The Prevalence of Fall and Related Factors in Iranian Elderly: A Systematic Review

پهلوانیان, علی اکبر; نجاریان, ریحانه; ادبی, صادق; میرشجاع, مینا سادات

doi:10.32598/rj.21.3.2084.6

Cited by 11 publications

(6 citation statements)

References 10 publications

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“…According to Pahlevanian et al, one of the influential factors in falling can be diseases. There was a significant relationship between chronic diseases, including neurological diseases, painkillers, and home safety in the elderly (7), which can lead to fewer falls. Thus, intervention strategies to improve chronic diseases might be necessary for the effective prevention of recurrent falls among elderly people.…”

Section: Discussionmentioning

confidence: 99%

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Relationship Between Sleep Quality and Falls Among Elderly People in Amirkola, Northern of Iran

Ghobadimehr

Pasha

Hosseini

et al. 2022

J Educ Community Health

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Background: Aging is considered a biological, natural, and inevitable phenomenon that is associated with common problems of sleep quality and falls. The aim of this study was to evaluate the relationship between sleep quality and falls among the elders of Amirkola. Methods: In this case-control study, 250 elders, who were exposed to the falling, and 500 people without the previous falling were randomly selected during 2016-2017. The data were collected according to demographic and Pittsburgh Sleep Quality Index (PSQI) questionnaires. Results: There was a significant relationship between sleep quality and falling, while no significant relationship was found between demographic characteristics (e.g., gender, marital situation, age, educational level, occupation, and satisfaction of income) and falling. The mean of chronic diseases was 3.65±2.29 and 4.38±2.75 in control and case groups, respectively (P=0.0001). A significant difference was found between the two groups regarding the number of falls during the last 12 months (P=0.0001). There was a significant positive correlation between the score of poor sleep quality and the number of chronic diseases (P=0.001, r=0.352), the number of falls during the last 12 months (P=0.001, r=0.137), and the number of falling during the last 12 months with the number of chronic diseases (P=0.001, r=0.208). There was a significant negative correlation between poor quality sleep with the score of physical activity (P=0.001, r=-0.166) and the number of chronic diseases with the physical activity score (P=0.001, r=-0.259). After adjusting the other variables, the number of chronic diseases (P=0.002, OR=1.114) and history of smoking (P=0.018, OR=1.678) were the most effective factors of falling. Finally, a direct positive correlation was observed between the total scores of sleep quality and falling in terms of gender in the older woman of Amirkola (P=0.001, OR=2.080). Conclusion: Awareness of the factors of falls can help develop prevention strategies and appropriate health services.

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Section: Discussionmentioning

confidence: 99%

“…Falling is one of the most obvious and dangerous problems of older age, as well as the most common cause of injuries in the elderly. Falling can lead to immobility, decreased performance, hospitalization, increased treatment costs for the community, and higher mortality rates (7,8). According to the World Health…”

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confidence: 99%

Relationship Between Sleep Quality and Falls Among Elderly People in Amirkola, Northern of Iran

Ghobadimehr

Pasha

Hosseini

et al. 2022

J Educ Community Health

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“…The most important internal causes of falling include poor mobility, cognitive impairment, medication use, depression, urinary incontinence, dizziness, fear of falling, visual impairment, and a history of previous falls. Moreover, the most important external factors related to homes are the risk of slipping, lack of railings or handles, worn furniture, low light, and the like, many of which are preventable (17,18). Fear of falling is a constant concern about falling, which may eventually limit the activities of daily living and reduce a person's self-confidence in balance ability, and ultimately lead to muscle weakness and inactivity and reduced quality of life in the elderly (19,20).…”

