{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:51:42Z","timestamp":1773391902591,"version":"3.50.1"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Hum. Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Force platforms are widely used to assess postural stability and fall risk in older adults. However, traditional parameters often capture overlapping phenomena and fail to fully reflect underlying control mechanisms. This study evaluated combining of six partly independent parameters to distinguish sex and age-related differences in postural control among community-dwelling elderly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 4,588 adults aged 65\u201395\u202fyears were assessed using static posturography under non-visual conditions. Six time-domain parameters, reflecting torque control, positional control and anticipatory control of the center point of force. Romberg\u2019s quotient was included for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Females exhibited greater stability, whereas males relied more on corrective force moments and showed larger sway amplitudes. Classification trees predicted sex with 71% accuracy using three parameters. Aging was associated with increased anteroposterior sway amplitude and a reduction in the critical time for transition between open- and closed-loop control. Additional age-sensitive parameters included mediolateral velocity zero-crossing rate and steady-phase duration. Age could be predicted within \u00b15\u202fyears for both sexes. Romberg\u2019s quotient could discriminate age in 30% and sex differences in 60% of participants, only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Postural stability is influenced by both sex and age. The identified combination of parameters provides a framework for estimating the \u201cbiological age\u201d of postural control and investigate balance impairments. Age-related decline appears consistent within a 5-year range, bur does not exclude the effect of lifestyle or comorbid factors. This study demonstrates that use of multidimensional data vectors with the implementation of AI-modeling can improve the predictive accuracy and clinical applicability of posturography.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnhum.2026.1721481","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:46:46Z","timestamp":1773384406000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex and age differences of postural control in community-dwelling older adults"],"prefix":"10.3389","volume":"20","author":[{"given":"Jyrki","family":"Rasku","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Hearing and Balance Research Unit, Tampere University","place":["Tampere, Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilmari","family":"Pyykk\u00f6","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hearing and Balance Research Unit, Tampere University","place":["Tampere, Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martti","family":"Juhola","sequence":"additional","affiliation":[{"name":"Faculty of Information Technology and Communication Sciences, Tampere University","place":["Tampere, Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esko","family":"Toppila","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hearing and Balance Research Unit, Tampere University","place":["Tampere, Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Changhai Hospital, Second Military Medical University","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenore","family":"Launerd","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology, Demography, and Biometry, National Institute on Ageing","place":["Bethesda, MD, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Siggeirsdottir","sequence":"additional","affiliation":[{"name":"Icelandic Heart Association","place":["Kopavogur, Iceland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palmi","family":"Jonsson","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Landspitali University Hospital","place":["Reykjavik, Iceland"]},{"name":"Faculty of Medicine, University of Iceland","place":["Reykjavik, Iceland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard J.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Epidemiology, Statistics, and Population Sciences, National Institute on Deafness and Other Communication Disorders (NIDCD), NIH","place":["Bethesda, MD, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuno","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Sport Sciences, University of Aarhus","place":["Aarhus, Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Caserotti","sequence":"additional","affiliation":[{"name":"Centre for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark","place":["Odense, Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vilmundur","family":"Gudnason","sequence":"additional","affiliation":[{"name":"Icelandic Heart Association","place":["Kopavogur, Iceland"]},{"name":"Faculty of Medicine, University of Iceland","place":["Reykjavik, Iceland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannes","family":"Petersen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Iceland","place":["Reykjavik, Iceland"]},{"name":"Department of Surgery, Akureyri Hospital","place":["Akureyri, Iceland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1159\/000416077","article-title":"Median filtering of stabilometric data","volume":"42","author":"Aalto","year":"","journal-title":"Adv. Otorhinolaryngol."},{"key":"ref2","first-page":"71","article-title":"Computerized posturography, a development of the measuring system","volume":"449","author":"Aalto","year":"","journal-title":"Acta Otolaryngol."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"957","DOI":"10.33549\/physiolres.931238","article-title":"Age-related changes of human balance during quiet stance","volume":"57","author":"Abrahamova","year":"2008","journal-title":"Physiol. Res."