Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—A longitudinal cohort study

Möller, Ulrika; Midlöv, Patrik; Kristensson, Jimmie; Ekdahl, Charlotte; Berglund, Johan; Jakobsson, Ulf

doi:10.1016/j.archger.2012.08.013

Cited by 49 publications

(31 citation statements)

References 27 publications

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“…Several associations were found between dizziness and other health factors. In most previous research in this area, dizziness has been studied as a dichotomous variable, either dizziness or not, or persistent/troublesome dizziness or not [1, 16, 29]. In the present study, we divided the subjects into three groups: no, mild, or substantial dizziness.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study

2016

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Background: Dizziness is highly prevalent among older people and associated with many health factors. The aim of the study was to determine the prevalence of and factors related to dizziness among community-dwelling older adults in Sweden. In contrast to previous studies, the subjects with dizziness were divided into two groups, mild and substantial dizziness, according to the frequency and intensity of dizziness. Methods: A sample of 305 older persons between 75 and 90 years of age (mean age 81 years) were interviewed and examined. Subjects with dizziness answered the University of California Los Angeles Dizziness Questionnaire and questions about provoking movements. The groups with substantial, mild, or no dizziness were compared with regard to age, sex, diseases, drugs, blood pressure, physical activity, exercises, falls, fear of falling, quality of life, general health, mobility aids, and physical performance. Results: In this sample, 79 subjects experienced substantial and 46 mild dizziness. Subjects with substantial dizziness were less physically active, reported more fear of falling, falls, depression/anxiety, diabetes, stroke/TIA, heart disease, a higher total number of drugs and antihypertensive drugs, lower quality of life and general health, and performed worse physically. Conclusions: There are many and complex associations between dizziness and factors like falls, diseases, drugs, physical performance, and activity. For most of these factors, the associations are stronger in subjects with substantial dizziness compared with subjects with mild or no dizziness; therefore, it is relevant to differ between mild and substantial dizziness symptoms in research and clinical practice in the future.

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Section: Discussionmentioning

confidence: 99%

“…Dizziness has previously been found to be associated with falls [1, 7, 16, 17, 43], an increased injury rate from falls [43], and the fear of falling [7, 16, 18]. Both falls and dizziness in the elderly often have multifactorial aetiologies, and many of the risk factors are the same for both these conditions [7].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study

2016

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“…Biological factors included older age [9], female sex [35,36], co-occurring chronic health conditions [35,37], dizziness/syncope [38], and functional limitations/decline [39]. Behavioral risk factors included physical activity behavior, which is associated with lower risk of falls [10,40] and is a leading cause of fall events among older adults [22].…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Environment and Falls among Community-Dwelling Older Adults

Nicklett

Lohman

Smith

2017

IJERPH

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Background: Falls present a major challenge to active aging, but the relationship between neighborhood factors and falls is poorly understood. This study examined the relationship between fall events and neighborhood factors, including neighborhood social cohesion (sense of belonging, trust, friendliness, and helpfulness) and physical environment (vandalism/graffiti, rubbish, vacant/deserted houses, and perceived safety walking home at night). Methods: Data were analyzed from 9259 participants over four biennial waves (2006–2012) of the Health and Retirement Study (HRS), a nationally representative sample of adults aged 65 and older in the United States. Results: In models adjusting for demographic and health-related covariates, a one-unit increase in neighborhood social cohesion was associated with 4% lower odds of experiencing a single fall (odds ratio (OR): 0.96, 95% confidence interval (CI): 0.93–0.99) and 6% lower odds of experiencing multiple falls (OR: 0.94, 95% CI: 0.90–0.98). A one-unit increase in the physical environment scale was associated with 4% lower odds of experiencing a single fall (OR: 0.96, 95% CI: 0.93–0.99) and with 5% lower odds of experiencing multiple falls (OR: 0.95, 95% CI: 0.91–1.00) in adjusted models. Conclusions: The physical and social neighborhood environment may affect fall risk among community-dwelling older adults. Findings support the ongoing need for evidence-based fall prevention programming in community and clinical settings.

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“…According to recent European surveys, 20% and more of people aged ≥ 65 years suffer at least one fall within a year [1-3]. Falls are associated with several negative health consequences.…”

Section: Introductionmentioning

confidence: 99%

Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study

Thiem

Klaaßen-Mielke²,

Trampisch³

et al. 2014

Health and Quality of Life Outcomes

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BackgroundAlthough recommended for use in studies investigating falls in the elderly, the European Quality of Life Group instrument, EQ-5D, has not been widely used to assess the impact of falls on quality of life. The aim of this study was to investigate the association of single and frequent falls with EQ-5D rated quality of life in a sample of German community-dwelling seniors in primary care suffering a variety of concurrent chronic diseases and conditions.MethodsIn a cross-sectional study, a sample of community-dwelling seniors aged ≥ 72 years was interviewed by means of a standardised telephone interview. According to the number of self-reported falls within twelve months prior to interview, participants were categorised into one of three fall categories: no fall vs. one fall vs. two or more falls within twelve months. EQ-5D values as well as other characteristics were compared across the fall categories. Adjustments for a variety of concurrent chronic diseases and conditions and further variables were made by using multiple linear regression analysis, with EQ-5D being the target variable.ResultsIn total, 1,792 participants (median age 77 years; 53% female) were analysed. The EQ-5D differed between fall categories. Participants reporting no fall had a mean EQ-5D score of 81.1 (standard deviation [s.d.]: 15.4, median: 78.3), while participants reporting one fall (n = 265; 14.8%) and participants with two or more falls (n = 117; 6.5%) had mean total scores of 77.0 (s.d.: 15.8, median: 78.3; mean difference to participants without a fall: -4.1, p < 0.05) and 72.1 (s.d.: 17.6, median: 72.5; mean difference: -9.0, p < 0.05), respectively. The mean difference between participants with one fall and participants with two or more falls was -4.9 (p < 0.05). Under adjustment for a variety of chronic diseases and conditions, the mean decrease in the total EQ-5D score was about -1.0 score point for one fall and about -2.5 points for two or more falls within twelve months. In quantity, this decrease is comparable to other chronic diseases adjusted for. Among the variables with the greatest negative association with EQ-5D ratings in multivariate analysis were depression and fear of falling.ConclusionsThe findings suggest that falls are negatively associated with EQ-5D rated quality of life independent of a variety of chronic diseases and conditions.

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Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—A longitudinal cohort study

Cited by 49 publications

References 27 publications

Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study

Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study

Neighborhood Environment and Falls among Community-Dwelling Older Adults

Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study

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