Evidence map›Paper›PMID 40129901›Full record

ArticleClinical interventions in aging2025

Multimodal Factors Affect Longitudinal Changes in Dynamic Balance in Community-Dwelling Older Adults.

Chitra Banarjee, Jethro Raphael M Suarez, Kworweinski Lafontant, Hwan Choi, Chen Chen, Rui Xie, Ladda Thiamwong

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chitra BanarjeeCollege of Medicine, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-8161-691X
Jethro Raphael M SuarezCollege of Nursing, University of Central Florida, Orlando, FL, USA.ORCID 0009-0003-6549-6297
Kworweinski LafontantCollege of Nursing, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-8756-9827
Hwan ChoiDepartment of Mechanical and Aerospace Engineering, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-3592-5762
Chen ChenCenter for Research in Computer Vision, University of Central Florida, Orlando, FL, USA.ORCID 0000-0003-3957-7061
Rui XieDepartment of Statistics and Data Science, University of Central Florida, Orlando, FL, USA.ORCID 0000-0001-9769-8131
Ladda ThiamwongCollege of Nursing, University of Central Florida, Orlando, FL, USA.ORCID 0000-0001-8506-5812

Funding

Optimizing a technology-based body and mind intervention to prevent falls and reduce health disparities in low-income populations.R01MD018025 · NIMHD · UNIVERSITY OF CENTRAL FLORIDA · PI THIAMWONG, LADDA · 2022 to 2025
$3.0M
NIMHD NIH HHS R01 MD018025
6 · The paper itself

Abstract

Purpose: Dynamic balance, an important contributor to fall risk in older adults, involves maintaining the center of pressure while in locomotive states and is. Fall risk appraisal (FRA) is defined as assessing an older adult's awareness of their physiological and perceived fall risk. This longitudinal study aimed to evaluate how multimodal factors predict fluctuations in dynamic balance in community-dwelling low-income older adults, utilizing fear of falling (FoF), static balance, fall history, and moderate-to-vigorous physical activity (MVPA). Patients and Methods: The longitudinal study included 140 community-dwelling, low-income older adults, with 124 women and 16 men. FoF was assessed using the Short Falls Efficacy Scale International (Short FES-I) and static balance using BTracks Balance Test (BBT). Both were utilized to define FRA Distance, an integrated quantification of physiological and perceived balance deficits. MVPA was assessed using accelerometers, fall history using self-report, and dynamic balance using the Timed Up and Go (TUG) test. The study was conducted at 4 timepoints at T1 (baseline), T2 (2 months), T3 (4 months), and T4 (6 months). Results: Using mixed effects multilevel models, TUG scores were predicted by time, %MVPA, and FRA distance ratio. The effect of FRA distance ratio was primarily driven by FoF, and the effect of %MVPA varied by age. Additionally, while fall history did not show a predictive relationship with TUG scores, it did predict FRA distance. Conclusion: Dynamic balance fluctuated over time and was influenced by multimodal factors, namely MVPA and FRA, which captured the interplay between static balance and FoF. Fall history did not directly predict dynamic balance but played a role in FRA, implicating the subjective effects of fall history. These findings demonstrate how physical activity, FRA, and their interactions can predict changes in dynamic balance. Future work can utilize the results to evaluate low-cost interventions for community-dwelling older adults.

Indexed as

Accidental FallsExerciseIndependent LivingPostural BalanceAccelerometryAgedAged, 80 and overFearFemaleGeriatric AssessmentHumansLongitudinal StudiesMalePovertyRisk Assessmentbalancefear of fallingolder adultsphysical activity

Identifiers

PMID40129901
PMCPMC11932031

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.