Investigation of Balance, Kinesiophobia, and Mobility in Older Adults Exposed to Polypharmacy

Yasemin Salkın; Aysun Kazak Saltı; Sema Erden Ertürk; Pınar Müge Altınkaya

Makale detayları

Investigation of Balance, Kinesiophobia, and Mobility in Older Adults Exposed to Polypharmacy

Yazarlar:

Yasemin Salkın | Aysun Kazak Saltı | Sema Erden Ertürk | Pınar Müge Altınkaya

Yayıncı:

Duzce University

Ana Başlıklar:

Geriatrics and Gerontology

Dergi:

Duzce Medical Journal Vol.27 Issue 2, pp.123-129

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001347610

pISSN:

1307-671X

Anahtar kelimeler:

Özet:

 Aim: Older adults often face significant issues related to functionality, balance, and fall risk. This study aimed to investigate balance, kinesiophobia, and mobility in older adults exposed to polypharmacy. Material and Methods: This cross-sectional study included a total of 75 individuals aged 65 years and over who were exposed to polypharmacy and presented to a university hospital between November 2023 and March 2024, and with a standardized mini-mental test SMMT score of 25 and above. Data were collected using the patient introduction and medication use questionnaire, the Berg balance scale BBS, the Tampa kinesiophobia scale TKS, and the timed up and go TUG test. Results: Individuals who completed the TUG test within 0-1414 seconds exhibited higher BBS scores when compared to those who completed the test in more than 14 seconds p0.001, while the TKS scores were lower p0.001. Furthermore, it was observed that individuals with a history of falls had higher TKS p0.001 and TUG test p0.001 scores than those without a history of falls. Additionally, the number of chronic diseases showed a negative correlation with BBS scores rs-0.319, p0.005, while exhibiting a positive correlation with TKS scores rs0.263, p0.023 and TUG test rs0.316, p0.006 durations. Conclusion: The findings of the study indicate that polypharmacy has a deleterious effect on balance and mobility in older adults. It is imperative to evaluate the suitability of the prescribed medications and to take into account the patients current medications prior to the initiation of new medications.

 Aim: Older adults often face significant issues related to functionality, balance, and fall risk. This study aimed to investigate balance, kinesiophobia, and mobility in older adults exposed to polypharmacy. Material and Methods: This cross-sectional study included a total of 75 individuals aged 65 years and over who were exposed to polypharmacy and presented to a university hospital between November 2023 and March 2024, and with a standardized mini-mental test SMMT score of 25 and above. Data were collected using the patient introduction and medication use questionnaire, the Berg balance scale BBS, the Tampa kinesiophobia scale TKS, and the timed up and go TUG test. Results: Individuals who completed the TUG test within 0-1414 seconds exhibited higher BBS scores when compared to those who completed the test in more than 14 seconds p0.001, while the TKS scores were lower p0.001. Furthermore, it was observed that individuals with a history of falls had higher TKS p0.001 and TUG test p0.001 scores than those without a history of falls. Additionally, the number of chronic diseases showed a negative correlation with BBS scores rs-0.319, p0.005, while exhibiting a positive correlation with TKS scores rs0.263, p0.023 and TUG test rs0.316, p0.006 durations. Conclusion: The findings of the study indicate that polypharmacy has a deleterious effect on balance and mobility in older adults. It is imperative to evaluate the suitability of the prescribed medications and to take into account the patients current medications prior to the initiation of new medications.

 Aim: Older adults often face significant issues related to functionality, balance, and fall risk. This study aimed to investigate balance, kinesiophobia, and mobility in older adults exposed to polypharmacy. Material and Methods: This cross-sectional study included a total of 75 individuals aged 65 years and over who were exposed to polypharmacy and presented to a university hospital between November 2023 and March 2024, and with a standardized mini-mental test SMMT score of 25 and above. Data were collected using the patient introduction and medication use questionnaire, the Berg balance scale BBS, the Tampa kinesiophobia scale TKS, and the timed up and go TUG test. Results: Individuals who completed the TUG test within 0-1414 seconds exhibited higher BBS scores when compared to those who completed the test in more than 14 seconds p0.001, while the TKS scores were lower p0.001. Furthermore, it was observed that individuals with a history of falls had higher TKS p0.001 and TUG test p0.001 scores than those without a history of falls. Additionally, the number of chronic diseases showed a negative correlation with BBS scores rs-0.319, p0.005, while exhibiting a positive correlation with TKS scores rs0.263, p0.023 and TUG test rs0.316, p0.006 durations. Conclusion: The findings of the study indicate that polypharmacy has a deleterious effect on balance and mobility in older adults. It is imperative to evaluate the suitability of the prescribed medications and to take into account the patients current medications prior to the initiation of new medications.

