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.
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。