Age-stratified modifiable fall risk factors in Chinese community-dwelling older adults

Chen, Xiao; He, Lingxiao; Shi, Kewei; Yang, Jinzhu; Du, Xiaolong; Shi, Kanglin; Fang, Ya

doi:10.1016/j.archger.2023.104922

Cited by 7 publications

(4 citation statements)

References 35 publications

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“…Sarcopenia is characterized by low skeletal muscle mass, skeletal muscle weakness, and decreased physical performance 10 . It causes a decline in functional status, impaired mobility, a higher risk of falls, and an increased mortality risk 25 . The prevalence of sarcopenia is reported as 10% in the general elderly population and 39% in cancer patients 26 – 28 .…”

Section: Discussionmentioning

confidence: 99%

Assessment of lower limb muscle strength can predict fall risk in patients with chronic liver disease

Takada,

Yamashita,

Osawa

et al. 2024

Sci Rep

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Falls are caused by a combination of factors, including loss of lower limb muscle strength (LMS), and associated with declined performance status (PS). Age-related sarcopenia is generally associated with decreased muscle mass and strength of lower limb muscle but without a noticeable loss of those of upper limb or trunk muscle. However, no reports have focused on falls or LMS in chronic liver disease (CLD) patients. This study is the first to analyze the risk factors for falls in patients with CLD, focusing on LMS measurement using the Locomoscan. This study enrolled 315 CLD patients whose LMS was measured. The patients who experienced falls more than 1 year ago or during the observation period were classified as those who experienced falls. We found that risk factors for falls were PS1/2 and decreased LMS (< 0.32 N/kg). The group with sarcopenia had a higher frequency of decreased LMS (54 vs. 26%, p = 0.001) and falls (24 vs. 4.4%, p < 0.001) compared to the non-sarcopenia group. This study found that decreased LMS was an independent risk factor for falls. Assessment of LMS may be used as a better marker associated with the risk of falls in patients with CLD.

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Section: Discussionmentioning

confidence: 99%

Assessment of lower limb muscle strength can predict fall risk in patients with chronic liver disease

Takada,

Yamashita,

Osawa

et al. 2024

Sci Rep

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“…There are significant gender differences in the health of older adults, thus gender was included in the framework of the study, where males were coded as 1 and females were coded as 0. According to WHO [ 65 ], older adults aged 60 years and over are called the Elderly and those aged over 80 and over are defined as the Oldest-old, which is consistent with China [ 5 , 7 , 52 ]. Here, older adults who are the elderly but not the oldest old are named the younger old (aged 60–79 years, coded 0).…”

Section: Methodsmentioning

confidence: 99%

“…Promoting “healthy aging” is an important way for China to cope with this difficulty [ 3 ]. Healthy aging, proposed by the World Health Organization (WHO), is the process of developing and maintaining the functional ability that enables well-being in older adults [ 4 ], who are generally defined as adults aged 60 years and over in China [ 5 – 7 ]. Considering the controversies and complexity of defining and operationalizing healthy aging [ 8 ], it is of significance to explore the components of healthy aging and the relationship between the components for alleviating the problems caused by population aging and building a “Healthy China”.…”

