[Factors associated with falls in older adults in chile. Analysis of the National Health Survey 2009-2010].

Factores asociados a caídas en adultos mayores chilenos: evidencia de la Encuesta Nacional de Salud 2009-2010.

Journal

Revista medica de Chile
ISSN: 0717-6163
Titre abrégé: Rev Med Chil
Pays: Chile
ID NLM: 0404312

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 06 10 2018
accepted: 08 08 2019
entrez: 21 12 2019
pubmed: 21 12 2019
medline: 23 2 2020
Statut: ppublish

Résumé

A decrease in functional capacity due to ageing is one of the main risk factors for falls in older people. To investigate factors associated with falls in Chilean older adults. We analyzed the self-reports of falls of 1,334 people aged ≥ 60 years who answered the National Health Survey 2009-2010. Falls during the last 12 months were recorded. Lifestyle, socio-demographic and health status were analyzed. A Poisson regression with robust variance estimates was performed to identify factors associated with falls. Falls during the preceding year were reported by 37% of respondents (95% confidence intervals (CI): 32-42]. Fall frequency was higher in women (Prevalence ratio (PR):1.30 [95% CI:1.11; 1.53], p < 0.01) and those aged ≥ 75 years (PR:1.29 [95% CI:1.04; 1.61], p = 0.02). Hearing impairment (PR: 1.31 [95% CI: 1.07; 1.61], p < 0.01), impaired vision (PR:1.46 [95% CI:1.20; 1.77], p < 0.01), low self-reported wellbeing (PR: 1.41 [95% CI: 1.03; 1.94], p = 0.03) and disability (PR: 1.54 [95% CI:1.32; 1.79], p < 0.01) were associated with falls. However, multimorbidity (having ≥ 3 diseases) was negatively associated with falls (PR: 0.79 [95% CI: 0.63; 0.99], p = 0.04). Among older people, female sex, being aged > 75 years and having disability, hearing or vision impairment are risk factors for falls.

Sections du résumé

BACKGROUND BACKGROUND
A decrease in functional capacity due to ageing is one of the main risk factors for falls in older people.
AIM OBJECTIVE
To investigate factors associated with falls in Chilean older adults.
MATERIAL AND METHODS METHODS
We analyzed the self-reports of falls of 1,334 people aged ≥ 60 years who answered the National Health Survey 2009-2010. Falls during the last 12 months were recorded. Lifestyle, socio-demographic and health status were analyzed. A Poisson regression with robust variance estimates was performed to identify factors associated with falls.
RESULTS RESULTS
Falls during the preceding year were reported by 37% of respondents (95% confidence intervals (CI): 32-42]. Fall frequency was higher in women (Prevalence ratio (PR):1.30 [95% CI:1.11; 1.53], p < 0.01) and those aged ≥ 75 years (PR:1.29 [95% CI:1.04; 1.61], p = 0.02). Hearing impairment (PR: 1.31 [95% CI: 1.07; 1.61], p < 0.01), impaired vision (PR:1.46 [95% CI:1.20; 1.77], p < 0.01), low self-reported wellbeing (PR: 1.41 [95% CI: 1.03; 1.94], p = 0.03) and disability (PR: 1.54 [95% CI:1.32; 1.79], p < 0.01) were associated with falls. However, multimorbidity (having ≥ 3 diseases) was negatively associated with falls (PR: 0.79 [95% CI: 0.63; 0.99], p = 0.04).
CONCLUSIONS CONCLUSIONS
Among older people, female sex, being aged > 75 years and having disability, hearing or vision impairment are risk factors for falls.

Identifiants

pubmed: 31859986
pii: S0034-98872019000700877
doi: 10.4067/S0034-98872019000700877
pii:
doi:

Types de publication

Journal Article

Langues

spa

Sous-ensembles de citation

IM

Pagination

877-886

Auteurs

Ana María Leiva (AM)

Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.

Claudia Troncoso-Pantoja (C)

Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.

María Adela Martínez-Sanguinetti (MA)

Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile.

Fanny Petermann-Rocha (F)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.

Felipe Poblete-Valderrama (F)

Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Sede Valdivia, Chile.

Igor Cigarroa-Cuevas (I)

Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, sede Los Ángeles, Chile.

Carlos Celis-Morales (C)

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom.

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Classifications MeSH