Prevalence and Risk Factors Associated with Injurious Falls among Community-Dwelling Older Adults in Indonesia

Pengpid, Supa; Peltzer, Karl

doi:10.1155/2018/5964305

Cited by 37 publications

(27 citation statements)

References 38 publications

(90 reference statements)

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“…Since falls among older adults increase health care costs, reducing the incidence of falls is an important public health mission (Okubo et al, 2017). Several preventive strategies have been developed to address the risk factors for falling (Gale et al, 2018; Pengpid and Peltzer, 2018; Zhou et al, 2018). Recently it has been reported that exercise programs, particularly those including balance training, reduces the risk of falls.…”

Section: Introductionmentioning

confidence: 99%

Tai Chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: a randomized control trial

Hosseini¹,

Kargozar²,

Sharifi³

et al. 2018

J Exerc Rehabil

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Fear of falling and balance impairment are prevalent in older adults and cause major morbidities for this population. The aim of this study was to evaluate the effect of Tai Chi Chuan on balance and fear of falling in community-dwelling older adults. This study was a single-blind randomized control trial. Sixty older adults were randomly allocated into two groups using a 4-cell random block design. The participants of intervention group were trained in Tai Chi Chuan for eight weeks, twice a week, and 55 min in each session. Balance and fear of falling were assessed by Timed Up and Go (TUG) test, Tinetti test and Falls Efficacy Scale International in baseline and after 8 weeks. After eight weeks of intervention, the mean scores of the TUG and Tinetti scales in the intervention group were improved significantly compared to the baseline and the control group (P<0.001). Moreover, the intervention group showed a significant reduction in fear of falling scores (P<0.001), while those in the control group remained unchanged. Tai Chi Chuan effectively improves the balance and fear of falling and could be considered as a practical and useful method for fall prevention in community-dwelling older adults.

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Section: Introductionmentioning

confidence: 99%

Tai Chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: a randomized control trial

Hosseini¹,

Kargozar²,

Sharifi³

et al. 2018

J Exerc Rehabil

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“…Not surprisingly, we recorded more falls among women compared to men. Most cross-sectional and longitudinal studies in community-dwelling older people have revealed a higher ratio of falls in older women [24][25][26][28][29][30][31]. Decreased muscle strength, increased visual field dependence and variation in gait pattern during dual-task activities in older women have been suggested to be among the causes of higher risk of falls [32,33].…”

Section: Discussionmentioning

confidence: 99%

Psychoactive Drug Use and Falls among Community-Dwelling Turkish Older People

Naharcı

Oguz

Celebi

et al. 2019

North Clin Istanbul

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F alls are a significant common problem in older adults, reducing function and quality of life, increasing the risk for fear of falling syndrome, and causing morbidity and mortality. One-third of community-dwelling people aged over 65 years fall one or more times each year and repeated falls occur in half of them [1]. Brain trauma, hip fractures, hospitalization and death are worst outcomes of falls. Accidents are the seventh cause of deaths in older people and the majority are associated with falls [2]. Most falls arise from one or more combination risk factors, including advanced age, impaired cognitive function, comorbidities, sensory factors and environmental hazards. Drugs are another major modifiable risk factor for falls. Of those, psychoactive drugs are the most common cause associated with falls, with sedation, impaired balance, and coordination that result in gait problems. Psychoac-ABSTRACT OBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in communitydwelling Turkish older people. METHODS: This single center study was performed using the medical records of subjects aged over 65 years admitted to the geriatric care unit. Demographic and lifestyle factors, clinical characteristics, medications, and data on mood, cognitive status, and functional performance were obtained from the comprehensive geriatric assessment records. Based on a fall history in the last 12 months, subjects were grouped as fallers and non-fallers. Subjects treated with a psychoactive drug were identified. RESULTS: Among the total of 429 subjects, there were 184 (42.9%) fallers and 245 (57.1%) non-fallers. Of those, 33.3% were on psychoactive drug treatment. The proportion of psychoactive drug users was higher in the fallers group compared to non-fallers (45.1% vs. 24.5%, p<0.001). Multivariable logistic regression analysis showed age ≥75 years (OR=1.83; CI: 1.09-3.09; p=0.023), female gender (OR=2.70; CI: 1.6-4.50; p<0.001), and psychoactive drug use (OR=2.14; CI: 1.32-3.48; p=0.002) as independent predictors of falls. CONCLUSION: We found that about one-third of geriatric outpatients were on psychoactive drug treatment in Turkey that was independently associated with the risk of falls.

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“…The MLR models identified common risk factors for fall-related injuries over the past two years that were present in both genders, such as having two or more comorbidities, urinary problems, and functional disability. However, these models also identified gender-specific risk factors including former tobacco use, cataracts, sleep disturbance, and sleep impairment in men and poorer economic background, depression symptoms, and poor cognitive function in women [9].…”

Section: Introductionmentioning

confidence: 99%

Study on prevalence and risk factors of falls among community-dwelling elderly adults: results from three consecutive waves of the national health interview survey in Taiwan

Tsai¹,

Yang²,

Yang³

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 injury due to falls among elderly 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 socio-demographic factors (age, sex, and difficulty in performing activities of daily living or instrumental activities of daily living), biological factors (vision, comorbidities, urinary incontinence, and depressive symptoms), and behavioral risk factors (sleeping pill use, and frequency of exercise). After univariate and bivariate analyses were conducted, the prevalence of falls was investigated using multiple linear regression models adjusted for age group, sex, and the 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 the year of survey. Several sociodemographic and biological factors, including female gender, 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 the elderly may increase the effectiveness of future fall prevention programs.

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Prevalence and Risk Factors Associated with Injurious Falls among Community-Dwelling Older Adults in Indonesia

Cited by 37 publications

References 38 publications

Tai Chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: a randomized control trial

Tai Chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: a randomized control trial

Psychoactive Drug Use and Falls among Community-Dwelling Turkish Older People

Study on prevalence and risk factors of falls among community-dwelling elderly adults: results from three consecutive waves of the national health interview survey in Taiwan

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