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Staying Steady: The Balance Challenge for Seniors

A look at how aging affects balance and fall risks among older adults.

Jessica L. Pepper, Bo Yao, Jason J. Braithwaite, Theodoros M. Bampouras, Helen E. Nuttall

― 7 min read


Falls: A Serious Risk for Falls: A Serious Risk for Seniors risks among older adults. Aging affects balance, increasing fall
Table of Contents

As people age, certain changes occur in their bodies and minds. One of the significant changes involves their ability to maintain Balance and stay upright. With the UK's population expected to have a considerable percentage of seniors by 2050, understanding these changes is crucial in reducing the risk of falls and injuries among older adults. Let’s break down what's happening and why it matters, even if you’re not a scientist.

The Growing Elderly Population

By 2050, it's estimated that over 20% of the UK population will be 60 years or older. This is a big deal. Many older adults face challenges that can lead to falls—one of the most common causes of injury and even death in this age group. Picture this: nearly 30% of adults over 65 living at home are expected to experience falls. That's a lot of potential tumbles!

Falls not only hurt physically but also come with a hefty price tag. The National Health Service (NHS) spends around £4.4 billion every year treating injuries from falls. So, it’s clear that keeping older adults safe and steady on their feet should be a priority for everyone.

Why Do Falls Happen?

The reasons older folks fall are complex. As we age, our bodies go through various changes, especially in how we see and understand things around us. The way our brain integrates sights and sounds can become less effective, which can lead to problems with balance and a higher risk of falling.

The Senses and Balance

Our brains rely on information from our senses to keep us upright. These senses include sight and sound. When these senses work well together, they help us understand our environment and move safely. This process is called multisensory integration.

However, as people get older, this integration can become jumbled. Think of it like trying to watch two TV shows at once—they both make sense when you focus on one, but trying to follow both can lead to confusion. For older adults, the brain sometimes confuses unrelated information, which can lead to misjudging distance or motion, making it easier to lose balance.

Attention and Its Role

Attention is like a spotlight; it helps us focus on what’s essential and ignore distractions. But older adults often struggle with this. When trying to focus on something important, like walking across the street, they may find it hard to block out distractions, like a nearby conversation or loud music. This struggle gets in the way of their ability to stay balanced, increasing the likelihood of a fall.

The Science of Brain Waves

You may have heard of brain waves, right? They can sound a bit mystical, but they are simply electrical signals produced by the brain. One type of brain wave, called alpha waves, plays a role in how we manage our attention.

In younger people, alpha waves help filter out distractions effectively. In older adults, however, these waves may not do their job as well, which can lead to more distractions making their way into the brain’s spotlight. As a result, when older adults are faced with different types of sensory information at once, they may find it challenging to make sense of it all.

Balancing Act: How to Assess Functional Ability

To understand how well an older adult can balance, researchers often look at their functional ability, which refers to how well a person can perform everyday activities, like walking, climbing stairs, or simply standing still. There are various tests to measure this ability.

One commonly used test is called the Short Physical Performance Battery (SPPB). It measures three aspects: balance, walking speed, and leg strength. This test gives a clear picture of how someone is doing and helps identify those who might be at risk of falling.

The Role of Neural Activity

Neural activity—how the brain communicates and processes information—plays a crucial part in maintaining balance. In younger adults, their brain's networks are often efficient, leading to better control over attention. As people get older, however, their brain networks may become less coordinated, diminishing their ability to filter out distractions and maintain steady balance.

Higher levels of alpha activity in certain brain areas are associated with better inhibition of distractions. Unfortunately, older adults often show less alpha activity, and this may lead to falls.

The Study at Hand

Researchers conducted a study with younger and older adults to examine the relationship between age, balance, perception, and attention. They aimed to figure out whether older adults showed different patterns of multisensory integration compared to younger adults.

Forty older adults and forty younger adults participated in various tests that assessed their balance and ability to integrate sensory information. The older adults were expected to show more confusion when integrating visual and auditory information, leading to more "bounce" responses in a visual task they completed.

Findings on Balance and Perception

The study found that older adults did indeed show a greater tendency for erroneous multisensory integration compared to younger adults. In simpler terms, older participants were more likely to mix up sensory information, leading to more mistakes when they were supposed to be focused. This means even when they were trying hard to pay attention, their brains were still getting it wrong.