Section: Discussionmentioning

confidence: 99%

Impact of Balance Training on Fear of Falling and Fall Rate in Older Women

Soleimani

Alvandi

Azari

et al. 2022

J Educ Community Health

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Background: Fear of falling is one of the factors that threaten the quality of life in old age and increases the risk of falling by limiting physical activity. The purpose of this study was to investigate the effect of balance training on the efficacy of fear of falling and the rate of falling in older women. Methods: In this randomized controlled trial, 70 aging women with a fear of falling were selected and randomly assigned to experimental (n=35) and control (n=35) groups. The intervention group received 10 sessions of 1-hour balance exercise, along with training in falling prevention strategies, but the control group received only routine care. Data were collected using the Falls Efficacy Scale-International questionnaire and the new elderly health services package of the Ministry of Health of Iran. Fear of falling was evaluated as the primary outcome 1 month and 3 months after balance training, and frequency of falling was assessed as a secondary outcome one year after the intervention. Data were analyzed by ANOVA, independent t test, and paired t test. Results: The results showed that the mean score of fear of falling in the experimental group was significantly lower than in the control group 1 month (P = 0.005) and 3 months (P < 0.001) after balance training. The mean score of fear of falling in the control group represented no significant difference between the three times (P = 0.64). Finally, one year after the balance training, the frequency of falling in the experimental group was significantly lower in comparison to the control group (P = 0.035). Conclusion: A balance training program is recommended as a preventive approach for reducing the frequency of falling in older women.

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“…It is expected that the elderly population will grow faster in Iran than in other countries from 2040. According to the general population and housing census of the Is-lamic Republic of Iran in 2011, elderly people accounted for nearly 2.8% of Iran's population; this number increased to about 9.28% in 2016, and it was estimated that this statistic would increase in the next 25 years (5). With a deeper insight into population growth, aging is perceived as an enormous challenge for countries regarding the provision of safety and welfare for their elderly population (4).…”

Section: Contextmentioning

confidence: 99%

Factors Associated with Participation of Community-Dwelling Older Adults in Activities Related to Leisure and Social Participation: A Systematic Review

Garmabi

Rezaee

Pashmdarfard

2023

Middle East J Rehabil Health Stud

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Context: The significant and rapid growth of the aging population is one of the most important phenomena of the current century. According to the main component of the World Health Organization, the concern over aging can be operationalized through informal contributions such as social and leisure activities. Objectives: The current study mainly aimed to review the factors associated with the participation of community-dwelling older adults in activities related to leisure and social participation. Data Source: In this study, based on PRISMA guidelines, articles investigating factors associated with the participation of community-dwelling older adults in activities related to leisure and social participation and published from 2005 to 2022 in Google Scholar, PubMed, Scopus, and EMBASE databases were screened. Inclusion criteria consisted of articles having been published in peer-reviewed journals between 2005 and 2022 and reaching I, II, III, and IV AOTA levels of evidence. To complete the study, a total of 651 articles were retrieved. Finally, 29 articles were reviewed. Results: Out of 29 articles, three articles were at evidence level I, 12 were at evidence level II, one was at evidence level III, and 13 were at evidence level IV. The social participation of the elderly was discussed in all 29 articles; however, the activities related to leisure of the elderly, in addition to the social participation, was discussed in only 11 articles. Levels of education and disability were the most relevant individual factors affecting the social participation and leisure activities of elders, respectively; the social networks with families, friends, etc., on the other hand, were the most relevant environmental factors influencing both social participation and leisure activities. Conclusions: Since the levels of education and disability were the most relevant individual factors affecting the participation of the elderly in activities related to social participation and leisure, respectively, and because it was difficult to make interventions in these factors, it was suggested that occupational therapists and other geriatric specialists should make advocacy-based interventions in the social networks which was recognized as the most relevant environmental factors contributing to leisure and the social participation.

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The Prevalence of Fall and Related Factors in Iranian Elderly: A Systematic Review

Cited by 11 publications

References 10 publications

Relationship Between Sleep Quality and Falls Among Elderly People in Amirkola, Northern of Iran

Relationship Between Sleep Quality and Falls Among Elderly People in Amirkola, Northern of Iran

Impact of Balance Training on Fear of Falling and Fall Rate in Older Women

Factors Associated with Participation of Community-Dwelling Older Adults in Activities Related to Leisure and Social Participation: A Systematic Review

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