Five-Second Balance Test: The Simple At-Home Check That Could Predict Your Longevity
Five-second balance test predicts mortality risk

Could a simple five-second balance test predict your risk of premature death? Groundbreaking research suggests that the ability to stand on one leg for just a few seconds could reveal crucial information about your long-term health prospects.

A comprehensive study published in the British Journal of Sports Medicine has uncovered a startling connection between balance capability and mortality risk. The research followed 1,702 participants aged 51 to 75 over several years, with astonishing results that could change how we approach health screening.

The Startling Findings

Participants who failed to complete the simple five-second single-leg stance were dramatically more likely to die within the next decade. The numbers reveal a concerning pattern: those unable to complete the test had an 84% higher risk of death from any cause during the study period compared to those who maintained their balance.

Professor Claudio Gil Araújo, lead researcher of the study, emphasises the significance: "The five-second balance test provides rapid and objective feedback for patients and health professionals regarding static balance. It adds valuable information regarding mortality risk in middle-aged and older men and women."

How to Perform the Test Correctly

For accurate results, follow these steps carefully:

  1. Stand barefoot on a flat, non-slippery surface
  2. Place your hands on your hips
  3. Choose which leg to stand on and lift the other foot approximately 15cm off the ground
  4. Keep your raised foot positioned behind the standing leg
  5. Focus your gaze straight ahead on a fixed point
  6. Attempt to maintain this position for five seconds

Researchers noted that the inability to complete this test increased with age, with failure rates jumping from 5% among 51-55 year olds to 54% in those aged 71-75.

Why Balance Matters More Than You Think

Poor balance isn't just about coordination—it's often an indicator of underlying health issues. The study suggests that balance problems may reflect more serious conditions including:

  • Cardiovascular disease
  • Neurological disorders
  • Cognitive decline
  • General frailty and musculoskeletal weakness

Unlike aerobic fitness, flexibility, or muscle strength, balance tends to be reasonably preserved until the sixth decade of life when it begins to decline relatively rapidly. This makes it a particularly sensitive marker of health changes in middle-aged and older adults.

What This Means for Your Health

The good news? Balance can be improved at any age with appropriate training. Incorporating simple balance exercises into your routine could potentially improve your long-term health outcomes.

Professor Araújo recommends: "Regular physical activity that includes balance and strength training, in addition to aerobic activity, may help improve balance and prevent its decline with ageing."

While the test shouldn't cause panic for those who struggle, it serves as a valuable wake-up call to prioritise balance and overall physical fitness as part of a comprehensive health strategy.