المؤلفون: Caban-Martinez, Alberto J., Courtney, Theodore K., Chang, Wen-Ruey, Lombardi, David A., Perry, Melissa J., Katz, Jeffrey N., Christiani, David C., Verma, Santosh K.

المصدر: Environmental and Occupational Health Faculty Publications

مصطلحات موضوعية: Environmental Public Health, Occupational Health and Industrial Hygiene

الوصف: 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 ...

وصف الملف: application/pdf

العلاقة: https://hsrc.himmelfarb.gwu.edu/sphhs_enviro_facpubs/143Test; https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1142&context=sphhs_enviro_facpubsTest

الإتاحة: https://hsrc.himmelfarb.gwu.edu/sphhs_enviro_facpubs/143Test
https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1142&context=sphhs_enviro_facpubsTest

المؤلفون: Caban-Martinez, Alberto J., Courtney, Theodore K., Chang, Wen-Ruey, Lombardi, David A., Huang, Yueng-Hsiang, Brennan, Melanie J., Perry, Melissa J., Katz, Jeffrey N., Verma, Santosh K.

المصدر: Environmental and Occupational Health Faculty Publications

مصطلحات موضوعية: Accidents, Occupational--prevention & control, Leisure Activities, Motor Activity, Restaurants, Environmental Public Health, Occupational Health and Industrial Hygiene

الوصف: Background/Objective Physical activity has been shown to be beneficial at improving health in some medical conditions and in preventing injury. Epidemiologic studies suggest that physical activity is one factor associated with a decreased risk for slips and falls in the older (≥65 years) adult population. While the risk of slips and falls is generally lower in younger than in older adults; little is known of the relative contribution of physical activity in preventing slips and falls in younger adults. We examined whether engagement in leisure-time physical activity (LTPA) was protective of slips and falls among a younger/middle-aged (≤50 years old) working population. Methods 475 workers from 36 limited-service restaurants in six states in the U.S. were recruited to participate in a prospective cohort study of workplace slipping. Information on LTPA was collected at the time of enrollment. Participants reported their slip experience and work hours weekly for up to 12 weeks. We investigated the association between the rate of slipping and the rate of major slipping (i.e., slips that resulted in a fall and/or injury) and LTPA for workers 50 years of age and younger (n = 433, range 18–50 years old) using a multivariable negative binomial generalized estimating equation model. Results The rate of major slips among workers who engaged in moderate (Adjusted Rate Ratio (RR) = 0.65; 95% Confidence Interval (CI) = [0.18–2.44]) and vigorous (RR = 0.64; 95%CI = [0.18–2.26]) LTPA, while non-significant, were approximately one-third lower than the rate of major slips among less active workers. Conclusion While not statistically significant, the results suggest a potential association between engagement in moderate and vigorous LTPA and the rate of major slips in younger adults. Additional studies that examine the role of occupational and non-occupational physical activity on the risk of slips, trips and falls among younger and middle aged adults appear warranted.

وصف الملف: application/pdf

العلاقة: https://hsrc.himmelfarb.gwu.edu/sphhs_enviro_facpubs/120Test; https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1119&context=sphhs_enviro_facpubsTest

الإتاحة: https://hsrc.himmelfarb.gwu.edu/sphhs_enviro_facpubs/120Test
https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1119&context=sphhs_enviro_facpubsTest

المؤلفون: Rainville, James, Bono, James V, Laxer, Eric B, Kim, David H, Lavelle, John M, Indahl, Aage, Borenstein, David G, Haig, Andy J, Katz, Jeffrey N

المصدر: Medicine Faculty Publications

مصطلحات موضوعية: Medicine and Health Sciences

العلاقة: https://hsrc.himmelfarb.gwu.edu/smhs_medicine_facpubs/1452Test

الإتاحة: https://hsrc.himmelfarb.gwu.edu/smhs_medicine_facpubs/1452Test

المؤلفون: Suter, Lisa G, Smith, Savannah R, Katz, Jeffrey N, Englund, Martin, Hunter, David J, Frobell, Richard, Losina, Elena

المصدر: School of Medicine and Health Sciences Student Works

مصطلحات موضوعية: Anterior Cruciate Ligament Injuries, Anterior Cruciate Ligament Reconstruction, Arthroplasty, Replacement, Knee, Cohort Studies, Computer Simulation, Female, Humans, Male, Osteoarthritis, Risk, Young Adult

العلاقة: https://hsrc.himmelfarb.gwu.edu/smhs_student_works/154Test; http://dx.doi.org/10.1002/acr.22940Test

الإتاحة: https://doi.org/10.1002/acr.22940Test
https://hsrc.himmelfarb.gwu.edu/smhs_student_works/154Test

المؤلفون: Smith, Savannah R, Katz, Jeffrey N, Collins, Jamie E, Solomon, Daniel H, Jordan, Joanne M, Suter, Lisa G, Yelin, Edward H, David Paltiel, A, Losina, Elena

المصدر: School of Medicine and Health Sciences Student Works

مصطلحات موضوعية: Aged, 80 and over, Analgesics, Opioid, Computer Simulation, Cost-Benefit Analysis, Female, Humans, Male, Middle Aged, Osteoarthritis, Knee, Oxycodone, Tramadol

العلاقة: https://hsrc.himmelfarb.gwu.edu/smhs_student_works/147Test; http://dx.doi.org/10.1002/acr.22916Test

الإتاحة: https://doi.org/10.1002/acr.22916Test
https://hsrc.himmelfarb.gwu.edu/smhs_student_works/147Test

المؤلفون: Deshpande, Bhushan R, Losina, Elena, Smith, Savannah R, Martin, Scott D, Wright, R John, Katz, Jeffrey N

المصدر: School of Medicine and Health Sciences Student Works

مصطلحات موضوعية: Aged, Cross-Sectional Studies, Female, Humans, Knee, Magnetic Resonance Imaging, Male, Menisci, Tibial, Middle Aged, Pain, Tibial Meniscus Injuries

العلاقة: https://hsrc.himmelfarb.gwu.edu/smhs_student_works/126Test; http://dx.doi.org/10.1186/s12891-016-1010-2Test

الإتاحة: https://doi.org/10.1186/s12891-016-1010-2Test
https://hsrc.himmelfarb.gwu.edu/smhs_student_works/126Test