Fall and its association with the frailty syndrome in the elderly: systematic review with meta-analysis

Fhon, Jack Roberto Silva; Rodrigues, Rosalina Aparecida Partezani; Neira, Wilmer Fuentes; Huayta, Violeta Magdalena Rojas; Robazzi, Maria Lúcia do Carmo Cruz

doi:10.1590/s0080-623420160000700018

Cited by 78 publications

(71 citation statements)

References 45 publications

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“…As for time of occurrence, there was a greater number of falls in the daytime period, which agrees with a study that presented similar results, inferring that this occurs due to the fact thatthe day corresponds to the period in which the elderly develop their activities of daily living, in relation to the night period [13,14].…”

supporting

confidence: 90%

Femoral Fracture in Elderly: An Avoidable Cause?

Sartori¹,

Rodrigues²,

Armond³

et al. 2018

Med Case Rep

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supporting

confidence: 90%

Femoral Fracture in Elderly: An Avoidable Cause?

Sartori¹,

Rodrigues²,

Armond³

et al. 2018

Med Case Rep

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“…Frailty has been established to be a risk factor for falls (Kojima, 2015). Several systematic reviews have also suggested a possible association between falls and prefrailty (Cheng & Chang, 2017;Fhon, Rodrigues, Neira, Huayta, & Robazzi, 2016;Kojima, 2015). Because prefrailty is prevalent in older people (Kojima et al, 2017), the impact on older people would be rather large and intervention to prevent falls in prefrail older people would be warranted.…”

mentioning

confidence: 99%

Falls in community‐dwelling prefrail older adults

Umegaki

Makino

Uemura

et al. 2019

Health Soc Care Community

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Frailty has been established as a risk factor for falls, and prefrailty also seems a risk; however, few studies have focused on the association between falls and each of the five components of frailty proposed by Fried. In the present study, we sought to elucidate the association between prefrailty and falls, and moreover, the association of frailty component with falls. Participants were community‐dwelling older people who had cognitive complaints but not dementia (N = 447, male 54.6%). Prefrailty was defined as exhibiting one or two of the five Fried criteria. Frail individuals were excluded. Background characteristics were compared between the prefrail and robust groups, and multiple regression analysis was performed to investigate the associations between fall history within the past year and factors that were significantly different between the groups. We also performed logistic regression analysis with adjustment for age, education and gender to assess associations with frailty components. We found that prefrailty was associated with fall history. Depressed mood was also significantly associated with fall history. Among the five frailty criteria, exhaustion was significantly associated with falls. Prefrailty, especially the criteria of exhaustion, and depressed mood were associated with fall history.

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“…Most studies find association between frailty and falls [ 1 , 11 , 15 , 25 , 26 ], although the relationship is unclear at the less-pronounced stages of frailty, reflecting the complexity in defining the transition from robust to pre-frail and frail. The strength of the association also varies depending on the age ranges, sex and setting of the studied populations [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Frailty and prediction of recurrent falls over 10 years in a community cohort of 75-year-old women

et al. 2020

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Background Frailty captures the age-related declines in health leading to increased vulnerability, including falls which are commonplace in older women. The relationship between frailty and falls is complex, with one leading to the other in a vicious cycle. Aims This study addresses the gap in understanding how patterns of frailty and falls propensity interact, particularly in those who have not yet entered the falls-frailty cycle. Methods The Osteoporosis Risk Assessment cohort consists of 1044 community-dwelling women aged 75, with 10 years of follow-up. Investigations were performed and a frailty index constructed at baseline, 5 and 10 years. Falls were self-reported for each previous 12 months. Analysis was two-directional, firstly based on frailty status and second, based on falls status. Recurrent falls was the primary outcome. Results Baseline frailty was a significant predictor of recurrent falls after 5 and 10 years [(OR 2.55 (1.62–3.99); 3.04 (1.63–5.67)]. Among women who had no history of falls at age 75, frailty was a stronger predictor of falls at 5 years [OR 3.06 (1.59–5.89)] than among women who had previously fallen. Discussion Frailty is significantly associated with recurrent falls and most pronounced in those who are frail but have not yet fallen. Conclusions This suggests that frailty should be an integral part of falls-risk assessment to improve identification of those at risk of becoming fallers.

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Fall and its association with the frailty syndrome in the elderly: systematic review with meta-analysis

Cited by 78 publications

References 45 publications

Femoral Fracture in Elderly: An Avoidable Cause?

Femoral Fracture in Elderly: An Avoidable Cause?

Falls in community‐dwelling prefrail older adults

Frailty and prediction of recurrent falls over 10 years in a community cohort of 75-year-old women

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