Balance and anxiety and depression symptoms in old age people
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10773/14579 |
Resumo: | Background: Falls have a high incidence in old age people and it results in severe consequences representing a public health problem. Falls are the second worldwide cause of accidental deaths (1). The literature shows that people with high depression and anxiety symptoms have impaired balance and this is more problematic in old age people (12). Some studies have shown a relationship between depression/anxiety symptoms and balance (18) however little is known how just anxiety symptoms affect balance. It is also unknown which systems responsible for balance are more affected/preserved in this population in the absence or presence of different levels of anxiety and depression symptoms. Aim: The aims of this study were to explore: the balance differences between old age people with presence/absence of anxiety and depression symptoms and how balance may be affected/preserved by the different levels of anxiety and depression symptoms in the same population. Methods: A quantitative cross-sectional study was conducted. The protocol included socio-demographic, anthropometric and general clinical data. Balance confidence was evaluated with the Activities-specific Balance Confidence (ABC), the balance with the Balance Evaluation System Test (BESTest) and with the Berg Balance Scale (BBS). The level of significance considered was set at p<0.05. Results: 136 old age people with a mean age of 75.9±8.8 years old, participated in this study. All BESTest sections were significantly affected by the presence of anxiety or depression symptoms (p<0.001). Similar results were observed in BBS (p<0.001). However, the Reactive section presented the larger difference between present or not present (49.4±21.1 vs 84.2±14.9; p<0.001) of anxiety symptoms and present or not present (46.3±30.3 vs 88.5±15.3; p<0.001) depression symptoms. Participants’ balance confidence (ABC) was also decrease significantly in both of cases (respectively: p=0.010; p=0.001). The severity of the symptoms influenced significantly the balance (BBS (anxiety: p=0.013; depression: p=0.029) and BESTest (0.001<p>0.046). However, balance confidence shows not be significantly affected by the level of both of symptoms (anxiety: p=0.516; depression: p=0.274). Conclusion: The presence of anxiety and depression symptoms significantly decreases balance performance and balance confidence in old age people. Additionally, the severity of symptoms significantly decreases balance performance but do not seem to significantly impact on balance confidence. |
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Balance and anxiety and depression symptoms in old age peopleGerontologiaPessoas idosas - Equilíbrio (Fisiologia)AnsiedadeDepressão mentalBackground: Falls have a high incidence in old age people and it results in severe consequences representing a public health problem. Falls are the second worldwide cause of accidental deaths (1). The literature shows that people with high depression and anxiety symptoms have impaired balance and this is more problematic in old age people (12). Some studies have shown a relationship between depression/anxiety symptoms and balance (18) however little is known how just anxiety symptoms affect balance. It is also unknown which systems responsible for balance are more affected/preserved in this population in the absence or presence of different levels of anxiety and depression symptoms. Aim: The aims of this study were to explore: the balance differences between old age people with presence/absence of anxiety and depression symptoms and how balance may be affected/preserved by the different levels of anxiety and depression symptoms in the same population. Methods: A quantitative cross-sectional study was conducted. The protocol included socio-demographic, anthropometric and general clinical data. Balance confidence was evaluated with the Activities-specific Balance Confidence (ABC), the balance with the Balance Evaluation System Test (BESTest) and with the Berg Balance Scale (BBS). The level of significance considered was set at p<0.05. Results: 136 old age people with a mean age of 75.9±8.8 years old, participated in this study. All BESTest sections were significantly affected by the presence of anxiety or depression symptoms (p<0.001). Similar results were observed in BBS (p<0.001). However, the Reactive section presented the larger difference between present or not present (49.4±21.1 vs 84.2±14.9; p<0.001) of anxiety symptoms and present or not present (46.3±30.3 vs 88.5±15.3; p<0.001) depression symptoms. Participants’ balance confidence (ABC) was also decrease significantly in both of cases (respectively: p=0.010; p=0.001). The severity of the symptoms influenced significantly the balance (BBS (anxiety: p=0.013; depression: p=0.029) and BESTest (0.001<p>0.046). However, balance confidence shows not be significantly affected by the level of both of symptoms (anxiety: p=0.516; depression: p=0.274). Conclusion: The presence of anxiety and depression symptoms significantly decreases balance performance and balance confidence in old age people. Additionally, the severity of symptoms significantly decreases balance performance but do not seem to significantly impact on balance confidence.Enquadramento: As quedas apresentam uma elevada incidência em pessoas idosas, representando um problema de saúde pública. Estas são a segunda causa de mortes acidentais a nível mundial (1). A literatura indica que pessoas com maior grau de sintomatologia ansiógena e depressiva tem o equilíbrio mais comprometido, e em pessoas idosas é ainda mais problemático (12). Alguns estudos mostram uma relação entre sintomas de depressão e ansiedade e equilíbrio (18), contudo, pouco se sabe, como apenas a ansiedade afeta o equilíbrio. É também desconhecido qual/quais são os sistemas responsáveis pelo equilíbrio mais afetados/preservados nesta população na ausência ou presença de diferentes níveis de sintomatologia ansiógena ou depressiva. Objetivos: Este estudo teve como objetivos explorar as diferenças no equilíbrio entre pessoas idosas com presença/ausência de sintomas de ansiedade e depressão e como o equilíbrio pode ser afetado/preservado pelos diferentes níveis de ansiedade e depressão na mesma população. Métodos: Foi realizado um