Prevalence of Falls and Its Associated Factors among Elderly Diabetes in a Tertiary Center, Malaysia

Kadir, Azidah Abdul; Hasniza, H; Zunaina, Embong

doi:10.1155/2012/539073

Cited by 41 publications

(59 citation statements)

References 22 publications

(50 reference statements)

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“…Prior cross-sectional studies have shown that OH is associated with history of falls among older adults 8,10,24 with few exceptions. 25 However, prospective studies examining this relationship are small, of short duration, and inconsistent with some showing OH to be associated with risk of falls [26][27][28][29][30] and others showing no association.…”

Section: Discussionmentioning

confidence: 96%

Orthostatic Hypotension in Middle-Age and Risk of Falls

Juraschek

Daya

Appel

et al. 2016

AJHYPE

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Falls are a major cause of morbidity and mortality among older adults. 1,2 Nearly, one-third of persons aged 65 or older falls each year and the rate of falls in the United States is rising. 1,2 Moreover, falls are a significant reason for emergency room visits 3 and predispose to the risk of fracture, 4 posing a substantial burden on the US health system, estimated at approximately $23 billion yearly. 5 Given the aging US population, identifying risk factors for falls and tailoring interventions (e.g., physical therapy, prescription medication choices, or environment-based interventions like handrails) to prevent falls are recognized public health priorities.Orthostatic hypotension (OH) is a controversial risk factor for falls that has important implications for clinical guidelines on blood pressure management. The recently published SPRINT trial suggested that more intensive blood pressure management was associated with a lower risk of OH, but not a decreased risk of injurious falls. 6 OH has been traditionally thought to disproportionately impact older adults. The prevalence of OH increases with age, 7 reaching as high as 20% in adults age 75 years and older. 8 Furthermore, OH is associated with a history of falls as well as greater morbidity from falls in older adults. [8][9][10] Despite the focus in the literature on older adults, OH is also quite prevalent among middle-aged adults (as high as 15.9% in 1 study 11 ), who have a notably lower fall rate. While in the short-term, middle-aged OH may not be a major contributor to risk of serious falls, it is unknown whether it might be associated with risk of falls over time as people age.Thus, the aims of this prospective study were to: (i) determine whether OH in middle age was associated with risk of falls over the lifespan; (ii) characterize the continuous relationship between postural changes in systolic blood pressure (SBP) or diastolic blood pressure (DBP) and fall risk; and (iii) identify whether participant demographic characteristics or cardiovascular risk factors (obesity, hypertension, or diabetes) modified the association between OH and falls. We hypothesized that OH would be significantly associated with falls and this association would be more pronounced among older persons with cardiovascular risk factors. Orthostatic Hypotension in BACKGROUNDOne-third of older adults fall each year. Orthostatic hypotension (OH) has been hypothesized as an important risk factor for falls, but findings from prior studies have been inconsistent.

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Section: Discussionmentioning

confidence: 96%

Orthostatic Hypotension in Middle-Age and Risk of Falls

Juraschek

Daya

Appel

et al. 2016

AJHYPE

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“…Previous studies conducted by the researchers, Azidah et al and Yeong et al found that the age group of more than 75 years of age gave the highest percentage of falls as compared to the other age groups, with the percentage of 37.5% and 30.3% respectively. 3,4 However, it is also worth mentioning that the results are not statistically significant. And it is further asserted that older adults are prone to falls largely due to the decline of physical, cognitive and affective capacities.…”

Section: Introductionmentioning

confidence: 89%

The prevalence of falls and its associated factors among elderly living in old folks home in Kuala Lumpur, Malaysia

