Risk factors for single and recurrent falls

A prospective study of falls in community dwelling seniors without cognitive impairment

Tai Yin Wu, Wei Chu Chie, Rong Sen Yang, Kuan Liang Kuo, Wai Kuen Wong, Chen Kun Liaw

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective: The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. Method: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12. months. Results: The mean age of the 653 completers was 75.6 ± 6.4. Half (48.7%) were women. Fallers and recurrent fallers comprised 14.5% and 6.0% of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95% confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95% CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95% CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95% CI: 1.11-7.09), decreased body height (aOR: 3.15, 95% CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95% CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95% CI: 1.44-4.84 for single falls; aOR: 5.26, 95% CI: 2.61-10.60 for recurrent falls) were associated with all falls. Conclusion: Different intervention strategies should be developed for single and recurrent fallers.

Original languageEnglish
Pages (from-to)511-517
Number of pages7
JournalPreventive Medicine
Volume57
Issue number5
DOIs
Publication statusPublished - Nov 1 2013
Externally publishedYes

Fingerprint

Independent Living
Odds Ratio
Prospective Studies
Confidence Intervals
Body Height
Cognitive Dysfunction
Hypnotics and Sedatives
Taiwan
Osteoporosis
Thyroid Gland
Demography
Health

Keywords

  • Aged
  • Falls
  • Risk factors

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Risk factors for single and recurrent falls : A prospective study of falls in community dwelling seniors without cognitive impairment. / Wu, Tai Yin; Chie, Wei Chu; Yang, Rong Sen; Kuo, Kuan Liang; Wong, Wai Kuen; Liaw, Chen Kun.

In: Preventive Medicine, Vol. 57, No. 5, 01.11.2013, p. 511-517.

Research output: Contribution to journalArticle

Wu, Tai Yin ; Chie, Wei Chu ; Yang, Rong Sen ; Kuo, Kuan Liang ; Wong, Wai Kuen ; Liaw, Chen Kun. / Risk factors for single and recurrent falls : A prospective study of falls in community dwelling seniors without cognitive impairment. In: Preventive Medicine. 2013 ; Vol. 57, No. 5. pp. 511-517.
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