Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall socio...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10459.1/83666 |
| Acceso en línea: | https://doi.org/10.1002/nur.22249 http://hdl.handle.net/10459.1/83666 |
| Access Level: | acceso abierto |
| Palabra clave: | Accidental falls Older adults Otago exercise program Physical functional performance Sex differences |
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Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational studyBlanco Blanco, JoanAlbornos Muñoz, LauraCosta Menen, Maria ÀngelsGarcía-Martínez, EsterRubinat, EstherMartínez Soldevila, JordiMoreno-Casbas, Maria TeresaBays Moneo, Ana BeatrizGea Sánchez, MontserratAccidental fallsOlder adultsOtago exercise programPhysical functional performanceSex differencesFalls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people.We would like to thank Montse Martínez of the scientific and technical services UBIOSTAT at IRB-Lleida for their collaboration. This study has been funded by the National Healthcare Research Fund (Instituto de Salud Carlos III) through projects PI16/01520, PI16/00821, PI16/01316, PI16/01649, PI16/01042, PI16/01159, PI16/01312, PI16CIII/00031, by the Region of Murcia through project CARM, FFIS17/AP/02/04), by the Basque Country through project 2016111005, and cofunded by European Regional Development Fund (FEDER)/“A way to make Europe”).Wiley202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1002/nur.22249http://hdl.handle.net/10459.1/83666http://hdl.handle.net/10459.1/83666reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)EspañolReproducció del document publicat a : https://doi.org/10.1002/nur.22249Research in Nursing and Health, 2022, vol. 45, p. 433–445cc-by-nc (c) Blanco et al., 2022info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc/4.0/oai:recercat.cat:10459.1/836662026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| title |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| spellingShingle |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study Blanco Blanco, Joan Accidental falls Older adults Otago exercise program Physical functional performance Sex differences |
| title_short |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| title_full |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| title_fullStr |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| title_full_unstemmed |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| title_sort |
Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study |
| dc.creator.none.fl_str_mv |
Blanco Blanco, Joan Albornos Muñoz, Laura Costa Menen, Maria Àngels García-Martínez, Ester Rubinat, Esther Martínez Soldevila, Jordi Moreno-Casbas, Maria Teresa Bays Moneo, Ana Beatriz Gea Sánchez, Montserrat |
| author |
Blanco Blanco, Joan |
| author_facet |
Blanco Blanco, Joan Albornos Muñoz, Laura Costa Menen, Maria Àngels García-Martínez, Ester Rubinat, Esther Martínez Soldevila, Jordi Moreno-Casbas, Maria Teresa Bays Moneo, Ana Beatriz Gea Sánchez, Montserrat |
| author_role |
author |
| author2 |
Albornos Muñoz, Laura Costa Menen, Maria Àngels García-Martínez, Ester Rubinat, Esther Martínez Soldevila, Jordi Moreno-Casbas, Maria Teresa Bays Moneo, Ana Beatriz Gea Sánchez, Montserrat |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
Accidental falls Older adults Otago exercise program Physical functional performance Sex differences |
| topic |
Accidental falls Older adults Otago exercise program Physical functional performance Sex differences |
| description |
Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022 2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://doi.org/10.1002/nur.22249 http://hdl.handle.net/10459.1/83666 http://hdl.handle.net/10459.1/83666 |
| url |
https://doi.org/10.1002/nur.22249 http://hdl.handle.net/10459.1/83666 |
| dc.language.none.fl_str_mv |
Español |
| language_invalid_str_mv |
Español |
| dc.relation.none.fl_str_mv |
Reproducció del document publicat a : https://doi.org/10.1002/nur.22249 Research in Nursing and Health, 2022, vol. 45, p. 433–445 |
| dc.rights.none.fl_str_mv |
cc-by-nc (c) Blanco et al., 2022 info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc/4.0/ |
| rights_invalid_str_mv |
cc-by-nc (c) Blanco et al., 2022 http://creativecommons.org/licenses/by-nc/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.publisher.none.fl_str_mv |
Wiley |
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Wiley |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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