Visual Impairment and Falls in the Elderly: The Shihpai Eye Study

Kuang, Tung-Mei; Tsai, Shang‐Ying; Hsu, Wen-Ming; Cheng, Ching‐Yu; Liu, Jianghong; Chou, Pesus

doi:10.1016/s1726-4901(08)70150-3

Cited by 34 publications

(34 citation statements)

References 24 publications

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“…Older age[15]–[16], female gender[16]–[17], and poorer visual acuity[18]–[19] were noted as risk factors for falling in previous studies. One study showed that falls were significantly associated with poor visual acuity and higher waist-to-hip ratio [19]. Waist circumference, the indicator of central obesity, is a novel associated factor for falls.…”

Section: Discussionmentioning

confidence: 78%

Associated Factors for Falls among the Community-Dwelling Older People Assessed by Annual Geriatric Health Examinations

Lin

Liao

et al. 2011

PLoS ONE

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BackgroundFalls are very common among the older people. Nearly one-third older people living in a community fall each year. However, few studies have examined factors associated with falls in a community-dwelling population of older Taiwanese adults.ObjectivesTo identify the associated factors for falls during the previous 12 months among the community-dwelling Taiwanese older people receiving annual geriatric health examinations.ParticipantsPeople aged sixty-five years or older, living in the community, assessed by annual geriatric health examinationsMethods1377 community-dwellers aged ≥65 years who received annual geriatric health examinations at one hospital in northern Taiwan between March and November of 2008. They were asked about their history of falls during the year prior to their most recent health examination.ResultsThe average age of the 1377 participants was 74.9±6.8 years, 48.9% of which were women. Three-hundred and thirteen of the participants (22.7%) had at least one fall during the previous year. Multivariate analysis showed that odds ratio for the risk of falling was 1.94 (95% CI 1.36-2.76) when the female gender group is compared with the male gender group. The adjusted odds ratios of age and waist circumference were 1.03 (95% CI 1.00–1.06) and 1.03 (95% CI 1.01–1.05) respectively. The adjusted odds ratios of visual acuity, Karnofsky scale, and serum albumin level were 0.34 (95% CI 0.15–0.76), 0.94 (95% CI 0.89–0.98), and 0.37 (95% CI 0.18–0.76) respectively. Larger waist circumference, older age, female gender, poorer visual acuity, lower score on the Karnofsky Performance Scale, and lower serum albumin level were the independent associated factors for falls.ConclusionIn addition to other associated factors, waist circumference should be included as a novel risk factor for falls.

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Section: Discussionmentioning

confidence: 78%

Associated Factors for Falls among the Community-Dwelling Older People Assessed by Annual Geriatric Health Examinations

Lin

Liao

et al. 2011

PLoS ONE

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“…, 1997). The waist‐to‐hip ratio also has been found to be related significantly to falls (Kuang et al. , 2008) because adipose tissue accumulation and body mass increases can cause a worsening of the balance (Greve et al.…”

Section: Discussionmentioning

confidence: 99%

Predictive validity of a modified fall assessment tool in nursing homes: Experience from Slovenia

Jakovljević

2009

Nursing & Health Sciences

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The aim of the study was to evaluate the predictive validity of the Modified Fall Assessment Tool (MFAT) in a nursing home setting. The study involved 83 residents from a nursing home in Slovenia with an average age of 81 years. To determine the predictive characteristics of the MFAT, a receiver operating characteristic curve analysis was applied. During the observation period of 12 weeks, 18 residents fell. The fallers had a significantly higher history of falls, a higher number of diagnoses, more medication, and a higher MFAT score than the non-fallers. Using the estimated criterion of 20 points, the sensitivity of the MFAT score was 61%, its specificity was 80%, its classification accuracy was 64%, its positive likelihood ratio was 3.1, its negative likelihood ratio was 0.5, its positive predictive value was 46%, and its negative predictive value was 88%. The results showed that the MFAT is suitable for the prediction of falls and, hence, also the prevention of falls in nursing homes, whereby the recommended criterion score is 20 points.

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“…Previous studies support that the female gender was a risk factor of falling in elder people. The other factors were the older age and the poor visual acuity that present in elderly women 8 .…”

Section: Differences Of Sexmentioning

confidence: 99%

“…In obesity, the circumference of waist reveals the existence of central obesity and has a major independent role as a fall-related indicator 8 . The existence of central obesity predisposes the development of metabolic syndrome, and at the same time affects the stability of body center and the incidence of fall-related injuries 10 .…”

Section: Obesity and Falling Incidentmentioning

confidence: 99%

Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

Sotiriadi-Vlachou¹

2017

JFSF

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Visual Impairment and Falls in the Elderly: The Shihpai Eye Study

Abstract: Falls were significantly associated with a best-corrected Snellen visual acuity of less than 6/12.

Cited by 34 publications

References 24 publications

Associated Factors for Falls among the Community-Dwelling Older People Assessed by Annual Geriatric Health Examinations

Associated Factors for Falls among the Community-Dwelling Older People Assessed by Annual Geriatric Health Examinations

Predictive validity of a modified fall assessment tool in nursing homes: Experience from Slovenia

Obesity and its relationship with falls, fracture site and bone mineral density in postmenopausal women

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