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.6061\/clinics\/2012(12)14","article-title":"The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults","volume":"67","author":"Alonso","year":"2012","journal-title":"Clinics (Sao Paulo)"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1093\/ageing\/17.6.365","article-title":"Falls by elderly people at home: prevalence and associated factors","volume":"17","author":"Blake","year":"1988","journal-title":"Age Ageing"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e1409","DOI":"10.6061\/clinics\/2020\/e1409","article-title":"Posturographic measures did not improve the predictive power to identify recurrent falls in community-dwelling elderly fallers","volume":"75","author":"Cabral","year":"2020","journal-title":"Clinics (Sao Paulo)"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/0021-9290(93)90004-x","article-title":"Nonstationary properties of postural sway","volume":"26","author":"Carroll","year":"1993","journal-title":"J. Biomech."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1097\/00005537-199604000-00007","article-title":"Galvanic-induced postural movements as a test of vestibular function in humans","volume":"106","author":"Cass","year":"1996","journal-title":"Laryngoscope"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1016\/S0268-0033(02)00107-9","article-title":"Stabilometric parameters are affected by anthropometry and foot placement","volume":"17","author":"Chiari","year":"2002","journal-title":"Clin. Biomech."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1007\/BF00229788","article-title":"Open-loop and closed-loop control of posture: a random-walk analysis of center-of-pressure trajectories","volume":"95","author":"Collins","year":"1993","journal-title":"Exp. Brain Res."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/BF00241972","article-title":"The effects of visual input on open-loop and closed-loop postural control mechanisms","volume":"103","author":"Collins","year":"1995","journal-title":"Exp. Brain Res."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1007\/BF00231982","article-title":"Age-related changes in open-loop and closed-loop postural control mechanisms","volume":"104","author":"Collins","year":"1995","journal-title":"Exp. Brain Res."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1177\/000348949110000609","article-title":"Postural compensation in children with congenital or early acquired bilateral vestibular loss","volume":"100","author":"Enbom","year":"1991","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref14","first-page":"37","article-title":"Postural balance in elderly people: changes over a five-year follow-up and its predictive value for survival","volume":"14","author":"Era","year":"2002","journal-title":"Aging Clin. Exp. Res."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1159\/000093652","article-title":"Postural balance in a random sample of 7,979 subjects aged 30 years and over","volume":"52","author":"Era","year":"2006","journal-title":"Gerontology"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1007\/s00774-004-0554-7","article-title":"Effect of age on body sway assessed by computerized posturography","volume":"23","author":"Fujita","year":"2005","journal-title":"J. Bone Miner. Metab."},{"key":"ref17","first-page":"2159","article-title":"Falls in the elderly","volume":"61","author":"Fuller","year":"2000","journal-title":"Am. Fam. Physician"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"400","DOI":"10.3200\/JMBR.40.5.400-408","article-title":"Influence of experience on postural control: effect of expertise in gymnastics","volume":"40","author":"Gautier","year":"2008","journal-title":"J. Mot. Behav."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1578","DOI":"10.1109\/tbme.2006.878069","article-title":"Evaluating sleepiness using force platform posturography","volume":"53","author":"Haeggstrom","year":"2006","journal-title":"I.E.E.E. Trans. Biomed. Eng."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"ii7","DOI":"10.1093\/ageing\/afl077","article-title":"Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?","volume":"35","author":"Horak","year":"2006","journal-title":"Age Ageing"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"119","DOI":"10.3109\/00016489309135778","article-title":"Postural control and age","volume":"113","author":"Hyt\u00f6nen","year":"1993","journal-title":"Acta Otolaryngol."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/BF03324286","article-title":"Prognosis of falls among elderly nursing home residents","volume":"7","author":"J\u00e4ntti","year":"1995","journal-title":"Aging"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.humov.2019.04.004","article-title":"Predicting incident falls: relationship between postural sway and limits of stability in older adults","volume":"66","author":"Johansson","year":"2019","journal-title":"Hum. Mov. Sci."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1498107","DOI":"10.3389\/fnhum.2024.1498107","article-title":"Normative data for instrumented posturography: a systematic review and meta-analysis","volume":"18","author":"Julienne","year":"2024","journal-title":"Front. Hum. Neurosci."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"117","DOI":"10.3233\/VES-2011-0397","article-title":"Stocktaking on the development of posturography for clinical use","volume":"21","author":"Kingma","year":"2011","journal-title":"J. Vestib. Res."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.neucli.2015.09.008","article-title":"Effects of physical training on age-related balance and postural control","volume":"45","author":"Lelard","year":"2015","journal-title":"Neurophysiol. Clin."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"M72","DOI":"10.1093\/geronj\/49.2.M72","article-title":"A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population","volume":"49","author":"Maki","year":"1994","journal-title":"J. Gerontol."