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Peripheral neuropathy, impaired standing balance and falls in older adults

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  • López, Esmeralda Cortes
  • Vargas Escamilla, María del Pilar
  • Morales, Monzerrath Cruz

Abstract

Introduction: Peripheral neuropathy reduces plantar sensory input and may compromise standing balance and increase falls in older adults. Methods: Cross-sectional analysis of pooled National Health and Nutrition Examination Survey data. Impaired standing balance on the modified Romberg test was analyzed in adults aged 60 years and over from NHANES 2001-2004; self-reported falling problems in the past 12 months were analyzed in adults aged 60 years and over from NHANES 1999-2004. Peripheral neuropathy was defined as one or more insensate plantar sites on 10-g monofilament testing. Survey-weighted logistic regression was adjusted for age, sex, race/ethnicity and diabetes. Results: Among 2,410 participants with balance data, impaired standing balance affected 70.7% of those with neuropathy versus 57.6% of those without (adjusted odds ratio 1.50, 95% CI 1.12-2.00). Among 4,177 participants with falls data, falling problems were reported by 13.7% versus 5.8% (adjusted odds ratio 2.24, 95% CI 1.68-2.99). Conclusions: Monofilament-detected peripheral neuropathy was associated with impaired standing balance and self-reported falls in older adults.

Suggested Citation

  • López, Esmeralda Cortes & Vargas Escamilla, María del Pilar & Morales, Monzerrath Cruz, 2024. "Peripheral neuropathy, impaired standing balance and falls in older adults," SAP Podiatry, South American Publishing.
    • Handle: RePEc:cwf:podart:pod2024112
    DOI: 10.62486/pod2024112
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