It’s like trying to listen to your favorite music while someone is loudly arguing in the background—your brain wants to focus, but sometimes it just doesn’t work that way.

Attention and Control

Regarding attention control, the findings suggested that older adults had more difficulty managing distractions than younger adults. Even with a clear visual cue, older adults still found it harder to ignore irrelevant sounds, leading to a higher risk of misjudging their spatial environment and potentially falling.

The Role of Functional Ability

The study also looked at functional ability and how it related to both audiovocal integration and balance. Researchers anticipated that better balance might predict how well older adults integrated sensory information. However, the results didn’t fully support this idea, suggesting that the participants' overall fitness levels might not accurately reflect their risk of falling if they were generally active and capable.

In other words, just because older adults in the study were fit didn’t mean they wouldn’t trip over their own feet if the sensory overload hit them at the wrong time.

Implications for the Future

Given the increasing percentage of older adults in the population, the findings point to the need for practical applications to help them maintain their balance and reduce fall risk. Strength and balance training can help improve physical capabilities, but combining physical and cognitive exercises could be even more effective.

Imagine a gym class that includes a dance-off while balancing on one foot—now that’s a workout with a twist! Such combined programs might help older adults learn to focus better while simultaneously improving their physical strength and balance.

The Big Picture

With the elderly population set to expand significantly, it’s essential to keep their safety in mind. Falls can lead to severe injuries and complications, which can greatly affect their independence and quality of life.

Understanding how age impacts perception and balance can aid in developing strategies for maintaining safety among older adults. Whether it involves cognitive training or physical workouts, keeping the elderly on their feet is a goal that everyone can rally behind.

Final Thoughts

So, while we may chuckle at the thought of someone tripping over nothing or misjudging the depth of a puddle, for older adults, these moments can have serious consequences. By recognizing the challenges that come with age-related sensory integration and balance, we can better support our loved ones—and perhaps even take a few dance classes along the way to keep everyone light on their feet!

In short, the world may seem like a bustling, chaotic place, but with the right tools and understanding, older adults can navigate their environments with greater ease, ensuring they stay safe and sound while enjoying life to the fullest.

Original Source

Title: Age-Related Changes in Functional Balance Ability Predict Alpha Activity During Multisensory Integration

Abstract: The increased multisensory integration and weaker attentional control experienced by older adults during audiovisual processing can result in inaccurate perceptions of their dynamic, everyday environment. These inaccurate representations of our environment can contribute to increased fall risk in older adults. A neural correlate of the attentional difference between younger and older adults could be oscillatory alpha activity (8-12Hz), indexing inhibitory processes during multisensory integration. The current study investigated whether age-related changes in alpha activity underlie weaker attentional control in older adults during a multisensory task, and if alpha associates with fall risk. Thirty-six younger (18-35 years old) and thirty-six older (60-80 years old) adults completed a cued-spatial-attention stream-bounce task, assessing audiovisual integration when attending to validly-cued or invalidly-cued locations, at 0ms or 300ms stimulus-onset asynchronies. Oscillatory alpha activity was recorded throughout using EEG to index participants inhibitory abilities. Functional ability and balance were measured to index fall risk. Multiple linear regression models revealed that even when attending to the validly-cued location, less accurate multisensory integration was exhibited by older adults compared to younger adults, suggesting that older adults demonstrate weaker top-down modulation of multisensory integration through failing to inhibit task-irrelevant information. However, alpha power across the trials did not predict the extent of multisensory integration within the task. A significant interaction between age and functional ability scores predicted alpha power, suggesting that older adults may rely on attentional mechanisms for functional ability more than younger adults do. Potential implications in the design of clinical treatments to reduce falls are discussed.

Authors: Jessica L. Pepper, Bo Yao, Jason J. Braithwaite, Theodoros M. Bampouras, Helen E. Nuttall

Last Update: 2024-12-17 00:00:00

Language: English

Source URL: https://www.biorxiv.org/content/10.1101/2024.12.17.628991

Source PDF: https://www.biorxiv.org/content/10.1101/2024.12.17.628991.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to biorxiv for use of its open access interoperability.

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