Prevalent falls, fall frequencies and health-related quality of life among community-dwelling older Chinese adults

Lu, Heng; Dong, Xing-Xuan; Li, Dan-Lin; Wu, Qian; Nie, Xiaowei; Xu, Yong; Wang, Pei; Pan, Chen-Wei

doi:10.1007/s11136-023-03474-2

Cited by 3 publications

(7 citation statements)

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“…The risk of bias of the included studies according to COSMIN Risk of Bias checklist [9][10][11][12] is presented in Table 2. The main measurement properties evaluated were reliability, internal consistency and construct validity.…”

Section: Resultsmentioning

confidence: 99%

“…People with COPD have impaired postural control when compared to healthy individuals in the same age group [5][6][7] . Deficits in function and mobility have been associated with a greater risk of falls in older adults 7 and have a negative impact on quality of life [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…Falls are associated not only with mortality and morbidity, but also with loss of autonomy 5,6,8 . Physiological mechanisms, such as changes in muscle strength, proprioception, body sway and compromised balance, may be associated with a greater risk of falls in COPD and contribute to worsening health conditions [7][8][9][10][11][12][13] . Research has highlighted the importance of identifying risk factors for falls and promoting prevention 14,15 .…”

Section: Introductionmentioning

confidence: 99%

“…Research has highlighted the importance of identifying risk factors for falls and promoting prevention 14,15 . For prevention to be effective, it is necessary to identify the population at risk, introduce standardized and reliable assessment measures, and then establish specific multidimensional interventions focused on reducing the identified modifiable risk factors 10,13,14 .…”

Section: Introductionmentioning

confidence: 99%

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Balance, falls, and risk of falls in COPD: systematic review of assessment instruments, measurement properties, and clinical utility

Lamezon,

Cavon,

Valderramas

2024

Rev. bras. geriatr. gerontol.

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Objectives to identify balance assessment instruments, issues and risks of issues used in COPD, evaluate their measurement properties, quality of evidence and clinical utility. Method A review was produced following the PRISMA and COSMIN guidelines, registered in PROSPERO: CRD42021235118. Searches were carried out from November 2021 to September 2022 in the PubMed, LILACS, CINAHL, Embase, Web of Science and PEDro databases. Cross-sectional and cohort observational studies were included, without restrictions on language or year of publication, as long as they described clinical instruments for assessing balance, falls and risk of falls reporting at least one of the measurement properties: validity, reliability and responsiveness. Two reviewers will independently apply the eligibility criteria, travel risk by COSMIN, quality of evidence by the GRADE approach and assessment of clinical utility by the Tyson and Connell Scale. Results 9,102 studies were selected and 21 included in the review, nine studies demonstrated adequate and sufficient measurement properties and 12 instruments were identified, of which six were evaluated for the quality of evidence. Conclusion Systematic reviews of measurement properties require specialized reviewers and skills in qualitative analysis. With a recommendation GRADE of “A”, the Berg Balance Scale (BBS) and the Timed Up and Go (TUG) test were the most recommended instruments for COPD. By requiring the evaluation of the clinical utility of the result, the TUG demonstrates superiority to the BBS, proving to be a great tool for judging individuals who need a thorough assessment of balance, falls and risk of falls.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Balance, falls, and risk of falls in COPD: systematic review of assessment instruments, measurement properties, and clinical utility

Lamezon,

Cavon,

Valderramas

2024

Rev. bras. geriatr. gerontol.

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“…Pessoas com DPOC têm alteração comprometimento do controle postural quando comparadas a indivíduos saudáveis da mesma faixa etária [5][6][7] . Os deficit na função e mobilidade têm sido associados a um maior risco de quedas em idosos 7 e impactam negativamente na qualidade de vida [8][9][10] .…”

Section: Introductionunclassified

Equilíbrio, quedas e risco de quedas na DPOC: revisão sistemática dos instrumentos de avaliação, propriedades de medida e utilidade clínica

Lamezon,

Cavon,

Valderramas

2024

Rev. bras. geriatr. gerontol.

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Resumo Objetivos Identificar os instrumentos de avaliação de equilíbrio, quedas e risco de quedas utilizados na DPOC, avaliar suas propriedades de medida, qualidade da evidência e utilidade clínica. Método A revisão foi produzida seguindo as orientações PRISMA e COSMIN, registrada no PROSPERO: CRD42021235118. As pesquisas foram realizadas de novembro de 2021 a setembro de 2022 nas bases de dados PubMed, LILACS, CINAHL, Embase, Web of Science e PEDro. Estudos observacionais transversais e coorte foram incluídos, sem restrição de idioma ou ano de publicação, desde que descreveram instrumentos clínicos de avaliação do equilíbrio, quedas e risco de quedas reportando no mínimo, uma das propriedades de medida: validade, confiabilidade e responsividade. Dois revisores independentemente aplicaram os critérios de elegibilidade, risco de viés pela COSMIN, qualidade da evidência pela abordagem GRADE e a avaliação da utilidade clínica pela Escala de Tyson e Connell. Resultados 9.102 estudos foram selecionados e 21 incluídos na revisão, nove estudos demonstraram propriedades de medida adequadas e suficientes e 12 instrumentos foram identificados, dos quais seis, foram avaliados quanto a qualidade de evidência. Conclusão Revisões sistemáticas de propriedades de medida requerem revisores especializados e habilidade em análise qualitativa. Com grau de recomendação “A”, a Berg Balance Scale (BBS) e o teste Timed Up and Go (TUG) foram os instrumentos mais indicados na DPOC. Ao acrescentar a avaliação da utilidade clínica ao resultado, o TUG demonstra superioridade ao BBS, demostrando ser uma ótima ferramenta para triar indivíduos que necessitem de uma avaliação minuciosa do equilíbrio, quedas e risco de quedas.

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Multimorbidity patterns and health-related quality of life among community-dwelling older adults: evidence from a rural town in Suzhou, China

Lu,

Dong,

et al. 2024

Qual Life Res

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Prevalent falls, fall frequencies and health-related quality of life among community-dwelling older Chinese adults

Cited by 3 publications

References 58 publications

Balance, falls, and risk of falls in COPD: systematic review of assessment instruments, measurement properties, and clinical utility

Balance, falls, and risk of falls in COPD: systematic review of assessment instruments, measurement properties, and clinical utility

Equilíbrio, quedas e risco de quedas na DPOC: revisão sistemática dos instrumentos de avaliação, propriedades de medida e utilidade clínica

Multimorbidity patterns and health-related quality of life among community-dwelling older adults: evidence from a rural town in Suzhou, China

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