Underweight in Men had a Closer Relationship with Falls than Women in Centenarians

Zhang, Y.-J.; Fu, Shihui; Zhu, Qiao; Ning, Chaoxue; Luan, Fuxin; Zhang, F.; Zhao, Yali; Yao, Yao

doi:10.1007/s12603-020-1411-7

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…variables cannot be easily or properly measured in outpatient settings. For example, underweight, female sex, and impaired cognitive function were significantly associated with falls in previous reports (Kim et al, 2019;Zhang et al, 2020); however, the association was not significant among outpatients of this study. In addition, It should be note that FTSTS might be a potential measurement suitable for various clinical settings.…”

Section: F I G U R Econtrasting

confidence: 85%

Construction of an instrument to enable the assessment of the risk of falls in older outpatients: A quantitative methodological study

Wu,

Zhou,

Gao

et al. 2024

Journal of Advanced Nursing

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ObjectivesTo develop an instrument to facilitate the risk assessment of falls in older outpatients.DesignA quantitative methodological study using the cross‐sectional data.MethodsThis study enrolled 1988 older participants who underwent comprehensive geriatric assessment (CGA) in an outpatient clinic from May 2020 to November 2022. The history of any falls (≥1 falls in a year) and recurrent falls (≥2 falls in a year) were investigated. Potential risk factors of falls were selected by stepwise logistic regression, and a screening tool was constructed based on nomogram. The tool performance was compared with two reference tools (Fried Frailty Phenotype; CGA with 10 items, CGA‐10) by using receiver operating curves, sensitivity (Sen), specificity (Spe), and area under the curve (AUC).ResultsAge, unintentional weight loss, depression measured by the Patient Health Questionnaire‐2, muscle strength measured by the five times sit‐to‐stand test, and stand balance measured by semi‐ and full‐tandem standing were the most important risk factors for falls. A fall risk screening tool was constructed with the six measurements (FRST‐6). FRST‐6 showed the best AUC (Sen, Spe) of 0.75 (Sen = 0.72, Spe = 0.69) for recurrent falls and 0.65 (Sen = 0.74, Spe = 0.48) for any falls. FRST‐6 was comparable to CGA‐10 and outperformed FFP in performance.ConclusionsAge, depression, weight loss, gait, and balance were important risk factors of falls. The FRST‐6 tool based on these factors showed acceptable performance in risk stratification.ImpactPerforming a multifactorial assessment in primary care clinics is urgent for falls prevention. The FRST‐6 provides a simple and practical way for falls risk screening. With this tool, healthcare professionals can efficiently identify patients at risk of falling and make appropriate recommendations in resource‐limited settings.Patient or Public ContributionNo patient or public contribution was received, due to our study design.

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Section: F I G U R Econtrasting

confidence: 85%

Construction of an instrument to enable the assessment of the risk of falls in older outpatients: A quantitative methodological study

Wu,

Zhou,

Gao

et al. 2024

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…Centenarians had lower waist circumference, BMI, and prevalence of overweight and obesity, corresponding to other research on centenarians [35,36,57]. However, these features may result from lower energy intake and frailty [34,35].…”

Section: Discussionsupporting

confidence: 69%

“…Lipids of centenarians from diverse geographical regions have been investigated, and inconsistent results showed that plasma levels of total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and TG were either normal, lower, or not different than elderly controls [31][32][33]. Lower BMI was observed among centenarians, suggested as one of the keys for longevity, and may be due to their eating habits including low consumption of red meat and cholesterol [34][35][36]. With respect to centenarian offspring, they presented a lower prevalence of hypertension, dyslipidemia, and obesity in some studies, while other studies found no significant difference [37][38][39][40][41].…”

Section: Introductionmentioning

confidence: 99%

BMI, Blood Pressure, and Plasma Lipids among Centenarians and Their Offspring

Hai

Yao

Zhao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. The burden of cardiovascular diseases (CVDs) is increasing substantially due to population growth and aging. Determining effective prevention and understanding the underlying mechanisms remain desirable pursuits for increasing the quality of life. As centenarians and their offspring may have genetic advantages, they may present with healthier cardiovascular-related profiles. Methods. We launched a cross-sectional household-based survey of centenarian families, including 253 centenarians, 217 centenarian offspring, and 116 offspring spouses without centenarian parents from county-level Chinese longevity city Rugao. Among offspring and offspring spouses were the following arrangements: 101 paired offspring and offspring spouses who lived together, 116 unpaired offspring, and 16 unpaired spouses. We investigated their cardiovascular-related health status including waist circumference, body mass index (BMI), blood pressure, and plasma lipids and compared results among centenarians, centenarian offspring, and offspring spouses. Results. Centenarians ranged from 99 to 109 years with a median age of 100 years. Centenarian offspring, with a median age of 70 years, and offspring spouses, with a median age of 69 years, shared similar age. Results of blood pressure, plasma lipid levels, and BMI displayed no significant difference between centenarian offspring and offspring spouses. However, centenarians appeared to have lower waist circumference, BMI, TC, LDL-C, TG, and diastolic blood pressure but higher levels of systolic blood pressure ( p < 0.05 ). Multivariate analysis showed the prevalence of obesity, hypertension, and dyslipidemia was similar between centenarian offspring and offspring spouses, while centenarians appeared to have a lower prevalence of obesity and a higher prevalence of hypertension ( p < 0.05 ). Conclusions. Centenarians and centenarian offspring did not present healthier BMI, blood pressure, or plasma lipids than offspring spouses. Further research on longevity and cardiovascular diseases are desirable.

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Underweight in Men had a Closer Relationship with Falls than Women in Centenarians

Cited by 2 publications

References 29 publications

Construction of an instrument to enable the assessment of the risk of falls in older outpatients: A quantitative methodological study

Construction of an instrument to enable the assessment of the risk of falls in older outpatients: A quantitative methodological study

BMI, Blood Pressure, and Plasma Lipids among Centenarians and Their Offspring

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