Incidence and multidimensional predictors of occasional and recurrent falls among Malaysian community‐dwelling older persons
| العنوان: | Incidence and multidimensional predictors of occasional and recurrent falls among Malaysian community‐dwelling older persons |
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| المؤلفون: | Razinah Sharif, Theng Choon Ooi, Nor Fadilah Rajab, Maw Pin Tan, Divya Vanoh, Suzana Shahar, Devinder Kaur Ajit Singh |
| المصدر: | BMC Geriatrics, Vol 21, Iss 1, Pp 1-10 (2021) BMC Geriatrics |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Longitudinal study, Depression scale, medicine.medical_treatment, Large population, Recurrent falls, lcsh:Geriatrics, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Medicine, Humans, 030212 general & internal medicine, Longitudinal Studies, Hemoglobin, Depression (differential diagnoses), Aged, Aged, 80 and over, Rehabilitation, business.industry, Predictors, Depression, Muscle strength, Incidence (epidemiology), Incidence, Stroke, lcsh:RC952-954.6, Older persons, Accidental Falls, Female, Falls, Independent Living, Geriatrics and Gerontology, business, 030217 neurology & neurosurgery, Demography, Research Article |
| الوصف: | Background Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. In this study, we aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls. This was done in the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Methods Data from 1,763 Malaysian community-dwelling older persons aged ≥ 60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Results Three hundred and nine (17.53 %) participants reported fall occurrences at an 18-month follow-up, of whom 85 (27.51 %) had two or more falls. The incidence rate for occasional and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being female (OR: 1.57; 95 % CI: 1.04–2.36), being single (OR: 5.31; 95 % CI: 3.36–37.48), having history of fall (OR: 1.86; 95 % CI: 1.19–2.92) higher depression scale score (OR: 1.10; 95 % CI: 1.02–1.20), lower hemoglobin levels (OR: 0.90; 95 % CI: 0.81-1.00) and lower chair stand test score (OR: 0.93; 95 % CI: 0.87-1.00) remained independent predictors of occasional falls. While, having history of falls (OR: 2.74; 95 % CI: 1.45–5.19), being a stroke survivor (OR: 8.57; 95 % CI: 2.12–34.65), higher percentage of body fat (OR: 1.04; 95 % CI: 1.01–1.08) and lower chair stand test score (OR: 0.87; 95 % CI: 0.77–0.97) appeared as recurrent falls predictors. Conclusions Having history of falls and lower muscle strength were predictors for both occasional and recurrent falls among Malaysian community-dwelling older persons. Modifying these predictors may be beneficial in falls prevention and management strategies among older persons. |
| اللغة: | English |
| تدمد: | 1471-2318 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b4ae80e40700733e90879a65c25ca6c0Test https://doaj.org/article/6872f072fb4048139ca29e88b907a807Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b4ae80e40700733e90879a65c25ca6c0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712318 |
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