Ghazi

Elnajeh

Abdalqader

et al. 2017

Int J Community Med Public Health

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INTRODUCTIONThe aging population is a phenomenon observed quite frequently during our time. The phenomenon appears to affect many high-and middle-income countries, including Malaysia and poses a real challenge to their society and healthcare systems, especially with the remarkably increased in the burden of diseases suffered by the aging population nowadays. Aside from chronic diseases, falls are also attributable to the challenges that need to be tackled and managed, brought about by the aging population. Falls have been shown to cause considerable morbidity and mortality and affect the quality of life of many elderly people. In Malaysia alone, the prevalence of falls was about 27.3% of the 516 participants.1 Meanwhile, in Brazil, the prevalence of falls was about 27.6% among the 6,616 elderly participated in the respected study.2 A somewhat lower prevalence of falls was observed in a study done in China, which showed the prevalence of falls was around 18% on average among the 1512 participants. As falls remain a predicament even to the well-advanced societies, a multitude of inquiries has been done quite ABSTRACT Background: Falls are common among the geriatric population, causing frequent morbidity and mortality. Identifying risk of falls among elderly living in old folks home can help in the care and prevention of falls in this population. The purpose of our study is to evaluate the prevalence of falls among elderly living in old folks home and its associated factors. Methods: A cross-sectional study involving 50 elderly living in old folks home in Kuala Lumpur was selected by convenient sampling. History of falls revealed by participants, assisted questionnaires that consist of sociodemographic details and prevalence of falls within 6 months period were given. The association between the prevalence of falls and its associated factors were assessed by using chi-square test. Results: The prevalence of falls among the respondents was 30%, but there were no significant association between the socio demographic and prevalence of falls. There were also no associations between activity of daily living, number of comorbidities, number of medication with falls. Conclusions: Falls represent one of the public health problems among elderly living in old folks home in Kuala Lumpur, Malaysia with 30% prevalence of falls among the respondent. Our findings may assist public health authorities to implement programs of awareness and all prevention among elderly.

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“…Balance is one of the major factors which associated with falls in the elderly population. Falls are defined as unintentionally coming to the ground or some lower surface and not as a consequence of sustaining a violent blow, loss of consciousness and sudden paralysis as in a stroke incident or epileptic seizure [6]. Falls are a major problem in the elderly because they cause significant morbidity and mortality [6].…”

Section: Introductionmentioning

confidence: 99%

“…Falls are defined as unintentionally coming to the ground or some lower surface and not as a consequence of sustaining a violent blow, loss of consciousness and sudden paralysis as in a stroke incident or epileptic seizure [6]. Falls are a major problem in the elderly because they cause significant morbidity and mortality [6]. Risk of falling increases due to decrease in reaction time to external stimuli, such as changes in decubitus or shifts in gait, may be associated with changes in insulin action which lead to constant changes in blood glucose concentrations, affecting cerebral function [6].…”

Section: Introductionmentioning

confidence: 99%

“…Falls are a major problem in the elderly because they cause significant morbidity and mortality [6]. Risk of falling increases due to decrease in reaction time to external stimuli, such as changes in decubitus or shifts in gait, may be associated with changes in insulin action which lead to constant changes in blood glucose concentrations, affecting cerebral function [6].…”

Section: Introductionmentioning

confidence: 99%

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Association between Physical Functioning and Fear of Falling with Balance in Elderly Diabetic Individuals

Sankhe¹,

Ganvir²

2017

Physiother Rehabil

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Background: Diabetes mellitus is a highly prevalent metabolic disease, particularly in the elderly population. Diabetic peripheral neuropathy (DPN), the most common complication, is present in up to half of the people with diabetes, leading to sensory and autonomic motor impairment, and possibly increasing the risk of falling. DM is also associated with geriatric conditions falls, incontinence, low body mass index, dizziness, vision, hearing and cognitive impairments and dependence on activities of daily living. Balance is one of the major factors which associated with falls in the elderly population. Diabetes in addition may cause further damage to the nervous system thereby resulting in impaired balance leading to increased risk of falls. It is essential to investigate relationship between balances and falls in diabetic individuals.

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Prevalence of Falls and Its Associated Factors among Elderly Diabetes in a Tertiary Center, Malaysia

Cited by 41 publications

References 22 publications

Orthostatic Hypotension in Middle-Age and Risk of Falls

Orthostatic Hypotension in Middle-Age and Risk of Falls

The prevalence of falls and its associated factors among elderly living in old folks home in Kuala Lumpur, Malaysia

Association between Physical Functioning and Fear of Falling with Balance in Elderly Diabetic Individuals

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