According to a new study published in British Journal of Sports MedicineThe inability to stand on one leg for 10 seconds is associated with nearly doubling the risk of dying in the next 10 years.

The inability to stand on one leg for 10 seconds from middle to late age is associated with nearly doubling the risk of death.

If the chances of dying for some reason in the next 10 years almost double, you will not be able to stand on one leg for 10 seconds from middle to late. This is due to new findings published on June 21, 2022. British Journal of Sports Medicine.

According to researchers, this simple and safe balance test can be included in regular health checks for the elderly.

Balance usually remains very well preserved for 60 years of life, until it begins to deteriorate relatively rapidly, in contrast to aerobic fitness, strength and flexibility.

However, balance assessments are not routinely included in middle-aged and older men’s and women’s health examinations. This is probably due to the lack of standardized tests and the lack of hard data that correlates balance with clinical outcomes other than falls.

Therefore, scientists want to know if the balance test is a reliable indicator of the risk of dying for any reason within the next 10 years and is therefore worth including in regular health checks later in life. I thought.

The researchers used participants in the CLIMIN MEX movement cohort study. Founded in 1994, it evaluated various physical fitness measurements, exercise-related variables, and the association of traditional cardiovascular risk factors with health disorders and death.

The current analysis included 1702 participants aged 51-75 (mean 61 years) at the first health examination from February 2009 to December 2020. About two-thirds (68%) were men.

Several measurements of weight and skin fold thickness and waist size were made. Medical history details were also provided. Only those with stable walking are included.

As part of the test, participants were asked to stand on one leg for 10 seconds without additional support.

To improve standardization of the test, participants were asked to keep their arms sideways, with their gaze straight forward, and to place the front of their free foot behind the contralateral lower leg. Up to 3 attempts were allowed on either foot.

Overall, 1 in 5 (20.5%; 348) participants did not pass the test. The inability to do so increased with age and more or less doubled over the next five years after the age of 51-55.

The percentage of people who cannot stand on one leg for 10 seconds is as follows. Nearly 5% of 51-55 years old. 8% of 56-60 years old. A little less than 18% of 61-65 years old. It is less than 37% for 66-70 years old.

More than half (about 54%) between the ages of 71 and 75 failed to complete the test. In other words, people in this age group were 11 times more likely to fail the test than people just 20 years younger.

During the 7-year average monitoring period, 123 people (7%) died.Cardiovascular disease (30%); Respiratory disease (9%);[{” attribute=””>COVID-19 complications (7%).

There were no clear temporal trends in the deaths, or differences in the causes, between those able to complete the test and those who weren’t able to do so.

But the proportion of deaths among those who failed the test was significantly higher: 17.5% vs 4.5%, reflecting an absolute difference of just under 13%.

In general, those who failed the test had poorer health: a higher proportion was obese, and/or had heart disease, high blood pressure, and unhealthy blood fat profiles. And type 2 diabetes was 3 times as common in this group: 38% vs around 13%.

After accounting for age, sex, and underlying conditions, an inability to stand unsupported on one leg for 10 seconds was associated with an 84% heightened risk of death from any cause within the next decade.

This is an observational study, and as such, can’t establish cause. As participants were all white Brazilians, the findings might not be more widely applicable to other ethnicities and nations, caution the researchers.

And information on potentially influential factors, including recent history of falls, physical activity levels, diet, smoking, and the use of drugs that may interfere with balance, wasn’t available.

Nevertheless, the researchers conclude that the 10-second balance test “provides rapid and objective feedback for the patient and health professionals regarding static balance,” and that the test “adds useful information regarding mortality risk in middle-aged and older men and women.”

Reference: “Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals” by Claudio Gil Araujo, Christina Grüne de Souza e Silva, Jari Antero Laukkanen, Maria Fiatarone Singh, Setor Kwadzo Kunutsor, Jonathan Myers, João Felipe Franca and Claudia Lucia Castro, 21 June 2022, British Journal of Sports Medicine.
DOI: 10.1136/bjsports-2021-105360


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