRJ). 2021;14(2):70-83. [Crossref] 
  9. Dunsky A. The effect of balance and coordination exercises on quality of life in older adults: a mini-review. Front Aging Neurosci. 2019;11:318. [Crossref]  [PubMed]  [PMC] 
  10. Dawe RJ, Leurgans SE, Yang J, Bennett JM, Hausdorff JM, Lim AS, et al. Association between quantitative gait and balance measures and total daily physical activity in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2018;73(5):636-42. [Crossref]  [PubMed]  [PMC] 
  11. Şahin S, Cankurtaran M. Geriatrik sendromlar [Geriatrics syndromes]. Ege Tıp Dergisi. 2010;49(3):31-7. [Link] 
  12. Özkan Pehlivanoğlu EF, Özkan MU, Balcıoğlu H, Bilge U, Ünlüoğlu İ. Yaşlılar için Katz Günlük Yaşam Aktiviteleri Ölçeği'nin Türkçe' ye uyarlanması ve güvenilirliği [Adjustment and reliability of Katz daily life activity measures for elderly in Turkish]. Ankara Med J. 2018;18(2):219-23. [Link] 
  13. Şahin A, Tekin O, Cebeci S, Işık B, Özkara A, Kahveci R, et al. Factors affecting daily instrumental activities of the elderly. Turkish Journal of Medical Sciences. 2015;45(6):1353-9. [Crossref]  [PubMed] 
  14. Yümin ET, Şimşek TT, Sertel M, Öztürk A, Yümin M. The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home. Arch Gerontol Geriatr. 2011;52(3):e180-4. [Crossref]  [PubMed] 
  15. Değer TB, Saraç ZF, Savaş ES, Akçiçek SF. The relationship of balance disorders with falling, the effect of health problems, and social life on postural balance in the elderly living in a district in Turkey. Geriatrics (Basel). 2019;4(2):37. [Crossref]  [PubMed]  [PMC] 
  16. Işık EI, Yılmaz S, Uysal I, Basar S. Adaptation of the lawton ınstrumental activities of daily living scale to turkish: validity and reliability study. Ann Geriatr Med Res. 2020;24(1):35-40. [Crossref]  [PubMed]  [PMC] 
  17. Berg K, Wood Dauphinée S, Williams JI, Gayton D. Measuring balance in the elderly: perliminary development of an instrument. Physiother Canada. 1989;41(6):304-11. [Crossref] 
  18. Şahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31(1):32-7. [Crossref]  [PubMed] 
  19. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86. [Crossref]  [PubMed] 
  20. Koyuncu G, Tuna F, Yavuz S, Kabayel DD, Koyuncu M, Özdemir H, et al. The last station before fracture: assessment of falling and loss of balance in elderly. Turk J Phys Med Rehab 2017;63(1):14-22 doi: 10.5606/tftrd.2017.90757 [Crossref] 
  21. Ulus Y, Akyol Y, Tander B, Durmuş D, Bilgici A, Kuru Ö. The relationship between fear of falling and balance in community-dwelling older people. Turkish Journal of Geriatrics. 2013;16(3):260-5. [Link] 
  22. Mortazavi H, Tabatabaeicheh M, Taherpour M, Masoumi M. The relationship between activities of daily living, falls and fear of falling in older adults: a crosssectional study. Bangladesh J Medical Sci. 2021;20(2):420-5. [Crossref] 
  23. Sayar S, Köse B, Yılmaz R, Hayta D, Gözlemeci BN, Karaömer E. Yaşlılarda düşme sıklığı ve düşmeyi etkileyen faktörler: tanımlayıcı çalışma [Frequency of falls in the elderly and factors affecting falls: a descriptive study]. Türkiye Klinikleri Gerontoloji Dergisi. 2022;1(1):1-8. [Crossref] 
  24. Çakar E, Durmuş O, Dinçer Ü, Kıralp MZ, Cerit Soydan F. The effect of marital status on health quality and fall risk of elderly people. Turkish Journal of Geriatrics. 2011;14(4):331-6. [Link] 
  25. Gümüş E, İsmail Arslan İ, Tekin O, Fidancı İ, Eren ŞÜ, Dilbe S, et al. Kendi evi ve huzurevinde yaşayan yaşlılarda, denge ve yürüme skorları ile düşme riskinin karşılaştırılması [Comparison of the falling risk with balance and walking scores in old people living in their own houses or in nursing homes]. Ankara Medical Journal. 2017;(2):102-10. [Crossref] 
  26. Kim IH. Age and gender differences in the relation of chronic diseases to activity of daily living (ADL) disability for elderly South Koreans: based on representative data. J Prev Med Public Health. 2011;44(1):32-40. [Crossref]  [PubMed] 
  27. Naczk M, Marszalek S, Naczk A. Inertial training improves strength, balance, and gait speed in elderly nursing home residents. Clin Interv Aging. 2020;15:177-84. [Crossref]  [PubMed]  [PMC] 
  28. Fahlström G, Kamwendo K, Forsberg J, Bodin L. Fall prevention by nursing assistants among community-living elderly people. A randomised controlled trial. Scand J Caring Sci. 2018;32(2):575-85. [Crossref]  [PubMed] 
  29. Şahin Onat Ş, Ünsal Delialioğlu S, Özel S. Geriatrik popülasyonda dengenin fonksiyonel durum ve yaşam kalitesi ile ilişkisi [The relationship of balance between functional status and quality of life in the geriatric population]. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2014;60:147-54. [Link] 
  30. Gemalmaz A, Dişçigil G, Başak O. Evaluation of the balance and gait status in nursing home residents. Turkish Journal of Geriatrics. 2004;7:41-4. [Link] 
  31. Kızılkaya N, Saka S. Geriatrik bireylerde polifarmasi ve kardiyak risk faktörlerinin denge, düşme ve fonksiyonel bağımsızlığa etkisinin incelenmesi [Investigation of the effects of polypharmacy and cardiac risk factors on balance, falling and functional independence in geriatric individuals]. Journal of Health Sciences. 2022;31(2):198-203. [Crossref] 
  32. Levine SA, Barry PP. Geriatric patients. In: Noble J, Grenee HL, Wendly L, Modest G, eds. Textbook of Primary Care Medicine. 3rd ed. Missouri: Mosby; 2001. p.71-88.
  33. Dunlop DD, Song J, Arnston EK, Semanik PA, Lee J, Chang RW, et al. Sedentary time in US older adults associated with disability in activities of daily living independent of physical activity. J Phys Act Health. 2015;12(1):93-101. [Crossref]  [PubMed]  [PMC] 
  34. Hosseini SR, Moslehi A, Hamidian SM, Taghian SA. The relation between chronic diseases and disability in elderly of Amirkola. Salmand. 2014;9(2):1-11. [Link] 

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