Risk factors for future falls among community-dwelling older adults without a fall in the previous year: A prospective one-year longitudinal study

Porto, Jaqueline Mello; Iosimuta, Natália Camargo Rodrigues; Júnior, Renato Campos Freire; Braghin, Roberta de Matos Brunelli; Leitner, Erika; Freitas, L. G.; Abreu, Daniela Cristina Carvalho de

doi:10.1016/j.archger.2020.104161

Cited by 14 publications

(9 citation statements)

References 40 publications

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“…Our database searches identified a total of 4,310 unique records. After the two-stage screening and additional papers identified via the reference list search, a total of 55 papers are included in the review (Andresen et al, 2006;Ansai et al, 2016;Arai et al, 2020;Beauchet et al, 2010;Bergland and Wyller, 2004;Blain et al, 2021;Bongue et al, 2011;Briggs et al, 1989;Buatois et al, 2006;Buatois et al, 2010;Cho and Kamen, 1998;Choy et al, 2008;Choy et al, 2007;Crenshaw et al, 2020;de Rekeneire et al, 2003;Delbaere et al, 2010;Depasquale and Toscano, 2009;Ek et al, 2019a;Ek et al, 2019b;El-Sobkey, 2011;Eto and Miyauchi, 2018;Gerdhem et al, 2005;Hasegawa et al, 2019;Hashidate et al, 2011;Heitmann et al, 1989;Ikegami et al, 2019;Jalali et al, 2015;Kwan et al, 2011;Lim et al, 2016;Lin et al, 2004b;MacRae et al, 1992;Mahoney et al, 2019;Moreira et al, 2017;Muir et al, 2010;Mulasso et al, 2017;Nevitt et al, 1989;Niam and Wee, 1999;Park et al, 2020;Porto et al, 2020;Rossat et al, 2010;…”

Section: Resultsmentioning

confidence: 99%

“…Two studies compared median or mean balance times of recurrent fallers; Porto et al (2020) reported no difference in mean balance time between single fallers and recurrent fallers (19.1s ±10.4 vs 18.2s ±10.2; p=0.84), while Thomas and Lane (2005) reported lower median balance times in recurrent fallers (0.43s (interquartile range: 1.57) compared to single fallers and nonfallers (2.71s (2.59); p<0.05). All other studies that examined recurrent falls used regression models, with sample sizes ranging from 30 (Thomas and Lane, 2005) to 7 643 (Rossat et al, 2010).…”

Section: Recurrent Falls (0-1 Fall Vs 2+ Falls)mentioning

confidence: 99%

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A systematic review of one-legged balance performance and falls risk in community-dwelling adults

Blodgett

Ventre

Mills

et al. 2022

Ageing Research Reviews

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Section: Resultsmentioning

confidence: 99%

Section: Recurrent Falls (0-1 Fall Vs 2+ Falls)mentioning

confidence: 99%

A systematic review of one-legged balance performance and falls risk in community-dwelling adults

Blodgett

Ventre

Mills

et al. 2022

Ageing Research Reviews

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“…Most participants (84%) were women. A previous fall is a risk factor for future falls in older persons, 39,40 and women are at higher risk than men. 41 Our population is a risk population of falls.…”

Section: Discussionmentioning

confidence: 99%

Orthostatic Hypotension is a Risk Factor for Falls Among Older Adults: 3-Year Follow-Up

Hohtari-Kivimäki

Salminen

Vahlberg

et al. 2021

Journal of the American Medical Directors Association

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Objectives: To assess the prevalence of orthostatic hypotension (OH) and the association of OH with the risk of falls among community-dwelling older adults with a previous fall. Design: Longitudinal study. Setting and Participants: The subjects (n ¼ 561) were participants in fall prevention conducted in western Finland. Methods: Blood pressure (BP) was measured in supine position and at 30 seconds and 3 minutes after standing. The participants were divided according to the consensus definition to an OH group (OHG) and a non-OH group (non-OHG). Falls were recorded by fall diaries during 12 months. Falls requiring treatment were gathered from health center and hospital registers during 12 and 36 months. Results: The prevalence of OH was 23.4% (30 seconds) and 7.3% (3 minutes). The 30-second measurement showed that the incidence of falls and that of falls requiring treatment were significantly higher in OHG compared with non-OHG during 12 months. After adjustments, the incidence of falls remained higher in all 5 adjusted models whereas that of falls requiring treatment remained higher only after adjustment for functional balance. The 3-minute measurement showed that the incidence of falls was higher in OHG compared with non-OHG during 12 months and remained higher after adjustments for functional balance and for age and functional balance. During the 36-month follow-up, OH measured at 30 seconds or 3 minutes after standing was not associated with the occurrence of falls leading to treatment. Conclusions and Implications: OH at 30 seconds or 3 minutes after standing is associated with a greater risk for falling within 12 months in older adults. The 30-second blood pressure measurement is more reliable to detect the risk than the 3-minute measurement. The results support the usability of 30-second measurement in determining OH and the risk for falling among older persons.

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“…A quickly and easily administrated screening tool can help physical therapists to prioritize who should undergo a more comprehensive fall risk assessment. Several methods are available for fall risk screening, assessment, and intervention 5–7. Current screening methods are likely to classify people without a history of falls as having a low risk of falling.…”

Section: Introductionmentioning

confidence: 99%

Can the 1-Leg Standing Test Be Replaced by Self-reported Balance in the First-Time Injurious Fall Screening Tool?

Frisendahl

Rosendahl

et al. 2022

Journal of Geriatric Physical Therapy

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Background and Purpose:The First-time Injurious Fall (FIF) screening tool was created to identify fall risk in community-living older men and women, who may be targets for primary preventive interventions. The FIF tool consists of 3 self-reported questions and 1 physical test (1-leg standing balance). The purpose of this study was to examine the predictive ability of the FIF tool and a modified FIF tool (in which 1-leg standing is replaced by self-reported balance) for first-time injurious falls. Methods: A cohort of 1194 community-living people 60 years and older from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), Sweden, was followed longitudinally for 5 years. Data on injurious falls were collected from registered data and were defined as receipt of care after a fall. The predictive ability of the FIF tool and the m-FIF tool was explored using Harrell's C statistic, stratified by sex. Results and Discussion:The injurious fall rate per 1000 person-years was 54.9 (95% CI: 47.22-63.78) for women and 36.3 (95% CI: 28.84-45.78) for men. The predictive ability for women and men according to Harrell's C statistic was 0.70 and 0.71 for the FIF tool and the m-FIF tool. The predictive ability was 0.70 and 0.69 for 1-leg standing, and 0.65 and 0.60 for self-reported balance problems. Conclusions: The m-FIF tool presented similar predictive ability as the FIF tool regarding first-time injurious falls. This finding could extend the usefulness of the tool to other settings, such as to electronic health (eHealth). A quickly and easily administered screening tool can help physical therapists to identify people with a high risk of falling who may need to undergo a more comprehensive fall risk assessment.

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Risk factors for future falls among community-dwelling older adults without a fall in the previous year: A prospective one-year longitudinal study

Cited by 14 publications

References 40 publications

A systematic review of one-legged balance performance and falls risk in community-dwelling adults

A systematic review of one-legged balance performance and falls risk in community-dwelling adults

Orthostatic Hypotension is a Risk Factor for Falls Among Older Adults: 3-Year Follow-Up

Can the 1-Leg Standing Test Be Replaced by Self-reported Balance in the First-Time Injurious Fall Screening Tool?

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