Association Between Obesity and Falls Among Korean Adults

Bang

et al. 2017

Sci Rep

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This study investigated the prevalence of and factors associated with nocturia in Korean men. A total of 92,626 participants aged between 19 and 103 years from the 2011 Korean Community Health Survey (KCHS) were enrolled. Simple and multiple logistic regression analyses with complex sampling investigated participants’ personal health and socioeconomic and disease factors. The prevalence of nocturia ≥1 time and ≥2 times/night was 41.8% and 17.6%, respectively, and nocturia increased with age (1.44 [1.39–1.50] for each 10-year increase, P < 0.001). Lower income levels (lowest, 1.27 [1.19–1.36]; low-middle, 1.13 [1.07–1.19]; upper-middle, 1.00 [0.95–1.06], P = 0.022) and higher levels of stress (severe, 1.38 [1.23–1.55]; moderate, 1.23 [1.16–1.31]; some, 1.11 [1.05–1.16]) exhibited dose-dependent relationships with nocturia (≥1 time; P < 0.001). Low education level (1.27 [1.20–1.36]), long sleep duration (1.33 [1.18–1.50]), and type of occupation showed significant associations with nocturia (≥1 time; P < 0.001). Underweight (1.19 [1.05–1.34]), hypertension (1.09 [1.03–1.15]), diabetes mellitus (1.32 [1.23–1.41]), hyperlipidaemia (1.28 [1.20–1.35]), and cerebral stroke (1.63 [1.40–1.89]) were significantly related to nocturia (≥1 time; P < 0.001). Married men were less likely to experience nocturia ≥2 times per night (0.72 [0.64–0.82], P < 0.001).

Section: Methodsmentioning

confidence: 99%

Analysis of the Prevalence and Factors Associated with Nocturia in Adult Korean Men

Bang

et al. 2017

Sci Rep

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“…Because elderly individuals face an increased risk of falls, many studies of falls have focused on this population [1–4]. However, young adults and adolescents also experience fall injuries; our previous studies show that approximately 16.8% of the adult population and 13.0% of the adolescent population experiences fall injuries [5]. Thus, the prevalence of and factors related to falls need to be considered in a wide-ranging population.…”

Section: Introductionmentioning

confidence: 99%

Nocturia Is Associated with Slipping and Falling

et al. 2017

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Several reports have demonstrated associations between falls and nocturia in the elderly. However, little information is available regarding other age groups. This study evaluated the relationship between the frequency of nocturia and falls in men using a large, population-based survey in Korea, and the results were adjusted for various confounding factors. Data from a 2011 Korean community health survey (KCHS) were retrieved for 92,660 men aged 19 to 103 years. Information regarding the history of slips or falls in the past year was collected. The frequency of nocturia was classified as 0, 1, 2, 3, 4, and ≥ 5 instances a night. Walking during the day, education, income, body mass index (BMI), smoking, alcohol consumption, sleep time, stress level and medical histories of hypertension, diabetes mellitus, hyperlipidemia, cerebral stroke, angina or myocardial infarction, arthritis, and osteoporosis were adjusted using multiple logistic regression analysis with complex sampling. A subgroup analysis was conducted for young (19–30 years), middle-aged (31–60 years), and elderly individuals (61+ years). Approximately 14.6% of the men had a history of falls. Their mean age was 42.9 years, which was significantly higher than that of the non-faller group (P < 0.001). An increased frequency of nocturia was associated with increased adjusted odds ratio (AOR) for falls (AOR for 1 instance of nocturia/night = 1.41 [95% confidence interval, 1.33–1.50]; AOR for 2 instances = 1.41 [1.33–1.50]; AOR for 3 instances = 2.00 [1.75–2.28]; AOR for 4 instances = 2.12 [1.73–2.61]; AOR for ≥ 5 instances = 2.02 [1.74–2.36], P < 0.001). In the subgroup analysis, the AORs for falls significantly increased in all age groups as the frequency of nocturia increased.

“…As a result, it may lead to impaired mobility and balance and consequently, increase fall risk in older adults. In an observational study involving 164,737 participants between the ages of 19 to 106 years, older adults with obesity had the odd ratio of 1.10 and 1.12 for one fall and two or more episodes of falls respectively [40].…”

Section: Discussionmentioning

confidence: 99%

Incidence and Multidimensional Predictors of Occasional and Recurrent Falls among Malaysian Community-Dwelling Older Adults

Ooi

Singh

Shahar

et al. 2020

Preprint

Background: Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. This study aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls within the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Methods: Data from 1,763 Malaysian community-dwelling older adults aged ≥60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Results: Three hundred and nine (17.5%) participants reported fall occurrence at 18-month follow-up, of whom 85 (27.5%) had two or more falls. The incidence rate for occasional falls and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being single (OR: 5.310: 95% CI: 1.963-14.361), having higher depression score (OR: 1.123; 95% CI: 1.045-1.207), lower hemoglobin level (OR: 0.873; 95% CI: 0.797-0.956), and taking a longer time to complete the chair stand test (OR: 0.936; 95% CI: 0.881-0.995) remained independent predictors of occasional falls. While, having higher depression score (OR: 1.116; 95% CI: 1.010-1.233), being a stroke survivor (OR: 5.639; 95% CI: 1.502-21.129), having higher percentage of body fat (OR: 1.038; 95% CI: 1.010-1.067), lower hemoglobin level (OR: 0.853; 95% CI: 0.741-0.982), and taking longer time to complete the chair stand test (OR: 0.907; 95% CI: 0.824-0.998) appeared as recurrent falls predictors.Conclusions: Having depression, lower muscle strength and hemoglobin levels predict both occasional and recurrent falls among Malaysian community-dwelling older adults. This finding has implications for future research planning, which should aim to identify effective strategies for preventing falls among older adults by modifying these identified predictors.