PDF(Pubmed)
Abstract：
UNASSIGNED: Previous studies have suggested an association between falls and the presence of Multiple Long-Term Conditions (MLTC) or disabilities. However, there is limited understanding of how these factors independently or collectively contribute to the risk of falls and fear of falling among community-dwelling adults.
UNASSIGNED: This study examined the independent association between MLTC and the presence of disability with the risk of falls among community adults.
UNASSIGNED: A cross-sectional study included 324 adults (age ≥ 50). Demographic and clinical data included age, sex, body mass index (BMI), MLTC (≥ two chronic diseases) risk of fall (ie, history of fall in the previous 12-months, number of falls, and recurrent falls). The Barthel Index and Falls Efficacy Scale-International (FES-I) were used to assess disability and fear of fall, respectively.
UNASSIGNED: MLTC (Odds Ratio (OR) 2.50, 95% Confidence Interval (CI) [1.26, 4.95], p=0.009), and disability (OR 1.71, 95% CI [1.04, 2.79], p = 0.034) were independently associated with history of falls. MLTC (Incidence Rate Ratio (IRR) 2.87, 95% CI [1.93, 4.29], p < 0.001) and disability (IRR 1.86 95% CI [1.46, 2.36], p < 0.001) were independently associated with an increased number of falls. MLTC (OR 4.50, 95% CI [1.78, 11.36], p = 0.001) and disability (OR 2.82, 95% CI [1.58, 5.05], p < 0.001) were independently associated with recurrent falls. MLTC (B = 6.45, p < 0.001) and disability (B = 3.05, p = 0.025) were independently associated with increased fear of falling.
UNASSIGNED: This study indicated that both MLTC and disability are independently associated with falls, number of falls and fear of falling in this population.
UNASSIGNED: This study examined the independent association between MLTC and the presence of disability with the risk of falls among community adults.
UNASSIGNED: A cross-sectional study included 324 adults (age ≥ 50). Demographic and clinical data included age, sex, body mass index (BMI), MLTC (≥ two chronic diseases) risk of fall (ie, history of fall in the previous 12-months, number of falls, and recurrent falls). The Barthel Index and Falls Efficacy Scale-International (FES-I) were used to assess disability and fear of fall, respectively.
UNASSIGNED: MLTC (Odds Ratio (OR) 2.50, 95% Confidence Interval (CI) [1.26, 4.95], p=0.009), and disability (OR 1.71, 95% CI [1.04, 2.79], p = 0.034) were independently associated with history of falls. MLTC (Incidence Rate Ratio (IRR) 2.87, 95% CI [1.93, 4.29], p < 0.001) and disability (IRR 1.86 95% CI [1.46, 2.36], p < 0.001) were independently associated with an increased number of falls. MLTC (OR 4.50, 95% CI [1.78, 11.36], p = 0.001) and disability (OR 2.82, 95% CI [1.58, 5.05], p < 0.001) were independently associated with recurrent falls. MLTC (B = 6.45, p < 0.001) and disability (B = 3.05, p = 0.025) were independently associated with increased fear of falling.
UNASSIGNED: This study indicated that both MLTC and disability are independently associated with falls, number of falls and fear of falling in this population.
摘要：
■先前的研究表明跌倒与多种长期疾病（MLTC）或残疾之间存在关联。然而,对于这些因素如何独立或共同导致社区居住的成年人跌倒和跌倒恐惧的风险，了解有限。
本研究调查了社区成年人中MLTC与残疾和跌倒风险之间的独立关联。
■一项横断面研究包括324名成年人（年龄≥50岁）。人口统计学和临床数据包括年龄，性别,体重指数（BMI），MLTC（≥两种慢性疾病）跌倒风险（即，过去12个月下降的历史，跌倒次数,和反复跌倒)。Barthel指数和国际跌倒疗效量表（FES-I）用于评估残疾和对跌倒的恐惧，分别。
■MLTC（赔率比（OR）2.50，95％置信区间（CI）[1.26，4.95]，p=0.009),和残疾(OR1.71，95%CI[1.04，2.79]，p=0.034）与跌倒史独立相关。MLTC（发病率比率（IRR）2.87，95%CI[1.93，4.29]，p<0.001）和残疾（IRR1.8695%CI[1.46，2.36]，p<0.001）与跌倒次数增加独立相关。MLTC（OR4.50，95%CI[1.78，11.36]，p=0.001）和残疾（OR2.82，95%CI[1.58，5.05]，p<0.001）与反复跌倒独立相关。MLTC（B=6.45，p<0.001）和残疾（B=3.05，p=0.025）与跌倒恐惧增加独立相关。
■这项研究表明，MLTC和残疾都与跌倒独立相关，在这个群体中跌倒的次数和对跌倒的恐惧。
本研究调查了社区成年人中MLTC与残疾和跌倒风险之间的独立关联。
■一项横断面研究包括324名成年人（年龄≥50岁）。人口统计学和临床数据包括年龄，性别,体重指数（BMI），MLTC（≥两种慢性疾病）跌倒风险（即，过去12个月下降的历史，跌倒次数,和反复跌倒)。Barthel指数和国际跌倒疗效量表（FES-I）用于评估残疾和对跌倒的恐惧，分别。
■MLTC（赔率比（OR）2.50，95％置信区间（CI）[1.26，4.95]，p=0.009),和残疾(OR1.71，95%CI[1.04，2.79]，p=0.034）与跌倒史独立相关。MLTC（发病率比率（IRR）2.87，95%CI[1.93，4.29]，p<0.001）和残疾（IRR1.8695%CI[1.46，2.36]，p<0.001）与跌倒次数增加独立相关。MLTC（OR4.50，95%CI[1.78，11.36]，p=0.001）和残疾（OR2.82，95%CI[1.58，5.05]，p<0.001）与反复跌倒独立相关。MLTC（B=6.45，p<0.001）和残疾（B=3.05，p=0.025）与跌倒恐惧增加独立相关。
■这项研究表明，MLTC和残疾都与跌倒独立相关，在这个群体中跌倒的次数和对跌倒的恐惧。
