Risk factors for falls among older adults in India: A systematic review and meta‐analysis

Biswas, Isha; Adebusoye, Busola; Chattopadhyay, Kaushik

doi:10.1002/hsr2.637

Cited by 7 publications

(9 citation statements)

References 78 publications

(362 reference statements)

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“…These findings can inform healthcare in the elderly population. Biswas et al explored the risk factors for falls among older adults in India ( 6 ); however, their study focused on only the Indian population and thus exhibited geographic and ethnic limitations. Xie et al examined risk factors for the development of fear of falling, but fear of falling was only one of the risk factors for falls; we suggest that it is more meaningful to identify the risk factors for falls.…”

Section: Discussionmentioning

confidence: 99%

“…Many retrospective, cross-sectional, and longitudinal studies have examined fall prevalence, fall-related consequences, and risk factors for falls in older individuals. However, even though some reviews have addressed these topics ( 6 , 7 ), a high-quality systematic review has yet to be conducted. Therefore, in this study, we aimed to investigate the association between lifestyle factors and fall risk in aging adults to promote the development of effective fall prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

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The risk of falls among the aging population: A systematic review and meta-analysis

2022

Front. Public Health

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AimThis study aims to clarify the risk factors for falls to prevent severe consequences in older adults.MethodsWe searched the PubMed, Web of Science, Embase, and Google Scholar databases using the terms “risk factors” OR “predicting factors” OR “predictor” AND “fall” OR “drop” to identify all relevant studies and compare their results. The study participants were divided into two groups, the “fall group” and the “control group”, and differences in demographic characteristics, lifestyles, and comorbidities were compared.ResultsWe included 34 articles in the analysis and analyzed 22 factors. Older age, lower education level, polypharmacy, malnutrition, living alone, living in an urban area, smoking, and alcohol consumption increased the risk of falls in the aging population. Additionally, comorbidities such as cardiac disease, hypertension, diabetes, stroke, frailty, previous history of falls, depression, Parkinson's disease, and pain increased the risk of falls.ConclusionDemographic characteristics, comorbidities, and lifestyle factors can influence the risk of falls and should be taken into consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The risk of falls among the aging population: A systematic review and meta-analysis

2022

Front. Public Health

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“…A systematic review by Biswas et al , which included 22 studies, found the similar fall incidence and risk among the elderly in India. [ 27 ]…”

Section: Discussionmentioning

confidence: 99%

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Shashikantha

Huchchannavar

Jindal

2023

J Family Med Prim Care

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A BSTRACT Background: As the proportion of elderly in the population increases, they also become vulnerable to various types of intentional or unintentional injuries. Domestic accidents including falls among the elderly have been identified as a leading cause of injury-related morbidity and mortality in India and elsewhere. Aim: This study aims to assess the burden and pattern of domestic accidents in a rural part of Southern India. Methods and Setting: A community-based cross-sectional study among the elderly (≥60 years) was carried out in rural areas of Southern Karnataka. A semi-structured interview schedule was used to get the information on domestic accidents. Inferential statistical tests like the Chi-square test and logistic regression analysis were used. Results: A total of 500 persons aged ≥60 years with a mean age of 69.09 ± 7.42 years (Range 60–92 years) were included. One-third of the subjects have had an incidence of domestic accidents in the past 1 year contributing to a 35% prevalence of domestic accidents. A higher prevalence of domestic accidents was seen in those subjects who were ill (47.9%). Overall prevalence of falls was 21.4% ( P = 0.007). One-fifth of the subjects with domestic accidents had a residual illness. Conclusion and Contribution: One-third of our subjects gave a history of one or the other form of domestic accidents in the previous 1 year. Our study highlights the problem of unintentional domestic injuries among the most vulnerable group of the elderly and calls for a continuous assessment of the burden and nature of injuries.

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“…This systematic review included analytical observational studies (e.g., cohort, case-control, and cross-sectional studies). 5,[35][36][37][38] and in consultation with a librarian (see Supplementary Materials). No date or language restrictions were applied.…”

Section: Methodsmentioning

confidence: 99%

Risk factors of multimorbidity among older adults in India: A systematic review and meta‐analysis

Goel,

Biswas,

Chattopadhyay

2024

Health Science Reports

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BackgroundMultimorbidity among older adults is a growing concern in India. Multimorbidity is defined as the coexistence of two or more chronic health conditions in an individual. Primary studies have been conducted on risk factors of multimorbidity in India, but no systematic review has been conducted on this topic. This systematic review aimed to synthesize the existing evidence on risk factors of multimorbidity among older adults in India.MethodsThe JBI and Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines were followed. Several databases were searched for published and unpublished studies until August 03, 2022. The screening of titles and abstracts and full texts, data extraction, and quality assessment were conducted by two independent reviewers. Any disagreements were resolved through discussion or by involving a third reviewer. Data synthesis was conducted using narrative synthesis and random effects meta‐analysis, where appropriate.ResultsOut of 8781 records identified from the literature search, 16 and 15 studies were included in the systematic review and meta‐analysis, respectively. All included studies were cross‐sectional, and 10 met a critical appraisal score of more than 70%. Broadly, sociodemographic, lifestyle, and health conditions‐related factors were explored in these studies. The pooled odds of multimorbidity were higher in people aged ≥70 years compared to 60‐69 years (odds ratio (OR) 1.51; 95% confidence interval (CI) 1.20–1.91), females compared to males (1.38; 1.09–1.75), single, divorced, separated, and widowed compared to married (1.29; 1.11–1.49), economically dependent compared to economically independent (1.54; 1.21–1.97), and smokers compared to non‐smokers (1.33; 1.16–1.52) and were lower in working compared to not working (0.51; 0.36–0.72).ConclusionThis systematic review and meta‐analysis provided a comprehensive picture of the problem by synthesizing the existing evidence on risk factors of multimorbidity among older adults in India. These synthesized sociodemographic and lifestyle factors should be taken into consideration when developing health interventions for addressing multimorbidity among older adults in India.

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Risk factors for falls among older adults in India: A systematic review and meta‐analysis

Cited by 7 publications

References 78 publications

The risk of falls among the aging population: A systematic review and meta-analysis

The risk of falls among the aging population: A systematic review and meta-analysis

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Risk factors of multimorbidity among older adults in India: A systematic review and meta‐analysis

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