The effect of physical and social isolation due to the COVID-19 pandemic on the incidence of hip fractures among senior citizens

Ronel, Dror; Keren, Yaniv; Muallem, Aiman; Elboim-Gabyzon, Michal

doi:10.1016/j.gerinurse.2021.10.018

Cited by 9 publications

(7 citation statements)

References 43 publications

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“…42 Recognizing that the elderly are at particularly high risk of suffering bone fractures, 43 it is important to pay attention to fracture prevention given their impact on cognition; the statistics of hip fractures among older adults have increased significantly during the pandemic, 14 especially among older adults living alone. 44 Depressive symptomatology was found to have a positive association with CI, which has been amply demonstrated in previous studies. 45 Recent research has described higher executive dysfunction and functional impairment in Latin American seniors suffering from depression.…”

Section: Discussionsupporting

confidence: 56%

Factors associated with cognitive impairment in Latin American older adults: A cross‐sectional observational study of COVID‐19 confinement

Ramos‐Henderson

Soto‐Añari²,

Herrera‐Pino

et al. 2023

Alz & Dem Diag Ass & Dis Mo

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INTRODUCTION The effects of COVID‐19 confinement have been severe, especially in older adults. Therefore, we analyzed the factors associated with cognitive impairment (CI) in Latin America (LA). METHODS We conducted a cross‐sectional observational study with a total of 5245 older adults from 10 countries in LA. Measurement We used the Telephone Montreal Cognitive Assessment (T‐MoCA) and the Eight‐item Informant Interview to Differentiate Aging and Dementia (AD8) scale. RESULTS We found that age, depressive symptomatology, bone fractures, being widowed, having a family member with dementia, and unemployment were associated with an increased risk of CI. In contrast, higher education, hypertension with continuous treatment, quarantine, and keeping stimulating cognitive and physical activities were associated with a lower probability of CI. No significant association was found between suffering from diabetes or being retired and CI. DISCUSSION It is essential to conduct follow‐up studies on these factors, considering their relationship with CI and the duration of confinement.

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Section: Discussionsupporting

confidence: 56%

Factors associated with cognitive impairment in Latin American older adults: A cross‐sectional observational study of COVID‐19 confinement

Ramos‐Henderson

Soto‐Añari²,

Herrera‐Pino

et al. 2023

Alz & Dem Diag Ass & Dis Mo

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“…In a population of UK community-dwelling older adults, we found that as expected being in a higher SPR category was associated with increased odds of reporting at least [43], and this observation suggests that patients are aware of this. Given that previous studies found that being alone and socially isolated, having poor self-efficacy, and being depressed are associated with an increased risk of fracture [12][13][14][15][16][17] as well as poor self-rated health [7][8][9], we wanted to see whether these same factors may also play a role in SPR. However, further individual adjustment for social isolation, GSE score, and self-reported anxiety/depression did not affect the association between SPR and previous fracture, although this association was attenuated after adjustment for lifestyle and medical history.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies with older adults have found social isolation (i.e., the scarceness or absence of regular social contacts and relationships with others), poor self-efficacy (i.e., one's poor confidence in the ability to cope with the demands, tasks and challenges of life), depression, and multimorbidity to be associated with poor self-rated health [7][8][9][10]. Social isolation has been found to increase the risk of becoming physically frail in English community-dwelling men aged 60 years and older [11] and to be associated with a higher incidence of hip fractures among Israeli patients aged 65 years and older who lived alone during the COVID-19 lockdown [12]. A study conducted among US community-dwelling adults, aged approximately 72 years, identified self-efficacy as a predictor of falls risk, with higher self-efficacy being associated with the adoption of health behaviours (diet and physical activity) known to be preventive of falls [13].…”

Section: Introductionmentioning

confidence: 99%

Investigating the relationship between self-perception of fracture risk and prior fracture: findings from the Hertfordshire Cohort Study

et al. 2022

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Background Self-perceived risk of fracture (SPR) is associated with fracture independent of FRAX calculated risk. To understand this better we considered whether lifestyle factors not included in the FRAX algorithm and psychosocial factors (social isolation, self-efficacy, or mental health status) explain the relationship between SPR and fracture. Methods We studied 146 UK community-dwelling older adults from the Hertfordshire Cohort Study. SPR ranked as ‘lower’, ‘similar’ and ‘higher’ relative to others of the same age, was assessed by questionnaire. Social isolation was assessed using the six-item Lubben Social Network Scale; self-efficacy was assessed using a shortened General Self-Efficacy Scale (GSE); mental health status was assessed using the anxiety/depression item from the EuroQoL questionnaire. SPR in relation to previous self-reported fracture was examined using logistic regression. Results Among participants of median age 83.4 (IQR 81.5–85.5) years, SPR was lower for 54.1% of participants, similar for 30.8%, and higher for 15.1%; 74.7% reported no previous fractures. Greater SPR was associated with increased odds of previous fractures when adjusting for sex and age only (OR 1.72, 95% CI 1.03–2.87, per higher band of SPR). While further individual adjustment for social isolation (1.73, 1.04–2.89), self-efficacy (1.71, 1.02–2.85), or mental health (1.77, 1.06–2.97) did not attenuate the relationship, individual adjustment for diet quality and number of comorbidities did. Conclusions Adjustment for social isolation, self-efficacy or mental health status did not attenuate the relationship between SPR and fracture. By contrast, lifestyle factors not included in FRAX, such as diet quality, did attenuate relationships, suggesting a possible future area of investigation.

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“…Limited physical activity due to voluntary self-isolation for SARS-CoV-2 may affect the individual’s health, which is a major concern among community-dwelling older people 7 ) . Establishing structured home healthcare services for older people to address long-term pandemics and supportive social communities is important 8 ) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with falls during voluntary self-isolation among community-dwelling older people: a longitudinal study

et al. 2023

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[Purpose] We aimed to explore the factors that predict falls in community-dwelling older people over 6 months during their voluntary self-isolation for the coronavirus disease (SARS-CoV-2). [Participants and Methods] In this longitudinal study, we surveyed older people aged ≥65 years living in Takasaki City, Gunma Prefecture, using a questionnaire. We investigated the relationship between the frailty screening index and fall rate. [Results] A total of 588 older adults (response rate, 35.7%) filled and returned the questionnaire during the study period. Of these, 391 participants who had not applied for long-term care insurance and had completed the data on the response items were included in the study. Based on their responses in the survey questionnaire, 35 (8.95%) participants were grouped into the fall group and 356 into the non-fall group. Subsequently, the “no” response to “Can you recall what happened 5 minutes ago?” and “yes” response to “Have you felt tired for no reason (in the past 2 weeks)?” were identified as the significant factors associated with falls. [Conclusion] It is important to pay attention to the subjective evaluation of patients’ cognitive decline and fatigue to prevent falls owing to the implementation of SARS-CoV-2 countermeasures.

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The effect of physical and social isolation due to the COVID-19 pandemic on the incidence of hip fractures among senior citizens

Cited by 9 publications

References 43 publications

Factors associated with cognitive impairment in Latin American older adults: A cross‐sectional observational study of COVID‐19 confinement

Factors associated with cognitive impairment in Latin American older adults: A cross‐sectional observational study of COVID‐19 confinement

Investigating the relationship between self-perception of fracture risk and prior fracture: findings from the Hertfordshire Cohort Study

Factors associated with falls during voluntary self-isolation among community-dwelling older people: a longitudinal study

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