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1007\/s00127-003-0628-1","article-title":"Social position and the common mental disorders with disability estimates from the National Psychiatric Survey of Greart Britain","volume":"38","author":"Melzer","year":"2003","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref29","first-page":"607","volume-title":"Motor Control Mechanisms in Health and Disease","author":"Nashner","year":"1983"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1093\/gerona\/63.2.171","article-title":"Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63-76 years","volume":"63","author":"Pajala","year":"2008","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref31","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1123\/jsr.11.1.51","article-title":"Center-of-pressure parameters used in the assesment of postural control","volume":"11","author":"Palmieri","year":"2002","journal-title":"J. Sport Rehabil."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e0296355","DOI":"10.1371\/journal.pone.0296355","article-title":"Fall prediction in a quiet standing balance test via machine learning: is it possible?","volume":"19","author":"Pennone","year":"2024","journal-title":"PLoS One"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s004220050587","article-title":"Postural control model interpretation of stabilogram diffusion analysis","volume":"82","author":"Peterka","year":"2000","journal-title":"Biol. Cybern."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/B978-0-444-63916-5.00002-1","article-title":"Sensory integration for human balance control","volume":"159","author":"Peterka","year":"2018","journal-title":"Handb. Clin. Neurol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1159\/00008982","article-title":"Force platform measurements as predictors of falls among older people \u2013 a review","volume":"52","author":"Piirtola","year":"2006","journal-title":"Gerontology"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"956","DOI":"10.1109\/10.532130","article-title":"Measures of postural steadiness: differences between healthy young and elderly adults","volume":"43","author":"Prieto","year":"1996","journal-title":"I.E.E.E. Trans. Biomed. Eng."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"27","DOI":"10.3109\/00016489109137351","article-title":"Effect of proprioceptor stimulation on postural stability in patients with peripheral or central vestibular lesion","volume":"111","author":"Pyykk\u00f6","year":"1991","journal-title":"Acta Otolaryngol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1093\/ageing\/19.3.215","article-title":"Postural control in elderly subjects","volume":"19","author":"Pyykko","year":"1990","journal-title":"Age Ageing"},{"key":"ref39","first-page":"39","article-title":"Determination of parameters for computing postural stability","volume":"19","author":"Pyykk\u00f6","year":"2000","journal-title":"Automedica"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"243","DOI":"10.3233\/VES-120465","article-title":"Evaluation of the postural stability of elderly persons using time domain signal analysis","volume":"22","author":"Rasku","year":"2012","journal-title":"J. Vestib. Res."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"e0310764","DOI":"10.1371\/journal.pone.0310764","article-title":"Age-related changes in gait, balance, and strength parameters: a cross-sectional study","volume":"19","author":"Rezaei","year":"2024","journal-title":"PLoS One"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1123\/mcj.1.3.229","article-title":"Influence of body lean and vision on postural fluctuations in stance","volume":"1","author":"Riley","year":"1997","journal-title":"Mot. Control."},{"key":"ref43","first-page":"1196","article-title":"Health status of pesticide applicators: postural stability assessments","volume":"35","author":"Sack","year":"1993","journal-title":"J. Occup. Med."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"106214","DOI":"10.1016\/j.clinbiomech.2024.106214","article-title":"Framework for early detection and classification of balance pathologies using posturography and anthropometric variables","volume":"113","author":"Sarmah","year":"2024","journal-title":"Clin Biomech (Bristol)."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1056\/NEJM199409293311301.7","article-title":"A multifactorial intervention to reduce the risk of falling among elderly people living in the community","volume":"331","author":"Tinetti","year":"1994","journal-title":"N. Engl. J. Med."},{"key":"ref46","first-page":"115","article-title":"Chaotic model of postural stability-a position and velocity dependent system","volume":"19","author":"Toppila","year":"2000","journal-title":"Automedica"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.jocn.2020.04.114","article-title":"Open-loop and closed-loop control of posture: stabilogram-diffusion analysis of center-of-pressure trajectories among people with stroke","volume":"78","author":"Treger","year":"2020","journal-title":"J. Clin. Neurosci."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1426","DOI":"10.1111\/jgs.12395","article-title":"Intervention to prevent falls in elderly adults living in a residential home","volume":"61","author":"Tuunainen","year":"2013","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1007\/BF03337761","article-title":"Presbyequilibrium in the oldest old, a combination of vestibular, oculomotor and postural deficits","volume":"23","author":"Tuunainen","year":"2011","journal-title":"Aging Clin. Exp. Res."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"2424","DOI":"10.1016\/j.clinph.2008.07.220","article-title":"The clinical utility of posturography","volume":"119","author":"Visser","year":"2008","journal-title":"Clin. Neurophysiol."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/jfmk5010001","article-title":"Balance performance across the lifespan assessed by the Leonardo Mechanograph\u00ae: a cross-sectional study","volume":"5","author":"Wiegmann","year":"2020","journal-title":"J. Funct. Morphol. Kinesiol."}],"container-title":["Frontiers in Human Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnhum.2026.1721481\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:46:48Z","timestamp":1773384408000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnhum.2026.1721481\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":51,"alternative-id":["10.3389\/fnhum.2026.1721481"],"URL":"https:\/\/doi.org\/10.3389\/fnhum.2026.1721481","relation":{},"ISSN":["1662-5161"],"issn-type":[{"value":"1662-5161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"article-number":"1721481"}}