Association of Balance Impairment with Risk of Incident Dementia among Older Adults
- Authors
- Kim, H. J.; Jeong, S.; Oh, Yun Hwan J.; Suh, Jee Young
- Issue Date
- Jan-2024
- Publisher
- SPRINGER BASEL AG
- Keywords
- Postural balance; one-leg standing; public health; dementia; mass screening
- Citation
- JPAD-JOURNAL OF PREVENTION OF ALZHEIMERS DISEASE, v.11, no.1, pp 130 - 137
- Pages
- 8
- Journal Title
- JPAD-JOURNAL OF PREVENTION OF ALZHEIMERS DISEASE
- Volume
- 11
- Number
- 1
- Start Page
- 130
- End Page
- 137
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74387
- DOI
- 10.14283/jpad.2023.79
- ISSN
- 2274-5807
2426-0266
- Abstract
- BackgroundA growing body of data suggests that balance impairment may be linked to the onset of dementia.ObjectivesHowever, a large-scale epidemiologic investigation is needed to clarify its association in older adults.DesignA retrospective-prospective hybrid database.SettingCox proportional hazards regression model was used to assess the relationship between balance impairment and the risk of incident dementia, and the results were provided as adjusted hazard ratios (aHR) with 95% confidence intervals (CI). All participants were tracked until the date of incident dementia, death, or 31 December 2019 whichever came first.ParticipantsWe analyzed 143,788 older adults who had at least one health screening between 2009 and 2019 from the Korea National Health Insurance Service-Senior Cohort.MeasurementsA total of 3,774 cases of dementia were discovered throughout 850,425 person-years of follow-up investigation. Balance impairment was associated with a risk of dementia compared to those without balance impairment (adjusted hazard ratio [aHR] 1.83; 95% CI, 1.69-2.00; P value <0.001).ResultsRisks of the Alzheimer's disease (aHR, 1.80; 95% CI, 1.65-1.96; P for trend <0.001) and the vascular dementia (aHR, 2.94; 95% CI, 1.89-4.58; P for trend <0.001) showed comparable trends and findings.ConclusionsBalance impairment was found to be independently associated with an increased risk of dementia in older adults.
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