Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable

Tang, Shaoliang; Liu, Meixian; Yang, Tongling; Ye, Chaoyu; Gong, Ying; Yao, Ling; Xu, Yun; Bai, Yamei

doi:10.1186/s12877-022-03055-x

Cited by 20 publications

(13 citation statements)

References 42 publications

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“…In fact, the number of health problems was identified in the multivariate analyses as an independent significant positive predictor of the risk of falling. The findings are in agreement with a recent study in China that examined the relation between the number of chronic diseases and falling in the elderly population ( 25 ).…”

Section: Discussionsupporting

confidence: 93%

Falls and associated risk factors in a sample of old age population in Egyptian community

Sayed

Said

Mohsen

et al. 2023

Front. Public Health

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IntroductionFalling is a major health problem among old age persons and are the sixth cause of mortality and morbidity among them. Assessing the prevalence of falls among elderly in an Egyptian community and investigating its associated risk factors using the Arabic translation of the SHARE-Questionnaire.Subjects and methodsThis cross-sectional analytic study was a part of the pilot for AL-SEHA project. It included 289 old age people (50+ years age) residing in the study areas. The main project data were collected using the Arabic translation of the SHARE (Survey of Health, Aging, and Retirement in Europe) questionnaire. The original project data were collected by investigators from five universities, then uploaded to the internet server domain of the American University in Cairo (AUC) Social Research Center.ResultsThe prevalence of falls was 11.07% (95% CI: 7.95–15.21). Falls were significantly more among 70 years or older (p < 0.001), unemployed or housewives (p = 0.026), have a family caregiver (p = 0.022), and home facilities for disability (p = 0.015). They had significantly higher rates of ischemic heart disease, hypertension, dyslipidemia, stroke, and diabetes mellitus. The most frequently reported problems were the fear of fall and dizziness (62.5%). The multivariate analysis identified the history of stroke and diabetes mellitus, the fear of fall and dizziness, and the total number of health problems and the score of difficulty in performing physical activities as significant independent predictors of fall occurrence. The history of stroke was the strongest risk factor (OR 33.49, CI: 3.45–325.40).Discussion and recommendationsThe prevalence of falls among old age persons in the studied community is not alarmingly high. It is highest among stroke patients. Community interventions and rehabilitation programs are recommended to train and educate old age people, especially those at risk such as stroke and diabetic patients, and those with dizziness to improve their physical fitness and reduce the fear of fall among them.

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Section: Discussionsupporting

confidence: 93%

Falls and associated risk factors in a sample of old age population in Egyptian community

Sayed

Said

Mohsen

et al. 2023

Front. Public Health

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“…Factors related to falls include age, education level, family composition, residential area, economic activity, income level, alcohol consumption, smoking, physical activity, chronic disease, and BMI. In the elderly in the community, the incidence of falls is higher with increasing age [ 22 , 23 , 24 , 25 ]. Women have been found to have a higher risk of falls than men [ 21 , 22 ], and the unemployed and blue-collared workers with lower income are at a greater risk of falls [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…As a result of comparing the fall characteristics of the elderly in rural and urban areas, it has been confirmed that the lifetime fall history of the elderly in rural areas is greater than in urban areas [ 24 ]. The lower the educational level, the higher the risk of falls, and the higher the number of falls when living alone than when living with a spouse [ 21 , 23 , 25 ]. Drinking, smoking, physical activity, and chronic diseases are also associated with falls [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…The lower the educational level, the higher the risk of falls, and the higher the number of falls when living alone than when living with a spouse [ 21 , 23 , 25 ]. Drinking, smoking, physical activity, and chronic diseases are also associated with falls [ 25 ]. As a result of confirming the relationship between BMI and falls, it has been confirmed that the risk of falling is increased when a subject is underweight or overweight, compared to average body weight [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Anemia and Falls among Postmenopausal Women in Korea

Kim

2022

IJERPH

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This study was conducted to explore the relationship between anemia and falls in postmenopausal women. The relationships between energy, protein, iron, and vitamin C intake were also checked. The data of this study are a combination of data from the Korea National Health and Nutrition Examination Survey (KNHANES) collected from the KNHANES VI-2,3 (2014–2015) and VII-1,2,3 (2016–2018). Falls and anemia were compared according to the subjects’ characteristics. Phi and Cramer’s V coefficient were applied to find the strength of association. Energy, protein, iron, and vitamin C intake and anemia were investigated. The relationship between the status as anemic and the occurrence of falls was analyzed using binary logistic regression. Of the 6665 subjects, 274 had a fall, and 596 had anemia. If the energy intake did not meet the estimated energy requirements, the state of anemia was significantly higher with a weak association. When protein, iron, and vitamin C did not meet the recommended nutrient intake, the anemia state was considerably higher with a weak to moderate association. Postmenopausal women with anemia were more likely to fall than subjects without anemia (OR = 1.88, p = 0.003). Additionally, anemia was confirmed to be related to insufficient energy, protein, iron, and vitamin C intake.

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“…Existe una asociación positiva entre un inadecuado estado nutricional y el riesgo de caídas (OR 1,8 IC95 %: 1,09 a 3,18) (4), situación que contribuye a la presencia de otras comorbilidades (5). Además, se ha identificado que la mortalidad debida a desnutrición proteico-ISSN: 0120-5498 • Med.…”

Section: Introductionunclassified

Cambios gastrointestinales en el envejecimiento: impacto sobre la alimentación y el estado nutricional.

López¹,

Álvarez²,

Lloreda³

2022

Med.

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Durante el envejecimiento se presentan una serie de cambios biológicos y psicológicos que tienen un impacto social y económico en la población a medida que avanza su edad. Uno de los sistemas con cambios fisiológicos que guarda una estrecha relación con el estado nutricional es el tracto gastrointestinal. Cada una de sus secciones presenta modificaciones que alteran, en una u otra medida, la motilidad, la digestión o la absorción de la energía y nutrientes, con efectos deletéreos como la pérdida de la masa musculoesquelética, la disminución en la funcionalidad y la alteración en la calidad de vida, que finalmente contribuye al aumento de la incidencia de desnutrición proteico calórica y sarcopenia. La vejez es una etapa en la que la presencia de enfermedades crónicas incrementa los problemas nutricionales debido al impacto propio de las patologías, sus efectos gastrointestinales, el uso de medicamentos y la inadecuada indicación de dietas restrictivas, que sin la apropiada orientación de un profesional en nutrición y dietética, pueden favorecer y exacerbar la desnutrición. Esta revisión describe los cambios en la función gastrointestinal que ocurren durante el envejecimiento y los efectos sobre el estado nutricional, y expone las consecuencias de las modificaciones en términos del perfil, contenido de nutrientes y consistencia de la alimentación del adulto mayor.

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Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable

Cited by 20 publications

References 42 publications

Falls and associated risk factors in a sample of old age population in Egyptian community

Falls and associated risk factors in a sample of old age population in Egyptian community

Relationship between Anemia and Falls among Postmenopausal Women in Korea

Cambios gastrointestinales en el envejecimiento: impacto sobre la alimentación y el estado nutricional.

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