A multivariate regression model predicted falls in residents living in intermediate hostel care

Chen, Jian Sheng; March, Lyn; Schwarz, J. M.; Zochling, Jane; Makaroff, J.; Sitoh, Yih Yiow; Lau, Tse Chiang; Lord, Stephen R.; Cameron, Ian D.; Cumming, Robert G.; Sambrook, Philip N.

doi:10.1016/j.jclinepi.2004.08.018

Cited by 30 publications

(25 citation statements)

References 23 publications

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“…First, we evaluated the histories of falls during the 6-month study, while previous studies have evaluated falls during a 12-month period in patients with RA [17][18][19][20][21] and inflammatory polyarthritis [16]. Since falling within 6 months has been used for fall risk score [40], history of falls during a 6-month period has been used as one of the eight items in a ''fall risk check list'' [41], where 13% of the subjects did not report falling at the end of a 12-month period [37]. Therefore, this 6-month study design appears to be reasonable to evaluate the incidence of falls.…”

Section: Discussionmentioning

confidence: 99%

Incidence of falls and fear of falling in Japanese patients with rheumatoid arthritis

et al. 2010

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The objective of this study is to determine the incidence of falls and fear of falling by gender and age in Japanese patients with rheumatoid arthritis (RA). Among the Japanese patients who participated in a single-institute-based prospective observational cohort study of patients with RA, namely the Institute of Rheumatology Rheumatoid Arthritis, 765 men (median age 63 years) and 4,231 women (median age 60 years) with RA responded to questions related to falls. Eight percent of men and 11% of women reported one or more falls during the previous 6 months. At least one fall and multiple falls were significantly more frequent in men (p < 0.05) and in women (p < 0.001) with RA over age 65 and age 75 years, respectively, although there was no significant linear increase in risk with age. Sixteen percent of men and 22% of women reported fear of falling. More men over age 65 tended to report fear of falling than those under age 65 (p < 0.001), although the incidence of women with fear of falling increased with advancing age. Japanese patients with RA over age 65 and age 75 appeared to have a high risk of at least one fall and multiple falls, respectively.

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Section: Discussionmentioning

confidence: 99%

Incidence of falls and fear of falling in Japanese patients with rheumatoid arthritis

et al. 2010

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“…Studies indicate that female gender shows higher prevalence and risk of falls 11,12 . Some authors have identified other predictive factors, including balance, time to react, cognitive state, presence of urinary incontinence 12 , age, presence of chronic pain, and severity of comorbid diseases 13,14 . Another important independent predictive factor is fear of falling [15][16][17][18][19] .…”

Section: Original Researchmentioning

confidence: 99%

Fibromyalgia: is there association between balance and pain? a pilot study

et al. 2014

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“…7 Generally, individuals that are less stable show a greater risk of falling. [8][9][10] For instance, Pajala et al, 8 showed that less stable individuals as measured with a force platform had a two-to four-fold risk for falls compared with more stable individuals. In addition, individuals with a large postural sway caused by reduced lower-limb sensory acuity or obesity likely require greater muscular strength to avoid a loss of balance.…”

Section: Introductionmentioning

confidence: 99%

Weight loss and muscular strength affect static balance control

et al. 2010

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Objective: Overweight individuals sway more than normal weight individuals. Major weight loss improves their balance control despite a related decrease in muscle strength. Presumably, muscular strength is an important factor for balance control. This study investigated the effect that a change in body mass has on relative strength and balance control. Methodology: Force (isometric knee extension) and balance control (center of pressure speed and range) were studied in three groups; normal weight (BMI o25 kg m À2 ), obese (30 kg m À2 oBMIo 40 kg m À2 ) and excess obese (BMI 440 kg m À2 ) Caucasian male individuals. Results: The excess obese individuals who underwent bariatric surgery as a weight loss strategy were studied before, 3 and 12 months after losing on average, 66.9 kg ( ± 95% CI 55.8, 77.9 kg; on average, 45% of their weight). The obese individuals who underwent diet modifications were studied before dieting and when resistance to weight loss occurred after losing on average 11.7 kg ( ± 95% CI 9.3, 14.2 kg; on average, 12% of their weight). The control group was studied twice, 50 weeks apart. In obese and excess obese individuals, losing weight reduced absolute knee muscular strength on average, by 8.2 kg (±95% CI 3.9, 12.5 kg; on average, 10% of their strength) and 23.9 kg ( ± 95% CI 12.1, 35.8 kg; on average, 33% of their strength). However, it also increased balance control measured with speed of the center of foot pressure, on average, by 0.10 cm s -1 ( ± 95% CI 0.05, 0.14 cm s -1 ; or increased of 12%) and 0.28 cm s -1 ( ± 95% CI 0.07, 0.47 cm s -1 ; increased of 27%), respectively. Relative strength increased approximately by 22% for only the excess obese group 12 months post surgery. Conclusion: This suggests, in overweight individuals, weight loss is more efficient at improving balance control than increasing, or even maintaining muscle strength. In these individuals, training programs aimed at improving balance control should primarily target weight loss.

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A multivariate regression model predicted falls in residents living in intermediate hostel care

Cited by 30 publications

References 23 publications

Incidence of falls and fear of falling in Japanese patients with rheumatoid arthritis

Incidence of falls and fear of falling in Japanese patients with rheumatoid arthritis

Fibromyalgia: is there association between balance and pain? a pilot study

Weight loss and muscular strength affect static balance control

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