Age-related differences in stair descent balance control: Are women more prone to falls than men?

PLoS One. 2021 Jan 7;16(1):e0244990. doi: 10.1371/journal.pone.0244990. eCollection 2021.

Abstract

Stair descent is one of the most common forms of daily locomotion and concurrently one of the most challenging and hazardous daily activities performed by older adults. Thus, sufficient attention should be devoted to this locomotion and to the factors that affect it. This study investigates gender and age-related differences in balance control during and after stair descent on a foam mat. Forty-seven older adults (70% women) and 38 young adults (58% women) performed a descent from one step onto a foam mat. Anteroposterior (AP) and mediolateral (ML) centre of pressure velocity (CoP) and standard deviation of the CoP sway were investigated during stair descent and restabilization. A two-way analysis of variance (ANOVA) revealed the main effects of age for the first 5 s of restabilization. Older women exhibited significantly higher values of CoP sway and velocity in both directions compared to the younger individuals (CoP SDAP5, 55%; CoP SDML5, 30%; CoP VAP5, 106%; CoP VML5, 75%). Men achieved significantly higher values of CoP sway and velocity only in the AP direction compared to their younger counterparts (CoP SDAP5, 50% and CoP VAP5, 79%). These findings suggest that with advancing age, men are at higher risk of forward falls, whereas women are at higher risk of forward and sideways falls.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls*
  • Aged
  • Female
  • Gait / physiology*
  • Humans
  • Locomotion / physiology*
  • Male
  • Middle Aged
  • Postural Balance / physiology*
  • Sex Factors
  • Young Adult

Grants and funding

The research reported in this manuscript has been supported by the Scientific Grant of the Czech Science Foundation [GA CR, No. 18-16107Y]. The funding source had no involvement in study design; in the collection; analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.