Is independence of older adults safe considering the risk of falls?

Talarska, Dorota; Strugała, Magdalena; Szewczyczak, Marlena; Tobis, Sławomir; Michalak, Michał; Wróblewska, Izabela; Tobis, Katarzyna Wieczorowska

doi:10.1186/s12877-017-0461-0

Cited by 24 publications

(19 citation statements)

References 30 publications

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“…Pain, insomnia, and depressive symptoms are common health problems in older adults and may contribute to falls [ 6 – 9 ]. More than 50% of US older adults report pain and the majority of them have multiple pain sites [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Independent and synergistic effects of pain, insomnia, and depression on falls among older adults: a longitudinal study

Liu

Sun

et al. 2020

BMC Geriatr

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Background Few studies have examined the relationship between falls and pain, insomnia and depressive symptoms which are common and risk factors in older adults. We aimed to examine the independent and synergistic effects of these risk factors on future falls among older adults. Methods We used data of 2558 community-dwelling older adults from 2011 (Y1) to 2015 (Y5) of the National Health and Aging Trends Study (NHATS). Pain was determined by whether participants reported bothersome pain in the last month. Insomnia was assessed by two questions about how often the participants had trouble falling asleep and maintaining sleep. Depressive symptoms were assessed by Patient Health Questionnaire-2. Generalized estimation equation (GEE) models were used to examine the independent effects of pain, insomnia and depressive symptoms at prior-wave (period y-1) on falls at current wave (period y) adjusting for covariates (age, sex, education, race/ethnicity, living arrangement, BMI, smoking, vigorous activities, number of chronic illnesses and hospitalization). The significance of the three-way interaction of these factors (pain*insomnia*depression) was tested using the aforementioned GEE models to determine their synergistic effects on falls. Results Overall, the participants were mainly 65–79 years old (68%), female (57%) and non-Hispanic White (70%). At Y1, 50.0% of the participants reported pain, 22.6% reported insomnia and 9.9% reported depressive symptoms. The incidence of falls from Y2 to Y5 was 22.4, 26.0, 28.3, and 28.9%, respectively. Participants with pain (Odds ratio [OR], 95% confidence interval [CI] = 1.36, 1.23–1.50) and depressive symptoms (OR, 95% CI = 1.43, 1.23–1.67) had high rates of falling adjusting for covariates. After further adjustment for insomnia and depressive symptoms, pain independently predicted falls (OR, 95% CI = 1.36, 1.22–1.51). Depressive symptoms also independently predicted falls after further adjusting for pain and insomnia (OR, 95% CI = 1.40, 1.20–1.63). After adjusting for pain and depression, the independent effects of insomnia were not significant. None of the interaction terms of the three risk factors were significant, suggesting an absence of their synergistic effects. Conclusions Pain and depressive symptoms independently predict falls, but synergistic effects seem absent. Further research is needed to develop effective strategies for reducing falls in older adults, particularly with pain and depressive symptoms.

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Section: Introductionmentioning

confidence: 99%

Independent and synergistic effects of pain, insomnia, and depression on falls among older adults: a longitudinal study

Liu

Sun

et al. 2020

BMC Geriatr

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“…The remaining 375 individuals were considered not to tend to fall, and it was found that 79 of those had previously fallen. In that study, therefore, 177 of the 506 participants had previously fallen, which is approximately 34% (10). In our study, however, only 21 of the participants (17.6%) had previously fallen; therefore, having a history of falls was not a serious risk factor in our experience.…”

Section: Discussionmentioning

confidence: 45%

Can we prevent falls in older individuals?

Sezik¹

2021

J Exp Clin Med

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Falls are a major public health problem globally. Each year, 2.8 million elderly people (defined as those aged ≥65) are treated in emergency departments for fall injuries. A questionnaire containing 15 questions, prepared by researchers, was provided to patients who visited the emergency department due to falls and were aged ≥65. Patients who had fallen on the ground were included in the study group and were categorized using the following criteria: age, gender, education, socioeconomic status, life spots, falling location, chronic illnesses, previous falling episodes, cause of falls, medications used, hospital procedures undergone and the outcome of those procedures. A questionnaire was given to 159 patients that visited our emergency department as a result off all. When those patients that did not respond to the questionnaires, those who had high falls, and those who did not remember their traumas were excluded, there were 119 remaining. There were 83 female participants (69.7%) and 79.87 (SD, 7.98) were participants in the study. In our study, 21 (17.6%) patients were identified as having had previous falls. Age, gender, education status, living environment, number of drugs used, diseases and p values were compared according to old operative emoticons: 0.434, 0.855, 0.607, 0.502, 0.778, 0.324and 0.384, and there are no significant statistical differences between them. Despite the challenges mentioned above, educating people about the benefits of healthy ageing, and taking preventive measures will likely help to reduce negative outcomes in the future.

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“…É vista como um item primordial na atenção à saúde do idoso, uma vez que está expande o campo de visão acerca do processo de avaliação saúde doença. A mesma pode ser avaliada considerando dois aspectos: Atividades Instrumentais de Vida Diária (AIVD) e Atividades Básicas de Vida Diária (ABVD) (TALARSKA D, et al, 2017;CARVALHO TC, et al, 2018). As AIVD's correspondem às ações mais complexas que referem-se a competência de ter independência na sociedade como: fazer compras, usar o telefone, dirigir, usar transporte coletivo, manusear o próprio dinheiro ou administrar seus remédios.…”

Section: Introductionunclassified

A funcionalidade de idosos institucionalizados: uma revisão integrativa

Gama¹,

Silva²,

Pimentel³

2021

Acervo Saúde

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Objetivo: Investigar através de uma revisão integrativa da literatura o nível de funcionalidade de idosos institucionalizados. Métodos: Trata-se de uma revisão de literatura do tipo integrativa, para tanto, foi realizado uma busca nas bases de dados Scientific Electronic Library Online (Scielo), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e na National Library of Medice (PubMed). Foram utilizados artigos científicos caracterizados como ensaio clinico publicados nos últimos 5 anos (2017 - 2021) e referidos na língua portuguesa e inglesa que apresentem em seu conteúdo reação direta com o objetivo deste trabalho. Resultados: Foram selecionados 9 artigos. O nível de dependência funcional mostrou-se presente majoritariamente dentre os idosos institucionalizados, principalmente para as Atividades Básicas de Vida Diária e Atividades Instrumentais de Vida Diária, esse número foi mais prevalente em mulheres, sendo que, apenas dois dos artigos utilizados relataram maior grau de funcionalidade nos indivíduos avaliados, além disso, não houve dados significativos relacionados ao nível de funcionalidade entre indivíduos com doenças crônicas não transmissíveis. Considerações finais: Em suma, a institucionalização pode ser um fator que contribuirá para o desenvolvimento de alterações na capacidade funcional dos idosos e assim acarretar maior dependência na realização das atividades de vida diária.

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Is independence of older adults safe considering the risk of falls?

Cited by 24 publications

References 30 publications

Independent and synergistic effects of pain, insomnia, and depression on falls among older adults: a longitudinal study

Independent and synergistic effects of pain, insomnia, and depression on falls among older adults: a longitudinal study

Can we prevent falls in older individuals?

A funcionalidade de idosos institucionalizados: uma revisão integrativa

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