Health
Ask an expert: ‘Is poor balance a sign of a serious health issue?’
While some people tend to be a little clumsier than others, constantly bumping into things could be a sign of a serious health issue.
For some, poor balance can lead to a decreased quality of life, loss of independence and even severe health complications, according to Ninoska Alvarez, a physical therapist and balance specialist with Brooks Rehabilitation in Florida.
“As we age, the three sensory systems that impact balance — the visual system, somatosensory system and vestibular system — can deteriorate, which results in balance issues,” Alvarez said in a statement to Fox News Digital.
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“Whenever one or more of these systems no longer functions as well as it once did, balance deficits can arise.”
For issues that come on suddenly, stroke is typically the most common issue, Alvarez said.
Three sensory systems impact our balance: the visual system, somatosensory system and vestibular system, said a physical therapist. (iStock)
“For some slower progressive diseases that can cause issues, it may be multiple sclerosis (though initial symptoms can come on suddenly), degenerative diseases in the brain (such as cerebellar degeneration), Parkinson’s disease or Guillain-Barre syndrome,” she said.
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Not all cases of poor balance are linked to serious health issues.
Issues with the inner ear can suddenly change one’s stability, Alvarez noted.
“Gradual worsening of balance can also occur for people who develop peripheral neuropathy (issues affecting the ability of the nerves, usually in the lower leg, to send or receive information),” she said.
Some warning signs of more serious issues include sudden significant changes in stability, sudden changes in vision, an inability to speak — and the onset of what feels like the “worst headache ever,” an expert said. (iStock)
Changes after periods of immobilization or lessened mobility — often seen if someone is hospitalized for a while or suffers an injury that affects the ability to stand or walk for a period of time — can also affect balance, Alvarez added.
4 warning signs to know
If you notice any of these red flags, it’s a good idea to reach out to a medical professional for an evaluation, Alvarez advised.
Sign No. 1: Relying on external support
Using railings, furniture, people or other items to help you move around more than usual could indicate that you have trouble maintaining your balance independently, said Alvarez.
“An increase in tripping or stumbling may be a sign of poor balance.”
Sign No. 2: Feeling disoriented in the dark
“If you struggle to navigate your environment in the dark — for example, when using the bathroom in the middle of the night — your body might be trying to tell you that your balance systems aren’t working as they should,” the therapist noted.
Unintentional falls are the leading cause of non-fatal injuries across every age group, according to the Centers for Disease Control and Prevention. (iStock)
Sign No. 3: Feeling unsteady with eyes closed
If you feel unsteady while standing or completing a task with your eyes closed — such as when washing your hair in the shower — that could be a sign that your balance is too reliant on visual input and that one or more of your balance systems are not functioning correctly, according to Alvarez.
Sign No. 4: Vertigo or an increase in tripping
“Vertigo and dizziness can be symptoms of an underlying issue affecting balance, such as problems with the inner ear or vestibular system,” Alvarez told Fox News Digital.
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“An increase in tripping or stumbling may be a sign of poor balance, potentially due to muscle weakness, neurological issues or other factors affecting balance,” she added.
These conditions also increase the risk of falls.
Multi-modal exercise is one of the most effective means of improving balance and reducing fall risk, a physical therapist said. (iStock)
Additional warning signs of more serious issues include sudden significant changes in stability, sudden changes in vision, an inability to speak, the onset of what feels like the “worst headache ever” and sudden weakness in the body, the doctor said.
For non-emergency symptoms, Alvarez recommends seeing a primary care physician, who will likely provide a referral to a neurologist. If there is any concern about an emergency, he said to visit the emergency department of a hospital.
Preventing balance issues
Alvarez shared two of the most effective ways to prevent future balance issues.
Multi-modal exercise
“While exercising is fantastic, multi-modal exercise training is even better,” Alvarez said.
“Seek out help if you notice your balance is deteriorating before it results in a fall and potential injury.”
“By engaging in diverse physical activities and targeting cardio, flexibility, mobility and strength as opposed to just one form of exercise, you can ensure that your body, balance and sensory systems are more resilient as you age.”
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Fall-proofing strategies
Unintentional falls are the leading cause of non-fatal injuries across every age group, according to data from the Centers for Disease Control and Prevention (CDC).
For those experiencing balance issues, a primary care physician will likely provide a referral for a neurological exam. (iStock)
To help prevent dangerous spills, Alvarez recommends fall-proofing your home by using nightlights and removing environmental hazards such as throw rugs or electrical cords.
“In addition, always try to keep an eye on pets when moving around, as tripping on dogs or cats can result in a fall,” she warned.
“It’s essential to understand that balance can always improve,” Alvarez added.
“Please seek out help if you notice your balance is deteriorating before it results in a fall and potential injury.”
