One-leg standing balance and functional status in an elderly community-dwelling population in northeast Italy

BACKGROUND AND AIMS

Development of simple and accurate indicators of frailty is an important research goal in aging societies. One-leg standing balance (OLSB) has been proposed as a component of a clinical index of frailty.

METHODS

We analyzed relationships between results of OLSB testing and multiple health risk factors and impairment/disability indicators in a sample of elderly subjects (N=102) participating in the Anchyses Project. Subjects were aged >65, lived in a home for the aged in Rovigo, Italy, and had no ADL dependencies or recent acute illnesses.

RESULTS

More than half (53%) failed the OLSB test while 36% were able to balance without difficulty. Significant differences were observed among OLSB performance groups in forced vital capacity (p=0.025), dynamometry (p=0.001), age, physical activity, and IADL dependency (all p<0.001).

CONCLUSIONS

OLSB performance is a marker of frailty and thus a potentially useful predictor of functional decline.

Palaeodemography of the Nasca valley: reconstruction of the human ecology in the southern Peruvian coast

This study is based on skeletons and mummies belonging to 582 individuals excavated at sites of Pueblo Viejo, Cahuachi, Estaqueria and Atarco in the Nasca valley, South Coast of Peru. Archaeological evidence distinguishes three cultural phases: Nasca (400 BC-550 AD), Wari (600-1100 AD) and Chincha (1100-1412 AD). Since the Chincha human remains were too exiguous (27 individuals), only Nasca and Wari were considered. For the Nasca population, sex ratio was 113 men to 100 women (53% of males); for the Wari population, sex ratio was 117 men to 100 women (54% of males). The palaeodemographic data show that the infant mortality rate was 33@1000 for Nasca and 105@1000 for Wari. Life expectancy was 38-43 years for Nasca and 31-36 years for Wari. Death percentages in all the age groups increased from Nasca to Wari phase. ANOVA and t-test for paired comparison were applied in order to examine if dental and bone ages were statistically different. Long bones and teeth showed an allometric development, and the age estimated from the tooth formation and eruption was generally higher than the age estimated from the maximum lengths of long bones. The anthropological study of the Nasca valley skeletal populations confirmed the archaeological hypothesis of worse conditions of the Wari population in comparison with the previous Nasca people.