Falls Among Older Persons: A Public Health Perspective

Sattin, Richard W.

doi:10.1146/annurev.pu.13.050192.002421

Cited by 565 publications

(283 citation statements)

References 80 publications

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“…Falls result in significant morbidity (Tinetti et al, 1988;Nevitt et al, 1991;Sattin, 1992) and mortality (CDCP, 2006). Costs for falls in the elderly in the United States are estimated at over $19 billion annually (Stevens et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Biomarkers of aging and falling: The Beaver Dam eye study

Knudtson

Klein

2009

Archives of Gerontology and Geriatrics

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Falls are an important cause of morbidity in older adults and are an important source of health care spending. We hypothesize that falls are associated with systemic biomarkers of aging. The following functions, measured at the 1998-2000 and 2003-05 examinations of the Beaver Dam Eye study, were considered to be biomarkers of aging (frailties): poorer visual acuity, contrast sensitivity or discrepant vision between the eyes, inability to rise from a chair, slower gait time, poorer hand grip strength, and lower peak expiratory flow rate. We found that poorer values on biomarkers of aging (frailties) at the 1998-2000 examination were associated with 2 or more reported falls in the past year at the 2003-05 examination (p < 0.05 for all markers except peak expiratory flow rate). When the markers were combined as an index of biological aging (frailty), the index was significantly associated with falls after controlling for significant confounders (odds ratio per 1 step increase in the index: 1.33; 95% confidence interval = CI = 1.13-1.57) We conclude that biomarkers of aging, including any of three measures of visual function, are associated with falls. Improvement in these functional measures may lead to decreased risk of falls.

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Section: Introductionmentioning

confidence: 99%

Biomarkers of aging and falling: The Beaver Dam eye study

Knudtson

Klein

2009

Archives of Gerontology and Geriatrics

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“…Indeed, falls represent one of the most serious problems associated with aging (2)(3)(4). In addition to high medical expenses that falls pose to the public health service, the consequences for elderly persons are dramatic because of their association with physical and psychological trauma, reduced activity, loss of independence, decreased quality of life and even injury-related deaths.…”

Section: Introductionmentioning

confidence: 99%

Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects

Vaillant¹,

Vuillerme²,

Janvy³

et al. 2004

Archives of Physical Medicine and Rehabilitation

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“…Estudos realizados nos Estados Unidos e na Europa mostram que aproximadamente um terço da população acima de 65 anos sofreu pelo menos uma queda durante o último ano. Entre idosos que sofreram quedas, 3-5% apresentaram fraturas graves, isto é, que demandaram internação hospitalar (Ryynänen et al, 1991;Sattin, 1992;Tinetti, 1994).…”

Section: Introductionunclassified

Uso de medicamentos como fator de risco para fratura grave decorrente de queda em idosos

Coutinho

Silva

2002

Cad. Saúde Pública

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Quedas seguidas de fraturas entre idosos constituem um importante problema de saúde pública. Um estudo caso-controle foi conduzido para avaliar o papel do uso de um conjunto de medicamentos, como fator de risco para esses acidentes entre pessoas com 60 anos ou mais, na cidade do Rio de Janeiro, Brasil. Cento e sessenta e nove casos de internação por fratura conseqüente a queda, e 315 controles hospitalares foram pareados por idade, sexo e hospital. Odds ratios (OR), ajustados por fatores potenciais de confusão, foram obtidos utilizando-se regressão logística condicional. Observou-se um aumento no risco desses acidentes para o uso de drogas bloqueadoras dos canais de cálcio (OR = 1,96, 1,16-3,30) e benzodiazepínicos (OR = 2,09, 1,08-4,05), e uma redução para o uso de diuréticos (OR = 0,40, 0,20-0,80). Antiácidos, digitálicos e laxantes mostraram-se associados a uma redução do risco de fraturas por quedas, cuja significância estatística atingiu níveis limítrofes (0,05 < p < 0,10). Os dados deste estudo apontam para a necessidade de ponderar os riscos e benefícios no uso de medicamentos em idosos, e orientar tais indivíduos e seus familiares para evitar esses acidentes quando o uso desses medicamentos é necessário.

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Falls Among Older Persons: A Public Health Perspective

Cited by 565 publications

References 80 publications

Biomarkers of aging and falling: The Beaver Dam eye study

Biomarkers of aging and falling: The Beaver Dam eye study

Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects

Uso de medicamentos como fator de risco para fratura grave decorrente de queda em idosos

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