Environmental and physical factors predisposing middle‐aged and older Japanese adults to falls and fall‐related fractures in the home

Tanaka, Tomoki; Matsumoto, Hiroshige; Son, Bo Kyung; Imaeda, Shujirou; Uchiyama, Emiko; Taniguchi, Shohei; Nishino, Akiko; Miura, Takahiro; Tanaka, Toshiaki; Otsuki, Takeshi; Nishide, Kazuhiko; Iijima, Katsuya; Okata, Junichiro

doi:10.1111/ggi.13494

Cited by 14 publications

(11 citation statements)

References 18 publications

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“…Moreover, other important barriers are problems with access to transport and difficulties with access to health facilities [35]. Architectural barriers occurring at home are a frequent cause of falls and fractures; thus, they also increase fears of falling, thus limiting the activity of older people [36]. Consequently, barriers limit the activity of older people both at home and outside the home [37].…”

Section: Discussionmentioning

confidence: 99%

Determinants of ADL and IADL disability in older adults in southeastern Poland

Ćwirlej-Sozańska

Wiśniowska-Szurlej

Wilmowska-Pietruszyńska

et al. 2019

BMC Geriatr

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BackgroundThe extension of the life span has led to an increase in the number of older people and an increase in the prevalence of disability in people over 60 years of age. The aim of this study was to assess the prevalence of ADL and IADL disability and to analyze its determinants among people aged 60 and older living in southeastern Poland.MethodsThis cross-sectional study was carried out among a randomly selected, representative population of people aged 60 and older living in southeastern Poland. Disability was assessed using the Katz Index of Independence in Basic Activities of Daily Living and Instrumental Activities of Daily Living. Logistic regression models were used to identify the factors related to ADLs and IADLs. For the variables that were included in the above models, their clustered influence on the increase in the odds ratio for the occurrence of an ADL or IADL limitation was also examined.ResultsThe research results show that 35.75% of the participants reported at least one problem with IADLs. At least one problem with ADLs was reported by 17.13% of the participants. The most significant modifiable factors influencing the occurrence of disability were the presence of barriers in the participant’s environment, poor relations with relatives, a lack of social contacts, multimorbidity and pain. A multiple increase in the odds ratio of disability was found with the presence of pairs of analyzed factors. The highest odds ratio of at least one ADL limitation was observed for the combination of barriers in the participant’s environment with multimorbidity (OR 74.07). With regard to IADL disability, the highest odds ratio was observed for the combination of pain on the VAS scale ≥3 points with older age (OR 19.47).ConclusionsThe study showed a high prevalence of ADL and IADL disability in older people living in southeastern Poland. It also indicated the extent to which modifiable factors influenced the occurrence of disability and the extent to which the risk of disability increased with the presence of pairs of factors, especially those that included environmental barriers in the participant’s environment.

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Section: Discussionmentioning

confidence: 99%

Determinants of ADL and IADL disability in older adults in southeastern Poland

Ćwirlej-Sozańska

Wiśniowska-Szurlej

Wilmowska-Pietruszyńska

et al. 2019

BMC Geriatr

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“…A previous study showed that an effective modification of the home environment reduces the risk of falls 16) . Furthermore, in their cross-sectional survey among community-dwelling adults in Japan, Tanaka et al reported that living in a barrier home was a risk factor for falls 17) . Third, we did not survey the details of prescribed medications.…”

Section: Discussionmentioning

confidence: 99%

Influence of the Sagittal Vertical Axis on the Risk of Falls in Community-Dwelling Elderly People: A Retrospective Longitudinal Study

