Leisure-Time Physical Activity, Falls, and Fall Injuries in Middle-Aged Adults

Caban‐Martinez, Alberto J.; Courtney, Theodore K.; Chang, Wen-Ruey; Lombardi, David A.; Huang, Yueng Hsiang; Brennan, Melanye J.; Perry, Melissa J.; Katz, Jeffrey N.; Christiani, David C.; Verma, Santosh K.

doi:10.1016/j.amepre.2015.05.022

Cited by 43 publications

(41 citation statements)

References 40 publications

(50 reference statements)

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“…27 To our knowledge, the present study is the only US prospective study of accelerometer-measured physical activity with careful falls surveillance in a large population of older women, the group at highest risk of falls and fall-related injuries. 26 The results of this observational study support no association of higher levels of MVPA with fall risk in community-dwelling ambulatory women. Consistent with the present study, the ActiFE-Ulm Study, conducted in Southern Germany among 1214 older adults, found no increased risk of falls among older men or women with higher levels of accelerometer-measured PA. 30 …”

Section: Discussionmentioning

confidence: 55%

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Accelerometer‐Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women

Buchner

Rillamas‐Sun

et al. 2017

J American Geriatrics Society

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Objectives To examine whether moderate/vigorous physical activity (MVPA) measured by accelerometry is associated with incident falls, and whether associations differ by physical function or history of falls. Design Prospective study with baseline data collection in 2012-2014 and one year of follow-up. Setting Women's Health Initiative particip ants living in the U.S. Participants 5545 ambulatory women aged 63-99 Measurements Minutes of MVPA per day measured by Actigraph GT3X+ accelerometer; functional status measured by the Short Physical Performance Battery (SPPB); fall risk factors assessed by questionnaire; fall injuries assessed by phone interview; incident falls ascertained from fall calendars. Results Incident rate ratios (IRR) revealed increased fall risk among women in the lowest compared to highest quartiles of MVPA (IRR=1.26; 95% CI 1.08-1.48) adjusted for age, race/ethnicity, and fall risk factors. Fall rates were not significantly associated with MVPA among women with high SPPB (9-12) or 0-1 falls in the previous year. However, among women with low SPPB (≤8) or history of frequent falls, fall rates were increased among women with low vs. higher MVPA levels (interaction P -values <0.03 and <0.00001, respectively). Falls among women with MVPA above the median were less likely to involve injuries requiring medical treatment (9.9%), than falls among women with lower MVPA levels (13.0%; P <0.001). Conclusion These findings indicate that falls are not more common or injurious among older women who engage in higher levels of MVPA. These findings support encouraging women to engage in the amounts and types of MVPA that they prefer. Older women with low physical function or frequent falls who choose low MVPA represent a high risk group for whom vigilance about falls prevention is warranted.

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Section: Discussionmentioning

confidence: 55%

“…26 Self-reported leisure time physical activity is poorly correlated with accelerometry measurements of MVPA 27 and may be especially inaccurate in older adults and women. 28,29 Accelerometers capture movements during daily life beyond those identified as leisure-time exercise.…”

Section: Discussionmentioning

confidence: 99%

Accelerometer‐Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women

Buchner

Rillamas‐Sun

et al. 2017

J American Geriatrics Society

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“…Several studies identified the relationship between fall risk and level of physical activity among the elderly population in various countries. It was reported that physical activities ranging from leisure time physical activity to the daily moderate to vigorous-intensity physical activity in older adults will prevent and reduce the incidence of fall9, 10 ) . There are many studies regarding this concern, however, the studies exploring the correlation between physical activity level and fall risk among community dwelling Malaysian older adults is limited.…”

Section: Introductionmentioning

confidence: 99%

Physical activity level and fall risk among community-dwelling older adults

Low

Balaraman

2017

J Phys Ther Sci

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[Purpose] To find the physical activity level and fall risk among the community-dwelling Malaysian older adults and determine the correlation between them. [Subjects and Methods] A cross-sectional study was conducted in which, the physical activity level was evaluated using the Rapid Assessment of Physical Activity questionnaire and fall risk with Fall Risk Assessment Tool. Subjects recruited were 132 community-dwelling Malaysian older adults using the convenience sampling method. [Results] The majority of the participants were under the category of under-active regular light-activities and most of them reported low fall risk. The statistical analysis using Fisher’s exact test did not show a significant correlation between physical activity level and fall risk. [Conclusion] The majority of community-dwelling Malaysian older adults are performing some form of physical activity and in low fall risk category. But this study did not find any significant correlation between physical activity level and fall risk among community-dwelling older adults in Malaysia.

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“…32 Nevertheless, studies where the method did not depend on long-term recall show a comparable age distribution of falls. 2,48 The implications of more recent versus less recent falls could not be explored since we did not collect that information. Finally, use of multiple comparisons is another potential limitation.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Falls and Their Association with Functional Dependence and Quality of Life

et al. 2016

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Background No study has rigorously explored the characteristics of surgical patients with recent preoperative falls. Our objective was to describe the essential features of preoperative falls and determine whether they are associated with preoperative functional dependence and poor quality of life. Methods This was an observational study involving 15,060 surveys from adult patients undergoing elective surgery. The surveys were collected between January 2014 and August 2015, with a response rate of 92%. Results In the 6 months before surgery, 26% (99% CI, 25 to 27%) of patients fell at least once, and 12% (99% CI, 11 to 13%) fell at least twice. The proportion of patients who fell was highest among patients presenting for neurosurgery (41%; 99% CI, 36 to 45%). At least one fall-related injury occurred in 58% (99% CI, 56 to 60%) of those who fell. Falls were common in all age groups, but surprisingly, they did not increase monotonically with age. Middle-aged patients (45 to 64 yr) had the highest proportion of fallers (28%), recurrent fallers (13%), and severe fall-related injuries (27%) compared to younger (18 to 44 yr) and older (65+ yr) patients (P < 0.001 for each). A fall within 6 months was independently associated with preoperative functional dependence (odds ratio, 1.94; 99% CI, 1.68 to 2.24) and poor physical quality of life (odds ratio, 2.18; 99% CI, 1.88 to 2.52). Conclusions Preoperative falls might be common and are possibly often injurious in the presurgical population, across all ages. A history of falls could enhance the assessment of preoperative functional dependence and quality of life.

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Leisure-Time Physical Activity, Falls, and Fall Injuries in Middle-Aged Adults

Abstract: Similar to older adults, middle-aged adults who engage in LTPA report fewer falls and fall-related injuries. Upon further confirmation of the relationship between LTPA and falls among middle-aged adults, fall prevention interventions could be developed for this population.

Cited by 43 publications

References 40 publications

Accelerometer‐Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women

Accelerometer‐Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women

Physical activity level and fall risk among community-dwelling older adults

Preoperative Falls and Their Association with Functional Dependence and Quality of Life

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