Falls in Mexican older adults aged 60 years and older

Valderrama‐Hinds, Luis M.; Snih, Soham Al; Chen, Nai Wei; Rodriguez, Martin A.; Wong, Rebeca

doi:10.1007/s40520-018-0950-9

Cited by 27 publications

(32 citation statements)

References 26 publications

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“…In our study, low ADL scores and low mobility were associated with high risk of falling. Similar results have been previously reported [28,29]. These results show that facilitating the maintenance of healthy ADLs in older adults is necessary, but some mobility behaviors may be associated with the risk of falling [30].…”

Section: Discussionsupporting

confidence: 90%

Development of a fall-risk assessment profile for community-dwelling older adults by using the National Health Interview Survey in Taiwan

Chen

Ong

2020

BMC Public Health

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Background: Falls represent a global health issue among older adults and cause a considerable burden on medical systems. In this study, a fall-risk assessment profile was developed for community-dwelling older adults. Method: The data of survey participants aged > 65 years were obtained from three rounds (2005, 2009, and 2013) of the National Health Interview Survey in Taiwan. In total, 8356 older participants were included in this study. Logistic regression analyses were used to determine potential predictors associated with falls. The regression coefficients of the predictors in the final model were translated into scores (by multiplying by 5) and then summed to obtain a total risk-score for falls. A receiver operating characteristic (ROC) curve was used to evaluate the discriminative performance of the risk assessment profile. Result: Self-reported falls within 1 year accounted for 19.1% of the total falls. The predictors that were included in the risk profile according to the logistic regression analysis results were as follows: female sex (adjusted odds ratio = 1.57; risk-score = 2), living alone (adjusted odds ratio = 1.56; risk-score = 2), urinary incontinence (adjusted odds ratio = 1.36; risk-score = 2), perceived unhealthiness (adjusted odds ratio = 1.32; risk-score = 1), perceived pain (adjusted odds ratio = 1.51; risk-score = 2), hospital admission in the past year (adjusted odds ratio = 2.42; riskscore = 4), low activity of daily living (ADL) scores (adjusted odds ratio = 1.29; risk-score = 1), and low mobility function scores (adjusted odds ratio = 1.68; risk-score = 3). At a total risk-score cutoff point of 6 (range 0-17), the model predicted falls with a sensitivity and specificity of 75.16 and 52.75%, respectively (area under the ROC curve = 0.70). Conclusion: The fall-risk assessment profile comprising eight predictors-female sex, living alone, incontinence, perceived unhealthiness, perceived pain, hospital admission in the past year, low ADL scores, and low mobility function scores-may serve as an assessment tool for identification of older adults with a high risk of falling, and assessment results can be used to facilitate community-based intervention.

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Section: Discussionsupporting

confidence: 90%

Development of a fall-risk assessment profile for community-dwelling older adults by using the National Health Interview Survey in Taiwan

Chen

Ong

2020

BMC Public Health

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“…Urinary incontinence is more common in females than in males. Prevalence increases with age [24][25][26]. In our study, it was seen that the majority of all patients (75.2%) were at or above forty-five years of age.…”

Section: Discussionsupporting

confidence: 50%

Effects of sociodemographic features and accompanying systemic diseases on urinary incontinence

Çimen¹

2019

Ann Clin Anal Med

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Aim: The aim of this study is to determine the urinary incontinence (UI) subtype of women who present with complaints of urinary incontinence to our clinic, to identify risk factors related with this type and to determine the effects of sociodemographic features. Material and Method: This retrospective study was approved by Clinical Trials Ethics Committee in Malatya and included 386 patients who presented to Urology Clinic of Malatya Research and Education Hospital. Classification of the UI subtypes was performed using Turkish Version of International Incontinence Questionnaire-Short Form (ICIQ-SF) which was validated by Cetinel et al. Comorbidities and other data of the patients were evaluated by asking the patients. Results: The mean age of the patients was 51.4 years (range: 18-92 years). The mean number of births was 4.1 (range 0-10) and 90.2% of the women were married. The mean BMI was 27.24 kg/m2. Stress urinary incontinence was found in 24 (6.3%) patients, urge type urinary incontinence was found in 94 (24.3%) patients and mixed type urinary incontinence was found in 268 (69.4) patients when the type of incontinence was questioned. From the comorbid diseases, diabetes mellitus was present in 74 patients (19,1%) while hypertension was present in 84 (21,8%) patients. There were statistically significant differences among UI and age and BMI. Discussion: Such diseases as diabetes mellitus, hypertension, lumbar disc hernia, and multiple sclerosis, birth trauma, past urogynecological surgery, age, BMI, and the number of births are risk factors for UI.

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“…Not surprisingly, we recorded more falls among women compared to men. Most cross-sectional and longitudinal studies in community-dwelling older people have revealed a higher ratio of falls in older women [24][25][26][28][29][30][31]. Decreased muscle strength, increased visual field dependence and variation in gait pattern during dual-task activities in older women have been suggested to be among the causes of higher risk of falls [32,33].…”

Section: Discussionmentioning

confidence: 99%

Psychoactive Drug Use and Falls among Community-Dwelling Turkish Older People

Naharcı

Oguz

Celebi

et al. 2019

North Clin Istanbul

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F alls are a significant common problem in older adults, reducing function and quality of life, increasing the risk for fear of falling syndrome, and causing morbidity and mortality. One-third of community-dwelling people aged over 65 years fall one or more times each year and repeated falls occur in half of them [1]. Brain trauma, hip fractures, hospitalization and death are worst outcomes of falls. Accidents are the seventh cause of deaths in older people and the majority are associated with falls [2]. Most falls arise from one or more combination risk factors, including advanced age, impaired cognitive function, comorbidities, sensory factors and environmental hazards. Drugs are another major modifiable risk factor for falls. Of those, psychoactive drugs are the most common cause associated with falls, with sedation, impaired balance, and coordination that result in gait problems. Psychoac-ABSTRACT OBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in communitydwelling Turkish older people. METHODS: This single center study was performed using the medical records of subjects aged over 65 years admitted to the geriatric care unit. Demographic and lifestyle factors, clinical characteristics, medications, and data on mood, cognitive status, and functional performance were obtained from the comprehensive geriatric assessment records. Based on a fall history in the last 12 months, subjects were grouped as fallers and non-fallers. Subjects treated with a psychoactive drug were identified. RESULTS: Among the total of 429 subjects, there were 184 (42.9%) fallers and 245 (57.1%) non-fallers. Of those, 33.3% were on psychoactive drug treatment. The proportion of psychoactive drug users was higher in the fallers group compared to non-fallers (45.1% vs. 24.5%, p<0.001). Multivariable logistic regression analysis showed age ≥75 years (OR=1.83; CI: 1.09-3.09; p=0.023), female gender (OR=2.70; CI: 1.6-4.50; p<0.001), and psychoactive drug use (OR=2.14; CI: 1.32-3.48; p=0.002) as independent predictors of falls. CONCLUSION: We found that about one-third of geriatric outpatients were on psychoactive drug treatment in Turkey that was independently associated with the risk of falls.

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Falls in Mexican older adults aged 60 years and older

Cited by 27 publications

References 26 publications

Development of a fall-risk assessment profile for community-dwelling older adults by using the National Health Interview Survey in Taiwan

Development of a fall-risk assessment profile for community-dwelling older adults by using the National Health Interview Survey in Taiwan

Effects of sociodemographic features and accompanying systemic diseases on urinary incontinence

Psychoactive Drug Use and Falls among Community-Dwelling Turkish Older People

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