{Reference Type}: Journal Article
{Title}: Multiple Long-Term Conditions and Disability are Independently Associated with Higher Risk of Fall Among Community Adults: a Cross-Sectional Study.
{Author}: Alenazi AM;Alhwoaimel NA;Alqahtani BA;Alshehri MM;Alhowimel AS;Khunti K;Alghamdi MS;
{Journal}: Risk Manag Healthc Policy
{Volume}: 17
{Issue}: 0
{Year}: 2024
{Factor}: 2.853
{DOI}: 10.2147/RMHP.S463570
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>This study examined the independent association between MLTC and the presence of disability with the risk of falls among community adults.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>This study indicated that both MLTC and disability are independently associated with falls, number of falls and fear of falling in this population.