Physical Frailty and Fall Risk in Community-Dwelling Older Adults: A Cross-Sectional Study

Chittrakul, Jiraporn; Siviroj, Penprapa; Sungkarat, Somporn; Sapbamrer, Ratana

doi:10.1155/2020/3964973

Cited by 35 publications

(28 citation statements)

References 60 publications

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“…11 , 24 Some studies have used a variety of fall assessment tools. 12 , 13 These tools may be limited as they do not cover external factors that result in falls. 13 , 25 Therefore, this study focuses on fall awareness, falls, quality of life, and risk factors associated with falls among older adults from ethnic minority groups, including highlanders, hill-tribe settlers (Mien and Hmong), and lowlanders (Karens and Indigenous people).…”

Section: Introductionmentioning

confidence: 99%

“…11 Previous studies have found that older adults who fall frequently experience physical injuries and a decline in their physical and mental health, leading to fear and a loss of confidence in performing daily activities. 12,13 Some studies suggest that an individual's awareness, positive attitude, and health concerns are important factors in preventing falls. 13,14 Quality of life is a term used in many fields and has a wide range of contexts depending on utility, health status, lifestyle, and satisfaction, 15 in addition, quality of life is related to the perception individuals have of their life expectancy in the context of the community and culture in which they live.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Kantow¹,

Seangpraw²,

Ong-Artborirak³

et al. 2021

CIA

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Background Falls are a major public health issue and one of the leading causes of morbidity and mortality among the older adults in many countries. Falls and their consequences have an impact on people’s quality of life, particularly the older adults. However, there have been very few studies on falls among ethnic minority groups living in rural areas. The aim of this study was to examine factors related to fall awareness, falls, and quality of life among ethnic minority older adults living in northern Thailand. Methods A cross-sectional study was conducted among 462 older adults from ethnic minority groups living in rural communities in Phayao and Lamphun provinces of northern Thailand using a multi-stage sampling technique. The data were collected through face-to-face interviews, with structured questionnaires covering health information, fall awareness, and quality of life (WHOQOL-OLD). The factors were determined using simple linear regression and binary logistic regression. Results The mean age of the participants was 68.2, Karen (35.5%), Mien (24.2%), indigenous (20.8%), and Hmong (19.5%). In the previous 12 months, 20.6% of elders had experienced a fall, and 4.5% of them had experienced multiple falls. More than half of the elders had moderate fall awareness and quality of life (71.6% and 68.6%, respectively). Univariate analysis revealed that minority group, sociodemographic characteristics, sleep duration, and fear of falling were all found to be associated with fall awareness, falls, and quality of life score (p<0.001). There was a significant relationship among fall awareness, falls, and quality of life score (p<0.001). Compared to those who had not fallen in the previous year, the quality of life of the older adults who had fallen was about 11 points lower. Conclusion Several independent variables were discovered to be fall risk factors and quality of life indicators. It is critical to recognize the risk factors to promote fall prevention programs that are appropriate for the older adults among ethnic minorities. Therefore, public health agencies and local government should be aware of the problem and initiate an implementation program and policy to prevent falls and improve the quality of life among ethnic minority older adults.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Kantow¹,

Seangpraw²,

Ong-Artborirak³

et al. 2021

CIA

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“…Varied approaches show a theoretical foundation for the medical and psychological management of the older adults that prioritizes their cultural identity, society, community, and family. [ 37 40 41 42 ]…”

Section: Discussionmentioning

confidence: 99%

Assessment of frailty and outcome of an ethnogeriatric population in periurban slums of Delhi, India – An interventional strategy in a primary health care setting

Panda

Islam

Roy

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: The burden of frailty and aging will have a profound impact on the economy along with the deteriorating clinical condition of the olds. Aim: This study aim was to assess frailty of an ethnogeriatric cohort and associate it with domains of quality of life in Delhi along with a follow-up outcome assessment. Method: Edmonton frail scale on an ethnogeriatric cohort of 200 individuals in periurban slums of Delhi was used and associated with quality of life, calculated by the WHO-BREF –QOL questionnaire. An interventional strategy for healthy aging was adopted, and a follow-up outcome assessment was done to look out for mortality or morbidity. Result: There were 37% frail with a mean score of 60 and 25% prefrails beyond 60 years with a significant increase in frailty with age. Females, single, working, and illiterate elderly were frailer as compared to their counterparts. Social domain followed by psychological domain of the QOL had least scores in the frail elderly. Olds, away from their place of origin were 25 times more likely to be frail and had lesser family integration, assessed by regression analysis. Nearly 6% died, with 21% of hospital readmissions after a 6-month follow-up. Discussion: An earlier start of assessment would give us more time to react and respond and be pro-active for healthy aging besides taking into consideration the diverse ethnography in our country. Conclusion: Cross-cultural variations need the physicians to address the health care disparities and language barriers so as to make interventions more convenient.

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“…Plain X-rays were the diagnostic imaging test ordered the most by general practitioners across all age categories before ultrasounds with a rate of 4.5 orders per 100 encounters and 2.7 orders per 100 encounters respectively [ 6 ]. These X-rays were mostly conducted for fall-related or skeletal issues and for acute bronchitis or bronchiolitis, conditions commonly experienced by the elder population [ 8 – 12 ]. This report demonstrates that easily transportable diagnostic imaging techniques, such as plain X-rays and ultrasounds, are still utilised abundantly and could represent a first step in delivering diagnostic technology at the place of residence.…”

Section: Introductionmentioning

confidence: 99%

Trends in utilisation of plain X-rays by older Australians (2010–2019)

et al. 2022

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Background Older Australians are major health service users and early diagnosis is key in the management of their health. Radiological services are an important component of diagnosis and disease management planning in older Australians, but their national utilisation of diagnostic services has never been investigated in Australia. Purpose This study aims to evaluate the utilisation of major plain X-rays by Australians ≥ 65 years old. Methods A population-based epidemiological evaluation and yearly cross-sectional analyses of X-ray examinations per 1,000 Australians aged ≥ 65 years old between 2009 and 2019 were conducted using publicly available Medicare Benefits Schedule and Australian Bureau of Statistics data sources. Age and sex specific incidence rate (IR) of plain X-rays per 1,000 Australians, adjusted incidence rate ratios (IRR) and 95% confidence intervals (CI) were estimated using a negative binomial regression model. Results During the study period, the Australian population over 65 years old increased by 39% while the crude plain X-ray utilisation by this population increased by 63%. Most X-rays were conducted on extremities or the chest. Men used chest radiography more than women, and particularly for lungs, where the incidence increased the most in those ≥ 85 years old. There was an increase in X-rays of extremities and the hip joint between 2009–10 and 2013–14 in people ≥ 85 years old. Conclusion The utilisation of plain X-rays of the chest, the gastro-intestinal tract and extremities was high and has increased among older Australians between 2009–10 and 2018–19. Plain X-rays remain a commonly used diagnostic tool for conditions affecting the older population.

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Physical Frailty and Fall Risk in Community-Dwelling Older Adults: A Cross-Sectional Study

Cited by 35 publications

References 60 publications

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Risk Factors Associated with Fall Awareness, Falls, and Quality of Life Among Ethnic Minority Older Adults in Upper Northern Thailand

Assessment of frailty and outcome of an ethnogeriatric population in periurban slums of Delhi, India – An interventional strategy in a primary health care setting

Trends in utilisation of plain X-rays by older Australians (2010–2019)

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