One-leg balance test may predict an increased risk of dying over next decade

It might seem surprising, but the simple act of standing on one leg for a few seconds could reveal critical insights about your health. Recent studies indicate that the one-leg balance test—a short, straightforward exercise—may help predict the risk of death over the next ten years. Balancing on one leg may appear trivial, yet it’s being recognized as a potential indicator of overall well-being and longevity.

In this article, we’ll explore how this balance test works, what your results could mean for your health, and ways to improve your balance to support long-term wellness.

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Standing on one leg for 10 seconds predicts long-term health risks. Image Credit: Getty

What Is the One-Leg Balance Test?

The one-leg balance test, also known as the “flamingo challenge,” requires a person to stand on one leg for 10 seconds without losing stability. Sounds easy? Think again. This seemingly simple challenge tests your balance, muscle strength, and neuromuscular coordination—all of which are linked to health outcomes.

To perform the test:

  1. Stand with your hands on your hips.
  2. Lift one leg and balance on the other foot.
  3. Try to hold the position for 10 seconds without wavering.

Health professionals recommend timing yourself to see how long you can hold the position, as your ability to balance is associated with certain health markers. This test has gained attention due to its potential to identify health risks, especially in older adults.

Why Balance Matters for Health and Longevity

Balance is more than just an athletic skill—it’s a reflection of strength, coordination, and neurological function. The act of balancing engages multiple systems in the body, including the muscles, joints, and brain. As we age, these systems tend to weaken, leading to a decline in balance.

Studies published in the British Journal of Sports Medicine suggest that adults who cannot maintain their balance on one leg for at least 10 seconds are twice as likely to die from any cause within the next decade. This heightened risk could be due to a variety of age-related health factors, including decreased muscle strength, reduced flexibility, and impaired coordination. The one-leg balance test offers a quick, accessible way to gauge these factors and understand potential health vulnerabilities.

How to Perform the One-Leg Balance Test and Interpret Your Results

The one-leg balance test is simple, but the results can vary by age and fitness level. Here’s a general guide for understanding your performance:

  • Ages 18-39: Should aim for around 43 seconds.
  • Ages 40-49: Should hold for about 40 seconds.
  • Ages 50-59: Aiming for at least 37 seconds is considered good.
  • Ages 60-69: Around 20 seconds is expected.
  • Ages 70-79: Target at least 18 seconds.
  • Ages 80 and above: Balancing for over 5 seconds is typical.

Failing to meet the time benchmark for your age group doesn’t automatically mean poor health, but it might be a sign that you could benefit from exercises to strengthen balance and stability. The ability to balance can decline naturally with age, but consistent practice and physical activity can help maintain it.

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Adults unable to balance for 10 seconds face doubled death risk. Image Credit: Getty

Health Implications of Failing the Balance Test

If you find it difficult to complete the one-leg balance test, it may indicate an increased risk of falls, fractures, and other health issues as you age. Falling is a leading cause of injury among older adults, often resulting in serious consequences such as hip fractures or head injuries. Poor balance may also suggest muscle weakness or reduced coordination, which can be linked to cardiovascular issues, neurological conditions, or frailty.

Dr. Selina Lim, a director at the NHS East Suffolk and North Essex Foundation Trust, emphasizes that the one-leg balance test can serve as a valuable health checkpoint. “People who struggle to balance are at higher risk of developing health issues as they age,” Lim says. “The flamingo challenge allows individuals to assess their risk in just a few seconds.”

Identifying balance issues early on gives individuals a chance to work on their physical fitness, reducing the likelihood of health complications later in life.

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Image Credit: Getty

How Regular Exercise Can Improve Balance and Extend Longevity

Improving balance isn’t just about passing the test—it’s about supporting your overall well-being. Debbie Dyer, a clinical lead in aging well at the North East Essex Alliance, emphasizes the importance of an active lifestyle in enhancing balance and longevity. “Regular exercise strengthens not only physical health but also mental well-being. An active lifestyle increases your chances of aging independently and maintaining good health,” Dyer explains.

Here are some exercises that can help improve balance, agility, and strength:

  1. Yoga and Tai Chi: Both are gentle yet powerful practices that improve balance, flexibility, and core strength. They also help enhance focus and coordination.
  2. Strength Training: Exercises like squats, lunges, and leg raises strengthen the muscles around the hips, knees, and ankles, which play a crucial role in balance.
  3. Core Workouts: A strong core is essential for stability. Exercises such as planks, side planks, and seated leg lifts can help stabilize your body.
  4. Walking and Hiking: Walking on different terrains, such as trails or grass, can naturally improve balance. Try walking sideways or backward to challenge your coordination.
  5. Balance-Specific Exercises: Practicing the one-leg balance test daily, along with exercises like heel-to-toe walking, can strengthen the muscles needed for balance.

Engaging in these activities can not only improve balance but also contribute to a healthier, more independent lifestyle.

Additional Benefits of Exercise on Aging and Mental Health

Beyond physical health, maintaining an active lifestyle can greatly improve mental well-being. Regular movement has been shown to reduce stress, improve mood, and boost cognitive function. These benefits become increasingly important with age, helping individuals maintain a positive outlook and better brain health.

Dyer suggests that the summer months are the perfect time to get outdoors and get active. “Longer daytime hours make it easier to stay active. Physical activity isn’t just beneficial for your body but also for your mind. The fitter and healthier you are, the better your mental well-being,” she says.

Whether through social sports, community fitness classes, or simple daily walks, engaging in physical activities can bring both immediate and long-term benefits.

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This test helps identify health risks and improve fitness levels. Image Credit: Getty

The Role of the One-Leg Balance Test in Preventative Health

As people age, their balance naturally declines. However, by incorporating regular balance assessments, such as the one-leg test, into your health routine, you can track your progress and identify areas for improvement. The test is a quick and accessible way to stay informed about your physical condition, especially as it relates to aging.

The one-leg balance test encourages people to take preventative steps toward a healthier future. Even if your balance isn’t where you’d like it to be, identifying the issue can motivate you to engage in targeted exercises, helping you retain agility, strength, and stability as you grow older.

Conclusion: Embrace the One-Leg Balance Test as a Simple Health Tool

The one-leg balance test may seem like a basic exercise, but it can provide profound insights into your overall health and longevity. From predicting the risk of falls to highlighting areas for improvement, this test offers a quick, valuable snapshot of physical wellness. For those who find the test challenging, incorporating balance-focused exercises and an active lifestyle can make a significant difference.

So, take a moment to try the one-leg balance test. Use it as a tool for awareness and motivation, and consider making balance training a regular part of your fitness routine. Small steps today can lead to a healthier, more stable future, helping you age gracefully and independently.

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