Health and lifestyle risk factors for falls in a large population-based sample of older people in Australia

Mitchell, Robert J.; Watson, Wendy L.; Milat, Andrew; Chung, Amy Z.Q.; Lord, Stephen R.

doi:10.1016/j.jsr.2012.11.005

Cited by 29 publications

(32 citation statements)

References 23 publications

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“…A recent epidemiological study in Australia identified osteoarthritis as a cause of falls among older people (Mitchell et al 2013). Our results are consistent with this finding.…”

Section: Discussionsupporting

confidence: 93%

“…The present study associated taking at least four medications with falls, which agrees with the findings of others showing that polypharmacy increases the risk of falling (Blake et al 1988;Tinetti et al 1996;Evci et al 2006;Mitchell et al 2013). Where possible, mechanisms to decrease medication load among older individuals should be considered and medication reviews should be promoted (Tinetti 2003;Mitchell et al 2013).…”

Section: Discussionsupporting

confidence: 91%

“…Where possible, mechanisms to decrease medication load among older individuals should be considered and medication reviews should be promoted (Tinetti 2003;Mitchell et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Stroke and arthritis are risk factors for falls (Nevitt et al 1989;O'Loughlin et al 1993;Lord et al 2001;Mitchell et al 2013). In addition, taking hypnotic or multiple medications might also be associated with risk of falling (Granek et al 1987;Blake et al 1988;Mustard and Mayer 1997;Evci et al 2006;Mitchell et al 2013). Population-based studies in Japan have found that stroke (Yasumura et al 1994) and knee pain (Muraki et al 2011) are associated with falls, but associations between falls and medications (hypnotics and multiple prescriptions) among community-dwelling individuals in Japan have not been investigated.…”

Section: Introductionmentioning

confidence: 99%

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Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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Falls are a major public health problem and the second leading cause of death due to unintentional accidental injury after road traffic accidents. Inactive, older individuals with several chronic illnesses fall more frequently than older individuals who are active and healthy. No population-based study has addressed the association of stroke, arthritis, hypnotic and other prescription medications with falls among the elderly simultaneously in a single population in Japan. We examined the prevalence of falls among community-dwelling elderly Japanese individuals, whom we randomly selected from a list of inhabitants aged ≥ 65 years compiled from the resident registration, and the associations between falls and each of stroke, arthritis, and hypnotic and other prescription medications. We interviewed 295 men and 307 women, and collected information about the number of falls during the latest one year, hemiplegia due to stroke, arthritis in the legs, and the number of hypnotic and other medications. We found that 46 men (16%) and 67 women (22%) had fallen at least once during the latest one year. Logistic regression analysis adjusted for age showed that hemiplegia due to stroke (p < 0.001), arthritis in the legs (p < 0.001), and taking at least four daily prescription medications (p < 0.05) were significantly associated with falls in men. Arthritis in the legs (p = 0.05) and taking at least four daily prescription medications (p < 0.05) were associated with falls in women. Treatment of fall-related diseases and medication management are important strategies for reducing falls among elderly persons.

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“…A recent epidemiological study in Australia identified osteoarthritis as a cause of falls among older people (Mitchell et al 2013). Our results are consistent with this finding.…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

“…Where possible, mechanisms to decrease medication load among older individuals should be considered and medication reviews should be promoted (Tinetti 2003;Mitchell et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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Current and future burden of incident hip fractures in New South Wales, Australia

Stephens

Toson

2014

Arch Osteoporos

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Risk factors and epidemiological profile of hip fractures in Indian population: A case-control study

Ahuja

Sen

Dhanwal³

2017

Osteoporosis and Sarcopenia

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ObjectivesThis analytic retrospective case-control study was designed to analyze risk factors and the epidemiological profile of hip fractures among the Indian population with special importance to the mechanism of injuries.MethodsPatients of hip fractures (n = 41) and age- and sex-matched healthy volunteers (n = 41) were interviewed by a questionnaire regarding the occurrence of the fracture, past history of diseases and long-term medication usage, past and physical activity, supplements, smoking, and alcohol intake. The data were tabulated using descriptive statistics and logistic regression was used to determine significant risk factors.ResultsAge group 60–69 was found to be most affected by hip fractures, though an early onset of fractures was noted in males. Falls due to slipping indoors from standing position was found very commonly. However, an increasing trend of falls was noted from lying down position in the older age groups which was more common during the morning and night hours. Logistic regression analysis for the detection of risk factors was applied to the various variables in the questionnaire. Active status in the past was inversely related (odds ratio [OR], 0.33; P < 0.05) to fracture risk while alternative medication usage in the past 1 year (OR, 4.086; P < 0.05) and significant alcohol consumption were directly associated with fracture risk (OR, 5.484; P < 0.05). A potential inverse relation of use of calcium supplements in the past 3 months and fracture risk (OR, 0.872) was seen, although this was not significant. A potential positive relation of smoking with hip fractures was also seen, but not found significant (OR, 2.204).ConclusionsHip fractures in the elderly population are on a rising trend especially in the Indian subcontinent due to a number of factors both hereditary and acquired. Simple measures like routine usage of bedside railing, wall-side railings at an appropriate height, high friction tiles inside rooms and washrooms, and adequate lighting indoors can play a significant role in reducing falls and hip fractures among the elderly.

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Health and lifestyle risk factors for falls in a large population-based sample of older people in Australia

Cited by 29 publications

References 23 publications

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Current and future burden of incident hip fractures in New South Wales, Australia

Risk factors and epidemiological profile of hip fractures in Indian population: A case-control study

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