Association between Falls and Nutritional Status of Community-Dwelling Elderly People in Korea

Jo, Ah-Ra; Park, Mi-Jeong; Lee, Byung-Gue; Seo, Young–Il; Song, Hong Ji; Paek, Yu‐Jin; Park, Kyung-Hee; Noh, Hye-Mi

doi:10.4082/kjfm.18.0112

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…Searching five electronic databases yielded a total of 15,266 unique articles after the removal of duplicates. We reviewed 561 full‐text articles for eligibility and 74 articles were included in this scoping review 13,23–95 . The majority of the articles were excluded because their aim statements did not specifically mention falls, sex, and/or gender (see supplemental Tables S2 and S3 for the list of included and excluded studies, respectively).…”

Section: Resultsmentioning

confidence: 99%

Mapping sex and gender differences in falls among older adults: A scoping review

Sebastiani,

Wong,

Litt

et al. 2023

J American Geriatrics Society

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BackgroundThere is growing recognition of the importance of sex and gender differences within falls literature, but the characterization of such literature is uncertain. The aim of this scoping review was to (1) map the nature and extent of falls literature examining sex or gender differences among older adults, and (2) identify gaps and opportunities for further research and practice.MethodsWe used a scoping review methodology. Eligible studies included participants with a mean age of 60 years and study aims specifying falls and either sex or gender concepts. MEDLINE, Embase, CINAHL, Ageline, and Psychinfo databases were searched from inception to March 2, 2022. Records were screened and charted by six independent reviewers. Descriptive and narrative reports were generated.ResultsA total of 15,266 records were screened and 74 studies were included. Most studies reported on sex and gender differences in fall risk factors (n = 52, 70%), incidence/prevalence (n = 26, 35%), fall consequences (n = 22, 30%), and fall characteristics (n = 15, 20%). The majority of studies (n = 70, 95%) found significant sex or gender differences in relation to falls, with 39 (53%) identifying significant sex differences and 31 (42%) identifying significant gender differences. However, only three (4%) studies defined sex or gender concepts and only nine (12%) studies used sex or gender terms appropriately. Fifty‐six (76%) studies had more female participants than males. Four (5%) were intervention studies. Studies did not report falls in line with guidelines nor use common fall definitions.ConclusionSex and gender differences are commonly reported in falls literature. It is critical for future research to use sex and gender terms appropriately and include similar sample sizes across all genders and sexes. In addition, there is a need to examine more gender‐diverse populations and to develop interventions to prevent falls that address sex and gender differences among older adults.

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Section: Resultsmentioning

confidence: 99%

Mapping sex and gender differences in falls among older adults: A scoping review

Sebastiani,

Wong,

Litt

et al. 2023

J American Geriatrics Society

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“…Moreover, female older adults were also more prone to experience fall incidents than male older adults using data from the Survey of Living Conditions and Welfare Needs of Korean Older Persons (OR 1.90 (95% CI 1.61 to 2.24)) for older women versus older men (OR 1.59 (95% CI 1.26 to 1.99)). The biological plausibility linking sex and falling may be related to sex-based differences in psychosocial aspects and bone and muscle balance due to ageing, as well as hormonal changes associated with menopause 30…”

Section: Discussionmentioning

confidence: 99%

“…The biological plausibility linking sex and falling may be related to sex-based differences in psychosocial aspects and bone and muscle balance due to ageing, as well as hormonal changes associated with menopause. 30 …”

Section: Discussionmentioning

confidence: 99%

Temporal trends and the association between self-rated oral health and falls in community-dwelling older adults in South Korea: a secondary analysis of survey data

Seo,

Ahn,

Choi

2024

BMJ Open

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ObjectiveThis study aims to examine temporal trends and the association between falls and self-rated oral health (SROH) status in community-dwelling older Korean adults.DesignSecondary analysis of a serial cross-sectional study.MethodsWe analysed biennial data from 314 846 older adults in South Korea from 2011 to 2019 using data from the Korea Community Health Survey. Self-reported fall experience data came from the injury questionnaire question, ‘Have you fallen in the past year (slipping, tripping, stumbling and falling)?’. For SROH, the participants were asked, ‘How do you feel about your oral health, such as teeth and gums, in your own opinion?’. The association between SROH and falls was examined using a weighted multivariable logistic regression model adjusted for sociodemographic characteristics, health status and behaviours, and psychological factors.ResultsThose who reported poor SROH had a lower declining slope than the other groups, although all groups showed a significantly decreasing trend in both men and women from 2011 to 2019 (p for trend<0.001). Older adults who reported having poor SROH had a more significant history of fall accidents than the good SROH groups, controlling for potential confounding variables (adjusted OR 1.16 (95% CI 1.10 to 1.21) in men; adjusted OR 1.17 (95% CI 1.13 to 1.21) in women).ConclusionsOlder adults with poor SROH, especially women, had more fall accidents, making them a priority target for fall prevention strategies. This study suggests considering SROH status when identifying fall risk factors in community-dwelling older adults.

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“…This result is consistent with that of a previous meta-analysis that addressed the relationship between depression and falls (Kamińska et al, 2015). However, another study reported no association between depression and falls when depression was included in a multivariate analysis alongside physical functioning (Jo et al, 2020). Regarding the low OR s of depression and its nonsignificant association in the male old–old group in the multivariate analysis, the influence of depression on falls may have been more attenuated by age and gender in the study population.…”

Section: Discussionmentioning

confidence: 99%

Age and Gender Differences in Fall-Related Factors Affecting Community-Dwelling Older Adults

Suh

KIM

CHO

et al. 2023

Journal of Nursing Research

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Background: Falls are one of the major adverse events affecting older adults that can result in serious injuries. Hospitalizations and deaths because of fall-related injuries have been increasing. Nevertheless, there is a dearth of studies examining the physical condition and current exercise habits of older adults. Moreover, studies analyzing the role of factors related to fall risk by age and gender in large populations are also scarce.Purpose: This study was designed to investigate the prevalence of falls among community-dwelling older adults and elucidate the effects of age and gender on the related factors using a biopsychosocial model. Methods:This cross-sectional study utilized data from the 2017 National Survey of Older Koreans. On the basis of the biopsychosocial model, the biological factors related to falls included chronic diseases, number of medications, visual difficulties, activity of daily living (ADL) dependence, lower-limb muscle strength, and physical performance; psychological factors included depression, cognitive ability, regular smoking, alcohol consumption, nutritional status, and exercise; and the social factors included educational level, annual income, living conditions, and instrumental ADL dependence.Results: Of the 10,073 older adults surveyed, 57.5% were women and approximately 15.7% had experienced falls. The results of the logistic regression showed that, in men, falls were significantly associated with taking more medications and being able to climb 10 stair steps; in women, falls were significantly associated with poor nutritional status and instrumental ADL dependence; and in both genders, falls were significantly associated with greater depression, ADL dependence, and the presence of more chronic diseases and negatively associated with physical performance.Conclusions/Implications for Practice: The results suggest that practicing kneeling and squatting is the most effective strategy for reducing fall risk in older adult men and that improving nutritional status and strengthening physical ability is the most effective strategy for reducing fall risk in older adult women.

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Association between Falls and Nutritional Status of Community-Dwelling Elderly People in Korea

Cited by 5 publications

References 24 publications

Mapping sex and gender differences in falls among older adults: A scoping review

Mapping sex and gender differences in falls among older adults: A scoping review

Temporal trends and the association between self-rated oral health and falls in community-dwelling older adults in South Korea: a secondary analysis of survey data

Age and Gender Differences in Fall-Related Factors Affecting Community-Dwelling Older Adults

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