BRIEF RESEARCH REPORT article

Front. Neurosci.

Sec. Sleep and Circadian Rhythms

Volume 19 - 2025 | doi: 10.3389/fnins.2025.1574544

This article is part of the Research TopicCircadian Rhythms and AgingView all articles

Circadian disruption is associated with altered postural control in aged individuals under eye closed condition

Provisionally accepted
Hóngyi  ZhàoHóngyi Zhào1*Zhiqiang  ZhangZhiqiang Zhang2Yinxia  BaiYinxia Bai2Peng  LiPeng Li3Yonghua  HuangYonghua Huang4*
  • 1984th Hospital of the People's Liberation Army, Beijing, China
  • 2Inner Mongolia Autonomous Region Big Data Center, Hohhot, Inner Mongolia Autonomous Region, China
  • 3Shanghai Forth People Hospital Affiliated To Tongji University, Shanghai, China
  • 4Seventh Medical Center of PLA General Hospital, Beijing, China

The final, formatted version of the article will be published soon.

Background: Sleep loss is reported to affect postural control. However, the relationship between increased postural sway and the circadian rhythm (CR) remains unclear.Objectives: To assess performance in the postural control test in aged individuals with an abnormal CR.This cross-sectional observational study included two groups of participants: those at high risk of falling (HFR) and those at low risk of falling (LFR), which was determined by the clinical cut-off score for the sway path with open eyes. Each participant wore an ActiGraph device on their non-dominant hand for 5-7 days. A non-parametric analysis of CR variables, including interdaily stability (IS), intraday variability (IV), relative amplitude (RA), interdaily coefficient of variation (ICV), etc., was used to evaluate the postural stability with a posturographic platform during a 30-s static balance test under the eyes closed (EC) and eyes open (EO) condition.Results: Individuals in the HFR group demonstrated significantly higher scores in the Downton fall risk index (DFRI), higher ICV, and lower IS and M10 activity counts than the LFR group. Linear regression analysis revealed that under the EO condition, there was no association between postural control and CR disruption; however, under the EC condition, L5 was positively associated with variables reflecting an increase in postural sway.Increased postural sway was found to be associated with CR disruption in aged adults under the EC condition.

Keywords: Actigraphy, Circadian Rhythm, Postural Balance, posturography, visual input

Received: 11 Feb 2025; Accepted: 14 Apr 2025.

Copyright: © 2025 Zhào, Zhang, Bai, Li and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Hóngyi Zhào, 984th Hospital of the People's Liberation Army, Beijing, China
Yonghua Huang, Seventh Medical Center of PLA General Hospital, Beijing, China

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