Self-reported fatigue: A significant risk factor for falling in older women and men

Blain, Hubert; Gamon, Lucie; Aliaga, B.; Soriteau, Laure; Raffort, N.; Miot, Stéphanie; Picot, Marie‐Christine; Bousquet, Jean; Bernard, Pierre Louis

doi:10.1016/j.exger.2020.111154

Cited by 11 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In unadjusted models, poorer balance performance was associated with increased risk of a fall in seven of ten studies, with three studies reporting non-significant results (Figure 3A-C). Two additional studies, Vellas et al(1998) and Blain et al(2021), reported positive associations in men but no associations in women (Figure 3A and 3B). Significant odds ratios in unadjusted models ranged from 1.5 (1.2,1.8) for those with a balance time <12.7s (Bongue et al, 2011) to 8.40 (1.10,64.26) in those with a balance time <55.4s (Eto and Miyauchi, 2018)(Figure 3B).…”

Section: Regression Estimatesmentioning

confidence: 81%

“…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%

See 1 more Smart Citation

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

Blodgett

Ventre

Mills

et al. 2022

Ageing Research Reviews

View full text Add to dashboard Cite

Section: Regression Estimatesmentioning

confidence: 81%

Section: Resultsmentioning

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

View full text Add to dashboard Cite

“…The occurrence of falls or falls risk depends on extrinsic factors and intrinsic factors. Fatigue has been listed as one main intrinsic factor among older adults ( 4 , 5 ). Thus, a good way to reduce falls risk is to improve fatigue.…”

Section: Introductionmentioning

confidence: 99%

Association Between Fatigue and Falls Risk Among the Elderly Aged Over 75 Years in China: The Chain Mediating Role of Falls Efficacy and Lower Limb Function

Zhang

Song

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundAlthough fatigue has been shown to be strongly associated with falls risk, very few studies have focused on its mechanism involved in community-dwelling older subjects. The purpose of this study was to explore the relationship between fatigue and falls risk and its internal mechanism by constructing a chain mediation model.MethodsA cross-sectional study design was adopted. A convenience sample of 270 older adults was recruited from July to October 2021 in an urban community, in Beijing, China. The participants completed the 14-item Fatigue Scale (FS-14), Falls Efficacy Scale International (FES-I), the Short Physical Performance Battery (SPPB) and Fall-Risk Self-Assessment Questionnaire (FRQ) to measure fatigue, falls efficacy, lower limb function and falls risk. The theory of unpleasant symptoms was used as a conceptual framework. Structural equation modeling (SEM) was utilized to test the hypothetical model.ResultsThe overall fit of final model was found to be satisfactory: χ2/df = 1.61, CFI = 0.971, TLI = 0.962, RMSEA = 0.049 (95% CI 0.030/0.066) and SRMR = 0.023. Fatigue had a direct effect on falls risk (β = 0.559, S.E. = 0.089, 95% CI 0.380/0.731), and it also had indirect effects on falls risk (β = 0.303, S.E. = 0.072, 95% CI 0.173/0.460) through mediating factors. Falls efficacy and lower limb function were the main mediating variables, and there was a chain mediating effect (β = 0.015, S.E. = 0.010, 95% CI 0.003/0.046).ConclusionsOur study suggests that fatigue can influence falls risk among the elderly in China. There are many mediating paths between fatigue and falls risk. These results may help healthcare professionals to better understand the inherent relationship between fatigue and fall risk that may benefit older adults.

show abstract

“…Falls are more common with age, recovery time is longer, and treatment costs are higher, probably due to prolonged hospitalization [10,11]. Furthermore, there is evidence that falls in hospitalized patients can cause minor injuries such as abrasions, lacerations, and sprains, while fractures, head and internal injuries can occur in severe cases, including hip fractures, which can reduce mobility, prolonged hospitalization and even death are the most common causes of concern [12][13][14]. In addition, those who experienced repeated falls are more likely to be depressed.…”

Section: Introductionmentioning

confidence: 99%

Analysis and Countermeasures of 101 Inpatients with Falls in Internal Medicine Department

Liu¹,

Yu²,

Hu³

et al. 2021

AJIM

View full text Add to dashboard Cite

Falling of inpatients can cause serious injuries to patients, family members and caregivers. It damages patients' physical and mental health, increases the remedy cost of medical institution, and affects the quality of nursing service in hospital. The aim of this study is to analyze the current situation of falls of inpatients in internal medicine department, so as to provide reference information for improving patient safety management and hospital quality control. With the help of the method of retrospective investigation, the number of inpatients with falls in the First Affiliated Hospital of Jinan University from January to December 2019 was reviewed, and the incidence, causes, time and nurse patient ratio were analyzed. There were total 101 falls of inpatients in internal medicine department in year 2019, accounting for 58% of the fall patients in the hospital, the fall rate of internal medicine department inpatients was 0.5‰. The injury rate of grade1 and above was 54.45%. The incidence of falls has three epidemiological characteristics, mainly for the elderly over 60 years old, accounting for 71.3%, the most commonplace to fall is the toilet, the high incidence period is 22:01-07:00. Drugs are one of the main factors leading to falls, with sedative-hypnoticdrugs (benzodiazepines) being the most common, followed by antidiabetic drugs, antihypertensive drugs and diuretics. Patients at high risk of falling, despite the presence of caregivers is 69.3%, had a higher incidence of falls. A nurse on duty attended to 10 to 50 patients in the falling event. From the above outcome, it is illustrated that the incidence of fall injury in medical inpatients is higher. The main population is the elderly and patients taking sedatives, sleeping pills or hypoglycemic drugs. Nurses need to keep an eye out for patients who take medications that can easily lead to falls. Hospital management departments should strengthen the training of nursing staff and new nurses, establish safety culture and improve nurses' consciousness of fall prevention. Head nurses should take flexible shift system to effectively reduce the incidence of falls.

show abstract

Self-reported fatigue: A significant risk factor for falling in older women and men

Cited by 11 publications

References 25 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

Association Between Fatigue and Falls Risk Among the Elderly Aged Over 75 Years in China: The Chain Mediating Role of Falls Efficacy and Lower Limb Function

Analysis and Countermeasures of 101 Inpatients with Falls in Internal Medicine Department

Contact Info

Product

Resources

About