Pituitary & hypothalamus

Postural stability, fall risk, and effects of balance-based exercise in acromegaly

Eur J EndocrinolPublished Prospective case-control study

Authors' conclusion

Balance impairment and increased fall risk may occur in acromegaly, likely due to deficits in central sensory integration.

Study context

Population
Patients with acromegaly (active and inactive) and matched sedentary healthy controls15 completed exercise
Participants
32 vs 32
Comparison
Acromegaly vs matched sedentary healthy controls; before vs after balance-oriented exercise
  • Acromegalyn = 32
  • Controlsn = 32reference
Outcome
Postural stability (computerized dynamic posturography)
Methodological detailssingle-centre, exercise intervention
  • Single-centre
  • Exercise intervention

Main finding

As reported in the abstract

  • Patients had lower preference anterior-posterior (AP), visual medial-lateral (ML), vestibular ML and global AP/ML scores than controls
  • Acromegaly vs Controls: P < 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
Berg Balance Scale, fall risk, fear-of-falling and dizziness scoresP < 0.05
Fourier analysis of swayP < 0.05
Global AP/ML scores, active vs inactive acromegalyLower in active patientsP < 0.05
Vestibulo-ocular reflex gains (video head impulse test)Similar between groupsP > 0.05
Effect of 8-week home-based exercise program on balance and clinical scale scores · 8 weeksAfter exercise vs Before exercise · significant improvementP < 0.05
  • Berg Balance Scale, fall risk, fear-of-falling and dizziness scores: Berg lower; fall risk, fear-of-falling, dizziness higher in patients
  • Fourier analysis of sway: increased sway amplitudes with low-frequency dominance, static and dynamic
  • Effect of 8-week home-based exercise program on balance and clinical scale scores: 15 patients with balance impairment

Original publication

Postural stability, fall risk, and effects of balance-based exercise in acromegaly. Eur J Endocrinol. Published 13 August 2026. doi:10.1093/ejendo/lvag154

Composed by AI from the published abstract and checked against it. How Briefs are made →

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