التفاصيل البيبلوغرافية
| العنوان: |
Leisure-Time Physical Activity, Falls, and Fall Injuries in Middle-Aged Adults. |
| المؤلفون: |
Caban-Martinez, Alberto J.1,2,3, Courtney, Theodore K.1,2, Chang, Wen-Ruey4, Lombardi, David A.1,2, Huang, Yueng-Hsiang5, Brennan, Melanye J.1, Perry, Melissa J.6, Katz, Jeffrey N.2,3, Christiani, David C.2, Verma, Santosh K.1,7 santosh.verma@libertymutual.com |
| المصدر: |
American Journal of Preventive Medicine. Dec2015, Vol. 49 Issue 6, p888-901. 14p. |
| مصطلحات موضوعية: |
*PREVENTION of falls in old age, *PHYSICAL activity, *LEISURE, *SELF-evaluation, *HEALTH surveys, *SOCIODEMOGRAPHIC factors, *DATA analysis, *ACCIDENTAL falls, *PUBLIC health surveillance, *RISK assessment, *WOUNDS & injuries |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Introduction: Although exercise and strength training have been shown to be protective against falls in older adults (aged 65 years and older), evidence for the role of leisure-time physical activity (LTPA) in the prevention of falls and resulting injuries in middle-aged adults (aged 45-64 years) is lacking. In the present study, we investigate the association between self-reported engagement in LTPA and the frequency of falls and fall-related injuries among middle-aged and older adults, while controlling for key sociodemographic and health characteristics.Methods: Nationally representative data from the 2010 U.S. Behavioral Risk Factor Surveillance Survey were analyzed in April 2014 to examine the number of adults aged ≥45 years who self-reported their fall experience in the previous 3 months and any injuries that resulted from those falls. We then evaluated the association between LTPA and self-reported falls and injuries across three age strata (45-54, 55-64, and ≥65 years). The two main self-reported outcome measures were (1) frequency of falls in the 3 months prior to the survey interview date and (2) the number of injuries resulting from these falls. Prevalence ratios (PRs) and 95% CIs were calculated using Poisson regression models with robust SEs.Results: Of 340,680 survey participants aged ≥45 years, 70.7% reported engaging in LTPA, and 17% reported one or more falls. Among those reporting a fall within 3 months, 25.6% experienced one injurious fall (fall resulting in an injury) and 8.4% reported two or more injurious falls. Controlling for sociodemographic and health characteristics, among adults aged 45-54 years, those who engaged in LTPA were significantly less likely to report one fall (PR=0.90, 95% CI=0.81, 0.99); two or more falls (PR=0.84, 95% CI=0.77, 0.93); one injurious fall (PR=0.88, 95% CI=0.78, 0.99); and two or more injurious falls (PR=0.69, 95% CI=0.58, 0.83) than those who did not exercise. A similar protective effect of LTPA on reporting falls and injuries was noted for adults aged 55-64 and ≥65 years.Conclusions: Similar to older adults, middle-aged adults who engage in LTPA report fewer falls and fall-related injuries. Upon further confirmation of the relationship between LTPA and falls among middle-aged adults, fall prevention interventions could be developed for this population. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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