Recurrent falls and its risk factors among older men living in the veterans retirement communities: A cross-sectional study

Hung, Cheng Hao; Wang, Chi-Jane; Tang, Ting; Chen, Liang Yu; Peng, Li Ning; Hsiao, Fei‐Yuan; Chen, Liang Kung

doi:10.1016/j.archger.2017.02.001

Cited by 33 publications

(25 citation statements)

References 27 publications

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“…26 Furthermore, urinary incontinence might contribute to multiple recurrent episodes of falls, especially among older men as a result of frequent episodes of voiding. 27 The relationship between poor grip strength and falls in the present study was consistent with previously published findings. 28 Grip strength is associated with a reduction in body muscle strength, which is related to poor physical and psychological health among older adults.…”

Section: Discussionsupporting

confidence: 93%

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Diabetes, arthritis, urinary incontinence, poor self‐rated health, higher body mass index and lower handgrip strength are associated with falls among community‐dwelling middle‐aged and older adults: Pooled analyses from two cross‐sectional Malaysian datasets

Singh

Shahar

Vanoh

et al. 2019

Geriatrics Gerontology Int

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Aim The identification of risk factors associated with comorbidities and physical fitness might provide pathways for planning therapeutic targets for future falls prevention. Results from large datasets that examined falls risk factors in Asia have been limited. The aim of the present study was to identify the risk factors for falls by pooling data consisting of medical history, physical performance and self‐rated health from two large Malaysian epidemiological studies. Methods Matching variables from the Towards Useful Aging and Malaysian Elders Longitudinal Research datasets related to falls, physical performance and determinants of falls were identified and pooled for analysis. The Timed Up and Go test and dominant handgrip strength tests were used as physical performance measures. Falls were self‐reported, and functional status was assessed using activities of daily living. Results Data of 3935 participants, mean age 68.9 ± 6.8 years, 2127 (54.0%) women and 1807 (46.0%) men were extracted for analyses. In an adjusted model, independent risk factors for falls from this cohort studies were diabetes (OR 1.258), arthritis (OR 1.366), urinary incontinence (OR 1.346), poor self‐rated health (OR 1.293), higher body mass index (OR 1.029) and lower handgrip strength (OR 1.234). Conclusions Although the risk factors that emerged from our analyses were similar to available studies among older adults, the Timed Up and Go test did not appear as one of the risk factors in the present study that included middle‐aged adults. Our findings will require confirmation in a prospective study. Geriatr Gerontol Int 2019; 19: 798–803.

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Section: Discussionsupporting

confidence: 93%

“…Urinary incontinence is not a disease, but a disabling symptom that occurs as the result of multiple pathologies including pelvic floor weakness and prostate problems . Furthermore, urinary incontinence might contribute to multiple recurrent episodes of falls, especially among older men as a result of frequent episodes of voiding …”

Section: Discussionmentioning

confidence: 99%

Diabetes, arthritis, urinary incontinence, poor self‐rated health, higher body mass index and lower handgrip strength are associated with falls among community‐dwelling middle‐aged and older adults: Pooled analyses from two cross‐sectional Malaysian datasets

Singh

Shahar

Vanoh

et al. 2019

Geriatrics Gerontology Int

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“…In our study, age-standardized rates for falls and recurrent falls were 13.8% and 4.6%, respectively. These rates are comparatively lower than previous population-based studies which reported fall and recurrent fall rates ranging from 17.6–28.4% 10 , 11 , 35 and 9.1–10.4% 36 , 37 , respectively. This difference may be explained by the younger participants in our sample (aged ≥40 years), compared to previous studies which comprised of older adults (aged ≥60 years).…”

Section: Discussioncontrasting

confidence: 75%

Falls and Recurrent Falls among Adults in A Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study

