Falls and associated factors among elderly users of Primary Healthcare Services

Abstract

The objective of this cross-sectional study was to estimate the self-reported prevalence of falls among elderly users (older than 60 years) of the Ribeirão Preto, São Paulo, Brazil, primary healthcare services in the past six months and to identify associated factors. Data were collected from five healthcare districts by means of personal interviews with the users while they waited for the appointment. Log-binomial regression models adjusted for confounding variables and prevalence ratios were used to measure the association between independent and dependent variables. The International Physical Activity Questionnaire (IPAQ), adapted to elderly, was used to assess their physical activity. A total of 357 adults were interviewed, with 62.7% being women and mean age of 69.9 years old. The prevalence rates of falls in the past six months were 19.6% (95%CI: 13.2–27.3) and 32.6% (95%CI: 26.4–39.2), respectively, for men and women. e prevalence of falls among users with lower level of physical activity was 2.3 times higher than that among those with higher level of physical activity (RP = 2.3; 95%CI: 1.4–3.8) after adjustment for gender, age group and socio-economical class. In conclusion, falls are frequent among the elderly and the practice of physical activities can improve their health condition, thus preventing the occurrence of falls.

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.…”

“…Falls have also been associated with the presence of morbidities, 4 , 5 depressive symptoms, 3 , 6 changes in balance and reduction in muscle strength, 7 – 9 use of medicines, 10 , 11 disabilities in basic activities (BADL) and instrumental activities (IADL) of daily living, 12 , 13 lower levels of physical activity, 14 prolonged sedentary behavior, 15 female sex 2 , 3 and obesity. 16 – 18…”

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.Obesity is a common condition in the elderly population and is associated with higher morbidity and mortality, risk of institutionalization, and poorer quality of life. 20 Additionally, advanced age is one of the main factors associated with falls.…”

Association between risk for fall and socio-demographic attributes among diabetic elderly patients

“…For the European community, the prevalence of falls ranged between (28.4%) Two years ago, at England and among the Irish, the rate of falls last year was (19.4%). (10%) to (35%) is the prevalence of falls last year in Brazil (Santos et al, 2018).…”