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Health
One common type of fat may increase diabetes risk, while another helps fight it
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A new review suggests that the type of fat you eat may affect your risk of developing type 2 diabetes.
Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin.
Meanwhile, monounsaturated fats rich in oleic acid — such as those found in olive oil — may help protect against insulin resistance, the review concluded.
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“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, told Fox News Digital. She was not involved in the review.
“Oleic acid, on the other hand, is in higher concentration in foods like olive oil, canola oil, nuts, sunflower seeds, eggs, olive, avocados and also in meats (beef, chicken, pork), milk, cheese and pasta.”
Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin. (iStock)
The review, which was published in the journal Trends in Endocrinology & Metabolism, was led by researchers from the University of Barcelona and the CIBER Area for Diabetes and Associated Metabolic Diseases (CIBERDEM) in Spain.
The findings suggest that fat quality may be more important than total fat quantity when it comes to metabolic health and diabetes risk.
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This appears to support the idea that diets rich in monounsaturated fats, such as the Mediterranean diet, may contribute to lower rates of type 2 diabetes.
“Palmitic acid promotes several molecular processes that impair insulin action,” study investigator Dr. Manuel Vázquez-Carrera, from the Department of Pharmacology, Toxicology and Therapeutic Chemistry at the University of Barcelona, told Fox News Digital.
“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” a nutritionist said. (iStock)
Too much palmitic acid can cause harmful fat byproducts to build up in the body, which can impair the body’s ability to respond to insulin, he warned. This makes it harder to control blood sugar and increases the risk of insulin resistance and type 2 diabetes.
“It also promotes inflammation, oxidative stress, mitochondrial dysfunction and cellular stress responses, which contribute to insulin resistance and β-cell dysfunction,” Vázquez-Carrera added.
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By contrast, oleic acid – a hallmark of the Mediterranean diet – does not have these harmful effects, according to the researcher.
“In fact, oleic acid can counteract many of the detrimental effects triggered by palmitic acid, by promoting the storage of fatty acids in relatively inert triglycerides, preserving mitochondrial function and reducing inflammation,” he said.
“All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”
Freirich confirmed that the review is consistent with previous research supporting the use of olive oil in the diet for metabolic benefits.
“Also confirming previous research, the consumption of saturated fats is associated with some negative metabolic changes,” she told Fox News Digital.
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Given the complexity of foods and diets, there is an overlap between foods that contain both types of fatty acids, the nutritionist noted.
“Palmitic acid and oleic acid can both be found in olive oil, baked goods and fast foods, in differing amounts,” she said. “All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”
Study limitations
Vázquez-Carrera noted that these findings come from a review of numerous experimental, clinical and epidemiological studies rather than a single clinical trial.
“One important limitation is that much of the mechanistic evidence comes from cell culture and animal studies,” he said.
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“Although these studies provide valuable insights into how specific fatty acids affect insulin signaling, further human intervention studies are needed to confirm the extent to which these mechanisms operate in everyday dietary settings.”
In addition, many of the human studies in the review relied on self-reported dietary intake, which can introduce inaccuracies.
Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, the researcher noted. (iStock)
“Another challenge is that people consume foods containing complex mixtures of fatty acids and bioactive compounds rather than isolated fatty acids,” Vázquez-Carrera added. “Therefore, it remains difficult to fully disentangle the specific contribution of individual fatty acids in free-living populations.”
Nutritional recommendations
The review’s findings appear to support current dietary recommendations that emphasize replacing part of the saturated fat intake with unsaturated fats, according to Vázquez-Carrera.
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“This means favoring dietary patterns rich in foods such as extra-virgin olive oil, nuts, seeds, legumes, vegetables, fruits and fish, while limiting excessive consumption of foods rich in saturated fats, especially highly processed foods,” he advised.
The review does not suggest that a single nutrient alone determines diabetes risk, the researcher pointed out.
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“Rather, maintaining a healthy body weight, engaging in regular physical activity and following an overall healthy dietary pattern, such as the Mediterranean diet, remain fundamental strategies for preventing insulin resistance and type 2 diabetes.”
Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, Vázquez-Carrera noted.
Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, the review suggests. (iStock)
“Future research should move beyond simply classifying fats as ‘good’ or ‘bad’ and instead focus on understanding how specific fatty acids, their dietary sources and their interactions within whole dietary patterns affect metabolic health,” he said.
Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, according to the researcher.
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“A simple takeaway for consumers is to swap out foods high in saturated fat more often with foods rich in heart-healthy fats, like olive oil, nuts and avocados, to better support blood sugar and metabolic health,” advised New Jersey-based registered dietitian Erin Palinski-Wade, who was also not involved in the review.
Anyone at a higher risk for type 2 diabetes should consult a healthcare provider for personalized guidance on nutrition, exercise and other preventive measures, experts say.
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