estudo transversal quantitativo. O protocolo incluiu recolha de dados sociodemográficos, antropométricos e de clínica geral. A confiança no equilíbrio foi avaliada através da Activities-specific Balance Confidence (ABC), o equilíbrio através do Balance Evaluation System Test (BESTest) e da Berg Balance Scale (BBS). O nível de significância considerado foi de p<0.05. Resultados: Participaram neste estudo 136 pessoas idosas com uma média de idades de 75.9±8.8 anos. Todas as secções do BESTest mostraram ser significativamente afetadas quando estão presentes sintomas de ansiedade ou depressão (p<0.001). Resultados semelhantes foram observados na avaliação com a BBS (p<0.001). Contudo, a secção Respostas posturais reativas apresentou uma diferença maior aquando da presença versus ausência (49.4±21.1 vs 84.2±14.9; p<0.001) de sintomas de ansiedade e da presença vs ausência (46.3±30.3 vs 88.5±15.3; p<0.001) de sintomas depressivos. A confiança no equilíbrio (ABC) na presença de sintomas de ansiedade e depressão também diminuiu significativamente em ambos os casos (respetivamente: p=0.010; p=0.001). A severidade dos sintomas influenciou significativamente o equilíbrio (BBS (ansiedade: p=0.013; depressão: p=0.029) e BESTest (0.001<p>0.046) No entanto, a confiança no equilíbrio não mostrou ser afetada significativamente pela severidade de ambos os sintomas (ansiedade: p=0.516; depressão: p=0.274). Conclusão: A presença de sintomas ansiógenos ou depressivos, nas pessoas idosas, afeta significativamente o equilíbrio e a auto perceção do equilíbrio. Este estudo demonstrou também que o equilíbrio diminui, significativamente, à medida que a severidade desses sintomas aumenta, mas a auto-perceção do equilíbrio não parece ser afetada.Universidade de Aveiro2015-08-27T10:44:48Z2015-01-01T00:00:00Z2015info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10773/14579TID:201578271engSantos, Joana Carvalhoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-22T11:26:40Zoai:ria.ua.pt:10773/14579Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:50:08.539093Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Balance and anxiety and depression symptoms in old age people |
title |
Balance and anxiety and depression symptoms in old age people |
spellingShingle |
Balance and anxiety and depression symptoms in old age people Santos, Joana Carvalho Gerontologia Pessoas idosas - Equilíbrio (Fisiologia) Ansiedade Depressão mental |
title_short |
Balance and anxiety and depression symptoms in old age people |
title_full |
Balance and anxiety and depression symptoms in old age people |
title_fullStr |
Balance and anxiety and depression symptoms in old age people |
title_full_unstemmed |
Balance and anxiety and depression symptoms in old age people |
title_sort |
Balance and anxiety and depression symptoms in old age people |
author |
Santos, Joana Carvalho |
author_facet |
Santos, Joana Carvalho |
author_role |
author |
dc.contributor.author.fl_str_mv |
Santos, Joana Carvalho |
dc.subject.por.fl_str_mv |
Gerontologia Pessoas idosas - Equilíbrio (Fisiologia) Ansiedade Depressão mental |
topic |
Gerontologia Pessoas idosas - Equilíbrio (Fisiologia) Ansiedade Depressão mental |
description |
Background: Falls have a high incidence in old age people and it results in severe consequences representing a public health problem. Falls are the second worldwide cause of accidental deaths (1). The literature shows that people with high depression and anxiety symptoms have impaired balance and this is more problematic in old age people (12). Some studies have shown a relationship between depression/anxiety symptoms and balance (18) however little is known how just anxiety symptoms affect balance. It is also unknown which systems responsible for balance are more affected/preserved in this population in the absence or presence of different levels of anxiety and depression symptoms. Aim: The aims of this study were to explore: the balance differences between old age people with presence/absence of anxiety and depression symptoms and how balance may be affected/preserved by the different levels of anxiety and depression symptoms in the same population. Methods: A quantitative cross-sectional study was conducted. The protocol included socio-demographic, anthropometric and general clinical data. Balance confidence was evaluated with the Activities-specific Balance Confidence (ABC), the balance with the Balance Evaluation System Test (BESTest) and with the Berg Balance Scale (BBS). The level of significance considered was set at p<0.05. Results: 136 old age people with a mean age of 75.9±8.8 years old, participated in this study. All BESTest sections were significantly affected by the presence of anxiety or depression symptoms (p<0.001). Similar results were observed in BBS (p<0.001). However, the Reactive section presented the larger difference between present or not present (49.4±21.1 vs 84.2±14.9; p<0.001) of anxiety symptoms and present or not present (46.3±30.3 vs 88.5±15.3; p<0.001) depression symptoms. Participants’ balance confidence (ABC) was also decrease significantly in both of cases (respectively: p=0.010; p=0.001). The severity of the symptoms influenced significantly the balance (BBS (anxiety: p=0.013; depression: p=0.029) and BESTest (0.001<p>0.046). However, balance confidence shows not be significantly affected by the level of both of symptoms (anxiety: p=0.516; depression: p=0.274). Conclusion: The presence of anxiety and depression symptoms significantly decreases balance performance and balance confidence in old age people. Additionally, the severity of symptoms significantly decreases balance performance but do not seem to significantly impact on balance confidence. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-27T10:44:48Z 2015-01-01T00:00:00Z 2015 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10773/14579 TID:201578271 |
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http://hdl.handle.net/10773/14579 |
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eng |
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openAccess |
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dc.publisher.none.fl_str_mv |
Universidade de Aveiro |
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Universidade de Aveiro |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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