Incidence and multidimensional predictors of occasional and recurrent falls among Malaysian community-dwelling older persons.
Depression
Falls
Hemoglobin
Incidence
Muscle strength
Older persons
Predictors
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
02 03 2021
02 03 2021
Historique:
received:
24
09
2020
accepted:
22
02
2021
entrez:
3
3
2021
pubmed:
4
3
2021
medline:
27
4
2021
Statut:
epublish
Résumé
Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. In this study, we aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls. This was done in the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Data from 1,763 Malaysian community-dwelling older persons aged ≥ 60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Three hundred and nine (17.53 %) participants reported fall occurrences at an 18-month follow-up, of whom 85 (27.51 %) had two or more falls. The incidence rate for occasional and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being female (OR: 1.57; 95 % CI: 1.04-2.36), being single (OR: 5.31; 95 % CI: 3.36-37.48), having history of fall (OR: 1.86; 95 % CI: 1.19-2.92) higher depression scale score (OR: 1.10; 95 % CI: 1.02-1.20), lower hemoglobin levels (OR: 0.90; 95 % CI: 0.81-1.00) and lower chair stand test score (OR: 0.93; 95 % CI: 0.87-1.00) remained independent predictors of occasional falls. While, having history of falls (OR: 2.74; 95 % CI: 1.45-5.19), being a stroke survivor (OR: 8.57; 95 % CI: 2.12-34.65), higher percentage of body fat (OR: 1.04; 95 % CI: 1.01-1.08) and lower chair stand test score (OR: 0.87; 95 % CI: 0.77-0.97) appeared as recurrent falls predictors. Having history of falls and lower muscle strength were predictors for both occasional and recurrent falls among Malaysian community-dwelling older persons. Modifying these predictors may be beneficial in falls prevention and management strategies among older persons.
Sections du résumé
BACKGROUND
Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. In this study, we aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls. This was done in the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians.
METHODS
Data from 1,763 Malaysian community-dwelling older persons aged ≥ 60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up.
RESULTS
Three hundred and nine (17.53 %) participants reported fall occurrences at an 18-month follow-up, of whom 85 (27.51 %) had two or more falls. The incidence rate for occasional and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being female (OR: 1.57; 95 % CI: 1.04-2.36), being single (OR: 5.31; 95 % CI: 3.36-37.48), having history of fall (OR: 1.86; 95 % CI: 1.19-2.92) higher depression scale score (OR: 1.10; 95 % CI: 1.02-1.20), lower hemoglobin levels (OR: 0.90; 95 % CI: 0.81-1.00) and lower chair stand test score (OR: 0.93; 95 % CI: 0.87-1.00) remained independent predictors of occasional falls. While, having history of falls (OR: 2.74; 95 % CI: 1.45-5.19), being a stroke survivor (OR: 8.57; 95 % CI: 2.12-34.65), higher percentage of body fat (OR: 1.04; 95 % CI: 1.01-1.08) and lower chair stand test score (OR: 0.87; 95 % CI: 0.77-0.97) appeared as recurrent falls predictors.
CONCLUSIONS
Having history of falls and lower muscle strength were predictors for both occasional and recurrent falls among Malaysian community-dwelling older persons. Modifying these predictors may be beneficial in falls prevention and management strategies among older persons.
Identifiants
pubmed: 33653312
doi: 10.1186/s12877-021-02103-2
pii: 10.1186/s12877-021-02103-2
pmc: PMC7927222
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
154Subventions
Organisme : Ministry of Education Malaysia
ID : LRGS/BU/2012/UKM-UKM/K/01
Références
Ann Pharmacother. 2016 Jul;50(7):525-33
pubmed: 27066988
J Geriatr Phys Ther. 2017 Oct/Dec;40(4):197-203
pubmed: 27341323
Braz J Phys Ther. 2014 Mar-Apr;18(2):111-8
pubmed: 24760166
Malays Fam Physician. 2016 Apr 30;11(1):7-14
pubmed: 28461842
Aging Clin Exp Res. 2016 Dec;28(6):1089-1104
pubmed: 26670602
J Multidiscip Healthc. 2017 Oct 26;10:409-416
pubmed: 29138571
J Am Geriatr Soc. 2004 Jul;52(7):1121-9
pubmed: 15209650
Top Stroke Rehabil. 2018 May;25(4):256-260
pubmed: 29493399
Curr Gerontol Geriatr Res. 2012;2012:864516
pubmed: 23304137
Geriatrics (Basel). 2016 Nov 30;1(4):
pubmed: 31022824
PLoS One. 2017 Oct 3;12(10):e0185641
pubmed: 28972994
Compr Psychiatry. 2014 Jan;55 Suppl 1:S70-5
pubmed: 24314103
Biomed Res Int. 2017;2017:5146378
pubmed: 28459060
Nurs Older People. 2018 Mar 23;30(3):20-24
pubmed: 29569861
PLoS One. 2017 May 2;12(5):e0176946
pubmed: 28464024
JAMA. 2010 Jan 20;303(3):258-66
pubmed: 20085954
Inj Prev. 2020 Oct;26(Supp 1):i3-i11
pubmed: 31941758
Z Gerontol Geriatr. 2009 Feb;42(1):3-10
pubmed: 18327690
Maturitas. 2012 Dec;73(4):295-9
pubmed: 23007006
Dement Geriatr Cogn Disord. 2009;27(3):247-53
pubmed: 19246909
Stroke. 2002 Feb;33(2):542-7
pubmed: 11823667
Acta Ortop Bras. 2015 May-Jun;23(3):158-61
pubmed: 26207095
PLoS One. 2018 Feb 20;13(2):e0192926
pubmed: 29462159
Am J Occup Ther. 2015 May-Jun;69(3):6903350020
pubmed: 25871606
Curr Gerontol Geriatr Res. 2011;2011:673181
pubmed: 21969827
Am J Phys Med Rehabil. 2018 Jun;97(6):426-432
pubmed: 29300193
J Am Geriatr Soc. 2018 Apr;66(4):693-698
pubmed: 29512120
Int J Geriatr Psychiatry. 2018 Feb;33(2):e205-e211
pubmed: 28766755
Biomed Res Int. 2018 Dec 5;2018:7856823
pubmed: 30627571
Tohoku J Exp Med. 2013;230(4):233-9
pubmed: 23933665
Maturitas. 2015 Feb;80(2):126-32
pubmed: 25533145
Exp Gerontol. 2018 Jul 15;108:106-111
pubmed: 29653157
Medicine (Baltimore). 2016 Mar;95(12):e3130
pubmed: 27015190
J Gerontol A Biol Sci Med Sci. 2013 Dec;68(12):1575-81
pubmed: 23817088
Mov Disord. 2013 Sep 15;28(11):1483-91
pubmed: 24132836
Geriatr Gerontol Int. 2019 Aug;19(8):798-803
pubmed: 31237103
PLoS One. 2018 Jan 17;13(1):e0190645
pubmed: 29342196
Obesity (Silver Spring). 2014 Jun;22(6):1568-74
pubmed: 24585708
J Am Geriatr Soc. 2005 Dec;53(12):2106-11
pubmed: 16398894
Maturitas. 2013 May;75(1):51-61
pubmed: 23523272
BMC Geriatr. 2018 May 16;18(1):117
pubmed: 29769023