Low physical activity and depression are the prominent predictive factors for falling in older adults: the Birjand Longitudinal Aging Study (BLAS).
Aging
Depression
Fall risk factors
Incidence
Older adults
Physical activity
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
20 Nov 2023
20 Nov 2023
Historique:
received:
29
07
2023
accepted:
08
11
2023
medline:
22
11
2023
pubmed:
21
11
2023
entrez:
21
11
2023
Statut:
epublish
Résumé
Falling in the older adults has many irreparable consequences, including hospitalization to long-term care centers and loss of independence, depression and social isolation, financial burden, and death. The present study was conducted to estimate the incidence of falls and their associated factors among community-dwelling older adults. This program is a population-based prospective cohort study (≥ 60 years) in Birjand City from 2019 to 2020. A total of 1418 participants were included in the study, and 1344 participants were analyzed according to the inclusion criteria. Thirty-nine risk factors were evaluated. Basic information included demographic information, lifestyle factors, general health and medical history, and mental and functional health. The incidence of falls among community-dwelling older adults in the previous approximately 24 months in the present study was 9.26% in women and 2.65% in men. In the multiple Cox proportional regression model based on fall risk factors, there was a strong significant relationship between male sex (HR = 0.37, CI = 0.21 to 0.64), being physically active (HR = 0.59, CI = 0.36 to 0.96), moderate-to-severe depression (HR = 2.97, CI = 1.47 to 6.01), severe depression (HR = 3.26, CI = 1.24 to 8.54), and high risk of falls according to the TUG test (HR = 1.73, CI = 1.10 to 2.72). Inactivity and depression were recognized as important factors in falls in older adults. It is recommended for older adults to have an active lifestyle to prevent falls and to prioritize the diagnosis and treatment of depression in older adults. Women as a group at higher risk should be considered in prevention programs. In addition, the use of the TUG test to identify high-risk older adults should be considered.
Sections du résumé
BACKGROUND
BACKGROUND
Falling in the older adults has many irreparable consequences, including hospitalization to long-term care centers and loss of independence, depression and social isolation, financial burden, and death. The present study was conducted to estimate the incidence of falls and their associated factors among community-dwelling older adults.
METHODS
METHODS
This program is a population-based prospective cohort study (≥ 60 years) in Birjand City from 2019 to 2020. A total of 1418 participants were included in the study, and 1344 participants were analyzed according to the inclusion criteria. Thirty-nine risk factors were evaluated. Basic information included demographic information, lifestyle factors, general health and medical history, and mental and functional health.
RESULT
RESULTS
The incidence of falls among community-dwelling older adults in the previous approximately 24 months in the present study was 9.26% in women and 2.65% in men. In the multiple Cox proportional regression model based on fall risk factors, there was a strong significant relationship between male sex (HR = 0.37, CI = 0.21 to 0.64), being physically active (HR = 0.59, CI = 0.36 to 0.96), moderate-to-severe depression (HR = 2.97, CI = 1.47 to 6.01), severe depression (HR = 3.26, CI = 1.24 to 8.54), and high risk of falls according to the TUG test (HR = 1.73, CI = 1.10 to 2.72).
CONCLUSIONS
CONCLUSIONS
Inactivity and depression were recognized as important factors in falls in older adults. It is recommended for older adults to have an active lifestyle to prevent falls and to prioritize the diagnosis and treatment of depression in older adults. Women as a group at higher risk should be considered in prevention programs. In addition, the use of the TUG test to identify high-risk older adults should be considered.
Identifiants
pubmed: 37986050
doi: 10.1186/s12877-023-04469-x
pii: 10.1186/s12877-023-04469-x
pmc: PMC10662773
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
758Informations de copyright
© 2023. The Author(s).
