A Screening Tool Using Five Risk Factors Was Developed for Fall-Risk Prediction in Chinese Community-Dwelling Elderly Individuals

Li, Kang; Chen, Xiaoyu; Han, Peipei; Ma, Yixuan; Jia, Liye; Fu, Liyuan; Wang, Lu; Hou, Lin; Yu, Xinguang; An, Zongyang; Wang, Xuetong; Lu, Li; Zhang, Yuanyuan; Zhao, Pengfei; Guo, Qi

doi:10.1089/rej.2017.2005

Cited by 24 publications

(33 citation statements)

References 24 publications

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“…In the present study, the fall rate (8.59%) was lower than those that found in other studies focusing on other countries' elderly, such as those in Australia (30%) [30], Thailand (18.7%) [31], and China (20.1%) [29]. This difference in fall incidence may be due to the fact that the fall experiences used in this study were in the last six months, rather than in the last year, as in those previous studies.…”

Section: Discussioncontrasting

confidence: 85%

“…These results were consistent with a falls risk assessment study conducted in Tianjin, China, with a sample of 619 subjects over 60 years old. This study showed a higher prevalence of falls associated with gender, fall history, and diabetes [29].…”

Section: Discussionmentioning

confidence: 49%

“…Similarly, in a study of the elderly 65 years and above, the women's falls incidence exceeded men's in each age group [34]. Other studies have shown that this difference between men and women can be explained by physiological characteristics and changes in bones, muscle structure and hormones associated with menopause [26,35,36] Among the individual (intrinsic) risk factors associated to the events of falls discussed in the literature, is chronic disease, including hypertension, osteoporosis, rheumatic diseases and diabetes [16,26,29].…”

Section: Discussionmentioning

confidence: 98%

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The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China

Hong

Zhou

et al. 2020

IJERPH

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(1) Background: Older people are more vulnerable and likely to have falls and the consequences of these falls place a heavy burden on individuals, families and society. Many factors directly or indirectly affect the prevalence of falls. The aims of this study were to understand the prevalence and risk factors of falls among the elderly in Shandong, China; the relationship between economic level and falls was also preliminary explored. (2) Methods: Using a multi-stage stratified sampling method, 7070 elderly people aged 60 and over were selected in Shandong Province, China. General characteristics and a self-rated economic status were collected through face to face interviews. Chi-square tests, rank sum tests and two logistic regression models were performed as the main statistical methods. (3) Results: 8.59% of participants reported that they had experienced at least one fall in the past half year. There was a significant difference in experienced falls regarding gender, residence, marital status, educational level, smoking, drinking, hypertension, diabetes, coronary disease, and self-reported hearing. The worse the self-rated economic status, the higher the risk of falling, (poor and worried about livelihood, OR = 3.60, 95%; CI = 1.76–7.35). (4) Conclusions: Women, hypertension, diabetes and self-reported hearing loss were identified as the risk factors of falls in the elderly. The difference of economic level affects the falls of the elderly in rural and urban areas. More fall prevention measures should be provided for the elderly in poverty.

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Section: Discussioncontrasting

confidence: 85%

Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 98%

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The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China

Hong

Zhou

et al. 2020

IJERPH

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“…Thus, physical exercises help reduce the gradual decline of physical fitness components, which can change life habits and daily routines of older adults [23]. Exercise programs are therefore important to improve or maintain physical fitness of the female elderly population, with fitness components being fundamental for predicting falls in older women [9,10,13,24]. In 2001, the American and British Geriatrics Societies [25] updated the guidelines for the prevention of falls in the elderly population.…”

Section: Discussionmentioning

confidence: 99%

Components of physical fitness as prognostic factors for falls in elderly female exercise practitioners: a longitudinal study

et al. 2020

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Introduction: Physical exercise is used as a strategy for the prevention of falls because it improves the physical fitness of older adults. Objective: To determine which components of physical fitness are predictors of falls in elderly female exercise practitioners. Method: Longitudinal, descriptive, comparative study. The components of physical fitness (upper and lower limb strength and flexibility, agility, aerobic endurance, and hand grip strength) and the occurrence or not of falls in the last 12 months were analyzed in 80 older women practitioners of exercise from 2013 to 2016. Descriptive analysis, ROC curve attributing cut-off points, and binary logistic regression for the prediction of falls were used. Results: The mean age of the participants was 67.46 years (SD=7.65). Over the years, a significant difference between elderly fallers and non-fallers was observed for right hand grip strength (2013 and 2015), left hand grip strength (2014 and 2015), lower limb flexibility (2013, 2014 and 2015), agility (2015), and aerobic endurance (2015). In adjusted analysis, older women with poor lower limb flexibility in 2013 had a higher risk of falls in 2016 (OR=4.98; 95%CI 1.12 - 22.1). Older women with poor flexibility in 2015 also had a higher risk of falls (OR= 6.08; 95%CI 1.06 - 34.67). Conclusion: Poor performance in the lower limb flexibility, right and left hand grip strength, agility and aerobic endurance tests was associated with falls and these components are predictors of future falls in elderly exercise practitioners.

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“…OWD have increased risk of falls because of the simultaneously existing ageing and diabetes. Risk of falls in OWD is 2.13‐fold that of older adults without diabetes (Kang et al., 2018). Providing timely preventive interventions to forestall the act of falling could not only reduce the healthcare burden of OWD but contribute to reducing the healthcare burden of the entire older population as well, as OWD comprise a large portion of the older population.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of falls and the gender differences in older adults with diabetes at outpatient clinics

Wang

Hsu

Chen

et al. 2021

Journal of Advanced Nursing

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Aims To explore the risk factors of falls and the gender differences based on demographic and disease characteristics, physical capability, and fear of falling in older adults with diabetes visiting outpatient clinics in Taiwan. Design Cross‐sectional design. Methods A total of 485 patients with type 2 diabetes aged between 65 and 80 years were recruited from three endocrine outpatient clinics in Taiwan. Demographic and disease characteristics, fall history in the previous one year and fear of falling were collected by a self‐reported questionnaire. Calf circumference, handgrip strength, one‐leg standing and time up‐and‐go tests were all performed to assess the physical capability of participants. Data were collected from May 2019 to May 2020. Results Female gender (OR = 1.75), handgrip strength (OR = 2.43) and fear of falling (OR = 3.38) were important risk factors of falls overall, although fear of falling (OR = 4.69) was the only important risk factor of falls in males, while handgrip strength (OR = 3.48) and fear of falling (OR = 2.86) were important risk factors of falls in females. The sensitivity of simultaneous screening handgrip strength and fear of falling were 85.7, 86.4 and 86.2 in males, females and older adults overall with diabetes, respectively. Conclusion Fear of falling was an important risk factor of falls in both genders, especially in males. Handgrip strength was an important risk factor of falls specifically for females. By simultaneously screening fear of falling and handgrip strength, risk of falls in older adults with diabetes at outpatient clinics could be identified in a more timely manner. Impact Nurses could periodically and simultaneously assess fear of falling and handgrip strength of older adults with diabetes at outpatient clinics. For those are identified at risk of falls on either fear of falling or handgrip strength, nurses could provide corresponding interventions to reduce the fear of falling or improve muscle strength to prevent such falls.

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A Screening Tool Using Five Risk Factors Was Developed for Fall-Risk Prediction in Chinese Community-Dwelling Elderly Individuals

Cited by 24 publications

References 24 publications

The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China

The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China

Components of physical fitness as prognostic factors for falls in elderly female exercise practitioners: a longitudinal study

Risk factors of falls and the gender differences in older adults with diabetes at outpatient clinics

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