Predictors of falls in older adults with and without dementia.
accidental falls
dementia
fall risk factors
living arrangement
vision impairment
Journal
Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
revised:
28
11
2022
received:
27
06
2022
accepted:
29
11
2022
pmc-release:
01
07
2024
medline:
27
7
2023
pubmed:
13
1
2023
entrez:
12
1
2023
Statut:
ppublish
Résumé
Persons living with, versus without, dementia (PLWD) have heightened fall-risk. Little is known about whether fall-risk factors differ by dementia status. Using the 2015 and 2016 National Health and Aging Trends Study, we prospectively identified fall-risk factors over a 12-month period among community-living older adults ≥65 years with and without dementia (n = 5581). Fall rates were higher among PLWD compared to persons without dementia (45.5% vs. 30.9%). In a multivariable model including sociodemographic, health, function, and environmental characteristics as predictors, vision impairment (OR: 2.22, 95% CI: 1.12-4.40), and living with a spouse versus alone (OR: 2.43, 95% CI: 1.09-5.43) predicted falls among PLWD, but not among persons without dementia. History of previous falls predicted subsequent falls regardless of dementia status (OR: 6.20, 95% CI: 3.81-10.09, and OR: 2.92, 95% CI: 2.50-3.40, respectively). Incorporating appropriate fall-risk factors could inform effective falls screening and prevention strategies for PLWD. 46% of persons with dementia had ≥1 falls versus 31% of those without dementia in 2016. Vision impairment and living with a spouse predicted falls in persons with dementia. Study results support tailored fall prevention strategies for persons with dementia.
Identifiants
pubmed: 36633222
doi: 10.1002/alz.12916
pmc: PMC10336176
mid: NIHMS1868486
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2888-2897Subventions
Organisme : NIMHD NIH HHS
ID : U54 MD000214
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG066576
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG066587
Pays : United States
Informations de copyright
© 2023 the Alzheimer's Association.
Références
Clin Geriatr Med. 2002 May;18(2):159-73
pubmed: 12180241
BMJ Open. 2021 Oct 6;11(10):e045186
pubmed: 34615672
Am J Public Health. 2014 Sep;104(9):e30-7
pubmed: 25033118
Age Ageing. 2014 May;43(3):326-33
pubmed: 24610863
Intern Med. 2005 Jul;44(7):717-21
pubmed: 16093593
BMC Geriatr. 2019 Dec 2;19(1):338
pubmed: 31791252
J Am Geriatr Soc. 2005 Mar;53(3):501-10
pubmed: 15743297
Epidemiology. 2010 Sep;21(5):658-68
pubmed: 20585256
Age Ageing. 2008 Jan;37(1):19-24
pubmed: 18194967
Age Ageing. 2021 Sep 11;50(5):1578-1585
pubmed: 33765121
PLoS One. 2009;4(5):e5521
pubmed: 19436724
BMC Geriatr. 2020 May 6;20(1):156
pubmed: 32370792
Glob Health Action. 2018;11(1):1478686
pubmed: 30099937
J Gerontol A Biol Sci Med Sci. 2021 Sep 13;76(10):1821-1828
pubmed: 33537735
PLoS One. 2016 May 04;11(5):e0153516
pubmed: 27144919
Alzheimers Dement. 2013 Jan;9(1):30-8
pubmed: 23305822
Alzheimers Dement. 2020 Mar 10;:
pubmed: 32157811
J Aging Health. 2021 Oct;33(9):721-731
pubmed: 33877940
JAMA Ophthalmol. 2020 Jul 1;138(7):756-763
pubmed: 32407444
Clin Geriatr Med. 2002 May;18(2):141-58
pubmed: 12180240
Int J Geriatr Psychiatry. 2000 Oct;15(10):883-6
pubmed: 11044868
Int Psychogeriatr. 1999 Sep;11(3):235-50
pubmed: 10547124
Age Ageing. 1996 Jan;25(1):22-8
pubmed: 8670525
Clin Nurs Res. 2004 May;13(2):98-110, discussion 111-6
pubmed: 15104853
Health Serv Res. 2013 Apr;48(2 Pt 1):539-59
pubmed: 22816561
Neurology. 2005 Aug 23;65(4):559-64
pubmed: 16116116
J Psychosom Res. 2005 Feb;58(2):163-71
pubmed: 15820844
J Alzheimers Dis. 2020;78(3):1207-1216
pubmed: 33104029
Clin Rehabil. 2006 Apr;20(4):331-9
pubmed: 16719031
J Am Geriatr Soc. 2018 Apr;66(4):693-698
pubmed: 29512120
JAMA Netw Open. 2021 Mar 1;4(3):e211558
pubmed: 33739429
BMJ. 2003 Jan 11;326(7380):73
pubmed: 12521968
Int J Geriatr Psychiatry. 2012 Jan;27(1):76-82
pubmed: 21360591
J Gerontol A Biol Sci Med Sci. 2014 Aug;69(8):987-95
pubmed: 24149433
Ann Intern Med. 2014 Dec 2;161(11):765-74
pubmed: 25437404
J Am Geriatr Soc. 2019 Sep;67(9):1970-1976
pubmed: 31211407
J Gerontol. 1994 May;49(3):M97-108
pubmed: 8169338
J Gerontol A Biol Sci Med Sci. 2009 Nov;64(11):1172-4; discussion 1175-6
pubmed: 19617529
BMJ Open. 2018 Jan 26;8(1):e019451
pubmed: 29374673
Soc Sci Med. 2015 Mar;128:67-75
pubmed: 25594954
Alzheimers Dement (N Y). 2020 Jun 14;6(1):e12039
pubmed: 32548238
J Transcult Nurs. 2006 Jan;17(1):65-73
pubmed: 16410438
Physiother Can. 2017;69(2):161-170
pubmed: 28539696
Dement Geriatr Cogn Disord. 2010;30(1):33-8
pubmed: 20689280
J Am Geriatr Soc. 2011 Jan;59(1):148-57
pubmed: 21226685
N Engl J Med. 1995 Mar 2;332(9):556-61
pubmed: 7838189