PDF(Pubmed)
Abstract：
BACKGROUND: Falls are a common cause of fractures in older adults. This study aimed to investigate the factors associated with spontaneous falls among people aged ≥ 60 years in southern Iran.
METHODS: The baseline data of 2,426 samples from the second stage of the first phase of a prospective cohort, the Bushehr Elderly Health (BEH) program, were included in the analysis. A history of spontaneous falls in the year before recruitment was measured by self-report using a standardized questionnaire. Demographic characteristics, as well as a history of osteoarthritis, rheumatoid arthritis, low back pain, Alzheimer\'s disease, epilepsy, depression, and cancer, were measured using standardized questionnaires. A tandem gait (heel-to-toe) exam, as well as laboratory tests, were performed under standard conditions. A multiple logistic regression model was used in the analysis and fitted backwardly using the Hosmer and Lemeshow approach.
RESULTS: The mean (standard deviation) age of the participants was 69.34 (6.4) years, and 51.9% of the participants were women. A total of 260 (10.7%, 95% CI (9.5-12.0)%) participants reported a spontaneous fall in the year before recruitment. Adjusted for potential confounders, epilepsy (OR = 4.31), cancer (OR = 2.73), depression (OR = 1.81), low back pain (OR = 1.79), and osteoarthritis (OR = 1.49) increased the risk of falls in older adults, while the ability to stand ≥ 10 s in the tandem gait exam (OR = 0.49), being male (OR = 0.60), engaging in physical activity (OR = 0.69), and having high serum triglyceride levels (OR = 0.72) reduced the risk of falls.
CONCLUSIONS: The presence of underlying diseases, combined with other risk factors, is significantly associated with an increased risk of falls among older adults. Given the relatively high prevalence of falls in this population, it is crucial to pay special attention to identifying and addressing these risk factors.
METHODS: The baseline data of 2,426 samples from the second stage of the first phase of a prospective cohort, the Bushehr Elderly Health (BEH) program, were included in the analysis. A history of spontaneous falls in the year before recruitment was measured by self-report using a standardized questionnaire. Demographic characteristics, as well as a history of osteoarthritis, rheumatoid arthritis, low back pain, Alzheimer\'s disease, epilepsy, depression, and cancer, were measured using standardized questionnaires. A tandem gait (heel-to-toe) exam, as well as laboratory tests, were performed under standard conditions. A multiple logistic regression model was used in the analysis and fitted backwardly using the Hosmer and Lemeshow approach.
RESULTS: The mean (standard deviation) age of the participants was 69.34 (6.4) years, and 51.9% of the participants were women. A total of 260 (10.7%, 95% CI (9.5-12.0)%) participants reported a spontaneous fall in the year before recruitment. Adjusted for potential confounders, epilepsy (OR = 4.31), cancer (OR = 2.73), depression (OR = 1.81), low back pain (OR = 1.79), and osteoarthritis (OR = 1.49) increased the risk of falls in older adults, while the ability to stand ≥ 10 s in the tandem gait exam (OR = 0.49), being male (OR = 0.60), engaging in physical activity (OR = 0.69), and having high serum triglyceride levels (OR = 0.72) reduced the risk of falls.
CONCLUSIONS: The presence of underlying diseases, combined with other risk factors, is significantly associated with an increased risk of falls among older adults. Given the relatively high prevalence of falls in this population, it is crucial to pay special attention to identifying and addressing these risk factors.
摘要：
背景：跌倒是老年人骨折的常见原因。这项研究旨在调查与伊朗南部60岁以上人群自发性跌倒相关的因素。
方法：来自前瞻性队列第一阶段第二阶段的2,426个样本的基线数据，布什尔老年人健康（BEH）计划，包括在分析中。使用标准化问卷通过自我报告来衡量招募前一年的自发跌倒史。人口特征，以及骨关节炎的病史，类风湿性关节炎,腰痛,老年痴呆症,癫痫,抑郁症,和癌症，使用标准化问卷进行测量。串联步态（从脚跟到脚趾）检查，以及实验室测试，在标准条件下进行。在分析中使用了多元逻辑回归模型，并使用Hosmer和Lemeshow方法向后拟合。
结果：参与者的平均（标准差）年龄为69.34（6.4）岁，51.9%的参与者是女性。共260人(10.7%,95%CI(9.5-12.0)%)参与者在招募前一年报告自发下降。针对潜在的混杂因素进行了调整，癫痫（OR=4.31），癌症（OR=2.73），抑郁（OR=1.81），下背痛（OR=1.79），骨关节炎（OR=1.49）增加了老年人跌倒的风险，而在串联步态检查中站立≥10s的能力(OR=0.49)，男性（OR=0.60），从事体力活动（OR=0.69），高血清甘油三酯水平（OR=0.72）可降低跌倒风险。
结论：基础疾病的存在，与其他风险因素相结合，与老年人跌倒风险增加显著相关。鉴于该人群跌倒的患病率相对较高，特别注意识别和解决这些风险因素至关重要。
方法：来自前瞻性队列第一阶段第二阶段的2,426个样本的基线数据，布什尔老年人健康（BEH）计划，包括在分析中。使用标准化问卷通过自我报告来衡量招募前一年的自发跌倒史。人口特征，以及骨关节炎的病史，类风湿性关节炎,腰痛,老年痴呆症,癫痫,抑郁症,和癌症，使用标准化问卷进行测量。串联步态（从脚跟到脚趾）检查，以及实验室测试，在标准条件下进行。在分析中使用了多元逻辑回归模型，并使用Hosmer和Lemeshow方法向后拟合。
结果：参与者的平均（标准差）年龄为69.34（6.4）岁，51.9%的参与者是女性。共260人(10.7%,95%CI(9.5-12.0)%)参与者在招募前一年报告自发下降。针对潜在的混杂因素进行了调整，癫痫（OR=4.31），癌症（OR=2.73），抑郁（OR=1.81），下背痛（OR=1.79），骨关节炎（OR=1.49）增加了老年人跌倒的风险，而在串联步态检查中站立≥10s的能力(OR=0.49)，男性（OR=0.60），从事体力活动（OR=0.69），高血清甘油三酯水平（OR=0.72）可降低跌倒风险。
结论：基础疾病的存在，与其他风险因素相结合，与老年人跌倒风险增加显著相关。鉴于该人群跌倒的患病率相对较高，特别注意识别和解决这些风险因素至关重要。