 Amaç: Yaşlı yetişkinler sıklıkla fonksiyonel bozukluklar, denge ve düşme riskiyle ilgili önemli problemlerle karşı karşıya kalmaktadır. Bu çalışmanın amacı, polifarmasisi olan yaşlı bireylerde denge, kinezyofobi ve mobilitenin araştırılmasıdır. Gereç ve Yöntemler: Bu kesitsel çalışmaya, polifarmasisi olan ve Kasım 2023 ve Mart 2024 tarihleri arasında bir üniversite hastanesine başvuran ve standart mini mental test SMMT puanı 25 ve üzeri olan 65 yaş ve üzeri toplam 75 kişi dahil edildi. Veriler hasta tanıtımı ve ilaç kullanımı anketi, Berg denge ölçeği BDÖ, Tampa kinezyofobi ölçeği TKÖ ve zamanlı kalk ve yürü ZKY testi kullanılarak toplandı. Bulgular: ZKY testini 0-14 saniye içinde tamamlayan kişiler, testi 14 saniyeden daha uzun sürede tamamlayanlara kıyasla daha yüksek BDÖ puanlarına sahipti p0,001, bu grupta TKÖ puanları ise daha düşüktü p0,001. Ayrıca, düşme öyküsü olan bireylerin düşme öyküsü olmayanlara kıyasla daha yüksek TKÖ p0,001 ve daha yüksek ZKY testi p0,001 puanlarına sahip olduğu görüldü. Ek olarak, kronik hastalık sayısı BDÖ puanları ile negatif korelasyon rs-0,319; p0,005 gösterirken, TKÖ puanları rs0,263; p0,023 ve ZKY testi süreleri rs0,316; p0,006 ile pozitif korelasyon gösterdi. Sonuç: Çalışmanın bulguları, yaşlı bireylerde polifarmasinin denge ve mobilite üzerine olumsuz etkileri olduğunu göstermiştir. Yeni bir tedavi protokolü oluşturulmadan önce reçete edilen ilaçların endikasyon uygunluğunun değerlendirilmesi ve hastanın düzenli kullandığı ilaçların da dikkate alınması oldukça önemlidir.

Makale detayları

Investigation of Balance, Kinesiophobia, and Mobility in Older Adults Exposed to Polypharmacy

Yazarlar:

Yasemin Salkın | Aysun Kazak Saltı | Sema Erden Ertürk | Pınar Müge Altınkaya

Yayıncı:

Duzce University

Ana Başlıklar:

Geriatrics and Gerontology

Dergi:

Duzce Medical Journal Vol.27 Issue 2, pp.123-129

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001347610

pISSN:

1307-671X

Balance

kinesiophobia

mobility

older adults

polypharmacyDenge

kinezyofobi

mobilite

yaşlı bireyler

polifarmasi

Sayı

Makale detayları

Yazarlar: Yasemin Salkın | Aysun Kazak Saltı | Sema Erden Ertürk | Pınar Müge Altınkaya

Yayıncı: Duzce University

Ana Başlıklar: Geriatrics and Gerontology

Dergi: Duzce Medical Journal Vol.27 Issue 2, pp.123-129

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001347610

pISSN: 1307-671X

Sayı

Yazarlar:

Yasemin Salkın | Aysun Kazak Saltı | Sema Erden Ertürk | Pınar Müge Altınkaya

Yayıncı:

Duzce University

Ana Başlıklar:

Geriatrics and Gerontology

Dergi:

Duzce Medical Journal Vol.27 Issue 2, pp.123-129

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001347610

pISSN:

1307-671X