Risk factors for falls in older adults in a South African Urban Community

Kalula, Sebastiana; Ferreira, Mônica; Swingler, George; Badri, Motasim

doi:10.1186/s12877-016-0212-7

Cited by 48 publications

(42 citation statements)

References 62 publications

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“…The risk of falls is a prevalent factor in activity restriction by older people in a variety of settings. Even among a physically active older population in the Colombian Andes the risk of falling decreased physical activity with negative effects for self-perceived health and depressive symptoms [42][43][44].…”

Section: Ageing Health and Mobilitymentioning

confidence: 99%

Older People, Mobility and Transport in Low- and Middle-Income Countries: A Review of the Research

Gorman

Jones

Turner³

2019

Sustainability

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Older populations are rising globally, which in high-income countries has helped to generate a growing literature on the impact of ageing on travel requirements and transport policy. This article aims to provide an initial assessment of the state of knowledge on the impact on transportation policy and usage of the increasing numbers of older people in low- and middle-income countries (LAMICs), through a review of the literature relating to older people and transportation. As both the academic and policy/practice-related literature specifically addressing ageing and transport in LAMICs is limited, the study looks beyond transportation to assess the state of knowledge regarding the ways in which older people’s mobility is affected by issues, such as health, well-being, social (dis)engagement and gender. We find significant knowledge gaps, resulting in an evidence base to support the implementation of policy is lacking. Most research in low-income countries (LICs) is either broad quantitative analysis based on national survey data or small-scale qualitative studies. We conclude that, although study of the differing contexts of ageing in LAMICs as they relate to older people’s mobilities and transport use has barely begun, institutions which both make and influence policymaking recognise the existence of significant knowledge gaps. This should provide the context in which research agendas can be established.

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Section: Ageing Health and Mobilitymentioning

confidence: 99%

Older People, Mobility and Transport in Low- and Middle-Income Countries: A Review of the Research

Gorman

Jones

Turner³

2019

Sustainability

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“…Three of the studies reporting on falls originated in South Africa (62,63,66), three from Nigeria (59,61,64), one from Malawi(60) and one from Rwanda (65). The prevalence of falls, as reported in eight studies, ranged between 23% and 26%.…”

Section: Fallsmentioning

confidence: 99%

“…Poor cognitive functioning was a significant predictor of falls. (60,63). Frailty Instrument for Tanzania (B-FIT) was used to screen for frailty, and was found to correlate well with the Frailty Index.…”

Section: Fallsmentioning

confidence: 99%

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A scoping review of age-related health conditions among geriatric populations in sub-Saharan Africa

Naidoo¹,

Wyk

2020

Preprint

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Background Globally people are living longer, resulting in an increased demand for primary care services to be responsive to geriatric health needs. There is however, little data on the nature and prevalence of age-related health conditions among people aged 60 years and older in the sub-Saharan African (SSA) region. This scoping review was undertaken to synthesise evidence on the scope and nature of age-related health needs among people aged 60 years and older in SSA, in order to inform reforms in health systems and health professions education. Methods We systematically searched five electronic databases for studies published prior to 30 June 2019. Using the keywords “Africa”, “older adult” or “geriatric”, and “health”, two independent reviewers used a set of eligibility criteria to extract and screen the abstracts and full-text publications. Particular focus was given to age-dependent disorders in people over 60 years such as dementia, disability and falls. Results Sixty-four studies met the inclusion criteria. The review revealed a noticeable absence of studies from the majority of Sub-Saharan African countries. Publications included for review represent twelve countries from this region. The morbidities reported on included dementia, functional impairment, mental health, falls, sarcopenia and nutritional disorders, sensory impairment, frailty and musculoskeletal disorders. Many of these conditions co-existed among older adults, resulting in impaired quality of life and disability. Modifiable factors for geriatric morbidity such as hypertension, depression, cognitive and sensory impairments were under-diagnosed and often untreated. Conclusions The body of empiric research and evidence on age-related health conditions in geriatric people in SSA remains small. The prevalence of reported age-related health conditions was comparable to that in high-income countries. However, chronic conditions in the elderly were underdiagnosed and undertreated, often resulting in disability. An urgent review of current health systems and health professions training is required, taking into consideration the findings of this study. Ethics and dissemination : This study did not include human participants. Data was sourced from published literature. Keywords: older adult - geriatric - aged - health - Africa

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“…Additionally, fall-related injuries are 5 times more likely to occur in older adults aged over 65 years (Orces 2014). Both the incidence of falls and the severity of fall-related complications rise steadily after the age of 60 (Kalula et al 2016). About a third of communitydwelling people aged 65 years and older fall each year; the rate of falls rises with age (Bertera et al 2007).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Fear of Falling and Functional Independence in Older Adult Living in an Iranian Nursing Home: A Cross-Sectional Study

Bastani

Birjandi

Haghani

et al. 2016

JCCNC

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Background: Fear of falling is common amongst older adults, especially those who live in nursing homes. This study aimed to determinate factors associated with fear of falling and functional independence in older adults living in nursing homes. Methods: This was a cross-sectional study using a convenience sampling method to enroll 200 older adults living in nursing homes from 25 senior centers in Tehran (districts 1 and 2) between September 2015 and November 2015. Main outcome measurement instruments were the 16item falls efficacy scale international (FES-I, Persian version) and 11-item Barthel index (BI) functional independence measure. In this study, variables were analyzed using Student t test and ANOVA. The Pearson coefficient correlation was used to examine the relationship between FES and BBS. A 2-tailed P < 0.05 was considered statistically significant. Results: The participants were mostly female (51.5%) and aged over 70 (mean age 76.89 ± 8.50 y). Of 200 seniors within the study, 60.8% experienced one or more falls during the last year. Statistically significant relationships were found between the fear of falling and functional independence (r =-0.524; P ≤ 0.001). There was a significant relationship between fear of falling and age (P = 0.039), history of falling (P = 0.002), and chronic disease (P = 0.009). In addition, there was a significant relationship between functional independence and some older adults' characteristics, such as gender (P = 0.048), education level (P = 0.028), duration of living in nursing home (P = 0.002), history of falling (P = 0.006), and chronic disease (P = 0.01). Conclusion: According to the findings, there was a high level of fear of falling in the older adults. The fear of falling in the older adults living in nursing homes is associated with age, history of falling, and chronic disease. There was a significant association between functional independence and variables of gender, education level, duration of living in nursing home, history of falling, and chronic disease.

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Risk factors for falls in older adults in a South African Urban Community

Cited by 48 publications

References 62 publications

Older People, Mobility and Transport in Low- and Middle-Income Countries: A Review of the Research

Older People, Mobility and Transport in Low- and Middle-Income Countries: A Review of the Research

A scoping review of age-related health conditions among geriatric populations in sub-Saharan Africa

Factors Associated With Fear of Falling and Functional Independence in Older Adult Living in an Iranian Nursing Home: A Cross-Sectional Study

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