Dai

Tham

Chee

et al. 2018

Sci Rep

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We evaluated the rate and risk factors associated with falls and recurrent falls in a multi-ethnic Asian population. 10,009 participants aged ≥40 years (mean[SD] age = 58.9[10.4] years) underwent clinical examinations and completed interviewer-administered questionnaires. Participants who self-reported at least one fall or ≥2 falls in past 12 months were defined as fallers and recurrent fallers, respectively. Age-standardized rates for falls and recurrent falls were 13.8% (95%CI, 13.1–14.6%) and 4.6% (95%CI, 4.2–5.1%), respectively. Multivariable analyses showed older age (OR = 1.20; 95%CI, 1.11–1.30), female gender (OR = 1.79; 95%CI, 1.54–2.07), diabetes (OR = 1.22; 95%CI, 1.07–1.40), cardiovascular disease (CVD, OR = 1.37; 95%CI, 1.14–1.65), ≥3 systemic comorbidities (OR = 1.35; 95%CI, 1.09–1.67), lower European Quality of Life-5 Dimensions (EQ-5D) score (OR = 1.36; 95%CI, 1.29–1.44), alcohol consumption (OR = 1.41, 95%CI, 1.11–1.78) and presenting visual impairment (VI, OR = 1.23; 95%CI, 1.02–1.47) were associated with falls. For recurrent falls, female gender (OR = 2.27; 95%CI, 1.75–2.94), diabetes (OR = 1.28; 95%CI, 1.03–1.61), CVD (OR = 2.00; 95%CI, 1.53–2.62), ≥3 systemic comorbidities (OR = 1.69; 95%CI, 1.19–2.39), lower EQ-5D score (OR = 1.47; 95%CI, 1.35–1.59), living in 1–2 room public flat (OR = 1.57; 95%CI, 1.05–2.33), monthly income <2000 Singapore Dollar (OR = 1.62; 95%CI, 1.13–2.31), alcohol consumption (OR = 1.81, 95%CI, 1.23–2.66) and presenting VI (OR = 1.34; 95%CI, 1.01–1.79) were significant risk factors. These findings will be useful for the formulation of fall prevention programs.

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“…Diabetes mellitus (DM) is an additional risk factor that has an important effect. DM may affect the stability of patients and, therefore, contributes to the known risk factor-recurrent falls [12]. It can also affect the post-surgical healing process due to microvascular and neural damage [11].…”

Section: Risk Factorsmentioning

confidence: 99%

Periprosthetic fractures of the knee: a comprehensive review

Benkovich

Klassov

Mazilis

et al. 2019

Eur J Orthop Surg Traumatol

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Demographic changes have resulted in an increase in the number of older patients diagnosed with degenerative joint disease. Developments in the field of joint arthroplasty allow a broader population to improve their lifestyles. An increased demand for knee arthroplasty has led to a rise in operations performed worldwide. Although there has been a constant propagation of technology and an increase in medical staffing at a professional level, many patients still encounter complications. Though rare, these factors may lead to life-threatening scenarios and a devastating effect on the success of the operation. One such rare complication includes periprosthetic fractures around the knee, a complex injury which requires a cautious and experienced approach. In this review, we analyze the prevalence, risk factors and classification, investigation and treatment options for periprosthetic fractures with total knee arthroplasty.

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Recurrent falls and its risk factors among older men living in the veterans retirement communities: A cross-sectional study

Cited by 33 publications

References 27 publications

Diabetes, arthritis, urinary incontinence, poor self‐rated health, higher body mass index and lower handgrip strength are associated with falls among community‐dwelling middle‐aged and older adults: Pooled analyses from two cross‐sectional Malaysian datasets

Diabetes, arthritis, urinary incontinence, poor self‐rated health, higher body mass index and lower handgrip strength are associated with falls among community‐dwelling middle‐aged and older adults: Pooled analyses from two cross‐sectional Malaysian datasets

Falls and Recurrent Falls among Adults in A Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study

Periprosthetic fractures of the knee: a comprehensive review

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