Fall episodes in elderly patients with asthma and COPD – A pilot study

Bożek, Andrzej; Jarząb, Jerzy; Hadas, Ewa; Jakalski, Marek; Canonica, Giorgio Walter

doi:10.1080/02770903.2018.1474365

Cited by 10 publications

(11 citation statements)

References 17 publications

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“…Fall rate was measured as the number of falls self-reported by the participants during the prior year. Falls rate has been previously measured in older adults who suffered from chronic obstructive pulmonary disease and asthma 10.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, respiratory parameters alterations, such as reduced diaphragm contractility, have been related to chronic ankle instability 14. This association may suggest the presence of spirometry alterations 5,6 and high risk of falls 10 in patients with asthma. Consequently, it is plausible the existence of a relationship between respiratory muscles contractibility impairment and ankle instability 14 with reduced foot dorsiflexion range of motion and high risk of falls 11-13.…”

Section: Introductionmentioning

confidence: 97%

“…Older adults who suffered from asthma seemed to present a high falls rate similar to older adults who suffered from chronic obstructive pulmonary disease 10. Nevertheless, there is a lack of studies comparing both patients with asthma and healthy subjects in the general population.…”

Section: Introductionmentioning

confidence: 99%

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Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

et al. 2019

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Purpose: Based on the possible association between reduced foot dorsiflexion and high risk of falls, the main objective was to determine the ankle and 1º metatarsophalangeal joint (1 st MTTP) dorsiflexion range of motion and falls rate in patients with asthma compared to healthy matched-paired controls. Methods: A case-control study was carried out. Eighty participants were recruited and divided into patients with asthma (case group; n=40) and matched-paired healthy participants (control group; n=40). Foot dorsal flexion range of motion (assessed by the Weight-Bearing Lunge Test [WBLT]) and falls rate (evaluated as falls number during the prior year) were considered as the primary outcomes. Indeed, ankle dorsiflexion was measured by a mobile app (º) and a tape measure (cm) as well as 1 st MTTP dorsiflexion was determined by and universal goniometer (º). Results: Statistically significant differences ( P <.05) showed that patients with asthma presented a greater falls rate than healthy participants and reduced bilateral ankle and 1 st MTTP dorsiflexion ranges of motion than healthy participants, except for the left ankle dorsiflexion measured as degrees ( P >.05). Conclusions: These study findings showed that a falls rate increase and bilateral foot dorsal flexion limitations of the ankle and 1 st MTTP joints are exhibited in patients who suffer from asthma.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

et al. 2019

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“…The increased fall incidence of the chronic kidney disease and hemodialysis population lies in their multiple risk factors including polypharmacy, dementia, diabetic neuropathy, post-hemodialysis postural hypotension, vitamin D deficiency, sarcopenia, and anemia [39,40]. The finding that older asthmatic patients presented a high rate of falls [41] is comparable with that of patients with chronic obstructive pulmonary disorder (COPD) [42] might be related to skeletal muscle dysfunction and cerebral hypoxemia [33]. The escalation of risk of falls among hypertensive patients might result from hypotension induced by stringent control of blood pressure or from early initiation or intensification of antihypertensive therapy [43].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of falls among community-dwelling older people: results from three consecutive waves of the national health interview survey in Taiwan

Tsai¹,

Yang²,

Yang

et al. 2020

Preprint

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Background: An aging society incurs great losses due to fall-related injuries and mortalities. The foreseeable increased burden of fall-related injury among older people requires a nationwide study on the fall epidemic in Taiwan. Methods: The fall epidemic was examined using data from three consecutive waves of the National Health Interview Survey (2005, 2009, and 2013). Common explanatory variables across these surveys included sociodemographic factors (age, sex, and difficulty in performing activities of daily living (ADL) or instrumental ADL), biological factors (vision, comorbidities, urinary incontinence, and depressive symptoms), and behavioral risk factors (sleeping pill use, and frequency of exercise). After the univariate and bivariate analyses, the prevalence of falls was investigated using multiple linear regression models adjusted for age group, sex, and year of survey. A multivariate logistic regression model for falls with adjustments for these common explanatory variables was established across three waves of surveys. Results: For each survey, there were consecutively 2,722; 2,900; and 3,200 respondents with a mean age of 75.1, 75.6, and 76.4 years, respectively. The multiple linear regression model yielded a negative association between the prevalence of falls and year of survey. Several sociodemographic and biological factors, including female sex, difficulty in performing one basic ADL, difficulty in performing two or more instrumental ADLs, unclear vision, comorbidities, urinary incontinence, and depressive symptoms, were significantly associated with falls.Conclusion: Although information regarding the change in fall prevalence over time supports existing fall intervention strategies in Taiwan, the identification of risk factors in older people may increase the effectiveness of future fall prevention programs.

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“…There are other important comorbidities such as frequent falls, which are a problem for elderly patients. Bozek et al [14] found, in patients with asthma and chronic obstructive pulmonary disease (COPD), that the incidence of falls was more prevalent in the COPD group, with 32%, compared with 28% in patients with asthma and patients with polytherapy, depression symptoms, hospitalizations, coronary disease, dementia, and diagnosis of COPD or asthma have a higher risk of falling.…”

Section: Comorbiditiesmentioning

confidence: 99%

Outcome measures to be considered on asthma in elderly

González-Díaz

Villarreal-González

Lira-Quezada

et al. 2019

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review Asthma is a chronic heterogeneous respiratory disease which is characterized by airflow limitation and variable respiratory symptoms. Asthma in patients more than 65 years of age has an important negative impact on quality of life. The pathophysiology and treatment of asthma in older patients are not as well identified as in younger groups of ages. In this review we intend to outline characteristics found in elderly adults which distinguish them from other age groups of patients with asthma. Recent findings With increasing age, there are alterations in the innate and adaptive immune responses, known as 'immunosenescence.' These age-associated modifications include an altered response after a pathogenic exposure or tissue injury, moderately mediated through an irreversible loss of cellular replication and defective tissue repair. Summary Asthma is a consequence of complex gene-environment interactions, with diversity in clinical presentation and the type and intensity of airway inflammation and remodeling. Age-associated changes in lung physiology and morphology may occur and contribute to asthma. Aging is correlated with a notable decrease in elastic recoil, greater chest wall rigidity, and poor respiratory muscle strength. Underreporting of symptoms by elderly patients is common because of multiple underlying causes.

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Fall episodes in elderly patients with asthma and COPD – A pilot study

Abstract: Elderly asthmatic patients presented a high rate of falls, which is comparable to that of patients with COPD.

Cited by 10 publications

References 17 publications

Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

Prevalence and risk factors of falls among community-dwelling older people: results from three consecutive waves of the national health interview survey in Taiwan

Outcome measures to be considered on asthma in elderly

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