Références
J Bone Miner Res. 2021 Apr;36(4):662-672
pubmed: 33278306
Geriatrics (Basel). 2023 Apr 18;8(2):
pubmed: 37102969
Curr Opin Cardiol. 2010 Sep;25(5):490-6
pubmed: 20625280
BMC Geriatr. 2022 Jan 14;22(1):54
pubmed: 35031004
J Am Geriatr Soc. 2018 Apr;66(4):693-698
pubmed: 29512120
BMJ Open. 2023 Mar 3;13(3):e057931
pubmed: 36868598
Int J Prev Med. 2019 Aug 01;10:130
pubmed: 31516671
BMJ. 2011 Sep 28;343:d5219
pubmed: 21957206
BMC Geriatr. 2022 Aug 22;22(1):695
pubmed: 35996101
J Nutr Health Aging. 2011 Dec;15(10):933-8
pubmed: 22159785
Biomed Res Int. 2017;2017:5146378
pubmed: 28459060
BMC Geriatr. 2022 Jul 25;22(1):615
pubmed: 35879666
Curr Osteoporos Rep. 2017 Apr;15(2):70-75
pubmed: 28181064
Free Radic Biol Med. 2013 Dec;65:380-401
pubmed: 23851032
J Gerontol A Biol Sci Med Sci. 2000 Apr;55(4):M221-31
pubmed: 10811152
Atherosclerosis. 2022 Nov;360:53-60
pubmed: 36049961
PM R. 2013 Jul;5(7):609-21
pubmed: 23880047
J Aging Phys Act. 2018 Oct 25;:1-10
pubmed: 29543113
BMC Geriatr. 2014 Feb 01;14:14
pubmed: 24484314
Md State Med J. 1965 Feb;14:61-5
pubmed: 14258950
Geriatr Nurs. 2020 Nov - Dec;41(6):747-753
pubmed: 32507370
J Orthop Surg Res. 2022 Jun 28;17(1):334
pubmed: 35765037
J Affect Disord. 2021 Feb 15;281:174-182
pubmed: 33321383
MMWR Morb Mortal Wkly Rep. 2016 Sep 23;65(37):993-998
pubmed: 27656914
J Clin Med. 2023 Jan 05;12(2):
pubmed: 36675379
Prim Care. 2023 Mar;50(1):143-158
pubmed: 36822724
Soc Sci Med. 2017 Apr;178:206-213
pubmed: 28279573
J Gerontol A Biol Sci Med Sci. 2021 Aug 13;76(9):e171-e178
pubmed: 33017840
Geriatr Nurs. 2018 Mar - Apr;39(2):162-169
pubmed: 28866316
Am J Geriatr Psychiatry. 2006 Feb;14(2):139-44
pubmed: 16473978
J Am Geriatr Soc. 2013 May;61(5):694-706
pubmed: 23617614
Cien Saude Colet. 2015 Mar;20(3):789-95
pubmed: 25760119
BMJ Open. 2017 Jun 30;7(6):e015827
pubmed: 28667220
Osteoporos Int. 2021 May;32(5):841-851
pubmed: 33231702
Gerontologist. 1969 Autumn;9(3):179-86
pubmed: 5349366
Am J Epidemiol. 2015 Apr 1;181(7):521-31
pubmed: 25700887
Front Nutr. 2021 Aug 04;8:633987
pubmed: 34422875
J Diabetes Metab Disord. 2020 Mar 05;19(1):551-559
pubmed: 32550207
Mayo Clin Proc. 2019 Dec;94(12):2415-2426
pubmed: 31477320
J Am Geriatr Soc. 2010 Jul;58(7):1299-310
pubmed: 20579169
Clin Geriatr Med. 2020 Nov;36(4):671-683
pubmed: 33010902
MMWR Morb Mortal Wkly Rep. 2018 May 11;67(18):509-514
pubmed: 29746456
J Prim Prev. 2012 Jun;33(2-3):137-52
pubmed: 22766606
Calcif Tissue Int. 2014 May;94(5):522-30
pubmed: 24458514
Rev Bras Fisioter. 2012 Apr;16(2):166-72
pubmed: 22378477
BMC Geriatr. 2022 Jun 10;22(1):498
pubmed: 35689187
Am J Geriatr Psychiatry. 2013 May;21(5):484-92
pubmed: 23570891
Public Health Nutr. 2010 Sep;13(9):1373-9
pubmed: 20188008
Nutrition. 1999 Feb;15(2):116-22
pubmed: 9990575
Prev Med. 2019 Sep;126:105737
pubmed: 31150739
J Geriatr Phys Ther. 2014 Jan-Mar;37(1):24-30
pubmed: 23619921
Environ Health Prev Med. 2018 Sep 5;23(1):42
pubmed: 30185143
Age Ageing. 2016 Nov;45(6):789-794
pubmed: 27496938
Aging Ment Health. 2022 Sep;26(9):1805-1812
pubmed: 35993919
Minerva Med. 2014 Aug;105(4):275-81
pubmed: 24867188
J Am Geriatr Soc. 2013 Feb;61(2):202-8
pubmed: 23350947
Arch Gerontol Geriatr. 2018 Nov - Dec;79:123-130
pubmed: 30205318
Trends Psychiatry Psychother. 2018;40(2):144-151
pubmed: 29995159
Sleep Breath. 2012 Mar;16(1):79-82
pubmed: 21614577
J Osteoporos. 2011;2011:702735
pubmed: 22007336
Age Ageing. 2003 May;32(3):315-20
pubmed: 12720619
Aging Clin Exp Res. 2018 Jan;30(1):1-16
pubmed: 28374345