Risk Factors for Injurious Falls in Older Adults: The Role of Sex and Length of Follow‐Up

Ek, Stina; Rizzuto, Debora; Fratiglioni, Laura; Calderón‐Larrañaga, Amaia; Johnell, Kristina; Sjöberg, Linnea; Xu, Weili; Welmer, Anna‐Karin

doi:10.1111/jgs.15657

Cited by 70 publications

(77 citation statements)

References 50 publications

(113 reference statements)

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“…Previous studies, including our research, suggest that men and women may differ in terms of risk factors for falls [8][9][10]. However, only a few studies have investigated whether recovery of functional status differs between men and women who survive a fall-injury hospitalization, and with inconsistent results [7,[11][12][13].…”

Section: Introductionmentioning

confidence: 97%

Predictors for functional decline after an injurious fall: a population-based cohort study

Rizzuto

et al. 2020

Aging Clin Exp Res

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Background The functional consequences of injurious falls are well known. However, studies of the factors that can modify trajectories of disability after an injury from a fall are scarce. Aims We aimed to investigate whether sociodemographic and health-related factors may impact this association. Methods The study population consisted of 1426 community-dwelling older adults (≥ 60 years) from the SNAC-K cohort study in Stockholm, Sweden. Functional status over 12 years of follow-up was assessed using the number of limitations in basic and instrumental activities of daily living. Sex, cohabitation status, physical activity, and self-rated health were assessed at baseline. Injurious falls were defined as falls requiring healthcare and were assessed over 3 years starting at baseline. Data were analyzed using linear-mixed effects models. Results The fastest increase in the number of disabilities was observed in those who had endured an injurious fall and were living alone (β coefficient = 0.408; p < 0.001), been physically inactive (β coefficient = 0.587; p < 0.001), and had poor self-rated health (β coefficient = 0.514; p < 0.001). The negative impact of these factors was more pronounced among fallers compared to non-fallers. Discussion Living alone, being physically inactive, and having poor self-rated health magnifies the negative effect of an injurious fall on functional status. Among individuals who endure an injurious fall, the heterogeneity in long-term functional status is substantial, depending on the individuals’ characteristics and behaviors. Conclusions These findings emphasize the need for a person-centered approach in care provision and can guide secondary prevention within health care.

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Section: Introductionmentioning

confidence: 97%

Predictors for functional decline after an injurious fall: a population-based cohort study

Rizzuto

et al. 2020

Aging Clin Exp Res

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“…Risk factors for falls include impairment in sensory, muscle function and cognition, speci c diseases and medication use (Ek et al, 2019). Factors like gait, balance and muscle strength all have been associated with risk of fall (Tinetti & Kumar, 2010).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with history of Fall among Elderly people in Southern West Bank

Natour

Jaradat

Badrasawi

2020

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Background Elderly men and women have higher risk of fall due to various factors including malnutrition, decreased muscle mass, decreased functional capacity, cognitive impairment and depression. Among Palestinian older adults fall history yet to be studied in term of prevalence and correlates. Objective The primary objective of this study is to determine the prevalence of fall and the differences in fallers and non-fallers among a group of Palestinian elderly living in rural areas in Southern West Bank region of Hebron. Methods The study included 142 participants from two villages: Se'ar and Bani Na'em , Hebron governance. Demographic variables and fall history was collected by a pre-tested structured questionnaire. Anthropometric measurement were used to assess nutritional status; physical function was assessed by activity of daily living and instrumental activity of daily living, level of fitness was assessed using senior fitness test. Geriatric scale for depression was used to assess depression and Montreal cognitive assessment test was used to evaluate mild cognitive impairment. Results : 51.7% of study participants were females, the mean age 69.5± 5.7 years old. Positive fall history was present among 11.7% mostly females. Significant relationship with fall was found with larger waist and hip circumference, cognitive impairment, higher level of dependency and slower performance in time up and go (TUG) p<0.05. Conclusion Fall history has considerable prevalence among the study sample and it is correlated with nutritional status, cognitive and physical function. The findings of the study recommend educational and intervention programs to enhance the nutritional status, physical fitness and cognitive function among Palestinian elderly. Further research are needed to determine the risk factors of fall utilizing longitudinal study design and intervention studies to optimize intervention model to enhance the health status and decrease the risk of fall.

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“…When we look at the relationship between postural balance and falls, posturographic vestibular rehabilitation has been reported to improve balance in elderly individuals and to reduce the number of falls [33]. Impaired balance has been reported as one of the long term risk factors for falls in men [34]. In another study, participants were classified into the non-fall group, one-time fall group, and repeated fall group.…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Balance Disorders with Falling, the Effect of Health Problems, and Social Life on Postural Balance in the Elderly Living in a District in Turkey

Değer¹,

Saraç

Savaş

et al. 2019

Geriatrics

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The aim of this study was to determine the prevalence of balance disorders; the effects of sociodemographic, medical, and social conditions on postural balance; and the relationship between balance and falls in elderly individuals. The study design was cross-sectional. A total of 607 community-dwelling elderly individuals with a mean age of 73.99 ± 6.6 years were enrolled after being selected by stratified random sampling. The study was performed as a face-to-face survey in the homes of elderly individuals. Sociodemographic and medical data were obtained from elderly individuals using the Elderly Identification Form. Balance disorders were determined using the Berg Balance Scale (BBS). In this study, the prevalence of balance disorders was found to be 34.3% in the community-dwelling elderly. Older age, physical disability, having four or more chronic illnesses, the presence of incontinence, having a history of falls, not walking regularly, absence of free time activity, and obesity were found to be associated with an increased prevalence of balance disorders. Balance disorders are commonly seen in the elderly and may be triggered by a variety of biological and social factors. It is crucial to develop and implement national health and social policies to eliminate the causes of this problem, as well as to prioritize preventive health services in the ever-increasing elderly population.

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Risk Factors for Injurious Falls in Older Adults: The Role of Sex and Length of Follow‐Up

Cited by 70 publications

References 50 publications

Predictors for functional decline after an injurious fall: a population-based cohort study

Predictors for functional decline after an injurious fall: a population-based cohort study

Factors Associated with history of Fall among Elderly people in Southern West Bank

The Relationship of Balance Disorders with Falling, the Effect of Health Problems, and Social Life on Postural Balance in the Elderly Living in a District in Turkey

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