Russian epidemiological study EVKALIPT: protocol and basic characteristics of participants

Воробьева, Н. М.; Ткачева, О. Н.; Котовская, Ю. В.; Овчарова, Лилия Николаевна; Селезнева, Е. В.

doi:10.37586/2686-8636-1-2021-35-43

Cited by 18 publications

(1 citation statement)

References 4 publications

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“…Все используемые в исследовании тесты, шкалы и опросники (за исключением индекса коморбидности Charlson) представлены в российских клинических рекомендациях «Старческая астения» [2,8]. Подробный протокол исследования и базовые характеристики участников описаны в ранее опубликованной статье [9]. В модуле «Падения и риск падений» учитывали количество и обстоятельства падений за предшествующий год, а также выясняли анамнез переломов (переломы позвонков, бедренной и лучевой кости при падении с высоты собственного роста и их количество, оперативное лечение при переломе позвонков, необходимость ухода по причине перелома, перелом шейки бедренной кости у родителей).…”

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Falls and fractures in subjects over 65 years old and their associations with geriatric syndromes: Russian epidemiological study EVKALIPT

Vorobyeva

Ховасова

Ткачева

et al. 2021

Rossiiskii zhurnal geriatricheskoi meditsiny

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Background. In the Russian Federation, the prevalence of falls and fractures in older people in the general population is unknown. Single studies have been carried out on small samples (hospitalized patients, patients with diabetes mellitus etc.). Objective. To investigate history of low-energy fractures, frequency of falls in the past year and their associations with other geriatric syndromes (GS) in subjects aged ≥65 years.Materials and methods. We examined 4308 subjects (30% of men) aged 65 to 107 years (mean age 78 ± 8 years) in 11 regions of the Russian Federation, who were divided into 3 age groups (65-74, 75-84 and ≥85 years old). All participants underwent comprehensive geriatric assessment, which consisted of two stages: 1) survey on a specially designed questionnaire; 2) physical examination.Results. The frequency of falls over the past year was 30%, including 25,7% — in subjects aged 65-74 yrs, 29,8% — 75-84 yrs, 37,3% — ≥85 yrs (p for trend <0,001). Of these, 62% of participants fell 1 time, 38% — 2 times or more. With the same frequency, the subjects fell at home (41%) and on the street (42%), 17% of subjects fell both at home and on the street. A history of low-energy fractures was found in 17% of the participants, among which the most frequent (63%) were fractures of the radius. Univariate regression analysis with sex and age (as a discret variable) adjustment, where the falls in the past year were considered as the dependent variable, and GS as independent one, demonstrated that all GS were associated with falls in the past year with odds ratios (ORs) ranging from 1,25 to 3,13. Multivariate regression analysis with age and sex adjustment showed that independent predictors of falls were female gender (ORs 1,51; 95% confidence interval 1,26-1,82; р<0,001) and 6 GS (malnutrition, depression, urinary and fecal incontinence, chronic pain and dependence in instrumental activities in daily life) with a 1,3-2,4 times increase of falls risk.Conclusion. In EVKALIPT study we firstly obtained the domestic data on the prevalence of falls and low-energy fractures history in subjects aged >65 years in the general population and studied associations between falls in the past year and other geriatric syndromes.

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Section: Introductionunclassified

Falls and fractures in subjects over 65 years old and their associations with geriatric syndromes: Russian epidemiological study EVKALIPT

Vorobyeva

Ховасова

Ткачева

et al. 2021

Rossiiskii zhurnal geriatricheskoi meditsiny

Self Cite

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The association of osteoporosis and geriatric syndromes in the elderly: data from the Russian epidemiological study EVKALIPT

et al. 2023

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Summary Osteoporosis is associated with almost all geriatric syndromes (GSs), and the occurrence of osteoporosis in patients over 65 years of age increases by 1.2–2.5 times. Early diagnosis of osteoporosis and GSs is very important. Additional programs should be adopted by the state to introduce information about the possibilities of working with elderly patients. Purpose To analyze associations of osteoporosis with geriatric syndromes in patients aged 65 years and older in the Russian Federation. Methods A total of 4308 patients (30% men) aged 65–107 years were examined and distributed into 3 age groups (65–74 years, 75–84 years, and 85 years and older). All patients underwent a comprehensive geriatric assessment. In the “Falls and risk of falls” module, the number and circumstances of falls over the previous year were analyzed, as well as the history of fractures. The presence of osteoporosis was determined based on medical records. Physical examination included anthropometric measurements and standard enquiry, short physical performance battery (SPPB), dynamometry, measurement of gait velocity, Mini-Cog test, and orthostatic test. Results A total of 507 patients (11.8%) had evidence of osteoporosis; indications of low-energy fractures in history were recorded in 739 (17.3%) patients. Patients with osteoporosis were older, shorter, and predominantly women; had a lower body weight and a higher Charlson comorbidity index; and took more drugs. Patients with osteoporosis had lower gait velocity, hand grip strength, Barthel index value, and scores of the Lawton instrumental activities of daily living scale, the MNA (Mini Nutritional Assessment) short-form, and the SPPB. Osteoporosis is associated with almost all geriatric syndromes (GSs), and the occurrence of osteoporosis in patients over 65 years of age increases by 1.2–2.5 times. Conclusions Osteoporosis is associated with almost all GSs. The association of osteoporosis with advanced GSs aggravates the condition of these patients. Early diagnosis of osteoporosis and GSs is very important. Additional programs should be adopted by the state to introduce information about the possibilities of working with elderly patients: early detection and correction of osteoporosis.

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Healthy Life Expectancy of People Over Age 65: Results of the Russian Epidemiological Study EVCALIPT

et al. 2022

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Russian epidemiological study EVKALIPT: protocol and basic characteristics of participants

Cited by 18 publications

References 4 publications

Falls and fractures in subjects over 65 years old and their associations with geriatric syndromes: Russian epidemiological study EVKALIPT

Falls and fractures in subjects over 65 years old and their associations with geriatric syndromes: Russian epidemiological study EVKALIPT

The association of osteoporosis and geriatric syndromes in the elderly: data from the Russian epidemiological study EVKALIPT

Healthy Life Expectancy of People Over Age 65: Results of the Russian Epidemiological Study EVCALIPT

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