Yamada

Yamato

Hasegawa

et al. 2020

Spine Surg Relat Res

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Background:Falling is an age-related problem that increases with age. Compared with younger people, elderly people possess increased risk factors for falls, and falling among the elderly is associated with increased mortality. Risk factors for falls have been reported in elderly outpatients; however, whether sagittal spinal posture affect the risk of falls in community residents remains unclear. Therefore, we aimed to investigate the influence of sagittal spinal posture on the risk of falls in elderly community-dwelling people using spino-plevic sagittal parameters in a retrospective longitudinal study. Methods:A total of 463 volunteers (96 men and 367 women; mean age, 72.8 years) who underwent a routine physical checkup were evaluated. Baseline whole spine and lower limb radiography, physical tests, bone mineral density (BMD), number of medications and comorbidities, patient-reported outcomes (PROs), and a history of falls in the previous four years period were examined.Results: Univariate analysis revealed older age, lower height and weight, higher prevalence of vertebral fractures, higher number of medications, poor physical test scores including one-leg standing test and prone trunk extension, poor PROs, a higher sagittal vertical axis, and higher pelvic tilt (PT) as factors significantly associated with the risk of falls, and multivariate analysis revealed a higher sagittal vertical axis [odds 2 ratio (OR), 1.08; 95% confidence interval (CI), 1.002-1.013; P = 0.02] and locomotive syndrome assessed using the 25-Question Geriatric Locomotive Function Scale score (OR, 1.028; 95% CI, 1.004-1.053; P = 0.03) to be associated with the risk of falls, independent of other factors in the univariate analysis. Conclusions:The sagittal vertical axis was an independent risk factor for falls, and the prevalence of vertebral fractures and prone truck extension correlated with the sagittal vertical axis. Prospective and intervention studies are needed to prevent future falls in elderly community volunteers with a higher sagittal vertical axis.

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“…The group consisted of four physical therapists: two of them work in academic fields related to community-based rehabilitation and geriatrics and are actively committed to research and teaching about fall prevention and management, and the other two have expertise in community-based rehabilitation work in a clinical setting and are engaged in assistive devices and home modifications. Possible items for the tool were listed based on a narrative review of scientific articles, 7,12,13,[15][16][17][18] existing instruments and guidelines. 19,20 Environmental hazards in each category were chosen from the list while considering Japanese housing structure.…”

Section: Assessment Of Environmental Hazardsmentioning

confidence: 99%

“…Traditional Japanese houses, for example, have several unique structures, such as the Agari‐kamachi at the entrance – which is a boundary between the outside of a house, where people walk with shoes on, and the inside, where people put slippers on. Only a few studies have examined the association of environmental hazards with falls in older people in Japan 12,13 …”

Section: Introductionmentioning

confidence: 99%

Environmental hazards as risk factors for trips and slips at home among Japanese older people: A pilot study toward the development of a self‐assessment tool for the home environment

Sawa

Tanaka²,

Yamamoto

et al. 2022

Geriatrics Gerontology Int

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Aim Housing structures differ according to the local culture, climate, and lifestyle, and these unique characteristics usually act as potential hazards for falls, trips, and slips. The purpose of this study was to identify environmental hazards in a Japanese house and their association with falls, trips, and slips among older people. Methods A total of 97 older people aged ≥75 years were included in this cross‐sectional study. The number of environmental hazards was measured using a 46‐item tool designed specifically for this study, and the associations of environmental hazards with falls, trips, and slips were analyzed using univariate and multivariate logistic regressions. Results All houses had at least one environmental hazard, and 3–30 environmental hazards were identified. Although the number of environmental hazards was not associated with falls experienced during the past 6 months, a greater number of environmental hazards at home was correlated with the daily experience of trips and slips (odds ratio [OR]: 1.10; 95% confidence interval [CI]: 1.02–1.18). The association remained significant even after adjusting for demographic characteristics and other fall risk factors (OR: 1.11; 95% CI: 1.02–1.21). Conclusion We found that Japanese housing structures had unique environmental hazards that might cause trips and slips in older people. Appropriate housing assessments and modifications may help to promote aging‐in‐place among older people. Geriatr Gerontol Int 2022; 22: 305–310.

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Environmental and physical factors predisposing middle‐aged and older Japanese adults to falls and fall‐related fractures in the home

Cited by 14 publications

References 18 publications

Determinants of ADL and IADL disability in older adults in southeastern Poland

Determinants of ADL and IADL disability in older adults in southeastern Poland

Influence of the Sagittal Vertical Axis on the Risk of Falls in Community-Dwelling Elderly People: A Retrospective Longitudinal Study

Environmental hazards as risk factors for trips and slips at home among Japanese older people: A pilot study toward the development of a self‐assessment tool for the home environment

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