Older Adults with Hypertension: Prevalence of Falls and Their Associated Factors

Bakar, Atirah Az Zahra Abu; Kadir, Azidah Abdul; Idris, Nur Suhaila; Nawi, Siti Nurbaya Mohd

doi:10.3390/ijerph18168257

Cited by 22 publications

(15 citation statements)

References 49 publications

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“…The study revealed that hypertension was a significant intrinsic factor associated with fatal falls, constituting the highest proportion (11.33%) among reported cases of fatal falls with medical conditions. This finding is consistent with previous studies indicating that older adults with cardiovascular disease, particularly hypertension, face an elevated risk of falls 10 , 16 , 17 . One possible explanation for this increased risk among older individuals with hypertension is the presence of gait and balance disorders.…”

Section: Discussionsupporting

confidence: 93%

The characteristics and risk factors of fatal falls among adults aged 60 and above in Southwest China

Deng,

Li,

Qin

et al. 2024

Sci Rep

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Falls constitute a leading cause of unintentional injury deaths among older adults. This study aimed to examine the comprehensive characteristics of fatal falls among older individuals in Yunnan Province, China, to highlight the challenges faced in elderly care. A total of 22,798 accidental fall-related deaths were extracted from China's National Disease Surveillance Points System aged 60 and above between 2015 and 2019. Quantitative and textual data were analyzed to assess the incidence rates of initiating factors, locations, symptoms, and overall survival (OS) outcomes after falling. Hypertension emerged as the most significant intrinsic factor, especially among individuals aged between 70 and 79, female older adults, and urban residents (P < 0.001). Home was identified as the most common location where fatal falls occurred (61.19%). The head was the most commonly injured body region (58.75%). The median of OS for all fatal falls was 2 days (0.13, 30), of which deaths occurred within 24 h [9287 (49.36%)]. There were instances where timely discovery after falling did not occur in 625 cases; their median of OS was significantly shorter compared to those discovered promptly after falling (P < 0.001). Targeted interventions focusing on fall prevention and post-fall care are equally crucial for the well-being of older adults.

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Section: Discussionsupporting

confidence: 93%

The characteristics and risk factors of fatal falls among adults aged 60 and above in Southwest China

Deng,

Li,

Qin

et al. 2024

Sci Rep

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“…They also had higher rates of administration of polypharmacy. The influence of polypharmacy as a risk factor predicting falls in the old age people has been previously documented in the literature ( 32 , 33 ). Yet, the effect of polypharmacy on the occurrence of fall was not confirmed in the current study multivariate analysis.…”

Section: Discussionmentioning

confidence: 89%

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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“…Another thing about the BMI in the obesity category was that people with excess weight tend to have difficulty moving freely to be able to move freely. It takes much energy to vascularize body tissues, and the heart must pump blood and increase pressure in the body's blood vessels [18,19] . smoking is not associated with cardiometabolic conditions.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Body Mass Index and Smoking History on the Incidence Rate of Hypertension in the Elderly at Rendeng Public Health Center

Irawati¹,

Hamdzi²,

Kartikasari³

2022

magnamed

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Background: Hypertension in the elderly is a chronic disease that is resulted from various risk factors. The incidence of hypertension increases in the elderly, with a prevalence of 60-80% per year from the entire elderly population. A total of 1311 elderly who suffers from hypertension have a history of smoking and abnormal body mass index, so this research was conducted to determine how significant the risk of these two factors is.Objective: To analyze the relationship between body mass index and smoking history on the incidence of hypertension in the elderly in the Public Health Center of Rendeng.Methods: This research design was cross-sectional with a purposive sampling technique in elderly hypertensive patients in the Public Health Center of Rendeng by checking blood pressure and conducting interviews to fill out questionnaires. The data were analyzed by using the Spearman correlation test, and the test was strengthened using the C contingency correlation test.Results: This research used samples of 99 people. The results of the Spearman correlation test on body mass index obtained a significant value (p) of 0.001 (p<0.05), and a history of smoking obtained a significant value (p) of 0.330 (p>0.05).Conclusion: There was a relationship between body mass index and the incidence of hypertension in the elderly in the Public Health Center of Rendeng. However, there was no significant relationship that existed between smoking history.

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Older Adults with Hypertension: Prevalence of Falls and Their Associated Factors

Cited by 22 publications

References 49 publications

The characteristics and risk factors of fatal falls among adults aged 60 and above in Southwest China

The characteristics and risk factors of fatal falls among adults aged 60 and above in Southwest China

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

The Relationship Between Body Mass Index and Smoking History on the Incidence Rate of Hypertension in the Elderly at Rendeng Public Health Center

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