Association of polypharmacy with postural instability and impaired balance in community-dwelling older adults in Turkey

Association of polypharmacy with postural instability and impaired balance in community-dwelling older adults in Turkey

Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent risk factor for falling. However, thedata about effects of polypharmacy on balance is lacking. We aimed to evaluate the effects of polypharmacy and inappropriate drugusage on balance in older adults.Patients and Methods: Fifty-one patients using ≥ 5 drugs and 50 patients using < 5 drugs were included in the study. Inappropriatedrug usage of the patients was evaluated by Beers criteria. Postural stability and risk of falling was investigated by using BioswayPortable Balance System (BPBS). Activities and functional status of the patients were assessed by using Short Physical PerformanceBattery (SPPB) and Activities Specific Balance Confidence Scale (ABC). All patients underwent comprehensive geriatric assessment.Results: Age, gender, hand grip strength, SPPB scores of the patients were similar between polypharmacy and control groups (all hadp>0.05). ABC score was higher in polypharmacy group than control (p

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