Section: Introductionmentioning

confidence: 99%

Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over

Zhang,

et al. 2024

BMC Public Health

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Background Healthy aging is a process of not only achieving good health but also increasing the life satisfaction of older adults aged 60 years and over, in which health behaviors play an important role. There is a lack of research on the time-varying dependencies between health, life satisfaction, and health behaviors, impeding a deeper understanding of healthy aging. Purpose To develop an integrated framework for modeling the interrelationships among the components of healthy aging between multiple time slices. Methods Based on the Chinese Longitudinal Healthy Living Survey (CLHLS) data in the three waves of 2011/2012, 2014, and 2017/2018, Bayesian network and dynamic Bayesian network are jointly employed to study the relationships among the components of healthy aging within one time slice, as well as to explore the time-varying dependencies among the components between time slices. Results The results of structure learning reveal the direction of effects between different dimensions of health, with mental health and social health affecting physical health and self-rated health affecting both physical and mental health. In addition, health behaviors are found to affect mental health and social health, while self-rated health can influence life satisfaction. The parameters learned from the data show the magnitude and direction of concurrent effects, one-period lagged effects and two-period lagged effects between the factors, which find that the time-varying dependencies vary but are generally positive, long-term, and accumulative over time. In addition, the results of autoregressive effects show the positive predictive effects of health and life satisfaction. Conclusions It confirms the influence pathway from health behaviors to multidimensional health to life satisfaction, and the time-varying dependencies among the components of healthy aging, which facilitates a deeper understanding of healthy aging. Combining the results of autoregressive effects and descriptive statistics, it further indicates that healthy aging is a comprehensive result arising from interactions of multiple factors. Policymakers should guide older adults aged 60 years and over to adopt healthier behaviors and ensure the long-term sustainability and continuity of policies.

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“…For RQ-3, SRTn at the moment of self-reported falls (T2 or T3) was also measured. These variables were assessed due to their documented associations with hearing impairment [15,44,45] and fall risk [9,11,20,39,[45][46][47].…”

Section: Confounders and Effect Modifiersmentioning

confidence: 99%

Ten-year association between change in speech-in-noise recognition and falls due to balance problems: a longitudinal cohort study

Jansen,

van Wier,

Vernimmen

et al. 2024

BMC Public Health

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Background This study examined the relationship between speech-in-noise recognition and incident/recurrent falls due to balance problems ten years later (RQ-1); 10-year change in speech-in-noise recognition and falls (RQ-2a), as well as the role of dizziness in this relationship (RQ-2b). The association between hearing aid use and falls was also examined (RQ-3). Methods Data was collected from the Netherlands Longitudinal Study on Hearing between 2006 and December 2022. Participants completed an online survey and digits-in-noise test every five years. For this study, data was divided into two 10-year follow-up time intervals: T0 (baseline) to T2 (10-year follow-up), and T1 (5-years) to T3 (15-years). For all RQs, participants aged ≥ 40 years at baseline, without congenital hearing loss, and non-CI users were eligible (n = 592). Additionally, for RQ-3 participants with a speech reception threshold in noise (SRTn) ≥ -5.5 dB signal-to-noise ratio were included (n = 422). Analyses used survey variables on hearing, dizziness, falls due to balance problems, chronic health conditions, and psychosocial health. Logistic regressions using General Estimating Equations were conducted to assess all RQs. Results Among individuals with obesity, those with poor baseline SRTn had a higher odds of incident falls ten years later (odds ratio (OR):14.7, 95% confidence interval (CI) [2.12, 103]). A 10-year worsening of SRTn was significantly associated with a higher odds of recurrent (OR: 2.20, 95% CI [1.03, 4.71]) but not incident falls. No interaction was found between dizziness and change in SRTn. Hearing aid use (no use/ < 2 years use vs. ≥ 2 years) was not significantly associated with incident nor recurrent falls. Although there was a significant interaction with sex for this association, the effect of hearing aid use on incident/recurrent falls was not statistically significant among males nor females. Conclusions A longitudinal association between the deterioration in SRTn and recurrent falls due to balance problems after 10 years was confirmed in this study. This result stresses the importance of identifying declines in hearing earlier and justifies including hearing ability assessments within fall risk prevention programs. Mixed results of hearing aid use on fall risk warrant further investigation into the temporality of this association and possible differences between men and women.

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Age-stratified modifiable fall risk factors in Chinese community-dwelling older adults

Cited by 7 publications

References 35 publications

Assessment of lower limb muscle strength can predict fall risk in patients with chronic liver disease

Assessment of lower limb muscle strength can predict fall risk in patients with chronic liver disease

Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over

Ten-year association between change in speech-in-noise recognition and falls due to balance problems: a longitudinal cohort study

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